What is included in the long-term outpatient care for lymphoblastic lymphoma?

Answer

Consolidation and maintenance therapy of patients with lymphoblastic lymphoma may be performed on an outpatient basis. Monitor the complete blood cell (CBC) count of patients with lymphoblastic lymphoma during the treatment nadir.

For patients with asymptomatic anemia or thrombocytopenia, arrange for outpatient transfusions. The most commonly used arbitrary thresholds for transfusion are a hemoglobin of 8 g/dL or a hematocrit of 25% and a platelet count of 10,000 cells/µL, if the patient is not bleeding, anemic, or febrile.

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Joseph M Tuscano, MD Associate Chief, Department of Hematology/Oncology/Internal Medicine, Veterans Administration Northern California System of Clinics; Professor, Department of Internal Medicine, Division of Hematology/Oncology, University of California at Davis School of Medicine

Joseph M Tuscano, MD is a member of the following medical societies: American Association of Immunologists, American College of Physicians, American Society of Hematology, American Society for Blood and Marrow Transplantation

Disclosure: Received honoraria from Genentech for speaking and teaching.

Coauthor(s)

Stephen E Wang, MD Consulting Staff, Department of Internal Medicine, Division of Hematology/Oncology, Kaiser Permanente

Stephen E Wang, MD is a member of the following medical societies: American Society of Hematology

Disclosure: Nothing to disclose.

Theodore Wun, MD, FACP Professor of Medicine, Professor of Pathology and Laboratory Medicine, University of California Davis School of Medicine; Chief of Hematology/Oncology, Program Director, Veterans Affairs Northern California Health Care System; Medical Director, University of California Davis CCRC

Theodore Wun, MD, FACP is a member of the following medical societies: American Association of Blood Banks, American Society for Blood and Marrow Transplantation, American College of Physicians, American Federation for Medical Research, American Society of Hematology, SWOG

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Chief Editor

Emmanuel C Besa, MD Professor Emeritus, Department of Medicine, Division of Hematologic Malignancies and Hematopoietic Stem Cell Transplantation, Kimmel Cancer Center, Jefferson Medical College of Thomas Jefferson University

Emmanuel C Besa, MD is a member of the following medical societies: American Association for Cancer Education, American Society of Clinical Oncology, American College of Clinical Pharmacology, American Federation for Medical Research, American Society of Hematology, New York Academy of Sciences

Disclosure: Nothing to disclose.

Additional Contributors

Karen Seiter, MD Professor, Department of Internal Medicine, Division of Oncology/Hematology, New York Medical College

Karen Seiter, MD is a member of the following medical societies: American Association for Cancer Research, American College of Physicians, American Society of Hematology

Disclosure: Received honoraria from Novartis for speaking and teaching; Received consulting fee from Novartis for speaking and teaching; Received honoraria from Celgene for speaking and teaching.

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