[与疫苗相关的状淋巴腺病,重点是COVID-19疫苗]
Caroline Wilpert1, Evelyn Wenkel2,3, Pascal Andreas Thomas Baltzer4
1Department of Diagnostic and Interventional Radiology, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
概括
接种COVID-19疫苗后的腹淋巴腺病变很常见,可以持续超过100天. 持久或可疑的淋巴结需要活检,疫苗接种史对于准确诊断至关重要.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
背景情况:
- 支淋巴腺症 (LA) 是COVID-19疫苗接种的常见副作用.
- 仅仅通过形态成像不能总是排除与疫苗相关的LA中的恶性病变.
- 其他疫苗接种后也可能发生LA,例如流感疫苗接种后.
研究的目的:
- 为管理与疫苗相关的巴LA提供实用概述.
- 提供关于巴LA的随访间隔的建议.
- 为了指导乳腺成像患者在接种疫苗后的决策.
主要方法:
- 关于与疫苗相关的巴LA发表的研究的叙述性综述.
- 对病态淋巴结的诊断标准的分析.
- 包括图像示例和管理流程图.
主要成果:
- 在0.3-53%的病例中,部LA的COVID-19疫苗接种发生在0.3-53%的病例中,可以持续超过100天.
- 建议在接种疫苗后3个月进行超声波随访,如果LA持续超过3个月.
- 建议对持续性,进展性或可疑的淋巴结进行活检,特别是在瘤治疗前.
结论:
- 疫苗接种史对于评估巴LA是必不可少的.
- 持久或可疑的淋巴结需要进行微创活检.
- 及时诊断和治疗乳腺癌不应被与疫苗相关的LA管理所推迟.
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