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Late Effects of Treatment for Childhood Cancer (PDQ®)
Patient Version   Health Professional Version   En español   Last Modified: 07/01/2008



General Information About Late Effects






Central Nervous System






Senses






Digestive System






Spleen






Heart






Lung






Kidney






Thyroid






Neuroendocrine System






Musculoskeletal System






Reproductive System






Second Cancers






Mortality






Long-Term Follow-Up






To Learn More About Late Effects of Treatment for Childhood Cancer






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Changes to This Summary (07/01/2008)






About PDQ



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Long-Term Follow-Up

Key Points for This Section


Regular follow-up care is very important for survivors of childhood cancer.

Follow-up care will be different for each person who has been treated for cancer, depending on the type of cancer, the type of treatment, and the person's general health. It is important that childhood cancer survivors receive regular exams by a health care provider who is familiar with their treatments and risks and who can recognize the early signs of late effects.

Childhood cancer survivors are more likely to need special education services, especially survivors of central nervous system tumors, leukemia, and Hodgkin disease.

The childhood cancer survivor's follow-up care will go on into adulthood. It ideally includes the survivor’s primary doctor and specialists; educational, vocational, and social service systems; and the family.

Long-term follow-up improves the health and quality of life for cancer survivors and also helps doctors study the late effects of cancer treatments so that safer therapies for newly diagnosed children may be developed.

Behaviors that promote health are important for survivors of childhood cancer.

The quality of life enjoyed by cancer survivors may be improved by behaviors that promote their future health and well-being, such as a healthy diet, exercise, and regular medical and dental checkups. These self-care behaviors are especially important for cancer survivors because of their risk of treatment-related health problems. Healthy behaviors may make late effects less severe and lower the risk of other diseases.

Avoiding behaviors that are damaging to health is also important. Smoking, excess alcohol use, and the use of illegal drugs increase the risk of organ damage and, possibly, of second cancers.

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