List of contraindications to hyaluronic acid

What is hyaluronic acid?

Hyaluronic acid is one of the polysaccharides that is included in absolutely all connective tissues of the human body. Its functions for the body are varied:

1. Adds tone and elasticity to the skin.
2. Gives softness to hair and strength to nails.
3. Prevents dry skin and sagging tissues.
4. Stimulates collagen production.

Hyaluronic acid is a unique substance by its nature. Just one of its molecules attracts and holds 1000 water molecules next to it for a long time. The body of an average girl weighing 50 kg should contain approximately 10 g of hyaluronic acid.

Cosmetics containing this substance are very common. It is developed with one goal - to prevent skin loss of moisture and preserve youth for a long time. There are creams, serums, tonics and other offers for women who want to restore beauty to their hair, skin, nails, etc.

Since hyaluronic acid is not only found in the human body, it was extracted from the combs of roosters. But such a substance was a strong allergen, so today cosmetologists use a hypoallergenic biosynthesized analogue.

But it was not cosmetic products with hyaluronic acid that caused a storm of discussion and panic among some scientists. Since it is a natural substance, it is increasingly being used instead of collagen injections. The effect of this procedure lasts much longer, usually up to 12 months. In addition, if the visitor is dissatisfied with the result, the acid can be easily removed from the body by injecting a special enzyme.

It has now been scientifically proven that hyaluronic acid is a substance whose molecules are not able to overcome the skin barrier, which means that all products for external use are just a marketing ploy. The visible effect will appear only after injections. The procedure is gaining popularity, and scientists are divided into two camps. Some claim that this substance is deadly and should be banned, while others believe that acid will not harm the body if used in moderate doses.

Customer reviews about injections

Women who have undergone hyaluronic injections claim that the procedures are absolutely harmless and provide a full-fledged rejuvenating effect, and the gel is removed from the body naturally without causing harm. At the same time, you should not frequently inject the skin, because the body will get used to the supply of acid from the outside and will stop producing it on its own.

Many patients report discomfort during the procedure and are advised to use painkillers. Some people are horrified by the bumps, swelling, and bruises on their face after injections, but this effect is a normal reaction that should go away within a day, sometimes longer.

Reviews after hyaluronic acid injections show that the injections smooth out keloids and acne scars. Despite the good effect of the injections, it will not last forever: at least once a year you need to repeat the procedure, and then addiction is not far away.

The reaction to injections is absolutely individual and depends on the characteristics of the human body. Some tolerate them easily and get the desired result, while others, on the contrary, feel discomfort, experiencing side effects and complications. To avoid this, patients are advised to have hyaluronic acid injections from professional doctors and cosmetologists.

Reviews from those who resort to hyaluronic acid injections show that it improves tissue trophism.

How can hyaluronic acid be dangerous for the human body?

Hyaluronic acid is considered a relatively safe substance, but contraindications to its use are strict, and if they exist, not a single cosmetologist will perform a rejuvenation procedure on a woman:

1. Artificially produced acid contains many proteins, bacteria and their toxins that are foreign to the body. Purifying the substance from them is extremely difficult and financially expensive. The entry of these components into the body causes pathological reactions and autoimmune diseases.
2. The period of pregnancy and lactation is one of the most serious contraindications. If acid can harm a person, then a child with virtually undeveloped immunity is the first to suffer as a result of injections.
3. During treatment for acute diseases and inflammations, the procedure is not performed, as acid can aggravate the situation.
4. People who smoke are at risk of developing hematomas after the procedure, and they do not go away for a long time.
5. Granulomas or scars may appear if the skin is exposed to ultraviolet light or physical activity after injection.

And most importantly, the substance is actively involved in the epithelial transition of cancer cells, which is why the opinion arose that hyaluronic acid provokes cancer.

The quality of life

Due to advances in detection and treatment, about 70% of cancer patients live more than five years after diagnosis (in the USA); in Russia, similar statistics are generally somewhat worse, but vary depending on the diagnosis. With timely diagnosis and treatment of breast cancer, for example, the survival rate is 80–90%.

Research (Carver, Ganz, Gotay)

show that appearance concerns are a major concern among cancer survivors, affecting their quality of life in the physical, emotional, social, and sexual domains.

