metastatic adenocarcinoma of unknown primary

Diagnostic procedures

• 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
• if frail or poor performance status, hospice care is appropriate

More general terms

• metastatic cancer of unknown primary
• adenocarcinoma