⬇️DOWNSTAGING patients with #HCC and Macrovascular Invasion to curative intent should be a FIRST-LINE strategy.
It involves both local and systemic therapy. No room for turf nonsense. 🤝
📣"VP1-3 and normalize AFP"
Fight for your patients' BIG WIN. ⚔️ 🧩
#Y90#immunotherapy
#SBRT #Transplant #Livertwitter @OncBrothers@brunolarvol@ASTSChimera@AASLDtweets@UHNTransplant
https://t.co/zaF29m6eqV
Somatostatin analogs for high G2 (Ki-67 10-20%) and G3 NETs, worth trying or not? According to this retrospective study, the PFS in patients w/ high G2 NETs was 19 months vs. 6 months in G3. Patients with a higher liver tumor burden defined as >10% of liver volume had a shorter PFS but the number of patients was low.
Take home message: SSAs are reasonable as initial therapy in high G2 and G3 NETs assuming follow up is close and patients are offered more effective therapy such as PRRT upon progression.
https://t.co/G2sMasvfiA
To operate or not on panc NETs <2 cm…? The answer is NOT.
Excellent presentation by @spartelli on the long term outcomes of the ASPEN trial. Almost 1000 patients observed w/o resection and progression was uncommon, mets rare and survival the same as with resection.
Please join us for this Society of Surgical Oncology discussion about the Intersection of Hepatobiliary and Peritoneal Surface Malignancies with experts panelists: David Bartlett, @DavidCabaMD , @ColinCourtMD Deepa Magge, @SyedKazmiMD@KLafaro Jula Verapoong @SinzianaDumitra
📢 Small NF PanNETs can/should be observed
#ASPEN🏔️ @spartelli#ESMO25
👥Prospective multi-centre cohort 1️⃣0️⃣0️⃣0️⃣ PanNETs <2cm
An image 🏞️ is worth 1000 words👇🏻
For resection:
😳NNT 276
⚠️NNH 6
✅No difference in OS surgery vs active surveillance
👏Congrats on landmark work!
🌀Do CRLM truly disappear after chemo?
DREAM study:👥233 pts
MRI + CT most accurate
❌63% truly nonviable
👀24% visible on intraop US
No change OS with resection vs not (small numbers)
🤔If disappeared CRLM: plan resection or trust it disappeared?
https://t.co/jf9R5ko3Bj
In #ClinicalTrial EA2222/PUMP, investigators are testing #PumpChemo in addition to SOC chemo versus SOC chemo alone for patients with unresectable #ColorectalCancer liver metastases. For more: https://t.co/xBChV6GALe cc: @michael_lidsky
Shout it from the rooftops! Determination of technical resectability is best left to the liver surgeon, and all patients deserve to be evaluated by one. But the decision to operate, and when, remains a multidisciplinary decision.