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@dr_yakupergun

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Medical Oncologist / Antalya City Hospital Exploring Evidence-Based Approaches in Cancer | Equality in Oncology Care

Türkiye
Joined December 2012
Don't wanna be here? Send us removal request.
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@dr_yakupergun
Yakup Ergün
7 months
My comment on Common Sense Oncology: We are all responsible ✨️Physicians should stand in the light of unbiased science, not under the influence of the pharmaceutical industry, to advocate for patients' rights. @TheLancetOncol
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@dr_yakupergun
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@historyinmemes A tragic story highlighting the importance of understanding complex medical conditions. It's relieving to know that justice prevailed in the end. A lesson to be learned from this incident.
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@dr_yakupergun
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1 year
@ovgunaercan Sayın hocam ben bir hekim olarak branşım olmadığı için acil tıbbi müdahale konusunda yorum yapmaktan imtina ediyorum, belki yanlış bilgi veririm diye. İyi niyetinizden şüphem yok ama tıbbi durumlar ile bilgilendirmeleri ilgili branşın hekimlerine bırakırsak daha uygun olacaktır.
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@dr_yakupergun
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#ASCO23 D-TORCH: Topical diclofenac in prevention of hand-foot syndrome in pts receiving capecitabine 💥Topical diclofenac is effective in preventing all grades of HFS in patients receiving capecitabine New standard of care to prevent capecitabine associated HFS? @OncoAlert
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@dr_yakupergun
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10 months
Breast cancer
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Adjuvant chemotherapy recommendations for stage II colon cancer: Joint chart of @ASCO and @myESMO guidelines @TotalHealthConf @oncotwitts @OncoAlert
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9 months
@historyinmemes The vaccine is the most important health discovery in human history. Trust science..
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10 months
@historyinmemes Discovering the essence of civilization through a healed bone is a testament to remarkable insight and profound wisdom.
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@dr_yakupergun
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Omitting Axillary Dissection in Breast Cancer with Sentinel-Node Metastases : SENOMAC trial "In clinically node-negative patients with sentinel lymph node biopsy showing macrometastasis (1 or 2), comprehensive ALND can be omitted" @OncoAlert
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From the ESMO "cancer of unknown primary" management guideline; Recommended IHC markers for differential diagnosis👇
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@dr_yakupergun
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4 months
Breast cancer highlights from 2023: Knowledge to guide practice and future research 📌PubMed has 15,000 publications on BC in 2023. The authors have summarized the most important studies A great review👇 #bcsm
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9 months
@historyinmemes We don't know the owner, but because of this tombstone, Myia is immortal.
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@DrSarperSaglam Bu kitabı elime aldığım günden beri ders çalışıyorum. Acaba bitirmesek daha mı iyi olacaktı🤔
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Neoadjuvant Pembrolizumab in Localized MSI-H/dMMR Solid Tumors @JCO_ASCO 🔹Phase 2, 35 pts (27 CRC) ORR➡️82% ☑️pCR 65% (17 pts underwent surgery) 💥Tissue-agnostic therapy become the new standard for the neoadjuvant setting? @OncoAlert
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Adjuvant Olaparib for Germline BRCA Carriers With HER2-Negative eBC: Evidence and Controversies 📌Increasing adjuvant treatment options in HER2-neg eBC are causing confusion. 💥This topic is discussed in this excellent review👇 @OncJournal @OncoAlert
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Platinum‐based chemotherapy for early triple‐negative breast cancer (Cochrane Database) 20 studies, 4.688 patients DFS and OS (Carbo)⬆️ Neoadj➡️HR: 0.63 and 0.69 Adj➡️HR 0.69 and 0.70 📌 Regardless of BRCA, HRD, LN positivity and anthracycline
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Immunotherapy and Targeted Therapy for Advanced Gastroesophageal Cancer: ASCO Guideline @ASCO @JCO_ASCO @OncoAlert
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Comparison of HER2-Zero and HER2-Low in terms of clinicopathological factors and survival in early-stage breast cancer: A Systematic Review and Meta-analysis Our meta-analysis is out now👇 1/3 @OncoAlert @OncBrothers @curijoey @stolaney1 @PTarantinoMD
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Early breast cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up @myESMO @Annals_Oncology
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Germline Testing in Patients With Breast Cancer: ASCO–Society of Surgical Oncology Guideline 🔹️ BRCA1/2 testing recommended for newly diagnosed breast cancer patients aged ≤65 and select cases >65 🔹️ Recurrent breast cancer patients eligible for PARP inhibitor therapy…
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11 months
ASCO Educational Book Early-Stage Triple-Negative Breast Cancer Journey: Beginning, End, and Everything in Between @ASCO @OncoAlert
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Systemic Therapy for Advanced Hepatocellular Carcinoma: ASCO Guideline Update
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ESMO Expert Consensus Statements on the management of breast cancer during pregnancy 👇
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Systemic Therapy for Melanoma: ASCO Guideline Update Q and A .
