Guidelines for screening for common cancers after hematopoietic-cell transplantation (HCT).*
| Site . | Screening recommendations . |
|---|---|
| *Adapted from Children’s Oncology Group25 and EBMT/ CIBMTR/ASBMT guidelines42 | |
| † Similar to American Cancer Society recommendations for general population cancer screening | |
| Breast | Mammogram annually starting at age 40†; begin at age 25 or 8 years after radiation, which ever occurs later, in women who have received ≥ 20 Gy to the chest region |
| Cervix | PAP smear every year (for regular PAP test) or every 2 years (for liquid-based PAP test); after age 30, if patient has had 3 consecutive normal tests, may screen every 2–3 years† |
| Colorectal | Beginning at age 50, fecal occult blood annually and/or flexible sigmoidoscopy every 5 years, or double contrast barium enema every 5 years, or colonoscopy every 10 years; certain high-risk groups (e.g., patients with inflammatory bowel disease) may need earlier initiation and more frequent screening† |
| Lung | Yearly pulmonary exam with imaging as appropriate |
| Oral | Yearly oral cavity exam |
| Thyroid | Yearly thyroid exam |
| Skin | Skin exam as a part of periodic health exam† |
| Site . | Screening recommendations . |
|---|---|
| *Adapted from Children’s Oncology Group25 and EBMT/ CIBMTR/ASBMT guidelines42 | |
| † Similar to American Cancer Society recommendations for general population cancer screening | |
| Breast | Mammogram annually starting at age 40†; begin at age 25 or 8 years after radiation, which ever occurs later, in women who have received ≥ 20 Gy to the chest region |
| Cervix | PAP smear every year (for regular PAP test) or every 2 years (for liquid-based PAP test); after age 30, if patient has had 3 consecutive normal tests, may screen every 2–3 years† |
| Colorectal | Beginning at age 50, fecal occult blood annually and/or flexible sigmoidoscopy every 5 years, or double contrast barium enema every 5 years, or colonoscopy every 10 years; certain high-risk groups (e.g., patients with inflammatory bowel disease) may need earlier initiation and more frequent screening† |
| Lung | Yearly pulmonary exam with imaging as appropriate |
| Oral | Yearly oral cavity exam |
| Thyroid | Yearly thyroid exam |
| Skin | Skin exam as a part of periodic health exam† |