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. 2012 Jun;85(1014):661–671. doi: 10.1259/bjr/75018360

Table 1. Terms used in the National Institute for Health and Clinical Excellence (NICE) guidelines [3] (reproduced with the permission of NICE).

Term Definition
Malignancy of undefined primary origin Metastatic malignancy identified on the basis of a limited number of tests, without an obvious primary site, before comprehensive investigation
Provisional carcinoma of unknown primary origin Metastatic epithelial or neuroendocrine malignancy identified on the basis of histology/cytology, with no primary site detected despite a selected initial screen of investigations, before specialist review and possible further specialised investigations
Confirmed carcinoma of unknown primary origin Metastatic epithelial or neuroendocrine malignancy identified on the basis of final histology, with no primary site detected despite a selected initial screen of investigations, specialist review, and further specialised investigations as appropriate