由于传统的影像学检查无法定位原发肿瘤,诊断和治疗隐匿性乳腺癌(OBC)仍具有挑战性。根据定义,乳腺X线和超声技术无法检查到OBC。核磁共振成像对发现乳腺癌具有高的敏感性,但特异性较低。尽管近期文献支持应用全乳放疗的方法进行治疗,但多数医生仍倾向使用全乳切除术。当证实为腋窝淋巴结OBC转移时,如何恰当处理乳房仍是一个有争议的问题。 Diagnosing and treating occult breast cancer (OBC) remains challenging due to the inability of traditional imaging studies to locate the primary tumor. By definition, mammography and ultrasound can not detect OBC. Magnetic resonance imaging is highly sensitive to the discovery of breast cancer, but less specific. Although recent literature supports the use of whole-breast radiotherapy for treatment, most clinicians prefer to use mastectomy. How to properly treat the breast is still a controversial issue when it is confirmed that axillary lymph node OBC metastases.