• Chemotherapy , usually with a cisplatin combination.
CUPS in the Armpit Lymph Nodes
In males, the most likely diagnosis is incurable lung cancer.
In females, 50 percent may have a treatable breast cancer. Treatment will emphasize:
• Surgery, including removal of all axillary nodes in the involved site.
• Partial or total mastectomy.
• Radiation to the axilla and the breast, if not removed.
• Hormonal therapy, especially if hormone receptors are present.
• Chemotherapy should be considered as suggested for breast cancer.
CUPS Involving the Peritoneum
In women, CUPS involving the lining of the abdominal cavity should be treated following the recommendations for ovarian cancer, even if the ovaries are normal or have been removed. Treatment will include:
• Initial exploratory surgery with removal of all tumor possible.
• Chemotherapy, usually with carboplatin and cyclophosphamide .
