| 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
|