Evidence map›Paper›PMID 32511869›Full record

ArticleEMBO molecular medicine2020

Cancer of Unknown Primary (CUP): genetic evidence for a novel nosological entity? A case report.

Silvia Benvenuti, Melissa Milan, Elena Geuna, Alberto Pisacane, Rebecca Senetta, Gennaro Gambardella, Giulia M Stella, Filippo Montemurro, Anna Sapino, Carla Boccaccio and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in EMBO molecular medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.7field-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

10 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Silvia BenvenutiMolecular Therapeutics and Exploratory Research Laboratory, Candiolo Cancer Institute, FPO - IRCCS, Candiolo (Turin), Italy.
Melissa MilanMolecular Therapeutics and Exploratory Research Laboratory, Candiolo Cancer Institute, FPO - IRCCS, Candiolo (Turin), Italy.
Elena GeunaOncology Outpatient Clinic, Candiolo Cancer Institute, FPO - IRCCS, Candiolo (Turin), Italy.
Alberto PisacanePathology Unit, Candiolo Cancer Institute, FPO - IRCCS, Candiolo (Turin), Italy.
Rebecca SenettaDepartment of Medical Sciences, University of Turin, Turin, Italy.
Gennaro GambardellaTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli (Naples), Italy.
Giulia M StellaDepartment of Medical Sciences and Infectious Diseases, Unit of Respiratory System Diseases, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy.
Filippo MontemurroOncology Outpatient Clinic, Candiolo Cancer Institute, FPO - IRCCS, Candiolo (Turin), Italy.
Anna SapinoPathology Unit, Candiolo Cancer Institute, FPO - IRCCS, Candiolo (Turin), Italy.
Carla BoccaccioLaboratory of Cancer Stem Cells, Candiolo Cancer Institute, FPO - IRCCS, Candiolo (Turin), Italy.ORCID 0000-0003-2620-9083
Paolo M ComoglioMolecular Therapeutics and Exploratory Research Laboratory, Candiolo Cancer Institute, FPO - IRCCS, Candiolo (Turin), Italy.ORCID 0000-0002-7056-5328
Candiolo Cancer Institute · ITPoliclinico San Matteo Fondazione · ITTelethon Institute Of Genetics And Medicine · ITUniversity of Turin · IT

Funding

Associazione Italiana per la Ricerca sul Cancro (AIRC) 21052FPRC 5x1000 2014 Ministero SaluteMinistero della Salute (Ministry of Health, Italy)
6 · The paper itself

Abstract

Cancer of unknown primary (CUP) is an obscure disease characterized by multiple metastases in the absence of a primary tumor. No consensus has been reached whether CUPs are simply generated from cancers that cannot be detected or whether they are the manifestation of a still unknown nosological entity. Here, we report the complete expression and genetic analysis of multiple synchronous metastases harvested at warm autopsy of a patient with CUP. The expression profiles were remarkably similar and astonishingly singular. The whole exome analysis yielded a high number of mutations present in all metastases (fully shared), additional mutations (partially shared) accumulated one after another in a series, and few private mutations were unique to each metastasis. Surprisingly, the phylogenetic trajectory linking CUP metastases was atypical, depicting a common "stream", sprouting a series of linear "brooks", at variance from the extensive branched evolution observed in metastases from most cancers of known origin. The distinctive genetic and evolutionary features depicted suggest that CUP is a novel nosological entity.

Indexed as

MutationDNA Mutational AnalysisEvolution, MolecularExomeExome SequencingHumansMaleMiddle AgedNeoplasms, Unknown Primarycancer of unknown primarygenetic evolutionmetastasis

Identifiers

PMID32511869
PMCPMC7338804
OpenAlexW3033843539

What OpenQuestion holds

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LicenceCC BY
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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.