What are the NCCN five-year 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

Recommendations for annual monitoring for late complications after 5 years include the following [5] :

  • CBC, serum chemistry panel, and erythrocyte sedimentation rate (ESR)

  • TSH levels (at least annually if the patient had neck radiation therapy)

  • Biannual lipids assay

  • Annual fasting glucose

  • Blood pressure monitoring

  • Management of cardiovascular risk factors; stress test/echocardiogram and carotid ultrasound (if the patient has had neck radiation therapy) every 10 years

  • Vaccinations against pneumococcus, Haemophilus influenzae, and meningococcus (especially in patients who have had splenectomy), with revaccination every 5-7 years

  • Annual influenza vaccine

  • Chest x-ray or low-dose CT scans of the chest in patients with increased risk of lung cancer

  • In women who have received chest irradiation¸ annual screening with mammography, starting at age 40 years or 8-10 years after radiation therapy; breast magnetic resonance imaging (MRI) in addition to mammography is indicated for patients who received chest radiation therapy between the ages of 10 and 30 years


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