Desmoid tumors are rare, locally aggressive soft tissue tumors driven by Wnt pathway mutations. Importantly, they have zero metastatic potential
Even better: 50-60% eventually stop growing on their own and 20-30% regress spontaneously
A multi-disciplinary thread. Let's dig in!
Algorithm for Systemic Therapy in HER2-Positive Breast Cancer
(Based on NCCN and ESMO guidelines; recommendations in gray areas reflect the St. Gallen 2025 consensus and, in part, my own clinical judgment)
⚡️ New SITC clinical practice guideline (v3.0) on immunotherapy in RCC: practical recommendations across adjuvant + metastatic settings, special populations, response monitoring, and QoL.
Key reminders: PD-L1/TMB/MSI don’t guide selection; sarcomatoid features favor IO—nivo/ipi remains a preferred option.
#KidneyCancer #RCC @crisbergerot@OncoAlert
https://t.co/oDPnQzWxK8
Time for another NET talk - this time on sequencing of systemic therapy. Another excellent @MayoMedEd offering. If you are looking for a good course in pretty much anything in Med Ed, check them out. They have a huge selection of quality courses, not just in oncology.
So how to we select initial therapy for advanced NETs when resection or other regional therapy is not a good option...? Below are some thoughts, as always open to criticism and and comments (snarky comments also welcomed if you feel so inclined...).
Come join us for future Mayo Clinic conferences!
📣@GgnetGrupo PRRT consensus in NETs is published!
✔️ PRRT for progressive SSTR+ GEP-NETs (G1–G3, Ki-67 ≤55%)
📌 SSTR-PET essential for patient selection
🔎 FDG-PET adds prognostic value
🎯 Practical guidance to harmonize PRRT selection, treatment and follow-up
Proud to lead this work!
🔗 https://t.co/HstbZihNch
@OncoAlert
What happened this week in #BreastCancer:
1️⃣ Practice-changing data in high-risk HER2+ early-stage disease are sharpening decision points around neoadjuvant regimen selection and toxicity trade-offs, increasing demand for clear sequencing guidance and trial-informed counseling.
https://t.co/yCvz2enYNk
Radiotherapy–drug combinations need to move earlier in the development pipeline to truly maximise patient benefit. Check the new ESTRO Focus Group Policy Review. Read the full article: https://t.co/D1SQyBlkDz
#ESTRO#Radiotherapy#RadOnc#OncoTwitter 📄🎯
Post neo-adjuvant trastuzumab deruxtecan demonstrated a significant improvement in invasive diseases free survival compared to transtuzumab emtansine
.3 years invasive DFS: 92.4% v/s 83.7%
.HR 0.47(p< 0.001)
However interpretation must be carefully balance efficacy with toxicity
Two papers in @CR_AACR highlighting the unique biology of KRASG12R allele in #PancreaticCancer:
(A) weaker MAPK activation leading to greater MAPKi sensitivity
https://t.co/dBn3WaTdLt
(B) PTEN oxidation dependent (and KRAS independent) PI3K activation
https://t.co/r6BjIoHgJQ