Stages of cancer of unknown primary (CUP) (2024)

There is no staging system for cancer of unknown primary (CUP). This is because the cancer has already spread anddoctors don’t know where the original cancer started.

Doctors can usually group CUP by the type of cell the cancer started in.

What is staging?

When someone is diagnosed with cancer, doctors usually carry out a number of tests to find out:

  • the size of the tumour
  • whether it has spread to other parts of the body

This is called staging. It helps doctorsdecide on the best treatment plan.

Staging systems

Different cancer types have slightly different staging systems. So the stages used for bowel cancerare different from the stages used for breast cancer, for example.

For most types of cancer there are 4 numberstages, from 1 to 4. Stage 1 is a small, localised tumour (early cancer). Cancer that has spread to anotherpartof the body is stage 4 cancer (advanced cancer).

Staging system for CUP

With CUP, doctors don’t know where the original cancer started. So they can't accurately stage this type of cancer.

You usually still have several tests to find out where the cancer is. Your doctor uses all the information they can gather to help decide on your best treatment options.

The results of your scans and tests can often suggest the most likely place the cancer started.

Stages of cancer of unknown primary (CUP) (2024)

FAQs

What stage is cup cancer? ›

There is no standard staging system for carcinoma of unknown primary (CUP). The extent or spread of cancer is usually described as stages. The stage of the cancer is usually used to plan treatment. However, carcinoma of unknown primary (CUP) has already spread to other parts of the body when it is found.

How long can you live with unknown primary cancer? ›

Because carcinoma of unknown primary (CUP) is not the primary cancer and has already spread when it was found, the potential to cure the cancer is less likely than finding a primary cancer early. Survival rates vary from person to person, ranging from months to several years.

What is the staging of carcinoma of unknown primary? ›

There is no staging system for cancer of unknown primary (CUP). This is because the cancer has already spread and doctors don't know where the original cancer started. Doctors can usually group CUP by the type of cell the cancer started in.

What does cancer of unknown primary mean? ›

Cancer of unknown primary (CUP) means that cancer spread has been found in your body (secondary cancer), but your doctors can't find where the cancer started (the primary cancer).

Is Cup a rare cancer? ›

Cancer of the unknown primary is a rare group of metastatic cancers that are found after they've spread, but the location of the original tumor isn't clear. These secondary tumors are most commonly found in the lungs, liver, lymph nodes and the bones.

Has anyone survived cup cancer? ›

Generally for all those with CUP: around 16 out of 100 people (around 16%) survive for 1 year or more. around 10 out of 100 people (around 10%) survive for 3 years or more.

Can cancer of unknown primary go into remission? ›

However, complete cure remains a very rare event in CUP. Remission can be achieved with a platinum-containing regimen combined with radiotherapy.

What chemotherapy is used for unknown primary cancer? ›

Chemo can be used in a number of situations for cancer of unknown primary (CUP). Because chemo reaches all parts of the body, it can sometimes be useful for cancers of unknown primary, as it may help kill cancer cells in areas where they haven't been detected.

At what point is cancer no longer treatable? ›

Stage 4 cancer is not always terminal. It is usually advanced and requires more aggressive treatment. Terminal cancer refers to cancer that is not curable and eventually results in death. Some may refer to it as end stage cancer.

What is the incidence of carcinoma of unknown primary? ›

Cancer of unknown primary incidence

Cancer of unknown primary is the 15th most common cancer in the UK, accounting for 2% of all new cancer cases (2017-2019). In females in the UK, cancer of unknown primary is the 11th most common cancer, with around 4,200 new cases every year (2017-2019).

Is stage 4 always terminal? ›

Although the overall prognosis may be poor based on cases with previous patients and older treatments, many patients with stage 4 cancer can live for years. A few factors to keep in mind: Many treatments are available to help fight cancer.

What is carcinoma of unknown primary evaluation? ›

The criteria for CUP include a biopsy-proven malignancy for which the anatomic origin is unknown after a medical history has been obtained, a detailed physical examination has been performed, and liver and kidney function tests, blood tests, chest radiography, abdomen and pelvis computed tomography (CT), and ...

What is the mortality rate for cancer of unknown primary? ›

Median survival in patients with cancer of unknown primary origin ranges from 11 weeks to 11 months. The 5-year overall survival rate is about 11%.

What is metastasis with unknown primary site? ›

A patient is considered to have a cancer of unknown primary origin when cancer is detected at one or more sites and routine evaluation fails to identify the primary tumor.

What happens if they can't find a primary cancer source? ›

Your doctor may ask you to have several tests to try to find the primary cancer. If the tests cannot find where the cancer started, the doctor will try to identify the type of cell the cancer developed from. This gives the doctor a better idea of where the cancer may have started.

Is a cup curable? ›

Your doctor will discuss your treatment, its benefits and the possible side effects with you. Doctors can't cure most cases of CUP. This is because the cancer has already spread from one part of the body to another.

What does Cup stand for in oncology? ›

Cancer of unknown primary (CUP) means that cancer spread (secondary cancer) has been found in your body, but doctors don't know where the cancer started (the primary cancer). Your body is made up of billions of cells that can only be seen under a microscope.

What is the difference between Stage 1 or 2 and Stage 3 or 4 cancer? ›

Stage I through Stage III are for cancers that haven't spread beyond the primary tumor site or have only spread to nearby tissue. The higher the stage number, the larger the tumor and the more it has spread. Stage IV cancer has spread to distant areas of the body.

Is Stage 4 cancer the end? ›

Stage 4 cancer is not always terminal. It is usually advanced and requires more aggressive treatment. Terminal cancer refers to cancer that is not curable and eventually results in death. Some may refer to it as end stage cancer.

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