Dr. Dharma Ram Poonia 🇮🇳

Associate Professor- Surgical Oncology @AIIMS_Jodhpur,
Section Editor of Head n Neck Oncology @IASO_IJSOonline

[Dr. Dharma Ram Poonia 🇮🇳 @drdharmapoonia]

Find me here @IASO_IJSOonline
As section Editor of Head and Neck Oncology #OralCancer
#HNC #oralCancer #IASO #Cancer #SurgicalOncology
https://t.co/rihDX0be6D

[Dr. Dharma Ram Poonia 🇮🇳 @drdharmapoonia]

@aiims_jodhpur It was exhausting and difficult operation.
Successful nevertheless.
@aiims_jodhpur

[Dr. Dharma Ram Poonia 🇮🇳 @drdharmapoonia]

@NTA_Exams It’s really unfortunate
But kudos to @NTA_Exams for prompt disposal of this chaos
Hopefully reNEET will be perfect

[Dr Rishabh Jain @DrRishabhOnco]

🚨 New ASCO Guidelines (2026): Well-Differentiated Thyroid Cancer

This is a major shift in how we treat RAI-refractory disease 👇

🧠 Step 1 is no longer MKI… it’s GENOMICS

👉 Test for: RET | NTRK | BRAF

If actionable → Targeted therapy FIRST
• RET → Selpercatinib (LIBRETTO-001)
• NTRK → Larotrectinib (pooled TRK trials) / Entrectinib (STARTRK)
• BRAF → Dabrafenib ± Trametinib (phase II BRAF studies)

🔥 Deep, durable responses > MKIs

📊 Signal strength
• NTRK inhibitors → ORR ~57–86%
• RET inhibitors → ORR ~79–90%

🧠 If no mutation (or not feasible)

👉 First-line MKI
• Lenvatinib (SELECT)
• Sorafenib (DECISION)

📊
SELECT → PFS 18.3 vs 3.6 mo
DECISION → PFS 10.8 vs 5.8 mo

👉 Lenvatinib preferred (higher ORR, longer PFS)

🧠 After progression

👉 Cabozantinib (COSMIC-311)
📊 PFS 11.0 vs 1.9 mo

🧠 Immunotherapy?

❌ Not upfront
👉 Consider only post-progression
Lenvatinib + Pembrolizumab (KEYNOTE-158 / ITOG study)

🧠 Chemotherapy
👉 Last-line only

🎯 Practice-changing shift
Old → Start MKI for all
New → Test → Target → Then MKI → Then Cabo

💡 Thyroid cancer is now a precision oncology disease

🔖 Save this before your next thyroid clinic

#OncoTwitter #MedTwitter #ThyroidCancer #PrecisionOncology @OncoAlert @myesmo @esmo_open @asco

[Dr. Dharma Ram Poonia 🇮🇳 @drdharmapoonia]

Indeed a extraordinary work.
Kudos @aiims_jodhpur
Dr. Mohit Agrawal
Dr. Bhaskar
Dr. Samhita Panda
Dr. Lokesh Saini
Dr. Manbir
Dr. Bhatia.

[AIIMS Jodhpur @aiims_jodhpur]

क्या आपने कभी सुना है कि हँसी भी एक बीमारी का लक्षण हो सकती है? “लाफिंग एपिलेप्सी” में मरीजों को बार-बार अनियंत्रित हँसी के साथ दौरे आते हैं।

एम्स जोधपुर ने दुर्लभ “लाफिंग एपिलेप्सी” के इलाज में बड़ी सफलता हासिल की है। अत्याधुनिक न्यूनतम इनवेसिव सर्जरी से अब मरीज पूरी तरह दौरा मुक्त हैं।

राजस्थान का एकमात्र अस्पताल और देश का दूसरा एम्स जहाँ यह सुविधा उपलब्ध।

#AIIMSJodhpur #EpilepsyCare #AdvancedHealthcare #HealthcareInnovation

@JPNadda @mpprataprao @AnupriyaSPatel @MoHFW_INDIA

[Dr. Dharma Ram Poonia 🇮🇳 @drdharmapoonia]

@aiims_jodhpur

[Dr. Dharma Ram Poonia 🇮🇳 @drdharmapoonia]

A nice opportunity

[Somashekhar SP @somusp9]

https://t.co/gBgryoVlSZ

[Dr. Dharma Ram Poonia 🇮🇳 @drdharmapoonia]

@DrRishabhOnco Nice illustration..

[ICMR- NINE @icmrnine]

On National Immunization Day, vaccines are powerful tools in preventing certain cancers. Hepatitis B and HPV vaccines play a vital role in preventing liver and cervical cancers, highlighting the importance of immunization in cancer prevention.
#NationalImmunizationDay

[Dr. Dharma Ram Poonia 🇮🇳 @drdharmapoonia]

@aiims_jodhpur Congratulations.