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Treatment algorithms in mBC👇 From the #ASCO23 and #ESMOBreast23 presentations HR+/HER2- by Dr. @StoverLab HER2+ by Dr. Shanu Modi @OncoAlert
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Updated treatment recommendations for prostate cancer (ESMO) 💥Updated guideline with current results of treatment options such as triple combinations, PARP inhibitors, Lu-177👇 @myESMO @Annals_Oncology @OncoAlert
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Pancreatic cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up @myESMO @Annals_Oncology @OncoAlert
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Oxaliplatin in Adjuvant Colorectal Cancer: Is There a Role in Older Patients? 🔍Five RCTs, 1.985 pts 💥No benefit in adding adjuvant oxaliplatin (HR:1.02) @JCO_ASCO @OncoAlert
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NORPACT-1 trial: Neoadjuvant FOLFIRINOX versus upfront surgery for resectable PDAC FOLFIRINOX vs Surgery mOS➡️25.1 vs 38.5 mo 💥This trial did not show a survival benefit from neoadjuvant FOLFIRINOX in resectable PDAC compared with upfront surgery
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Lifetime Cancer Risks in ''Hereditary Breast and Ovarian Cancer'' associated pathogenic variants👇 From @myESMO guide
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@ASCO NSCLC Guideline updates👇 Therapy for Stage IV NSCLC With Driver Alterations: ASCO Living Guideline, Version 2023.3 Therapy for Stage IV NSCLC Without Driver Alterations: ASCO Living Guideline, Version 2023.3
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Management of infusion-related reactions in cancer therapy: strategies and challenges
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Adverse effects of tyrosine kinase inhibitors in cancer therapy: pathophysiology, mechanisms and clinical management ✨️All about TKI toxicities An excellent review that should be on the reading list👇
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Vaccination of Adults With Cancer: ASCO Guideline
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Enfortumab Vedotin and Pembrolizumab in Untreated Advanced Urothelial Cancer 💥PFS and OS X2️⃣
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1 year
In HER2+ BC, the decision for PMRT should be made according to the node status at the time of diagnosis or according to the pathological stage after neoadjuvant therapy? 312 pts N+➡️55% ypN0 5y LRRFS👇 PMRT vs No-PMRT ypNO➡️97 vs 97% ypN1➡️85 vs 89% ypN2-3➡️92 vs 75%❗️…
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Irreconcilable Differences: The Divorce Between Response Rates, Progression-Free Survival, and Overall Survival 💫Great article about an argument that will never end. @JCO_ASCO
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MMR and MSI Testing for ICI Therapy: ASCO Endorsement of College of American @Pathologists Guideline 🔹CRC➡️IHC and/or PCR or NGS 🔹GE and SB➡️IHC and/or PCR 🔹Endometrium➡️IHC 🔸TMB should not be used as a surrogate for dMMR @ASCO @JCO_ASCO @OncoAlert
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Safety profile T-DM1 with concurrent radiation therapy: a meta-analysis Brain RT + T-DM1 ❗️Radionecrosis➡️17% Adjuvan RT + T-DM1 ✅️Pneumonitis➡️<1% ✅️Skin toxicity➡️1% 📌Adjuvant RT concurrent T-DM1 appears safe @RadiotherapyOn1 @OncoAlert
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9 months
@historyinmemes Displaying cultural superiority is intolerant and unsettling. Leave these people alone...
