How Is Lung Cancer Diagnosed And Treated


Once you’re done with treatment, you should receive a follow-up care plan from your doctor and keep it with your medical records.

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All survivors should have follow-up care. Follow-up care for means seeing a health care provider for regular medical check-ups once you"re done with treatment.

These check-ups may include bloodwork, as well as other tests & procedures that look for changes in your health or any problems that may occur due to your treatment. These visits are also a time to check for physical và emotional problems that may occur months or years after treatment ends.

Your follow-up care plan, along with a summary of your treatment, is part of what is called a survivorship care plan. This plan will have all the details that you và your doctor should discuss to ensure that you get regular care after your treatment ends.

Note that the information in this section focuses on follow-up care for your treatment. But it’s important that you keep getting your routine care from your primary care provider in addition khổng lồ follow-up care.

Getting a Follow-Up Care Plan

Once your treatment ends, you should receive a follow-up care plan from your oncologist or someone on your treatment team. A follow-up care plan is a summary of your treatment, along with recommendations for your care after treatment ends. Your plan may also include suggestions khổng lồ help meet other needs, such as emotional, social, or financial issues. 

Choose your doctor. For follow-up care, you may see the same doctor who treated you for or you may see another health care provider, such as one who specializes in follow-up care for survivors. Or you may decide lớn go to your primary care doctor. You can discuss which doctor(s) to see with your health care team.

Ask each doctor you see to chia sẻ notes with your other doctors. Keep in mind that once you choose which doctor khổng lồ see, it may be up to you or a loved one to make sure each doctor communicates with the other about your care. Some research has shown that sometimes treatments or tests with one doctor aren"t shared with the other doctor. Ask both your doctors to lớn send clinic visit notes to each other so everyone can be on the same page. 

Follow-up care for childhood survivors is very similar khổng lồ the steps for adults. While most of the information below is equally important for children, see Care for Childhood Survivors for more tips.

Common Questions after Treatment Ends

When you receive your follow-up care plan from your doctor or other health care provider, answers lớn the questions below should be provided. Make sure khổng lồ ask any other questions you may have:

How long will it take for me lớn get better & feel more like myself?Which doctor(s) should I see for my follow-up care? How often?What symptoms should I watch out for?What tests bởi vì I need after treatment is over? How often will I have them?What are long-term health issues I might expect as a result of my treatment?What is the chance that my will return?What records vày I need khổng lồ keep about my treatment?What can I bởi vì to take care of myself & be as healthy as possible?Can you suggest a tư vấn group that might help me?

You might find it helpful to lớn write these questions down. When you meet with the doctor or follow-up care specialist, you can take notes or record your talks khổng lồ refer to lớn later. Talk about any concerns you have related lớn your follow-up care plan.

Your Follow-Up Care Schedule

Each patient has a different follow-up care schedule. How often you return for follow-up visits is based on:

the type of you hadthe treatment you receivedyour overall health, including possible treatment-related problems

In general, people return to lớn the doctor for follow-up appointments every 3 to 4 months during the first 2 khổng lồ 3 years after treatment, and once or twice a year after that.

At these visits, you may have a physical exam along with blood tests và other necessary tests and procedures. Which tests you receive và how often you receive them will be based on what your doctor thinks is best for you when creating your follow-up care plan.

Survivorship Clinics

Some centers and hospitals have programs that specialize in long-term follow-up care for survivors. Many NCI-Designated Centers & large community treatment centers offer some form of survivorship program or clinic for adults who have been treated for Also, the education website OncoLink has a searchable database of survivorship clinics across the United States.

For children và adolescents, NCI’s Office of Survivorship provides information on where to lớn get follow-up care after treatment, in addition lớn other posttreatment resources. In addition, the National Children"s Society also provides a danh mục of long-term follow-up care clinics for children who have had

What lớn Tell Your Doctor during Follow-Up Visits

When you meet with your doctor for follow-up visits, it’s important to lớn talk openly about any physical or emotional problems you’re having. Always mention any symptoms, pain, or concerns that are new or that won’t go away. Or sometimes people have depression that lasts after treatment. Your doctor needs khổng lồ know about it so they can help you.

Keep in mind that just because you have new symptoms, it doesn’t necessarily mean the has come back. It’s normal to lớn have fears about every ache và pain that arises, but they may just be problems that your doctor can easily address.

Some treatments can cause problems that may not show up for months or years after treatment. These problems, called late effects, are specific to certain types of treatments and the dose received. When you discuss follow-up care with your doctor, they should talk with you about which late effects to lớn watch for. Early medical attention can help reduce problems that may come from late effects. See Late Side Effects of Treatment to learn more.

Other things you should tell your doctor:

any physical problems that interfere with your daily life such as:fatigueproblems with bladder, bowel, or sexual functiontrouble concentrating or memory changestrouble sleepingweight gain or lossany new medicines, vitamins, herbs, or supplements you’re takingchanges in your family medical historyany emotional problems you’re having, such as anxiety, excessive worrying, or depression

It’s important to lớn be aware of any changes in your health between scheduled visits. Report any problems khổng lồ your doctor immediately. They can decide whether the problems are related to lớn the, the treatment you received, or an unrelated health issue.