People who have overcome cancer consider financial problems and appearance problems to be the main ones.

Demand for facial rejuvenation procedures requiring injections is gradually increasing due to safe and effective results. Of these, botulinum toxins and hyaluronic acid fillers are most often used, either alone or in combination. Moreover, the demand for such procedures is high both in groups that received similar procedures before treatment, and among those who did not undergo such procedures (Carruthers 2003)

.

Scientific publications indicate that facial rejuvenation leads to a significant increase in self-esteem and quality of life components in healthy and conditionally healthy patients. In addition, facial rejuvenation may improve physical health, mood, lifestyle, overall life satisfaction, appearance, self-awareness, perception of one's intelligence, weight, attractiveness, sense of accomplishment, external self-esteem, social self-esteem, and performance-related self-esteem (Dayan, Arkins )

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How long after hyaluronic acid injection can health problems occur?

If we are talking about the formation of hematomas, redness and other damage associated with appearance, then such a reaction of the body can occur literally a few hours after the administration of acid.

Scarring can appear within a few days; autoimmune diseases take a couple of weeks to appear. But with oncology everything is more complicated.

What types of oncology can hyaluronic acid provoke?

We come to the main question: in what cases does hyaluronic acid cause cancer? So, the facts that confirm that this substance really provokes cancer are:

1. The acid is involved in the epithelial-mesenchymal transition of cancer cells.
2. Protects cancer cells from external damage.
3. Accelerates the growth of cancer cells.
4. Stimulates the mobility of cancer cells.

But there are also facts that prove that hyaluronic acid cannot cause cancer:

1. Acid is able to react with cancer cells only if they are present in the body. That is, it really provokes the progression of cancer, but only under the condition that the person is already suffering from cancer at the time the acid is introduced into the body.
2. Surprisingly, hyaluronic acid is used to make anti-cancer drugs.
3. It has been scientifically proven that if a person does not have a predisposition to cancer, not a single substance can cause cancer.

Thus, hyaluronic acid itself cannot cause cancer; it only provokes the rapid development of already formed oncology or activates a disease that is in remission. And that is why the presence of any oncological diseases and predispositions is the main contraindication to the use of acid.

Acid and its properties

Hyaluronic acid, in other words hyaluronate, hyaluronan is a glycosaminoglycan molecule that is part of the intercellular fluid and contributes to the creation of the connective tissue matrix and is involved in tissue differentiation. This means that hyaluronic acid is an important component of the structure of human skin: it fills the intercellular space and protects cells from mechanical damage.

People first started talking about hyaluronate back in 1934, when K. Meyer isolated a polysaccharide with a fairly high molecular weight from a cow's eye. Nowadays, hyaluronan is available in tablets. But it is worth noting that such tablets will not act purposefully inside the body, but will affect all organ systems of the body. This is why there is such a slow effect after taking them. After all, first of all, acid is deposited in tissues where there is a lack of it, and only after that it helps to improve the health of the entire skin. The effect after using the tablets can be noticed only after 2-3 months of use.

INTERESTING fact: Traditional recipes for the treatment of leukemia

How to protect yourself from cancer if hyaluronic acid has already been injected?

Firstly, no qualified specialist will inject hyaluronic acid into a patient until he is sure that he does not have cancer at any stage or suspicion of cancer.

If for some reason the substance does enter the body of a patient with oncology, an urgent consultation with an oncologist is necessary. As mentioned above, there are special enzymes that remove acid from the body. In addition, hyaluronic acid is eliminated on its own after some time, but while it is in the body, special procedures and measures need to be carried out that are aimed at slowing down the growth of cancer cells. Among them:

• Medical removal.
• Physiotherapy.
• Active massage.
• Exposure to high temperatures.

But the fastest-acting method is to use the enzyme hyaluronidase. It removes acid from the body in just a couple of days. But there are also contraindications to its use, so this method is not always acceptable.

If the acid was administered to a person who does not have cancer or predisposition, there is no need to worry. In this case, the substance will not cause harm to the body in the form of cancer.

