cancer of unknown primary

Radiology

• CT of chest, abdomen & pelvis

Management

special cases:

• carcinoma identified in isolated enlarged inguinal lymph node
  • if CT negative
    • examination of the vulva, vagina, cervix, anus (women)*
    • penis, anus (men)*
• axillary presentation of adenocarcinoma
  • treat as primary breast cancer

* anoscopy vs colonoscopy & upper GI

More general terms

• carcinoma

More specific terms

• metastatic cancer of unknown primary