How do you treat a low grade mucoepidermoid carcinoma with unkown primary site?

Topics: Head and Neck Cancers • Radiation Oncology • General Radiation Oncology

If pathology review is done and all imaging scans including CT scan, PET scan and MRI have come back without a primary site, is it reasonable to closely follow or would you treat with adjuvant RT to the neck +\- potential primary sites?

Answer from: Radiation Oncologist at Academic Institution

A misnomer. Low grade MECs don’t metastasize so, if it does, it’s not low grade regardless of the histology. Neck dissection plus postop RT and include the potential primary site if feasible.

Comments

Radiation Oncologist at Radiotherapy Cancer Center (RTCC)
Thanks Dr. @William M. Mendenhall. I have two rel...

Radiation Oncologist at University of Florida
Hi, good question. Again, I’ve never seen it...

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