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

Nicolas Jacquin1,2, Ronan Flippot3, Julien Masliah-Planchon4

  • 1INSERM U830, Diversity and Plasticity of Childhood Tumors Lab, PSL Research University, Institut Curie Research Center, Paris, France.

PubMed

Insights

Metastatic carcinoma of presumed renal origin (rCUP) is a newly identified cancer. This study suggests rCUP shares traits with common kidney cancers and benefits from targeted therapies.

Area of Science:

  • Oncology
  • Genitourinary Cancers

Background:

  • Metastatic carcinoma of presumed renal origin (rCUP) is a recently recognized entity within cancers of unknown primary (CUP).
  • The biological characteristics and optimal treatment strategies for rCUP are not well-defined.
  • Understanding rCUP is crucial for improving patient outcomes in this challenging cancer subset.

Purpose of the Study:

  • To investigate the molecular features of rCUP.
  • To evaluate the clinical outcomes for patients with rCUP.
  • To determine if rCUP benefits from treatments typically used for renal cell carcinoma (RCC).

Main Methods:

  • Prospective identification and analysis of 25 rCUP cases.
  • Molecular characterization of the rCUP cohort.
  • Correlation of clinical data with molecular findings and treatment response.

Main Results:

  • The study identified 25 prospectively confirmed cases of rCUP.
  • Molecular profiling revealed similarities between rCUP and common subtypes of renal cell carcinoma (RCC).
  • Patients with rCUP demonstrated positive responses to renal-tailored systemic treatments.

Conclusions:

  • rCUP exhibits molecular characteristics akin to established renal cell carcinoma subtypes.
  • Renal-tailored systemic therapy appears beneficial for patients diagnosed with rCUP.
  • Integrating clinical and molecular data is essential for accurate rCUP diagnosis and effective management.