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The questions are answered by the winner of the nomination “BEST ONCOLOGIST” Vitaly Aleksandrovich Skvortsov , doctor of the highest category of the State Clinical Clinical Oncology Department, kmn, oncologist surgeon, mammologist, plastic surgeon

Red wine

QUESTION: Vitaly Alexandrovich! Do you think it is possible to drink a glass of red wine sometimes in the evening after breast cancer treatment? I often come across information on the Internet that even a glass of wine can provoke breast cancer or its relapse? Nina. ANSWER: Nina, a glass or two, white or red, any! Live, enjoy life!!!

Holidays in the south.

QUESTION: Vitaly Aleksandrovich, on the one hand, I read information that vitamin D3 increases survival rate for breast cancer, and on the other, my chemotherapist forbade me to spend my holidays in the south. Do you agree with this? ANSWER: Hello! We are talking about completely different things. To date, it has not been proven that vitamin D3 improves overall survival!!! When you are in the sun, ultraviolet light hits the skin and vitamin D is better absorbed by us. This is short. It is believed that any stressful condition can provoke the progression of cancer of one or another localization in cancer patients. Just any unusual conditions, for example, burning under the scorching sun - this can be considered stress. Although this hypothesis has been refuted and it is said that everything is possible, but in moderation. I don’t believe in this and I allow my patients to relax at sea in moderation, since these are positive emotions and they cannot harm a person.

Dairy products and hormone-dependent breast cancer

QUESTION: Vitaly Alexandrovich, I came across an article by an oncologist, Doctor of Medical Sciences from the Oncology Research Institute named after. N.N. Petrova, in which he writes that scientists at the US National Cancer Institute were the first to discover that women who consume a lot of dairy products are more likely to develop breast cancer. What do you think about it? Thank you Tatiana. ANSWER: Hello, Tatyana! I don't think anything and I think it's nonsense. The doctor simply translated the article into Russian and published it, I think that he himself does not think so. In general, in the USA, any research is controlled by a special body, the FDA, and if this were so, then at all congresses of oncologists abroad, this would be published and dairy products would be banned.

Beer and breast cancer

QUESTION: Vitaly Alexandrovich, this is Tatyana again. There is also information on the Internet that beer increases the risk of developing breast cancer, and that even 1 liter of this foamy drink per year increases the risk of developing cancer. And all this is from reliable sources. What do you think about it? Is there actually any conclusive research? Thank you. ANSWER: Tatyana! Drink beer calmly, but don’t get carried away, everything needs moderation. And this is all nonsense!))))

Deodorant

QUESTION: There is a lot of information on the Internet that using deodorant is harmful, it can cause breast cancer, and for those who have been diagnosed with this, doctors categorically prohibit using it. And so my chemotherapist says that you can’t use deodorant. ANSWER: Hello! What nonsense! use deodorant and other antiperspirants!! Don’t listen to anyone!!!! Women often ask me such questions. What kind of oncologists do you see and where do they live?

Botox and fillers

QUESTION: Are there any dangers of injecting Botox and hyaluronic acid fillers? The diagnosis of breast cancer was made 2 years ago. Chemistry and radiation are behind us. Thank you. ANSWER: Hello! Everything is individual! My opinion is that you can inject all this: fillers and Botox! If progression occurs, it is definitely not because of this!

TCA chemical peel

QUESTION: Good morning! Vitaly Alexandrovich, I want to do a TCA chemical peel on my hands, but I have slight lymphedema. Will this harm me? ANSWER: Hello! The procedure itself does not harm, I think so! However, this is all in doubt! Why do you need this!??? This procedure will not produce the rejuvenation effect you want!

Massage

QUESTION: Two years ago I had a mastectomy, stage 2B. Hormone dependent, Herceptin was not indicated. My oncologist says I shouldn't have a massage. Can massage really cause progression? ANSWER: Each case is individual! There really is a problem with massage for breast cancer! Cancer does not arise due to massage, but breast cancer can progress as a result of massage, since in cancer, lymphogenous spread and massage can awaken dormant metastases! But again, each case is individual!

