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metastatic adenocarcinoma of unknown primary

Special laboratory: - upper GI endoscopy & lower GI endoscopy Radiology: - CT of thorax, CT of abdomen Management: - if predominantly below the diaphragm, treat as gastrointestinal adenocarcinoma even if upper GI endoscopy & lower GI endoscopy are negative - if female with peritoneal carcinomatosis, assume ovarian cancer until proven otherwise [1] - if frail or poor performance status, hospice care is appropriate

General

metastatic cancer of unknown primary adenocarcinoma

References

  1. Medical Knowledge Self Assessment Program (MKSAP) 17, American College of Physicians, Philadelphia 2015 - Medical Knowledge Self Assessment Program (MKSAP) 19 Board Basics. An Enhancement to MKSAP19. American College of Physicians, Philadelphia 2022