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Metastatic renal cell carcinoma with occult primary: a multicenter prospective cohort

  • Nicolas Jacquin,
  • Ronan Flippot,
  • Julien Masliah-Planchon,
  • Guillaume Grisay,
  • Riwan Brillet,
  • Célia Dupain,
  • Maud Kamal,
  • Isabelle Guillou,
  • Nadège Gruel,
  • Nicolas Servant,
  • Pierre Gestraud,
  • Jennifer Wong,
  • Vincent Cockenpot,
  • Andreia Goncalves,
  • Janick Selves,
  • Hélène Blons,
  • Etienne Rouleau,
  • Olivier Delattre,
  • Claire Gervais,
  • Christophe Le Tourneau,
  • Ivan Bièche,
  • Yves Allory,
  • Laurence Albigès,
  • Sarah Watson

摘要

Metastatic carcinoma of presumed renal origin (rCUP) has recently emerged as a new entity within the heterogeneous entity of Cancers of Unknown Primary (CUP) but their biological features and optimal therapeutic management remain unknown. We report the molecular characteristics and clinical outcome of a series of 25 rCUP prospectively identified within the French National Multidisciplinary Tumor Board for CUP. This cohort strongly suggests that rCUP share similarities with common RCC subtypes and benefit from renal-tailored systemic treatment. This study highlights the importance of integrating clinical and molecular data for optimal diagnosis and management of CUP.