Evidence map›Paper›PMID 38318324›Full record

ArticleFrontiers in oncology2023

Deciphering the origin and therapeutic targets of cancer of unknown primary: a case report that illustrates the power of integrative whole-exome and transcriptome sequencing analysis.

Majd Al Assaad, Nara Shin, Michael Sigouros, Jyothi Manohar, Zoia Antysheva, Nikita Kotlov, Daria Kiriy, Anastasiia Nikitina, Mikhail Kleimenov, Anastasiya Tsareva and 12 more

Abstract readCase Reports
In one paragraph

Article in Frontiers in oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

22 authors.

Majd Al AssaadDepartment of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, NY, United States.
Nara ShinBostonGene Corporation, Waltham, MA, United States.
Michael SigourosEnglander Institute for Precision Medicine, Weill Cornell Medicine, New York, NY, United States.
Jyothi ManoharEnglander Institute for Precision Medicine, Weill Cornell Medicine, New York, NY, United States.
Zoia AntyshevaBostonGene Corporation, Waltham, MA, United States.
Nikita KotlovBostonGene Corporation, Waltham, MA, United States.
Daria KiriyBostonGene Corporation, Waltham, MA, United States.
Anastasiia NikitinaBostonGene Corporation, Waltham, MA, United States.
Mikhail KleimenovBostonGene Corporation, Waltham, MA, United States.
Anastasiya TsarevaBostonGene Corporation, Waltham, MA, United States.
Anastasiya MakarovaBostonGene Corporation, Waltham, MA, United States.
Victoria FomchenkovaBostonGene Corporation, Waltham, MA, United States.
Julia DubininaBostonGene Corporation, Waltham, MA, United States.
Alexandra BoykoBostonGene Corporation, Waltham, MA, United States.
Nava AlmogBostonGene Corporation, Waltham, MA, United States.
David WilkesEnglander Institute for Precision Medicine, Weill Cornell Medicine, New York, NY, United States.
Joanna G EscalonDepartment of Radiology, Weill Cornell Medicine, New York, NY, United States.
Ashish SaxenaDepartment of Medicine, Weill Cornell Medicine, New York, NY, United States.
Olivier ElementoEnglander Institute for Precision Medicine, Weill Cornell Medicine, New York, NY, United States.
Cora N SternbergDepartment of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, NY, United States.
David M NanusDepartment of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, NY, United States.
Juan Miguel MosqueraDepartment of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, NY, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer of unknown primary (CUP) represents a significant diagnostic and therapeutic challenge, being the third to fourth leading cause of cancer death, despite advances in diagnostic tools. This article presents a successful approach using a novel genomic analysis in the evaluation and treatment of a CUP patient, leveraging whole-exome sequencing (WES) and RNA sequencing (RNA-seq). The patient, with a history of multiple primary tumors including urothelial cancer, exhibited a history of rapid progression on empirical chemotherapy. The application of our approach identified a molecular target, characterized the tumor expression profile and the tumor microenvironment, and analyzed the origin of the tumor, leading to a tailored treatment. This resulted in a substantial radiological response across all metastatic sites and the predicted primary site of the tumor. We argue that a comprehensive genomic and molecular profiling approach, like the BostonGene

Indexed as

biomarkerscancer of unknown primarydiagnostic toolsgenomic testingmolecular targetspersonalized treatmenttumor of origin

Identifiers

PMID38318324
PMCPMC10838960

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Registered trials

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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.