sunil daryanani

Médico oncólogo - Medical Oncologist

[Rafael Arraiz Lucca @rafaelarraiz]

Sunil Daryanani con Rafael Arráiz Lucca | Los del Podio IV | Venezolanos https://t.co/QP3PZELBEW vía @YouTube

[Tom Powles @tompowles1]

The FDA approval of perioperative EVP in muscle invasive bladder cancer makes platinum eligable somewhat redundant. It creates a paradigm shift in the disease and a is landmark moment . The principle of ‘EVP first, ask questions later’ becomes more relevant. The next questions are i) can we cure most of these patients without surgery and ii) how much systemic therapy is needed? @Annals_Oncology @OncoAlert

[sunil daryanani @sdaryanani]

@IndiaVenezuela What's with this? What are the events involved?

[India in Venezuela @IndiaVenezuela]

The Embassy of India, Caracas has sought a thorough investigation by Venezuelan authorities on the desecration and removal of organs of the mortal remains of late Shri. Rakesh Chauhan. Mission has continued to pursue this matter with the concerned local authorities since the incident came to light.
@MEAIndia @IndianDiplomacy

[Rory Branker @RoryBranker]

Venezolanos rompiendo dólares en pedazos en medio de esta catástrofe es la metáfora más gigantesca de DIGNIDAD. No se equivoque nadie: Venezuela no está en venta

[George Harris @ElGeorgeHarris]

¡Reporte actualizado!

[sunil daryanani @sdaryanani]

@ibepacheco Farsante mayor con aire académico

[freddyzur @freddyzur]

¿Dónde está la ética institucional? Este es el Inspector (A-IV) Leonardo Javier Ruiz Blanco, C.I. V-22,448,203, captado con una importante cantidad de divisas en un sitio de escombros. La impunidad no puede seguir siendo la norma ante casos tan evidentes.

[sunil daryanani @sdaryanani]

ASCO Annual Meeting 2026 in Chicago May 29th-June 2nd. Abstracts just released!! Abstract LBA100: NHS- Galleri: Primary results from a randomized controlled trial to assess the clinical utility of a multi-cancer early detection (MCED)test in population screening.
@ASCO
@ASCOPres

[sunil daryanani @sdaryanani]

ASCO Annual Meeting 2026 in Chicago May 29th-June 2nd. Abstracts just released!! Abstract LBA100: NHS- Galleri: Primary results from a randomized controlled trial to assess the clinical utility of a multi-cancer early detection (MCED)test in population screening.
@ASCO
@ASCOPres

[sunil daryanani @sdaryanani]

American Society of Clinical Oncology (ASCO) Annual Meeting 2026 in Chicago May 29th-June 2nd. Abstracts just released!! Abstract 1508 on WHO essential cancer list in LMIC.
@ASCO
@ASCOPres

[sunil daryanani @sdaryanani]

American Society of Clinical Oncology (ASCO) Annual Meeting 2026 in Chicago May 29th-June 2nd. Abstracts just released!! Abstract 1508 on WHO essential cancer list in LMIC.
@ASCO
@ASCOPres

[Prog Rock Songs @progrocksongs]

What was the first progressive rock band you loved?

[sunil daryanani @sdaryanani]

@AndresFCardonaZ @farmacotips Finas palabras y mensaje

[Nicholas Zaorsky, MD MS @NicholasZaorsky]

2026 Genitourinary Oncology Spring Refresher - Dry Run

Updates in the management of cancers of the prostate, bladder, kidney, testes, from @NCCN @ASTRO_org @ESTRO_RT @Uroweb

#Radonc residents @ARRO_org, I hope it helps you ace the board exams!

https://t.co/5X8nP1NX0j

[Eric Topol @EricTopol]

Discovery of a new checkpoint of cancer cells, a pathway to block and enhance immunotherapy
https://t.co/EN9SRggLuC

[Ilana Schlam @IlanaSchlam]

In 2025, many important and long-awaited studies were published. I included them but kept the algorithms unchanged, as there are open questions about how these data will impact practice, particularly in early and metastatic HER2+ disease and mTNBC.
@DFCI_BreastOnc #SABCS25

[Dr Rishabh Jain @DrRishabhOnco]

🚨 ONCO EMERGENCY: How to Manage EXTRAVASATION in 30 Seconds 🩺💉

Extravasation of chemotherapy = oncology emergency.
Early recognition + immediate action = tissue saved.

Here’s the crisp, protocol-ready approach 👇

1️⃣ STOP Immediately
❌ Stop infusion
❌ Do not flush
✔️ Leave cannula in situ
✔️ Aspirate as much drug as possible
✔️ Mark the area + click a photo

2️⃣ Identify the Agent
Classify the drug:

🔥 Vesicant (DNA-binding / Non-DNA)
😣 Irritant
🙂 Non-vesicant

(Anthracyclines, Vinca alkaloids, Taxanes, Platinum, Mitomycin etc.)

3️⃣ Two Key Pathways

A) “Localise & Neutralise” – DNA-Binding Vesicants
(Anthracyclines, Mitomycin, Dactinomycin)
❄️ COLD compress 20 min × 4/day × 1–2 days

💊 Antidotes:
<3 ml anthracycline → Topical DMSO
3 ml anthracycline → Dexrazoxane (Savene) within 6 hrs
Mitomycin → DMSO

B) “Disperse & Dilute” – Non-DNA Binding Vesicants
(Vinca alkaloids, Taxanes, Trabectedin)
🔥 WARM compress 20 min × 4/day × 1–2 days
💉 Hyaluronidase 150–1500 IU SC around site (5 injections)

4️⃣ Elevate, Analgesia, Plastics Referral
✋ Elevate limb
💊 Analgesics if required
🏥 Early plastics/flush-out team for large-volume or CVAD extravasa
tion

5️⃣ Follow-Up
Mandatory review within 1 week

Patient counselling: monitor for redness, blistering, worsening pain

Document EVERYTHING (site, size, drug, photo, interventions)

💡 TAKE-HOME
Extravasation is rare but high-stakes.
Most injuries are preventable with:
Good venous access
Trained staff
Fast action
Correct antidote pathway
Oncology teams save tissue before they save time. ⏱️🩺

🔖 Save this. Share with your residents and healthcare staff.

#OncoTwitter #MedTwitter #ChemoSafety #Nursing #Oncology @myESMO @OncoAlert @ESMO_Open @asco

[sunil daryanani @sdaryanani]

@CulturaUrbana @rafaelarraiz Queremos mucho a toda la familia y lamentamos muy de corazón la partida prematura de Guadalupe. Nuestra admiración perenne a ella y nuestro cariño incondicional a Rafael e hijos

[Cultura Urbana @CulturaUrbana]

Con profundo pesar nos unimos al duelo por la muerte de la editora, gerente cultural y escritora Guadalupe Burelli, autora de nuestro fondo, esposa de nuestro amigo y ex presidente @RafaelArraiz

Nuestras condolencias a él, sus hijos, nietos y demás familiares.

Paz a su alma.