Precautions for breast ultrasound examination following COVID-19 vaccination
Journal of the Korean Medical Association / Taehan Uisa Hyophoe Chi
; 64(10):671-677, 2021.
Article
in Korean
| CINAHL | ID: covidwho-1481110
ABSTRACT
Background:
Coronavirus disease 2019 (COVID-19) vaccine-induced lymphadenopathy is a critical side effect that should be a concern to clinicians, patients, radiologists, and oncologists. Vaccine-induced lymphadenopathy causes a diagnostic dilemma, especially for breast radiologists who examine both axillary regions during breast ultrasound examinations. Appropriate imaging guidelines are needed to manage vaccine-induced lymphadenopathy for patients undergoing screening examinations or symptomatic patients, including cancer patients. Current Concepts For patients with axillary lymphadenopathy in the setting of recent ipsilateral vaccination, clinical follow-up is recommended. In other scenarios, short-term follow-up axillary ultrasound examinations are recommended if the clinical concerns persist for more than 6 weeks after vaccination. To mitigate the diagnostic dilemma of vaccine-induced lymphadenopathy, patients should schedule screening imaging examinations before the first vaccination or at least six weeks following the second vaccination. For clinicians and radiologists, documenting the patients' vaccination status is critical to decreasing unnecessary follow-up imaging, biopsies, and patient's anxiety. Discussion andConclusion:
Our proposal can help reduce patient anxiety, provider burden, and costs of unnecessary evaluation of enlarged lymph nodes in the setting of recent COVID-19 vaccination. Further, it can avoid delays in vaccination and breast cancer screening during the COVID-19 pandemic.
Full text:
Available
Collection:
Databases of international organizations
Database:
CINAHL
Topics:
Vaccines
Language:
Korean
Journal:
Taehan Uisa Hyophoe Chi
Year:
2021
Document Type:
Article
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