[Dr. Dharma Ram Poonia 🇮🇳 @drdharmapoonia]

A touching tribute at AIIMS Jodhpur to our silent heroes—the organ donors @aiims_jodhpur
#GIftOfLife

[AIIMS Jodhpur @aiims_jodhpur]

A heartfelt tribute to the silent heroes of life.

At AIIMS Jodhpur, the “अंगदाता–स्मारिका” (Wall of Remembrance) was unveiled by Padma Shri awardee Shri Nilesh Vinodchandra Mandlewala, fondly known as the Organ Man of India.

With 11 cadaveric donors and 33 organs harvested (including 3 hearts), this initiative honors the noble legacy of organ donors.

Families of donors shared emotional experiences, inspiring many to pledge life beyond life.

#OrganDonation #AIIMSJodhpur #GiftOfLife #SaveLives

@JPNadda @mpprataprao @AnupriyaSPatel @MoHFW_INDIA

[IASO-IJSO online @IASO_IJSOonline]

#HappyHoli
Let this Holi bring loads of Joy and wellness.

[Dr. Dharma Ram Poonia 🇮🇳 @drdharmapoonia]

Hpv Vaccination Campaign Rajasthan: PM to launch HPV vaccination drive in Ajmer | Jaipur News - The Times of India https://t.co/iXYopBsFsn
Historical move

[Dr. Dharma Ram Poonia 🇮🇳 @drdharmapoonia]

Indeed a nice initiative.

[AIIMS Jodhpur @aiims_jodhpur]

#Cervicalcancer remains a major public health concern in India. In 2022, the country reported an estimated 127,526 new cases and 79,906 deaths from the disease. Prevention is the cure. #HPVVaccine (GLOBOCON, 2022 India Fact Sheet)
AIIMS Jodhpur urges parents to participate voluntarily in campaign to be launched nationwide by Hon’ble Prime Minister Shri @narendramodi ji in Ajmer on 28 February 2026.
@JPNadda @mpprataprao @AnupriyaSPatel @MoHFW_INDIA @DhrHtain

[Dr. Dharma Ram Poonia 🇮🇳 @drdharmapoonia]

Such a brilliant move.
Dedicated to young ones.
@aiims_jodhpur @aiims_newdelhi @AIIMSBhubaneswr @AiimsBathinda @AiimsJammu @aiimsrishi @AIIMSBhopal @AiimsKalyani @AIIMS_bilaspur @AIIMSNagpur

[IASO-IJSO online @IASO_IJSOonline]

📣 EXCITING ANNOUNCEMENT from the Indian Journal of Surgical Oncology, the official pubmed indexed journal of IASO
Dissertation Special Issue for
Young Surgical Oncologists ‼️

Submit your Manuscript Today!!!!

Do not miss this unique opportunity to be published with IJSO 🥳

[Dr. Dharma Ram Poonia 🇮🇳 @drdharmapoonia]

@drsabita @DOTEsophagus @ISDE_net @MagnusNsurgonc @esophaguideMD For all Adeno, #FLOT is favorite, until have access to MATTERHORN with ease.

[Dr. Dharma Ram Poonia 🇮🇳 @drdharmapoonia]

@IASO_IJSOonline @somusp9 @DrPankajGarg @drraulinsa @oncodaily @official_IASO @IASOmasterclass @harit_oncochat @cspramesh @basavatarakam

[Dr. Dharma Ram Poonia 🇮🇳 @drdharmapoonia]

ICG reduced odds of AL by 58% (9% vs. 15.5%; OR 0.42, 95% CI: 0.26–0.70; I²=42%), with an absolute risk difference of 6.5% (95% CI: 3.3–9.7) and a number needed to treat (NNT) of 15 (10–30)
@ISDE_net @IASO_IJSOonline
@aiims_jodhpur
@aiims_newdelhi
#LandMark Meta-analysis

[IASO-IJSO online @IASO_IJSOonline]

#IJSOVA #IASOIJSOinitiative #Medtwitter
#Esophagealcancer #Cancersurgery
Post Esophagectomy Anastomotic leaks ??
Switch to ICG angiography.
check out this metanalysis, recently published in IJSO .
https://t.co/nIfxq19T4N

[Dr. Dharma Ram Poonia 🇮🇳 @drdharmapoonia]

@aiims_newdelhi Congratulations. Well deserving without a doubt.

[Dr. Dharma Ram Poonia 🇮🇳 @drdharmapoonia]

@aiims_jodhpur It is indeed, kudos.

[Dr. Dharma Ram Poonia 🇮🇳 @drdharmapoonia]

@aiims_newdelhi @MoHFW_INDIA @CSIR_IND @DBTIndia @IndiaDST @iitdelhi @ICMRDELHI @ANRFIndia Interesting to know the detials.
Hopefully something on MOUs and IEC related point with networking platform to ease the collaboration.