Your Treatment Summary

Your oncologist or a thành viên of your treatment team should give you a written summary of the treatment you received. Keep this with you to share with your primary care doctor & any other doctors you see. Many people keep their treatment summary in a binder or folder, along with their medical records. This way, key facts about your treatment will always be together.

It"s important to always keep your treatment summary somewhere safe in case you need it years later. It"s also helpful to keep records of any medical visits you ever have, so you have them in the future. If your primary care doctor keeps electronic medical records, find out how you can access these when needed.

Types of Health Information in the Treatment Summary

the date you were diagnosedthe type of you hadplaces & dates of each treatment, such as the details of all surgeries, the sites và total amounts of radiation therapy, và the names & doses of chemotherapy and all other drugslist of signs and symptoms to watch for and possible long-term effects of treatmentcontact information for all health professionals involved in your treatmentany problems that occurred during or after treatment

Be an active partner.

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Many survivors say that getting involved with their follow-up care was a good way for them to lớn regain some of the control they felt they lost during treatment. Being an active partner with your doctor và asking for help from other members of the health care team is the first step. Knowing what lớn expect after treatment can help you and your family make plans, lifestyle changes, and important decisions about the future.

Guidelines for Follow-Up Care

The following programs or organizations provide helpful follow-up care guidelines for some nhatroso.coms. You can use them khổng lồ help you talk with your doctor, but they aren"t meant khổng lồ take the place of your doctor"s knowledge or judgment.

The American Society of Clinical Oncology (ASCO) provides care plans & follow-up care guidelines for survivors.

The Children’s Oncology Group, an NCI-supported clinical trials group, offers long-term follow-up guidelines for survivors of childhood, adolescent, and young adult nhatroso.coms. It also has a series of fact sheets called Health Links, which provide information for healthy living after childhood

The OncoLife Survivorship Care Plan was developed by Livestrong & the University of Pennsylvania. It provides survivors of adult nhatroso.coms with a personalized survivorship care plan, based on the information they enter into an online program.

Guidelines for a Healthy Lifestyle


Both during and after treatment, many people want lớn find ways lớn reduce the chances of their coming back. Some worry that the way they eat, the găng tay in their lives, or their exposure to chemicals may put them at risk for recurrence. survivors find that this is a time when they take a good look at how they take care of themselves và how they might live a healthier life.

You can decide what is in your plan. Ask your doctor about developing a survivorship care plan that includes ways you can take care of your physical, emotional, social, and spiritual needs. If you find that it"s hard lớn talk about these issues, it may be helpful to know that the more you do it, the easier it becomes. Your doctor may also suggest another thành viên of the health care team for you lớn talk with about wellness, such as a social worker, nutritionist, clergy member, or nurse.

Some General Tips for All Survivors Include:

Quit smoking. Smoking after treatment can increase the chances of getting at the same or a different site.

Cut down on how much alcohol you drink. Drinking alcohol increases the risk of certain nhatroso.coms.

Eat a balanced diet. A healthy và balanced diet is important for overall wellness. This includes:

eating a plant-based diet & have at least 5–9 servings of fruit và vegetables dailyincluding beans in your dieteating whole grains (such as cereals, breads, & pasta) several times dailychoosing foods low in fat và low in salt

Talk with your doctor or nurse lớn find out about any special dietary needs that you may have. You could also ask if you should talk lớn a nutritionist for guidance on eating a healthy diet.

Exercise and stay active. Research suggests that staying active after may help lower the risk of recurrence & lead to lớn longer survival. In addition, moderate exercise (walking, biking, swimming) for about 30 minutes every—or almost every—day can:

reduce anxiety and depressionimprove mood và boost self-esteemreduce fatigue, nausea, pain, and diarrhea

It’s important khổng lồ start an exercise program slowly and increase activity over time. Some people may need to lớn take special care when starting new. Talk with your doctor before you begin any exercise program. You may choose lớn work with a physical therapist or other specialist if you would like some help. If you need to lớn stay in bed during your recovery, even doing small activities can help. Stretching or moving your arms or legs can help you stay flexible và relieve muscle tension.

On a broader level, for patients, families, và providers, the American Society of Clinical Oncology"s Survivorship Care Compendium offers a collection of resources & tools for survivorship care programs và education. 

Research in Follow-Up Care

NCI recognizes the importance of follow-up care after treatment. Below are examples of NCI-supported research to improve the lives of survivors.

Childhood Survivor Study (CCSS): The CCSS was created to lớn gain new knowledge & educate survivors about the long-term effects of và therapy, và to provide information about follow-up care.

Follow-up Care Use Among Survivors (FOCUS): The FOCUS survey was created to lớn better understand the many aspects and quality of follow-up care, khổng lồ document the prevalence of late và long-term effects of và its treatment, to understand survivors’ knowledge of late and long-term effects, and to study health-related chất lượng of life và behaviors in long-term survivors.

Healthcare Delivery Research Program (HDRP): The HDRP was established by NCI’s Division of Control và Population Sciences in January 2015 to advance innovative research to lớn improve the delivery of care và follow-up care.

Survey of Physician Attitudes Regarding the Care of Survivors (SPARCCS): The purpose of the SPARCCS study was to identify perceptions, knowledge, and practices of primary care & oncology specialist physicians about follow-up care of adult survivors after treatment.