HomeSurvivorshipSurvivorship Concerns

  • Long-term complications and Late-effects vary with diagnosis and treatment modality but can include:
    • Cardiac diseases (Cardiomyopathy, Congestive Heart Failure)
    • Pulmonary problems (Fibrosis, pneumonitis, dyspnea)
    • Endocrine, hormonal changes (menopausal changes, sexual dysfunction/infertility, thyroid dysfunction)
    • Bone & Joint problems (Osteoporosis, osteonecrosis)
    • Neurological Changes (neuropathy, memory loss, learning disorders, hearing loss)
    • Surgical effects (scarring, lymphedema)
    • Dental & Vision problems (dry mouth, gum disease, enamel changes, cataracts)
    • Nutritional changes (weight changes, gastrointestional problems such as chronic diarrhea)
    • Fatigue (reported by one-third of all cancer survivors as a long-term effect
    • Recurrence Risks (varies by specific cancer type & stage)
    • Secondary Malignancy (survivors have a 14% higher risk of developing a new cancer)
  • Psychosocial issues affecting interpersonal relationships, financial & insurance issues, changes to body image, sexuality, mood disorders, depression/anxiety, post-traumatic stress disorder (PTSD), social isolation, fear of recurrence.
  • Rehabilitation needs vary widely with physical therapy commonly utilized.  Additional referral resources are occupational therapist and speech and language pathologist.
  • Surveillance and monitoring needs vary by diagnosis and stage