Information for Childhood Cancer Survivors
Non-Hodgkin Lymphoma

Fact sheet #21
Supportive care for childhood non-Hodgkin lymphoma

Supportive care helps children and their families meet the physical, practical, emotional and
spiritual challenges of childhood non-Hodgkin lymphoma. It is an important part of cancer care. There are many programs and services available to help meet the needs and improve the quality of life of children living with cancer and their loved ones, especially after treatment Recovering from non-Hodgkin lymphoma (NHL) and adjusting to life after treatment is different for each child, depending on the extent of the disease, the type of treatment and many other factors. The end of cancer treatment may bring mixed emotions. Even though treatment has ended, there may be other issues to deal with, such as coping with long-term side effects. A child who has been treated for NHL may have the following concerns. Heart problems
Certain chemotherapy drugs used to treat NHL, such as doxorubicin (Adriamycin), can have
late effects on the heart. These heart problems can include:  abnormal heartbeat (arrhythmia)  disease of the heart muscle (cardiomyopathy)  congestive heart failure Lung problems
Lung problems can occur from treatment with certain chemotherapy drugs. Pneumonitis
(inflammation of the lungs) is the most common lung problem caused by certain chemotherapy drugs, such as doxorubicin. The major concern of pneumonitis is the potential for it to progress to pulmonary fibrosis. Pulmonary fibrosis is the formation of scar tissue in the lungs as a result of inflammation, injury or both. Liver problems
Certain chemotherapy drugs, such as vincristine (Oncovin), can damage the liver. The liver
may become enlarged (hepatomegaly). If the liver damage increases, the liver may become
hard (fibrosis) and scarred (cirrhosis). Musculoskeletal problems
Treatment with steroids, such as prednisone and dexamethasone (Decadron, Dexasone), can
increase the risk of musculoskeletal problems, such as osteoporosis.
Reproductive system problems
Some chemotherapy drugs used to treat NHL, such as alkylating agents, can cause the gonads
(ovaries and testicles) to stop working. In males, this can cause problems like infertility and 1 888 939-3333 | cancer.ca
Information for Childhood Cancer Survivors
Non-Hodgkin Lymphoma

Fact sheet #21
early or delayed puberty. In females, this can cause problems like infertility, early or delayed Second cancers
NHL survivors may have a higher risk of developing a second cancer. Alkylating agents and
etoposide (Vepesid) can increase the risk of developing acute myelogenous leukemia (AML) and myelodysplastic syndrome (MDS). The Canadian Cancer Society provides general information only. Talk to a qualified healthcare professional before making medical decisions. The Canadian Cancer Society cannot guarantee that this information is error-free or complete.
Need more information?
Contact the Canadian Cancer Society if you’d like more information about this or any other cancer-related topic. We can also
provide you with the references for this document. Call us toll-free at 1 888 939-3333 (TTY: 1 866-786-3934) or e-mail us
1 888 939-3333 | cancer.ca

Source: http://www.centreinfo.leucan.qc.ca/pdf/fiches-information-survivants/21c-non-hodgkin-lymphoma.pdf

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Srila Prabhupada’s Lecture Sri Isopanishad, Mantra 1 Los Angeles, May 3, 1970 (Prabhupada and devotees chant Invocation and Mantras 1-14) om purnam adaù purnam idam purnat purnam udacyate purnasya purnam adaya purnam evavasisyate [Iso Invocation] isavasyam idam sarvam yat kinca jagatyam jagat tena tyaktena bhunjitha ma grdhaù kasya svid dhanam kurvann eveha karmani

Bbc news | health | teen pregnancy rates go back up

Page last updated at 10:06 GMT, Thursday, 26 February 2009W hy such a dow ner on teenage pregnancy? almost c ertainly miss its target to halve rates by 2010. The news follows a series of high-profile teenage pregnanc y c ases. In total, there were estimated to be just over 42,900 c onc eptions inThe under 16 c onception rates also inc reased from 7.8 per 1,000 toT

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