Evidence map›Paper›PMID 40242159›Full record

ReviewMedComm2025

Advancements in Diagnostics and Therapeutics for Cancer of Unknown Primary in the Era of Precision Medicine.

Ting Zhao, Xiaowei Zhang, Xin Liu, Qifeng Wang, Xichun Hu, Zhiguo Luo

Abstract readReview
In one paragraph

Review in MedComm, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
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.

Ting ZhaoDepartment of Medical Oncology Fudan University Shanghai Cancer Center Shanghai China.ORCID https://orcid.org/0000-0002-1352-3113
Xiaowei ZhangDepartment of Medical Oncology Fudan University Shanghai Cancer Center Shanghai China.ORCID https://orcid.org/0000-0002-7054-9061
Xin LiuDepartment of Medical Oncology Fudan University Shanghai Cancer Center Shanghai China.ORCID https://orcid.org/0000-0001-7142-5151
Qifeng WangDepartment of Oncology Shanghai Medical College Fudan University Shanghai China.ORCID https://orcid.org/0000-0002-0564-6076
Xichun HuDepartment of Medical Oncology Fudan University Shanghai Cancer Center Shanghai China.ORCID https://orcid.org/0000-0002-9892-699X
Zhiguo LuoDepartment of Medical Oncology Fudan University Shanghai Cancer Center Shanghai China.ORCID https://orcid.org/0000-0003-0389-2350

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer of unknown primary (CUP), a set of histologically confirmed metastases that cannot be identified or traced back to its primary despite comprehensive investigations, accounts for 2-5% of all malignancies. CUP is the fourth leading cause of cancer-related deaths worldwide, with a median overall survival (OS) of 3-16 months. CUP has long been challenging to diagnose principally due to the occult properties of primary site. In the current era of molecular diagnostics, advancements in methodologies based on cytology, histology, gene expression profiling (GEP), and genomic and epigenomic analysis have greatly improved the diagnostic accuracy of CUP, surpassing 90%. Our center conducted the world's first phase III trial and demonstrated improved progression-free survival and favorable OS by GEP-guided site-specific treatment of CUP, setting the foundation of site-specific treatment in first-line management for CUP. In this review, we detailed the epidemiology, etiology, pathogenesis, as well as the histologic, genetic, and clinical characteristics of CUP. We also provided an overview of the advancements in the diagnostics and therapeutics of CUP over the past 50 years. Moving forward, we propose optimizing diagnostic modalities and exploring further-line treatment regimens as two focus areas for future studies on CUP.

Indexed as

cancer of unknown primaryempirical chemotherapymolecular diagnosticsmolecularly guided therapysite‐specific therapy

Identifiers

PMID40242159
PMCPMC12000684

What OpenQuestion holds

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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.