Conclusion:
The present data show that CUP is not a
disease of random metastatic cancers but, instead, a disease of a
defined set of
cancers. The association of CUP with families of
kidney, lung, and colorectal cancers suggests a marked genetic basis
and
shared metastatic mechanisms by many cancer
types. Familial sites shared by CUP generally match those arising in
tissue-of-origin
determinations and, hence, suggest sites of
origin for CUP. Mechanistic exploration of CUP may provide insight into
defense
against primary tumors and the metastatic
process.
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