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.
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