来自CDC： Mammograms If you are due for a mammogram and have been recently vaccinated for COVID-19, ask your doctor how long you should wait after vaccination to get your mammogram. People who have received a COVID-19 vaccine can have swelling in the lymph nodes (lymphadenopathy) in the underarm near where they got the shot. This swelling is a normal sign that your body is building protection against COVID-19. However, it is possible that this swelling could cause a false reading on a mammogram. Some experts recommend getting your mammogram before being vaccinated or waiting four to six weeks after getting your vaccine.
还记得前段时间，我来问，我右乳房不舒服，好像有肿块在里面，鼓拐拐的？后来去这里的医院，妇科医生说没什么，是不对称，但是脂肪块。但她还是建议做mammo和echo，我19年10月做的。她说反正21年要做，与其10月做，不如一月就做了。我有预约，但cancel了，因为我想打过疫苗再去医院。前天又才预约了，在7月初，因为我们按年龄顺序，会在5月底左右打疫苗。
前两天和辛迪聊天，说我们常去XX打网球，她还好好的。刚才问她好，她说周二查出来乳腺癌。她大概情况是这样的：差不多一年半的时间，她总觉得乳房什么地方有些肿似的，有时候能摸到，有时候摸不到，反正觉得有些奇怪。所以本周去看了，mammo，echo,立刻确诊了。她周二活检，癌症。现在在等进一步的结果。
她今年47岁，原来是比利时的小学老师，老公工作尚可，他们又没有孩子，她就干脆不上班了。她经常住在西班牙，她老公来回飞。她特别神奇，年年去妇科检查，17年中都没做过mammo，她说比利时规定，50岁以下的女性，没有家庭乳腺癌史，没不舒服，不做mammo。这真是天方夜谭
她打完疫苗后做的mammogram，结果发现腋部肿块，怀疑是疫苗引起淋巴结肿大，要求她六个月后重做。
所以要是我，我就先做mammogram再打疫苗，省得麻烦。
那如果第一针以后呢？你有指导意见吗？打过一针以后14天左右，保护性抗体一般就产生了。
来自CDC：
Mammograms
If you are due for a mammogram and have been recently vaccinated for COVID-19, ask your doctor how long you should wait after vaccination to get your mammogram. People who have received a COVID-19 vaccine can have swelling in the lymph nodes (lymphadenopathy) in the underarm near where they got the shot. This swelling is a normal sign that your body is building protection against COVID-19. However, it is possible that this swelling could cause a false reading on a mammogram. Some experts recommend getting your mammogram before being vaccinated or waiting four to six weeks after getting your vaccine.
我的医生是建议第二针后等10周。这个是指没有任何症状的常规筛查screening。
如果有症状，那属于diagnostic mammogram。最好不要等
这种事耽误不得，早做早安心。
我有个朋友年年按时做，从来没有miss过，某年就看出了东西（自己没有摸出来），确诊开了刀，是早期。
https://mp.weixin.qq.com/s/KlQDR7gkOpJVusynlqmCUw