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CANCER OF UNKNOWN PRIMARY REFERRAL FORMPlease send via eRS to2ww Suspected Cancer RAS Cancer of unknown Primary (CUP) or if eRS is not available for more than 24 hours, email to ruhtr.CancerReferrals@nhs.netReferrer
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01
Step 1: Collect all the necessary information and medical documents of the patient including medical history, previous test reports, and imaging studies.
02
Step 2: Conduct a thorough physical examination of the patient to identify any specific symptoms or signs that may indicate the primary site of the cancer.
03
Step 3: Order additional diagnostic tests such as blood tests, imaging studies (CT scan, MRI, PET scan), and biopsies to help determine the origin of the tumor.
04
Step 4: Consult with a multidisciplinary team of specialists including medical oncologists, pathologists, radiologists, and surgeons to analyze the test results and discuss the possible primary sites.
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Step 5: Based on the findings, determine the most appropriate treatment plan which may include surgery, radiation therapy, chemotherapy, or targeted therapy.
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Step 6: Monitor the patient's response to treatment and adjust the treatment plan as necessary.
07
Step 7: Provide supportive care and address any symptoms or side effects experienced by the patient throughout the treatment process.
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Step 8: Regularly follow up with the patient to track their progress, evaluate the effectiveness of the treatment, and detect any potential recurrence of the cancer.

Who needs carcinoma of unknown primary?

01
Carcinoma of unknown primary (CUP) refers to a type of cancer where the origin or primary site of the tumor cannot be identified through routine diagnostic tests.
02
This condition usually occurs when cancer has spread from its primary site to other parts of the body, but the primary site remains unknown.
03
Anyone who presents with metastatic cancer and an unidentified primary site may need to be evaluated for carcinoma of unknown primary.
04
It is particularly important for patients with CUP to undergo thorough diagnostic evaluations to determine the primary site as it can significantly impact treatment decisions and prognosis.
05
Therefore, individuals who have been diagnosed with metastatic cancer and the primary site is uncertain should consult with a specialized oncology team to assess the possibility of carcinoma of unknown primary.

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Carcinoma of unknown primary (CUP) refers to a type of cancer where the primary site of the tumor cannot be identified after thorough investigation.
Healthcare providers, including oncologists and pathologists, are typically required to file cases of carcinoma of unknown primary for cancer registries.
To fill out carcinoma of unknown primary, one must gather all relevant patient information, conduct any necessary tests to rule out primary sites, and accurately complete the associated cancer registry forms.
The purpose of identifying carcinoma of unknown primary is to gather data for research, treatment planning, and to track cancer incidence and outcomes.
Information that must be reported includes patient demographics, clinical findings, diagnostic tests, treatment received, and outcomes.
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