Chemotherapy in metastatic cancer of unknown primary
1996
textabstractIn general a patient is considered ta have a carcinoma of
unknown primary site if na primary tumor ean be identified
af ter a thorough history and physical examination, and a
reasonabIe laboratory and radiologie work-up. This definition
a180 requires a histological diagnosis of carcinoma. The
importance of histologie (re)examination in the management of
patients with carcinoma of unknown primary site has been
emphasized by several authors. Light microscopie examinat
ion may al ready provide a clue ta suggest the site of origin. lnununohistochemistry and/or electron microscopy are
of additional value, particularly in patients with undifferentiated
tumors. A substantial number of patients with a light
microscopie diagnosis of anaplastic tumor or undifferentiated
carcinoma ultimately prove to have a lymphomas.
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