Adolescents and young adults (AYAs) with a history of cancer are at an increased risk for late effects from their cancer treatment and have higher rates of long-term morbidity and mortality compared to their age-matched peers. As a result, this vulnerable population needs attentive follow-up care, end-organ surveillance, and secondary cancer screening; however, a history of cancer can often become buried on a problem list or not addressed at all. This case report illustrates an AYA survivor of classic Hodgkin lymphoma who relocates to a new city and establishes care with a new primary care provider (PCP). The PCP's awareness of a prior cancer diagnosis and the previous treatment regimen is a critical component in providing comprehensive care. In this case, the PCP's first step is to reach out and collaborate with oncology providers to gather an accurate treatment summary and then consult evidence-based guidelines to develop a plan of care. Based on the patient's previous treatment with chemotherapy adriamycin, bleomycin, vinblastine, and dacarbazine, the PCP orders recommended testing, reviews results, and provides subsequent counseling on health promotion and psychosocial wellness. This case illustrates strategies healthcare providers can use to provide coordinated, evidence-based care for AYA cancer survivors.

中文翻译：

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为有血癌病史的年轻人提供生存护理


与同龄人相比，有癌症病史的青少年和年轻人 （AYA） 发生癌症治疗迟发效应的风险增加，并且长期发病率和死亡率更高。因此，这些弱势群体需要细心的随访护理、终末器官监测和二次癌症筛查;然而，癌症病史通常会被埋没在问题列表中或根本没有得到解决。本病例报告说明了一名经典霍奇金淋巴瘤的 AYA 幸存者搬迁到新城市并与新的初级保健提供者 （PCP） 建立护理。PCP 对先前癌症诊断和先前治疗方案的认识是提供全面护理的关键组成部分。在这种情况下，PCP 的第一步是与肿瘤学提供者联系并合作，以收集准确的治疗摘要，然后查阅循证指南以制定护理计划。根据患者之前使用化疗阿霉素、博来霉素、长春碱和达卡巴嗪的治疗，PCP 安排推荐的检测、审查结果，并提供有关健康促进和社会心理健康的后续咨询。本案例说明了医疗保健提供者可以用来为 AYA 癌症幸存者提供协调的、循证护理的策略。