Evidence map›Paper›PMID 23990214›Full record

ReviewCurrent treatment options in oncology2013

Molecular diagnosis of the tissue of origin in cancer of unknown primary site: useful in patient management.

F Anthony Greco

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current treatment options in oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
0.6field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 62 citations in OpenAlex.

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  11. Out of Sight, Not Out of Mind.Journal of hospital medicine · 2021
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  16. Comparing Artificial Intelligence Platforms for Histopathologic Cancer Diagnosis.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

F Anthony GrecoSarah Cannon Cancer Center and Research Institute, Tennessee Oncology, PLLC, 250 25th Avenue North Suite 100, Nashville, TN, 37203, USA, fgreco@tnonc.com.
Tennessee Oncology · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

opinion statementCancer of unknown primary site (CUP) is a clinicopathologic syndrome consisting of many types of cancer and accounting for approximately 3 % of all patients with advanced cancers. This syndrome has frustrated patients and physicians for decades, because a primary site or tissue of origin has not been possible to identify clinically, despite the presence of metastatic tumor. Favorable subsets (approximately 20 % of all CUP) with a presumptive occult primary site have been recognized for several decades based on clinical and standard pathologic features; site-specific therapy in these patients improves their survival compared with the majority of other (approximately 80 %) CUP patients. These other patients, most with adenocarcinomas, have been difficult to treat because the tissue of origin was unknown. Broad-spectrum empiric chemotherapy became the standard approach for these patients in the past 30 years. More recently, new diagnostic technology (evolving immunohistochemistry and emergent gene-expression profiling) has enabled us to establish accurately a tissue of origin in most (90 %+) CUP patients. Gene-expression profiling assays complement standard pathology and for the majority of biopsy specimens accurately identify the primary site or tissue of origin; clinical studies have supported the value of site-directed therapy. When the tissue of origin is in doubt after standard pathologic examination, a gene expression assay is frequently diagnostic, and the outcome of many CUP patients is improved with site-specific therapy. The era of empiric therapy has ended in favor of site-specific therapy, based on the precise diagnosis of the tumor type present in each patient.

Indexed as

Biomarkers, TumorCarcinomaFemaleGene Expression ProfilingGene Expression Regulation, NeoplasticHumansImmunohistochemistryMaleMicroarray AnalysisMolecular Diagnostic TechniquesNeoplasms, Unknown PrimaryPrecision MedicineBiomarkers, Tumor

Identifiers

PMID23990214
OpenAlexW2076774554

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.