Post-Breast Cancer Surgery: Vaccine Injection Concerns - Oncology

Share to:

Post-operative injection issues in breast cancer?


Hello, doctor.
In 2008, I underwent a total mastectomy of the left breast (early stage – tumor near the nipple) and partial lymph node removal.
I do not need to take medication.
The doctor advised that there is a risk of lymphedema in the left arm, so I do not measure blood pressure on that side.
Since it has been 13 years and I have been using my right hand for activities, I would like to ask if I can receive the vaccine in my left arm this time.
If not, where would be the safest place to administer it? Thank you.

wen, 50~59 year old female. Ask Date: 2021/07/13

Dr. Chen Sirong reply Oncology


Wen, 57 years old, female.
Hello.
1.
February 13.
2.
Injection in the left hand.
3.
Possible side effects are not significant and should be manageable; any hand-related side effects are expected to heal.
Wishing you peace.
Taoyuan Hospital, Dr.
Chen Sih-Rong.

Reply Date: 2021/07/13

More Info


When it comes to post-breast cancer surgery and vaccination, there are several important considerations to keep in mind, especially regarding the injection site for vaccines. In your case, since you underwent a left breast mastectomy and partial lymph node removal, it is crucial to be cautious about using the left arm for any injections, including vaccines.


Vaccination After Breast Surgery
1. Lymphatic Considerations: After a mastectomy and lymph node removal, there is a risk of lymphedema, which is swelling due to the accumulation of lymph fluid. This condition can occur if the lymphatic system is compromised. Because of this, healthcare providers often recommend avoiding blood pressure measurements, injections, or any invasive procedures on the affected side (in your case, the left arm) to minimize the risk of lymphedema.

2. Injection Site Recommendations: Generally, it is advisable to use the opposite arm (the right arm in your case) for vaccinations. This practice helps to avoid potential complications associated with lymphedema. If the right arm is not an option for any reason, other sites such as the thigh can be considered, but this should be discussed with your healthcare provider.

3. Timing and Monitoring: Since you mentioned that it has been 13 years since your surgery and you have not experienced any lymphedema or complications, this is a positive sign. However, it is still prudent to err on the side of caution. If you have any concerns about the condition of your left arm or the risk of lymphedema, it is best to consult with your oncologist or a healthcare professional who specializes in post-cancer care.


Safety and Efficacy of Vaccines
Vaccines, including those for COVID-19, are generally safe for individuals who have undergone breast cancer treatment. The benefits of vaccination, particularly in the context of the ongoing pandemic, often outweigh the risks. Vaccination can help protect you from severe illness, hospitalization, and complications associated with COVID-19.


Conclusion
In summary, it is advisable to avoid using your left arm for vaccine injections due to the history of breast surgery and lymph node removal. Opting for the right arm or another safe injection site is the best course of action. Always consult with your healthcare provider for personalized advice and to address any specific concerns you may have regarding vaccination after breast cancer surgery. They can provide guidance tailored to your medical history and current health status, ensuring that you receive the best care possible while minimizing any potential risks.

Similar Q&A

Post-Surgery Considerations for Vaccination After Chocolate Cyst Removal

Hello Dr. Chen, I had surgery at the end of March this year to remove an 11 cm chocolate cyst, and I started receiving long-acting Diphereline injections in April, with my second dose already administered. I began taking Isovorin in October and would like to know if I can receive...


Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, here is a summary of the response: Currently, there is no empirical data available on this matter. The general guideline is to avoid vaccination within one month before and after the use of hormone-related medications. It is also advisable to consult your...

[Read More] Post-Surgery Considerations for Vaccination After Chocolate Cyst Removal


Post-Breast Cancer Treatment: The Role of Menopause-Inducing Injections

Hello Doctor: ER: 95% PR: 95% HER2: 0 Ki-67: 5% Tumor size: 1.4 cm, sentinel lymph nodes negative. Surgery was completed in mid-September, and radiation therapy started in mid-October, with no chemotherapy. When the breast surgeon discussed the treatment plan, they mentioned that...


Dr. Chen Yunfang reply Oncology
Hello: First of all, taking only Tamoxifen is not enough! Secondly, it is quite unusual not to undergo adjuvant chemotherapy after surgery; theoretically, it should be done. However, this may be your personal choice, which I respect. That's all. Thank you.

[Read More] Post-Breast Cancer Treatment: The Role of Menopause-Inducing Injections


Post-Vaccine Breast Lump: When to Seek Medical Attention?

Hello, doctor: After receiving the first dose of the BNT vaccine in October 2021, I noticed a lump in the upper right chest before getting the second dose at the end of November. I did not inform the doctor and proceeded with the second dose. The lump did not increase in size or ...


Dr. Chen Yunfang reply Oncology
Hello: Please make an appointment for a consultation with the "Breast Surgery" department. Thank you.

[Read More] Post-Vaccine Breast Lump: When to Seek Medical Attention?


Concerns About Postpartum Breast Suppression Injections and Breast Cancer Risks

I have a question. I received a medication to suppress lactation on the fourth day after giving birth, and someone told me that this could lead to breast cancer in the future. Is that true? If I still experience breast engorgement after the injection, can I continue breastfeeding...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. I am not certain about the correlation between lactation suppression injections and breast cancer, but I can confirm that medical studies have indicated that mothers who breastfeed have a lower risk of developing breast cancer compared to those who do not breastfeed. 2....

[Read More] Concerns About Postpartum Breast Suppression Injections and Breast Cancer Risks


Related FAQ

Injection

(Surgery)

Breast Cancer

(Oncology)

Purpura

(Oncology)

Breast Augmentation

(Plastic Surgery)

Infection Concerns

(Surgery)

Rabies

(Surgery)

Tumor

(Surgery)

Tetanus

(Surgery)

Lymphadenopathy

(Oncology)

Axillary

(Surgery)