Watchful Waiting (Surveillance) for Non-Hodgkin's Lymphoma
Watchful waiting (surveillance) is a period in the treatment of some types of non-Hodgkin's lymphoma(NHL) in which you are not having treatment. It does not mean that your doctors are giving up or refusing to give you treatment.
What To Expect
During this time, you will:
Receive periodic medical tests, including chest X-rays, CT scans, and blood tests, such as chemistry screens and complete blood counts (CBCs).
See your doctor on a regular basis.
Be told which symptoms to report to your doctor immediately.
Why It Is Done
Watchful waiting may be an option for you if:
Your lymphoma is slow-growing (indolent or low-grade).
You are living comfortably and do not have significant symptoms from your lymphoma.
How Well It Works
Watchful waiting is often as effective as other treatments for some types of non-Hodgkin's lymphoma (NHL). Some people with slow-growing NHL may live a long time without symptoms.
There do not seem to be any risks involved in watchful waiting for some types of NHL when you are being watched closely by your doctor. If your lymphoma changes, other treatments such as chemotherapy or radiation therapy may be used to control your disease.
What To Think About
Watchful waiting may be a good option if your lymphoma is not the type that can be cured with standard therapy, you are not having troublesome symptoms, and standard therapy is not likely to prolong your life.
Watchful waiting ends when one of the following occurs:
Lymphoma tumor size increases.
Organs do not function normally.
ByHealthwise StaffPrimary Medical ReviewerAnne C. Poinier, MD - Internal MedicineKathleen Romito, MD - Family MedicineDouglas A. Stewart, MD, FRCPC - Medical Oncology