People with CLL need regular medical follow-up after they have
completed treatment. It is important to assess the full effect
of therapy as well as to identify any return of progressive
disease that may require additional therapy. Some treatments can
cause long-term effects or late effects. Your doctor will let
you know how often you need physical exams and blood tests to
check your blood cell counts. From time to time, you may need
bone marrow tests or fluorescence in situ hybridization (FISH)
tests that can detect chromosome changes in CLL cells. Your
oncologist will screen you for cancer recurrence and the
development of a secondary cancer. The National Comprehensive
Cancer Network (NCCN) produces Clinical Practice Guidelines in
Oncology for most cancers, which many doctors follow. Their
guidelines are among the most comprehensive and most frequently
updated clinical practice guidelines available in any area of
medicine. You can download guidelines at the NCCN website for
helpful information about CLL to d