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10.2214/AJR.21.25604

http://scihub22266oqcxt.onion/10.2214/AJR.21.25604
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33543649!ä!33543649

suck abstract from ncbi


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pmid33543649      AJR+Am+J+Roentgenol 2021 ; 217 (4): 831-834
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  • Management of Unilateral Axillary Lymphadenopathy Detected on Breast MRI in the Era of COVID-19 Vaccination #MMPMID33543649
  • Edmonds CE; Zuckerman SP; Conant EF
  • AJR Am J Roentgenol 2021[Oct]; 217 (4): 831-834 PMID33543649show ga
  • Early clinical experience with COVID-19 vaccination suggests that approved COVID-19 vaccines cause a notably higher incidence of axillary lymphadenopathy on breast MRI compared with other vaccines. Guidelines are needed to appropriately manage unilateral axillary lymphadenopathy detected by MRI in the era of COVID-19 vaccination and to avoid biopsies of benign reactive nodes. This article examines the available data on vaccine-related lymphadenopathy and offers a basic strategy for assessing axillary lymphadenopathy on MRI and guiding management. At our institution, we are adding questions regarding the date(s) and laterality of administration of COVID-19 vaccination to the intake form given to patients before all breast imaging examinations. We consider MRI-detected isolated unilateral axillary lymphadenopathy ipsilateral to the vaccination arm to most likely be related to the COVID-19 vaccine if it develops within 4 weeks of administration of either dose. In these cases, we assess the lymphadenopathy as BI-RADS 3 and recommend that follow-up ultrasound be performed within 6-8 weeks after administration of the second dose. These guidelines may be refined as we acquire further data on the expected time course of axillary lymphadenopathy after COVID-19 vaccination. Until that time, this management pathway will help avoid unnecessary biopsies of benign vaccine-related reactive lymphadenopathy.
  • |Adult[MESH]
  • |Axilla[MESH]
  • |COVID-19 Vaccines/*adverse effects/therapeutic use[MESH]
  • |COVID-19/*prevention & control[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Lymph Nodes/diagnostic imaging[MESH]
  • |Lymphadenopathy/*diagnostic imaging/*etiology[MESH]
  • |Magnetic Resonance Imaging/*methods[MESH]
  • |Middle Aged[MESH]


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