Laser and phototherapy

QUESTION: Vitaly Alexandrovich, as I understand from your answers, you are against massage. I want to ask you whether procedures such as laser and phototherapy can provoke progression? I want to remove the capillary network using phototherapy and am thinking about facial rejuvenation with laser. Not so long ago, a hybrid fractional laser system Halo (Heylo) of the Joule laser appeared in Moscow. And there is also this information: “Research conducted at Stanford University has proven that BBL FOREVER YOUNG affects gene expression, and during the process, the hereditary information of the DNA gene is converted into a functional RNA product or protein. All tests showed that BBL rejuvenates cells at the gene level, making them functionally active, like young cells.” Personally, on the contrary, it scared me, unless of course it’s a scam. Sorry for the slang. ANSWER: Your opinion on the above.))) Thank you. Hello! Regarding facial rejuvenation, this is a scam! The capillary mesh cannot be removed with a laser, and if it disappears, it is a temporary effect; after a short period of time it will appear again! I am against body massage after cancer, as massage can trigger the progression of cancer.

Beta blockers

QUESTION:Uv. Vitaly Alexandrovich! I have come across information many times that adrenergic beta blockers increase survival rate in breast cancer. Do you know anything about this? ANSWER: Hello! There are first results only at the level of clinical studies and in the treatment of ovarian cancer!! We still treat breast cancer using proven and proven methods! I think that you should not pay attention to this information.

Beauty injections and breast cancer

QUESTION: Vitaly Alexandrovich, in all beauty clinics, oncology is a contraindication for Botox and contouring. Do you think beauty injections can provoke progression or relapse? Or is this a contraindication for stage 4? On the other hand, up to 15 years after diagnosis, we are all in remission. So to inject or not to inject? Sincerely, Irina. ANSWER: Hello! The fact is that all clinics are afraid to contact cancer patients, especially skin cancer! Most “medical cosmetology centers” have no idea about oncology and simply discourage such patients from these procedures! Our people have now become smart, and if anything happens in terms of cancer progression or relapse, the center will be sued immediately! It all depends on the location of the cancer on the body and the form of its spread! To be honest, I can’t imagine how injection of Botox into the forehead can affect the progression of breast cancer! For facial skin cancer, it may help! I allow my patients to do Botox and fillers! So far I am not aware of such cases of progression against their background!

Vitamins and breast cancer

QUESTION: Vitaly Alexandrovich, I was treated at the main military hospital Burdenko. My attending physician categorically forbade me to take any vitamins or aspirin. Aspirin was banned because cancer cells in liquid blood could easily spread throughout the body. What is your opinion on this matter? ANSWER: Hello! This topic has already been discussed everywhere! Now these are not contraindications for prescribing vitamins! You can accept them! There are no studies that say that vitamins cause cancer or its progression, which means they can be taken!

Coffee and breast cancer

QUESTION: Vitaly Alexandrovich, is it possible to drink coffee if you have breast cancer? The information is the most contradictory. According to one, coffee causes cancer and the progression of breast cancer, according to the other, on the contrary, it prevents breast cancer, but only estrogen is negative. Confused. To drink or not to drink, that is the question.))) And how much, if you drink. ANSWER: Hello! Of course, you can drink coffee, but in moderation, otherwise other concomitant diseases will arise, for example, hypertension.

Nutrition for breast cancer

QUESTION: Vitaly Alexandrovich, can you advise how to eat properly if you have breast cancer? Is there a special diet? Maybe some foods should be excluded from the diet, and others, on the contrary, should be introduced? Thank you. ANSWER: Hello! The FDA and oncology societies do not give special recommendations on nutrition for breast cancer, so I do not recommend any special restrictions or diets for you, live and eat as usual.

Plasmolifting of the face and breast cancer

QUESTION: Vitaly Alexandrovich, from your answers I understand that you allow Botox and fillers for your patients. What can you say about plasma lifting? This is where the patient’s blood is taken and the plasma is separated in a centrifuge. Thank you. ANSWER: Hello! In this case, it seems to me that it is better not to, since it concerns the work of the blood and there are possible free tumor cells in the blood or plasma that can be transferred to the face. In general, cosmetologists should know this, and they themselves should not agree to perform this procedure on you!

How to behave in the summer after breast cancer

QUESTION: Vitaly Alexandrovich, there is conflicting information on the Internet, and oncologists themselves have different opinions on this matter. I'm talking about sun exposure after a breast cancer diagnosis. My oncologist says that the sun is now strictly contraindicated for me. I live in St. Petersburg, but I really want to go on vacation to the sea. What is your opinion on this matter? And is there any research on this issue? ANSWER: Hello! There are no such studies because it is impossible to conduct them with the sun!! I believe that it is possible to go to the sea, but everything in moderation so that it is not stressful for you, do not fry in the sun, the sun in large quantities is generally harmful for everyone, especially for people in the northern regions!

