(Un-)Known Chances: Emerging Hope for Cancer of Unknown Primary - Highlights from ESMO 2025 and the first International Cancer of Unknown Primary Meeting.

IF 1.6 4区 医学 Q3 ONCOLOGY
Maximilian Haas, Louisa Hempel, Alwin Krämer, Gerdt Hübner
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引用次数: 0

Abstract

Cancer of unknown primary (CUP) accounts for 1-3% of newly diagnosed cancers. For decades, management has relied on empirical platinum-based chemotherapy, which offers a poor prognosis with a median overall survival typically below one year. However, data from the ESMO 2025 Congress and the International Cancer of Unknown Primary Meeting (ICUPM) signal a transformative shift in the field. This review synthesises current and upcoming data on integrative genomic profiling, liquid biopsy-based tissue-of-origin prediction, functional imaging, and tumour-agnostic therapeutic strategies in CUP. Together, these advances support redefining CUP as a molecularly stratifiable disease requiring early comprehensive profiling and multidisciplinary interpretation to improve outcomes.

(未知)机会:未知原发性癌症的新希望- ESMO 2025和首届国际未知原发性癌症会议的亮点。
原发性未知癌(CUP)占新诊断癌症的1-3%。几十年来,治疗一直依赖经验性铂类化疗,其预后较差,中位总生存期通常低于1年。然而,来自ESMO 2025年大会和国际未知原发性癌症会议(ICUPM)的数据表明该领域发生了变革性转变。这篇综述综合了目前和未来的数据,包括整合基因组分析、基于液体活检的组织起源预测、功能成像和肿瘤不可知的CUP治疗策略。总之,这些进展支持将CUP重新定义为一种分子分层疾病,需要早期全面分析和多学科解释以改善结果。
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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
84
期刊介绍: With the first issue in 2014, the journal ''Onkologie'' has changed its title to ''Oncology Research and Treatment''. By this change, publisher and editor set the scene for the further development of this interdisciplinary journal. The English title makes it clear that the articles are published in English – a logical step for the journal, which is listed in all relevant international databases. For excellent manuscripts, a ''Fast Track'' was introduced: The review is carried out within 2 weeks; after acceptance the papers are published online within 14 days and immediately released as ''Editor’s Choice'' to provide the authors with maximum visibility of their results. Interesting case reports are published in the section ''Novel Insights from Clinical Practice'' which clearly highlights the scientific advances which the report presents.
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