What are NCCN initial follow-up exam recommendations following complete remission of Hodgkin lymphoma (Hodgkin disease)?

Updated: Sep 12, 2018
  • Author: Bradley W Lash, MD; Chief Editor: Emmanuel C Besa, MD  more...
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Answer

Follow-up examination recommendations are similar for both guidelines, but those from the NCCN are more detailed. NCCN recommendation for follow-up in the first 5 years include the following [4] :

  • History and physical examination

  • Complete blood cell count (CBC), serum chemistry panel, and erythrocyte sedimentation rate (ESR)

  • Thyroid-stimulating hormone (TSH) levels (at least annually if the patient has had neck radiation therapy)

  • Annual influenza vaccine

  • Neck/chest/abdomen/pelvis CT scan with contrast, at 6, 12, and 24 mo following completion of therapy, or as clinically indicated, is acceptable

  • PET/CT is recommended only if last PET was Deauville 4-5, to confirm complete response


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