If an incidental thyroid nodule is discovered on positron emission tomography scan and is 18-fluorodeoxy-glucose-avid, risk of malignancy is high, 55% in a series of healthy volunteers. Thyroid palpation should be performed annually to identify thyroid nodules that could represent thyroid cancer. Patients should have oral evaluations at their 6- or 12-month dental examinations to screen for head and neck cancer.
In addition, patients should have clinical monitoring for other cancers known to be elevated in HCT survivors. 18, 24 Women, particularly those with a history of chronic GVHD, should have yearly gynecologic examinations, including Pap smears. Women who have received chest or total body radiation (≥ 800 cGy) should follow the guidelines established for pediatric cancer survivors of annual mammogram screening starting at age 25 or 8 years after radiation, whichever occurs later.
#Allogeneic stem cell transplant precautions skin#
Patients with a history of chronic GVHD or who have received radiation, particularly at a younger age, should have more systematic skin evaluations by healthcare providers and be educated to report any concerning changes.
At a minimum, we recommend adherence to the cancer screening guidelines for the general population for skin, cervical, breast, and colon cancer.
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