How would you approach surveillance imaging for men with early-stage, hormone receptor-positive breast cancer after unilateral mastectomy?

As always, appreciate others' input. If you're referring to systemic imaging, I do not obtain surveillance systemic imaging as part of surveillance for any patient with early-stage hormone-positive breast cancer (male or female) unless there are symptoms or initial labs that suggest possible metastatic disease. There are always exceptions. There are patients whose disease has a high likelihood of metastatic disease that is occult (pN3 for example) where there are 10 or more LN involved. In very ...

In men who have had a unilateral mastectomy for breast cancer, we recommend regular surveillance (q6-12 months) with physical exam of the ipsilateral breast area and an annual mammogram on the contralateral side.