Working at the computer and breastfeeding

QUESTION: Vitaly Alexandrovich, is it possible to work on a computer after being diagnosed with breast cancer? ANSWER: Hello! Of course you can! This is absolutely not contraindicated!

Hyaluronic acid and breast cancer

QUESTION: Vitaly Alexandrovich, some cosmetologists refuse to inject hyaluronic acid into women who have a history of cancer. There are the most controversial opinions regarding hyaluronic acid - from those that hyaluronic acid causes cancer and in case of oncology one should forget about rejuvenation with drugs with hyaluronic acid, even after a complete cure, to the completely opposite ones that it is almost protection against cancer. Question: to prick or not to prick? ANSWER: Hello! Of course you can inject for breast cancer! If it's not facial tumors!

Banks after breast cancer

QUESTION: Vitaly Alexandrovich, is it possible to use cupping to treat cough after breast cancer in remission? Thank you. ANSWER: Hello! Better not! This is the Stone Age, this method of treatment has not been used in the treatment of respiratory diseases for a long time! Especially for breast cancer!

A trip to the sea immediately after radiation therapy

QUESTION: Vitaly Alexandrovich, is it possible to go to the seaside immediately after radiation therapy? Thank you. ANSWER: Hello! If you feel good and have planned your trip in advance, then I think you can visit the sea, but not under the scorching sun!

Face massage

QUESTION: Good afternoon! Please tell me, is it possible to massage the face and neck using breast cancer? ANSWER: Hello, facial massage is possible, but the neck and supraclavicular areas, upper shoulder girdle and back are not recommended!

Compression sleeve after mastectomy?

QUESTION: Vitaly Alexandrovich, good afternoon! Does it make sense to wear a compression sleeve after a mastectomy to prevent lymphedema? Thank you. ANSWER: Hello, my website describes in detail life after a mastectomy and the prevention of lymphostasis, as well as cases when it is necessary to wear it! https://www.skvorsov.ru/blog-breast-cancer/reabilitatsiya-posle-udaleniya-grudi

Hair coloring for breast cancer

QUESTION: Vitaly Alexandrovich, is it possible to dye your hair if you are diagnosed with breast cancer? Thank you. ANSWER: Hello, of course you can!

Intimate rejuvenation

QUESTION: Vitaly Alexandrovich, the diagnosis of breast cancer was made in 2016. : I finished treatment with Herceptin months ago. I am planning to do laser intimate rejuvenation for myself.))) Is my diagnosis a contraindication for this procedure? Thank you. ANSWER: Hello! In this case it is not!

Beauty injections

QUESTION: Vitaly Alexandrovich, I plan to pierce my hand on the non-operated side with collagen. In remission for 1 year. Wouldn't this be a risk for relapse? Thank you. ANSWER: Hello! Why do you need this procedure, what do you expect from it? Why take the risk? It seems to me that it is safe, but I don’t see the point or therapeutic effect that you expect from it!

Lymph dissection and arm loading

QUESTION: Vitaly Alexandrovich, is it necessary to limit the load on the arm after lymph node dissection? Is it possible to write with this hand? Thank you. ANSWER: Hello! You can write, the load is dosed. On my website I write in detail about the load on the arms and rehabilitation after lymph node dissection!

Cosmetology and oncology

QUESTION: Vitaly Alexandrovich, what cosmetic procedures can be done for breast cancer? ANSWER: Hello! Yes, in principle, everything that is not related to the lymphatic drainage system is possible, since it is dangerous for breast cancer metastasis!

Beer and rmzh

QUESTION: Vitaly Alexandrovich, is it possible to drink beer during remission of breast cancer? My oncologist said that alcohol increases the risk of progression and relapse. Is this really true? Thank you. ANSWER: Hello! You should always drink in moderation, including when you have breast cancer, excessive alcohol consumption is harmful and cancer has nothing to do with it, especially beer! There are estrogens there, but not in those quantities, and they do not cause relapses and progression of breast cancer!

