Berglund Ake, Nygren Peter, Hagberg Hans, Påhlman Lars, Sundin Anders, Sundström Christer
Onkologkliniken, Akademiska sjukhuset, Uppsala, Sweden.
Lakartidningen. 2005;102(41):2946-8, 2950-2.
Cancer of unknown primary (CUP) is relatively common, approximately 3-5% of all cancers. Diagnostic evaluation must include adequate tumor biopsies for pathology evaluation (PAD) as well as abdominal and chest CT. Prognosis is generally poor, but subgroups occur where long-term survival is possible, and a few patients can even be cured. If patients do not belong to any of these subgroups, diagnostic evaluation and treatment should be considered in relation to possible benefits. CUP diagnosed patients should, if possible, be cared for by experienced hospital units with access to a multi-disciplinary network. New radiological methods, such as PET and whole-body MRI, may in certain cases provide important information for diagnosis.
原发灶不明的癌症(CUP)相对常见,约占所有癌症的3 - 5%。诊断评估必须包括足够的肿瘤活检用于病理评估(PAD)以及腹部和胸部CT。其预后通常较差,但存在一些有可能长期存活的亚组,甚至有少数患者可以治愈。如果患者不属于这些亚组中的任何一组,则应根据可能的获益来考虑诊断评估和治疗。被诊断为CUP的患者,如果可能的话,应由有经验的医院科室护理,并能接入多学科网络。新的放射学方法,如PET和全身MRI,在某些情况下可能为诊断提供重要信息。