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خرید پکیج

تعداد آیتم قابل مشاهده باقیمانده : 3 مورد

Monitoring the non-Hodgkin lymphoma (NHL) survivor for long-term complications

Monitoring the non-Hodgkin lymphoma (NHL) survivor for long-term complications

Cancer screening
NHL survivors should be advised of their increased risk of developing a malignancy following treatment, encouraged to participate in routine age-appropriate cancer surveillance, and to report any concerning symptoms to their physician.
Breast cancer	Starting at age 40 years (or if chest irradiated, eight years after radiation or age 25, whichever is later): Annual screening mammogram Consider annual breast MRI in addition to mammogram for women who received radiation to the chest between the age of 10 and 35 years Consider referral to high-risk breast clinic for discussion of chemoprevention
Lung cancer	Smoking cessation
Skin cancer	Annual complete skin examination Sun safety practice
Cardiovascular health
Screening and counseling techniques are similar to those used for other high risk populations. At a minimum, patients should be instructed not to ignore persistent troubling symptoms and to bring such symptoms to the attention of their physician without delay.
Cardiac disease	Referral to cardiologist for baseline evaluation after treatment Resting and stress echocardiogram (frequency depending on baseline findings and existence of other cardiac risk factors) Traditional risk factors should be minimized (eg, smoking, obesity, hyperlipidemia, hypertension)
Non-coronary vascular disease	Annual examination for carotid bruits; obtain carotid ultrasound if suspicious clinical findings Traditional risk factors should be minimized (eg, smoking, obesity, hyperlipidemia, hypertension)
Endocrine assessment
Infertility	Referral to reproductive endocrinologist as needed
Hypothyroidism	Annual thyroid examination and thyroid function tests (ie, TSH) for NHL survivors whose treatment included radiation to the neck or mediastinum
Neurologic and psychiatric evaluation
Annual evaluation should include a discussion of psychiatric health including an assessment of symptoms of depression and posttraumatic stress disorder. All patients at increased risk (eg, history of cranial irradiation, intrathecal therapy) should undergo screening for neurocognitive impairment.

Monitoring_the_NHL_survivor_for_long-term_complications.htm

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