Measuring pressure on the operated arm

QUESTION: Doctor, is it possible to measure the pressure on the operated arm? Thank you. ANSWER: Hello! You have a second hand and it is better to measure the pressure on the healthy one, but if for some reason it is not possible to measure the pressure on this hand, then you can use the hand from the side of the mastectomy!

Life after mastectomy

QUESTION: Vitaly Alexandrovich, is it possible to tattoo eyebrows after a mastectomy? ANSWER: Hello! Of course you can!

Tooth implantation

QUESTION: Vitaly Alexandrovich, is it possible to have a tooth implantation after a diagnosis of breast cancer? ANSWER; Hello, of course you can, you have been treated and then you need to live and eat!

Facelift with aptosis threads

QUESTION: Vitaly Alexandrovich, is it possible to do a facelift with aptosis threads for hormone-dependent breast cancer? ANSWER: Hello, a facelift with aptotic threads is not a contraindication for breast cancer.

Life after breast cancer treatment

QUESTION: Vitaly Aleksandrovich, there is an opinion that to determine the prognosis of treatment for a cancer patient, what is important is not the molecular subtype of the tumor, its aggressiveness and stage, but the main thing is the patient’s activity and his mood! Cancer, as well as diabetes, hypertension, etc., are chronic diseases. Wrong lifestyle - chronic stress, obesity, little physical activity, bad habits kill faster than cancer. It is this lifestyle that leads to cardiovascular diseases, which are in first place as a cause of death. Therefore, it is very important to shift the emphasis and understand that oncology is a chronic disease. And a lot is in the hands of the person himself - proper nutrition (Mediterranean diet), maintaining a normal, stable weight, physical activity, not obsessing over the search for products with supposed antitumor activity. Moreover, green tea, for example, contains polyphenols that may be beneficial for certain types of cancer, but they are metabolized in the same biochemical chain as some chemotherapy drugs, which means they can negatively affect treatment. And there are certain statistics and studies that using certain medications to treat other diseases can prevent relapses. I'm talking about aspirin, metformin and statins. What do you agree or disagree with? ANSWER: Hello! I have no fundamental disagreements with what I read!)

Life after breast cancer treatment

QUESTION: Vitaly Alexandrovich, after treatment for breast cancer, women are worried about many questions and fears related to what is now possible and what is not. It's hard to say where they come from. Sometimes it seems to me that it is the doctors themselves who intimidate their patients with various horror stories. My mother’s oncologist categorically forbade her to shave her armpits because of the possibility of erysipelas and use antiperspirants. Women are intimidated by the sun, hot iron, stove, hair coloring, vitamins, sweets, coffee, alcohol, Botox injections and hyaluronic acid! Lots of questions related to massage! I read on your website about myths associated with breast cancer, as well as your article “How to live after breast removal (mastectomy) with lymph nodes? Is rehabilitation needed? Thank you very much for your work! Can I have one wish?) Vitaly Alexandrovich, it would be very wonderful if you covered all these issues in one article! Thank you.) ANSWER: Hello! I will try to update this data in the near future in the form of one article where I will go into detail on each question!

Is it possible to knit after a mastectomy?

QUESTION: Vitaly Alexandrovich, good evening! My doctor absolutely does not allow me to knit after my mastectomy. He says that this can cause swelling of the arm. Is that really true? ANSWER: Hello! He's right, but in my opinion you can knit! It is only necessary that some time passes after the mastectomy and you can start knitting, say after a 3-4 month break, this is also important for you, and this is a hobby for you, but you must understand that if your hand begins to swell, then you need to take a break from knitting for a while, because it can only harm you in the future!

Life after breast cancer

QUESTION: Vitaly Alexandrovich, do you have any wishes or recommendations regarding life after breast cancer? ANSWER: Hello! The main recommendations are: life goes on, don’t bother yourself with questions about the prognosis! No need to think about it! There are no special restrictions. As for your question, I have articles on my website that you can read: How to live after breast removal (mastectomy) with lymph nodes? Is rehabilitation needed?

cryolipolysis and breast cancer

QUESTION: Vitaly Alexandrovich, good evening! Do you think it is possible to carry out such procedures as cryolipolysis in remission of breast cancer (freezing causes the death of fat cells, Z Lipo device). Thank you. ANSWER: Hello! I think it is possible! It all depends on your stage and on the treatment you received, of course! But it is believed that if it is possible to avoid this, then it is better not to do it!

