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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
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