Una revisión sistemática de las recomendaciones diagnósticas y terapéuticas del panel de expertos en cáncer de origen desconocido
- Ferrán Losa Gaspà 1
- Carmen Balañá Quintero 2
- Gemma Soler González 3
- Claudio Ballestín Carcavilla 4
- Laia Bernet Vegué 5
- Antonio Casado Herráez 6
- Anabel Enguita Valls 4
- Anna Estival González 2
- Alejandra Giménez Ortiz 7
- Ana González-Piñeiro 8
- Ricardo Hitt 9
- Lara Iglesias Docampo 4
- Martín Lázaro Quintela 8
- Aránzazu Manzano Fernández 6
- Eva Musulén Paletl 10
- Roberto Pazo Cid 11
- Esperanza Torres Sánchez 12
- Xavier Matías-Guiu Guía 13
- 1 Servicio de Oncología Médica, Hospital Sant Joan Despí-Moisés Broggi. ICO l’Hospitalet, Barcelona, España
- 2 Servicio de Oncología Médica, Hospital Germans Trías i Pujol. ICO Badalona, Barcelona, España
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3
Hospital Duran i Reynals
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4
Hospital Universitario 12 de Octubre
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5
Hospital Xàtiva Lluis Alcanyis
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- 6 Servicio de Oncología Médica, Hospital Universitario San Carlos, Madrid, España
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7
Hospital Universitario La Fe
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8
Hospital Álvaro Cunqueiro
infoHospital Álvaro Cunqueiro
Vigo, España
- 9 Servicio de Oncología Médica, Hospital de Leganés, Madrid, España
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10
Hospital Universitari Germans Trias i Pujol
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11
Hospital Miguel Servet
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12
Hospital Universitario Virgen de la Victoria
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13
Hospital Arnau de Vilanova
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ISSN: 1698-9465
Year of publication: 2019
Volume: 15
Issue: 1
Type: Article
More publications in: Archivos de medicina
Abstract
Cancer of Unknown Primary (CUP) is a metastatic cancer with confirmed histology of which the primary origin is unknown after to work up initial evaluation through a pathological clinical study, the analytical and imaging study. The diagnostic process includes the early obtaining of quality biopsy material. It includes its histological and immunohistochemical analysis: a study to determine the tumor line, an analysis of cytokeratins and a large battery of antibodies to confirm the specific origin of each possible tumor type. The development of molecular platforms has allowed improving the diagnosis of CUP, increasing the number of patients who can benefit from treatment with specific therapy, significantly increasing the survival and reducing the toxicity. However, the updated guidelines (NICE, ESMO, NCCN) emphasize that the impact on the clinical benefit of the specific treatment according to the results of the molecular platforms is still controversial.