What are the chances of survival. Decipher the IHC conclusion, how bad or good everything is.

QUESTION: Vitaly Aleksandrovich, please answer, breast cancer on the right from 02.20.17, chemistry 4 red 4 taxanes, tamoxifen for 5 years - this is the appointment. IHC: invasive ductal carcinoma. anti-HER2/neu. pT1c. 0-negative. ER-8.PR-0. Ki67:50. ANSWER: Hello! You have good chances for everything. There is no need to think about it, you have a low stage, and you have undergone good treatment, just check with your oncologist regularly and I think everything will be fine with you!

Will I need to change jobs? RMJ

QUESTION: Hello. First there were the following questions and answers: Addition to the question “INTERPRETATION OF IMMUNOHISTOCHEMICAL STUDY” dated 08.14.18. Mucinous carcinoma of the breast. IHC 327 HER2/neu - negative status, 0. ER - Positive reaction in 43% of cells, moderate intensity 5 (3+2) points according to Allred Scor .PgR - Positive reaction in 65% of cells, pronounced intensity 7 (4+3) points according to Allred Score). Ki67= 9% Conclusion: Mucinous breast carcinoma, HER2 - negative I am 48 years old. Histology - Multifocal (mucinous) NEO of the upper quadrants of the right breast, stage 2A, pT2N0M0G1 Condition after radical upper hemimastectomy on the right from 07/17/18, 3rd grade What is the prognosis in your opinion. I am now starting to undergo radiation therapy. Answer: Now I understand everything! You are only indicated for hormone therapy with tamoxifen 20 mg, the prognosis is favorable! I work as a physical therapy nurse, performing UHF procedures, ultrasound, LF magnetic therapy, ultraviolet radiation, etc. I understand that my future work activity in the hospital will depend on the decision of the occupational pathologist at the annual medical examination. Could you tell me whether my diagnosis of breast cancer is a contraindication for working in my specialty? ANSWER: Hello! Your diagnosis has absolutely no effect on your work, you have a very good profession and continue working. You are not limited in terms of work and tell the occupational pathologist that you must work!

Deodorants and breast cancer

QUESTION: Vitaly Alexandrovich, is it possible to use deodorant after a mastectomy? I read that antiperspirants cause breast cancer! ANSWER: You can use deodorant after a mastectomy, and there are no studies that show a cause-and-effect relationship between breast cancer and antiperspirant use. I think this misconception is due to the fact that many deodorants contain parabens, which increase estrogen levels, which is a risk factor for breast cancer, so you should use paraben-free deodorants.

Anti-cellulite massage after radical treatment of breast cancer

QUESTION: Vitaly Alexandrovich, is it possible to do anti-cellulite massage of the legs and buttocks after radical treatment of breast cancer? Thank you. ANSWER: Hello, I think it is possible, but everything is individual and each case must be considered for each woman - can she have an anti-cellulite massage or is it contraindicated!

Dairy products and breast cancer

QUESTION: Vitaly Alexandrovich, I have come across information many times that if you have breast cancer, you should not consume dairy products, because they increase the risk of relapse and progression. Is this information true? ANSWER: Hello! Where do you get this information from? There are no studies that would prove that dairy products can cause relapse and progression! Dairy products have no effect on breast cancer.

Holidays in another country

QUESTION: Good afternoon, Vitaly Alexandrovich. Help with advice. Is it possible, six months after the end of treatment for stage 1 breast cancer (mastectomy, radiation, chemotherapy), to go on vacation to Turkey during the off-season (March, there is no heat). Is not it too early? ANSWER: Hello! Of course you can, rest does not affect the course of the disease in any way, especially since you have already undergone treatment. It’s just that everything is in moderation and it’s good that it’s not in season! Heat is contraindicated for you, but sitting under an umbrella in warm sunny weather will not harm you!

