Evidence map›Paper›PMID 30580378›Full record

ReviewBritish journal of cancer2019

Molecular characterisation and liquid biomarkers in Carcinoma of Unknown Primary (CUP): taking the 'U' out of 'CUP'.

Alicia-Marie Conway, Claire Mitchell, Elaine Kilgour, Gerard Brady, Caroline Dive, Natalie Cook

Open access · hybridAbstract readReview
In one paragraph

Review in British journal of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 4% 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

51 citing papers in PubMed, 2 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. SEOM-GECOD clinical guideline for cancer of unknown primary (update 2025).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Guideline
  2. SEOM-GECOD clinical guideline for unknown primary cancer (2021).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2022
    Guideline
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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

6 authors at 2 institutions in 1 country.

Alicia-Marie ConwayThe Christie NHS Foundation Trust, Wilmslow Road, Manchester, M20 4BX, UK.
Claire MitchellThe Christie NHS Foundation Trust, Wilmslow Road, Manchester, M20 4BX, UK.
Elaine KilgourThe University of Manchester, Oxford Road, Manchester, UK.
Gerard BradyThe University of Manchester, Oxford Road, Manchester, UK.
Caroline DiveThe University of Manchester, Oxford Road, Manchester, UK.
Natalie CookThe Christie NHS Foundation Trust, Wilmslow Road, Manchester, M20 4BX, UK. Natalie.cook@christie.nhs.uk.ORCID http://orcid.org/0000-0003-2606-1082
AstraZeneca (United Kingdom) · GBUniversity of Manchester · GB

Funding

Cancer Research UK 19278Cancer Research UK 29569
6 · The paper itself

Abstract

Cancers of Unknown Primary (CUP) comprise a heterogeneous clinical entity of confirmed metastatic cancer where the primary site of origin is undetectable. It has a poor prognosis with limited treatment options. CUP is historically under-researched; however, understanding its biology has the potential to not only improve treatment and survival by implementation of biomarkers for patient management, but also to greatly contribute to our understanding of carcinogenesis and metastasis across all cancer types. Here we review the current advances in CUP research and explore the debated hypotheses underlying its biology. The evolution of molecular profiling and tissue-of-origin classifiers have the potential to transform the diagnosis, classification and therapeutic management of patients with CUP but robust evidence to support widespread use is lacking. Precision medicine has transformed treatment strategy in known tumour types; in CUP, however, there remains a clinical need for a better understanding of molecular characteristics to establish the potential role of novel or existing therapeutics. The emergence of liquid biopsies as a source of predictive and prognostic biomarkers within known tumour types is gaining rapid ground and this review explores the potential utility of liquid biopsies in CUP.

Indexed as

PrognosisBiomarkers, TumorCarcinomaGene Expression Regulation, NeoplasticHumansNeoplasms, Unknown PrimaryPrecision MedicineBiomarkers, Tumor

Identifiers

PMID30580378
PMCPMC6342985
OpenAlexW2901991411

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.