For breast cancer with occult primary, do you favor radiation therapy or mastectomy for local management?

At what point would you decide to forego local control managment (RT or mastectomy) in favor of chemotherapy alone?

Answer from: Radiation Oncologist at Community Practice

The incidence of occult primary in the breast has gone down significantly in the era of MRI imaging. That being said, in this uncommon situation where MRI imaging is negative, we favor RT to the breast along with regional nodes and the literature shows low IBTR in these patients.

Comments

Radiation Oncologist at Cancer Specialists of North Florida
I have an older patient with occult breast primary...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
At present science is not there yet that we can om...

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For breast cancer with occult primary, do you favor radiation therapy or mastectomy for local management?

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