Vaccination

QUESTION: Good evening, Vitaly Alexandrovich. Is it possible to get vaccinated against tick-borne encephalitis and measles after finishing treatment for breast cancer six months ago? Thanks in advance for your answer. ANSWER: Hello! Contact an infectious disease specialist with this question. In general, vaccination is not contraindicated in this case after treatment. It will definitely not reduce immunity and will not cause progression of breast cancer.

Vaccination

QUESTION: Good afternoon, Vitaly Alexandrovich. Thank you very much for your answers and helping us. Another question arose: is it possible to be vaccinated against tick-borne encephalitis? I finished treatment (surgery, chemotherapy, radiation) six months ago. According to the analysis, the blood has not yet recovered. Will vaccination weaken the immune system completely? Or will it be worse in case of a tick bite? ANSWER: Hello! With this question, contact an infectious disease specialist, he should look at the blood and tell you whether it is possible to get vaccinated against the background of a decrease in blood counts. But vaccination is not contraindicated in this case. It definitely won’t lower your immunity.

Pregnancy protection

QUESTION: Good evening. Thank you for the promptness of your responses. Still need some advice. My periods stopped in August 2020 during chemotherapy, Aromasin + Zoladex was prescribed. During the ultrasound in September 2020, the ovaries are not working. Is it necessary to use protection during sexual intercourse? What is the probability of pregnancy. I am 48 years old and I do not plan to become pregnant. ANSWER: Hello! If you continue taking Zoladex with Aromasin, this means that you cannot get pregnant now, since the ovaries are turned off by Zoladex. If you still do not inject Zoladex, then you still need to use protection until your gynecologist tells you that you are in permanent menopause. Ultrasound of the ovaries is not an indicator that they are not working. Müllerian hormone looks like you are in menopause!

Soaking in the sun rmj

QUESTION: Hello doctor. Tell me, is it harmful to stay in the sun? I am fond of fishing and sometimes I have to fish in the open sun, what should I do to avoid giving up my hobby? ANSWER: Hello! You should not give up this hobby and continue fishing. The sun in moderation is not scary for breast cancer survivors; if you still spend a long time in strong sun, then create shade for yourself or cover your hands so as not to get burned. I allow my patients to be in the sun, but in moderation.

Contour plastic

QUESTION: Vitaly Alexandrovich, can contour plastic surgery be done with fillers with hyaluronic acid in remission of breast cancer? I really want to enlarge my lips. ANSWER: Hello! Cosmetologists are most often afraid to do these procedures and often ask the oncologist's permission before performing filler procedures. I don’t see any contraindications for this and I believe that contour plastic surgery can be done.

Facial massage after breast cancer

QUESTION: Good afternoon, tell me. please, is it possible to do buccal facial massage and how often for breast cancer, have you had surgery, chemotherapy and radiation? ANSWER: Hello! I think that this massage is not contraindicated for you!! How often I don’t know, because I don’t know why you do this and what goal you are pursuing!

Incision and armpit pain after mastectomy

QUESTION: Hello! On September 24, 2018, a mastectomy was performed according to Madden for ToNoMo breast cancer. Further treatment with tamoxifen was prescribed. I still have pain in my shoulder, in the stitch area, and in my armpits. The pain moves from one place to another every time, but does not disappear. There is constant discomfort and sometimes swollen places in the hand. Gymnastics for every day. ANSWER: Hello! You list all the signs of postoperative traumatic changes associated with the operation. Usually this goes away within a year, if the pain does not go away, then you can contact a neurologist so that he can prescribe treatment and relieve these pains. You should also be observed by an oncologist to rule out pain associated with the oncological process!!

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In what cases should you consult a doctor?

A doctor’s help is necessary not only in cases where hyaluronic acid was mistakenly administered to a patient with oncology. You need to visit the hospital if:

1. There were signs of an infectious disease, including fever and chills.
2. Redness, swelling, pain, bleeding or other discharge appeared at the injection site.
3. Symptoms of an allergic reaction appeared: itching, hives, difficulty breathing.
4. The patient feels pain and discomfort in the knee joint area.
5. Swelling in the knee joint.

So, hyaluronic acid is a substance that really effectively rejuvenates the skin. For patients with a predisposition to cancer, it is truly dangerous. But if there are no cancer cells in the body, the acid will not be able to provoke their appearance. In any case, each person decides for himself whether to use it or not.