China Oncology ›› 2023, Vol. 33 ›› Issue (11): 989-992.doi: 10.19401/j.cnki.1007-3639.2023.11.003

• Specialist' Commentary • Previous Articles     Next Articles

Progress in clinical management of cancer of unknown primary based on molecular testing at 2023 ESMO

ZHANG Xiaowei(), LIU Xin, LUO Zhiguo()   

  1. Department of Medical Oncology, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
  • Received:2023-11-15 Revised:2023-11-18 Online:2023-11-30 Published:2023-12-14

Abstract:

Cancer of unknown primary (CUP) is a metastatic syndrome with an unidentifiable primary tumor even after comprehensive clinical and pathological investigations, accounting for approximately 2%-5% of all newly diagnosed cancers. CUP has some common features including aggressiveness, early dissemination and poor prognosis. With the application of novel molecular tests and drugs, the diagnostic value of gene expression assay and genomic tests in characterizing the molecular features has become increasingly prominent, and new treatment options such as molecular-guided targeted therapy and immunotherapy have become available. This article reviewed the clinical trials of CUP reported at 2023 European Society for Medical Oncology (ESMO) Congress.

Key words: Cancer of unknown primary, 90-gene expression assay, Tissue of origin, Site-specific therapy, Precision medicine

CLC Number: