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)
Management of colorectal cancer in older adults: an expert panel recommendation to guide daily clinical practice
(Lancet Gastroenterology & Hepatology, 2026)
Sometimes you just instantly know that something's the photo of the day...maybe the tournament even.
I can't recall ever shooting anything similar to this.
@EricTopol The 5-year lead time is the easy part. Prediction isn't prevention until it's paired with an intervention arm. The plasma proteome flags risk before histology, but the hard problem is separating destined-to-progress from indolent biology, or we just industrialize overdiagnosis.
🫁 Perioperative EGFR-Mutant NSCLC.
Adjuvant osimertinib remains the reference standard in resected EGFR-mutant NSCLC based on mature DFS, OS, and CNS benefit from ADAURA.
Emerging perioperative EGFR TKI strategies are promising, although mature survival data are still needed before redefining standards of care.
📖 Cancer Treatment Reviews
DOI 👉🏻 https://t.co/LJxKcuBG49
#CánCare #NSCLC #EGFR #LungCancer
Cancer of Unknown Primary (CUP): updated ESMO Clinical Practice Guideline
In one of the most challenging scenarios in oncology, @myESMO provides a comprehensive roadmap for:
🔬 Diagnostic algorithm & pathology workup
🧬 Molecular profiling integration
💊 Evidence-based systemic strategies
📅 Structured follow-up recommendations
CUP is no longer “diagnosis of exclusion” — precision diagnostics are redefining management.
🔗 Full guideline:
https://t.co/qeRtomOsrT
@fatimacardoso , @stolaney1 , @LoiSher
#Oncology #CUP #PrecisionOncology #ESMOGuidelines #CancerCare
Can we stop #immunotherapy at 2 years in advanced NSCLC?
I-STOP study (n=173, PD-1/PD-L1 monotherapy)
OS NR in either group (HR 1.22)
PFS shorter if stopped (35.6 mo vs NR; HR 2.16)
Higher risk in PD-L1 ≤50%, KRASm and brain mets
Rechallenge worked (ORR 62.5%).
Observational, small discontinuation cohort.
Not for everyone
https://t.co/2tz2lhBqZ6 @OncoAlert #lcsm #NSCLC
Therapy for Stage IV Non–Small Cell Lung Cancer Without Driver Alterations: ASCO Living Guideline, 2026.3.0.
Read the full article. https://t.co/5NeGwiEV2c
#LungCancer#lcsm
We treat HR+/HER2– metastatic breast cancer with ET + CDK4/6 inh.
⚠️~75% of BRCA2 breast cancers are HR+
In a real-world cohort (n=4,283), BRCA1/2/PALB2 carriers had a mPFS of 9.9 vs 15.4 months (HR 1.61, p<0.001). OS was similar, likely from PARP rescue.
Same receptor status. Different biology.
Is it time to test PARP inhibitors in 1L, as we did in prostate cancer (amplitude trial)?
https://t.co/7ES45u9nmi @OncoAlert
There are multiple trials now showing improved overall survival in patients receiving carboplatin for TNBC. It’s really time we put the question of is carbo beneficial in TNBC to rest and more uniformly give taxane/carbo instead of taxane/cyclophosphamide in stage 1 TNBC. Taxol/carbo now has more robust TNBC specific data than TC. #TNBC #BreastCancer