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Volume 355:2710-2711 December 21, 2006 Number 25
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Carcinoma of an Unknown Primary Site

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Edited by Karim Fizazi. 240 pp., illustrated. New York, Informa Healthcare/Taylor & Francis, 2006. $199.95. ISBN 0-8247-2799-1.

Carcinoma of an unknown primary site (CUP) is a common and often puzzling condition. It is probably underdiagnosed because clinicians may be reluctant to acknowledge the uncertainty of such a diagnosis (a "best guess" diagnosis may be applied). Yet CUP is a specific entity that demands clinical problem solving once the histopathology and distribution of the metastases have been established. Patients with visceral or skeletal metastases are expected to survive only a few months, whereas patients with only lymph node metastases may survive for many years.

The definition of CUP is metastatic carcinoma detected when the primary site of origin . . . [Full Text of this Article]




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