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Published in Metastatic Breast Cancer

Expert Opinion / Cases · August 22, 2016

Metastatic Carcinoma of Unknown Primary With History of Breast Cancer

Sameer Nasir MD

 

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  • Aruah Chinedu Simeon

    Aug 27, 2016

    Serum electrolyte,liver function  test,CT scan of chest and abdomen, Whole radionuclide bone scan or PET -CT scan,ECG,CBC.

  • Kathy Gafarian

    Aug 30, 2016

    If the mammogram and ultrasound work up doesn't yield a lesion, I would add breast MRI, because of it's increased sensitivity.  PET to look for additional lesions.  If no additional info is rendered, then bronchoscope/ biopsy to exclude lung tumor.

  • surapong  supaporn

    Sep 10, 2016

    Would  consider  gcdfp-f15  and mammaglobulin  of  the  lung  mass, if negative  do  lung  lobectomy . PET-CT may  identify  other  metastatic  sites

  • Aruah Chinedu Simeon

    Sep 13, 2016

    Breast cancer has history of recurrence after many years complete treatment.There should be high suspicion of secondary malignancy as the patient was exposed to cytotoxic  agents.The baseline tests done were good enough to detect the primary.I was impressed  with  this reminder  of likelihood  of cancer recurring  after such a long years post treatment.

  • Oda Abushaban

    Dec 31, 2016

    MRI ,four quadrant Biopsy

  • Feb 08, 2025

    Pending Moderator approval.
    Delete

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