检查COVID-19疫苗和乳腺查中召回率之间的关系
Lorena Squillace1, Lorenzo Pizzi1, Angela Chiereghin1
1Governance of Screening Programs Unit, Health Management Staff, Local Health Authority of Bologna, Bologna, Italy.
Annali di igiene : medicina preventiva e di comunita
|April 14, 2025
概括
接种COVID-19疫苗并没有显著增加乳房影像上的错误阳性,除了瑞疫苗. 对疫苗副作用的认识可以减少接受乳腺癌查的妇女不必要的干预.
科学领域:
- 放射学和成像学 放射学和成像学
- 公共卫生 公共卫生
- 免疫学 免疫学 免疫学
背景情况:
- 接种COVID-19疫苗可能会导致暂时的下淋巴腺病变,模仿乳房图片上的恶性瘤.
- 这可能导致虚假阳性增加,不必要的活检,以及乳腺癌查期间患者的焦虑.
研究的目的:
- 评估在查后4周内接种COVID-19疫苗的妇女怀疑乳房镜结果的发生率.
- 将这些结果与未接种疫苗的女性进行比较,并分析影响错误阳性结果的因素.
主要方法:
- 一项回顾性队列研究分析了43,856名45-74岁的女性,她们在2021年接受了乳房扫描.
- 数据包括疫苗接种情况 (COVID-19在4周内) 和乳房扫描结果 (怀疑/阳性结果,召回率).
主要成果:
- 在接种疫苗和未接种疫苗的妇女之间,怀疑/阳性乳房扫描结果没有显著差异 (5.5%对5.4%).
- 接种瑞疫苗的妇女在统计学上显著地显示出更高的怀疑/阳性结果率.
- 整体召回率为5.5%.
结论:
- 接种COVID-19疫苗通常不会增加假阳性乳房扫描率,但瑞疫苗接种者可能有更高的比率.
- 医疗保健提供者意识和患者教育对于防止不必要的程序至关重要.
- 建议进行进一步的研究以验证这些发现.
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