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Hematology/Oncology

Overview | Staff | Patient Education

Taking Charge of Your Health: A Guide to Medical Follow-up for Young Adults Who Had Cancer in Childhood


MEDICAL FOLLOW-UP GUIDELINES FOR YOUNG ADULTS WHO HAD CANCER IN CHILDHOOD

TREATMENT ORGANS AT RISK FOR DELAYED EFFECTS OF TREATMENT EVALUATIONS TO BE PERFORMED ADDITIONAL SUGGESTIONS
RADIATION
Abdomen Liver


Lungs

Ovaries
Serum Chemistry Profile

Blood Pressure

Evaluation of hormones
Chest Lungs


Heart


Breasts
Pulmonary Function Test

Electrocardiogram, Echocardiogram

Mammogram at age 25
Do not smoke





Perform breast self-exam
Head or Neck Thyroid Gland

Eyes

Teeth

Pituitary


Brain
Thyroid palpation

Eye exam

Dental exam

Evaluation of hormones

Evaluation of memory & learning






Scrotum Testes Sperm Count
Perform testicular self-exam

 

TREATMENT ORGANS AT RISK FOR DELAYED EFFECTS OF TREATMENT EVALUATIONS TO BE PERFORMED ADDITIONAL SUGGESTIONS
CHEMOTHERAPY
Alkylating Agents:
Cyclophosphamide

Nitrogen Mustard, Chlorambucil, BCNU, CCNU & Busulfan, procarbazine

Testes

Ovary

Sperm Count

Ultrasound



Women w/regular periods should not delay childbirth
Anthracyclines:
Adriamycin & Daunomycin

Heart

Electrocardiogram, Echocardiogram

See a doctor before starting an exercise program; women should notify obstetrician of history
Others:
Bleomycin


Cyclophosphamide

Ifosfamide, Cisplatinum & Carboplatin

Lungs


Bladder

Kidney

Pulmonary Function Test

Urinalysis

Serum Chemistry Profile, Blood Pressure

Do not smoke
Cisplatinum
Ears (Hearing) Audiogram

 


TREATMENT ORGANS AT RISK FOR DELAYED EFFECTS OF TREATMENT EVALUATIONS TO BE PERFORMED ADDITIONAL SUGGESTIONS
SURGERY
Nephrectomy

Splenectomy
Limb Palpation of site

Antibiotics


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