期刊
CLINICAL & TRANSLATIONAL ONCOLOGY
卷 20, 期 11, 页码 1361-1372出版社
SPRINGER INTERNATIONAL PUBLISHING AG
DOI: 10.1007/s12094-018-1899-z
关键词
Cancer of unknown primary; Diagnosis; Immunohistochemistry; Biopsy; Prognosis; Chemotherapy; Molecular pathology; Histopathology
类别
资金
- Ferrer Diagnostic
- OncoDNA
- Foundation Medicine/Roche
Cancer of unknown primary (CUP) is defined as a heterogeneous group of tumours that present with metastasis, and in which attempts to identify the original site have failed. They differ from other primary tumours in their biological features and how they spread, which means that they can be considered a separate entity. There are several hypotheses regarding their origin, but the most plausible explanation for their aggressiveness and chemoresistance seems to involve chromosomal instability. Depending on the type of study done, CUP can account for 2-9% of all cancer patients, mostly 60-75years old. This article reviews the main clinical, pathological, and molecular studies conducted to analyse and determine the origin of CUP. The main strategies for patient management and treatment, by both clinicians and pathologists, are also addressed.
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