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Routine monitoring is a main part of ongoing treatment, and may include: regular blood pressure checks annual exams with an NF1 specialist annual eye exams evaluations for developmental delays or disorders in children Treatment can watchful waiting, where doctors monitor tumors for potential problems over time surgery, where tumors that cause issues are removed medication, such as selumetinib (Koselugo) or mirdametinib (Gomekli), to shrink or slow the growth of symptomatic plexiform neurofibromas that cannot be surgically removed in children with NF1 therapeutic supportservices and devices, such as speech therapy, hearing aids, or mobility devices If an NF1 tumor becomes cancerous, it may need NF1 increases your risk for cancer