What is cancer of unknown primary?

Cancer of unknown primary (CUP) means that cancer spread (secondary cancer) has been found in your body, but doctors don't know where the cancer started (the primary tumour).

Getting diagnosed with cancer of unknown primary (CUP)

Most people are diagnosed with CUP after they become unwell and go to A&E. Others start by seeing their GP. Find out what to expect when you see a GP and the tests you might have. 

Stages and types of cancer of unknown primary (CUP)

There is no staging system for cancer of unknown primary (CUP). Doctors can group CUP by the type of cell the cancer started in. 

Treatment for cancer of unknown primary (CUP)

Treatment for CUP depends on a number of things, including where the cancer is and your general health. You might have a targeted cancer drug or chemotherapy. Sometimes you may have surgery or radiotherapy to help control your symptoms. 

Survival for cancer of unknown primary (CUP)

Survival for cancer of unknown primary depends on many different things such as the type and stage of cancer. No one can tell you exactly how long you will live.

Research and clinical trials into cancer of unknown primary (CUP)

Read about the latest research into cancer of unknown primary (CUP) and see how you can take part in a clinical trial.

Living with cancer of unknown primary

Advice and support is available to help you cope with cancer of unknown primary (CUP) and its treatment.

Risks and causes of cancer of unknown primary (CUP)

Cancer of unknown primary (CUP) includes a variety of cancers. Find out why we can't be specific about the possible causes or risk factors of CUP.

Last reviewed: 
12 Aug 2024
Next review due: 
12 Aug 2027

Page Credits: 

This section has been written, reviewed and updated by Cancer Research UK’s Patient Information Web Team. Thanks to the expert medical professionals and people affected by cancer who have helped to review this information.

  • Dr Claire Mitchell (Consultant Medical Oncologist)
  • Our lay reviewers