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2 months
Topical Diclofenac for Prevention of Capecitabine-Associated Hand-Foot Syndrome: A Double-Blind Randomized Controlled Trial | Journal of Clinical Oncology Simple solutions to seemingly complex problems👇 @JCO_ASCO #ASCO23
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8 months
Excited to share our meta-analysis 💥According to the pooled analysis of the PENELOPE-B, PALLAS, MonarchE and NATALEE trials, there is a significant DFS benefit of CDK 4/6 inhibition, especially in stage 3 patients (HR: 0.67)
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💥HER2-expression in HER2-negative tumors follows a dynamic process 💥In this study, changes in HER2 status were observed in 37.3% of relapses 💥The incidence of HER2-Low is higher in advanced tumors (45%➡️50%) 💥Conversion from HER2-Zero to HER2-Low was observed more in the…
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Adjuvant and neoadjuvant immunotherapies in hepatocellular carcinoma A great review for weekend reading👇
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The antibody–drug conjugate landscape 💥A great mini-review of ADC development, showcasing advancements in targets, drugs, antibodies, linkers, and conjugation methods👇
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2023 MASCC and ESMO guideline update for the prevention of chemotherapy and radiotherapy induced nausea and vomiting @myESMO @ESMO_Open
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Therapy for Stage IV Non–Small Cell Lung Cancer With and Without Driver Alterations: ASCO Living Guideline Clinical Insights @JCOOP_ASCO @OncoAlert
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According to our last meta-analysis in which we examined the effect of HER2-Low status on pCR and survival in eTNBC; 🔍12 studies, 4.094 patients pCR➡️similar (40% vs 38%) DFS and OS➡️better on HER2-Low @CBCjournal @OncoAlert
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Cancer statistics, 2️⃣0️⃣2️⃣3️⃣ ⬇️Cancer death rates continue to decline ⬆️The incidence of breast, prostate and endometrial cancer is increasing @CAonline @oncoalert
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Consensus molecular subtype in CRC👇
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Adjuvant Osimertinib for Resected EGFR-Mutated Stage IB-IIIA NSCLC: Updated ADAURA Trial @JCO_ASCO 4y DFS Stage 2-3A➡️70% vs 29% (HR:0.23) Stage 1B-3A➡️73% vs 38% (HR:0.27) CNS recurrence s2-3A➡️8% vs 14% s1B-3A➡️6% vs 11% G>3 AE 23% vs 14% @OncoAlert
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PAPILLON: Amivantamab plus Chemotherapy in NSCLC with EGFR Exon 20 Insertions
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Neoadjuvant Chemotherapy vs Upfront Surgery for Locally Advanced Colon Cancer: OPTICAL Trial 🔍744 pts, T3(*) or T4, 1:1 pCR➡️7% Progression➡️4 pts localy, 1 pts metastasis DFS, while favoring NAC, is not statistically significant @OncoAlert
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BRAF — a tumour-agnostic drug target with lineage-specific dependencies 💥An excellent review👇
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Immediate hypersensitivity reactions to antineoplastic agents: A practical guide for the oncologist 💥A great clinical guide 📌The most important message for us oncologists: When you suspect anaphylaxis, immediately administer 0.5 mg epinephrine IM❗️ @OncoAlert
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Analysis of Breast Cancer Mortality in the US—1975 to 2019 💥Improvements in treatment and screening have led to a 58% reduction in breast cancer mortality 💥Of this reduction, 25% was attributed to mammography screening, 47% to stage 1-3 treatment and 29% to metastatic…
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Venous Thromboembolism Prophylaxis and Treatment in Patients With Cancer: ASCO Guideline Update @ASCO @JCO_ASCO @OncoAlert
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#ESMO23 ALINA trial: Adjuvant Alectinib vs Chemotherapy 3y DFS Stage 1B➡️92.3 vs 71.6% (HR:0.21) Stage 2➡️95.6 vs 66.3% (HR:0.24) Stage 3➡️92.7 vs 60.7% (HR:0.25) Practice-changing study💥💥 Presented by Dr. Ben Solomon @myESMO
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#ESMOBreast23 ''New algorithm for HER2 positive mBC'' Algorithm from presentation by Dr. Shanu Modi 👇 @OncoAlert @myESMO
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More is not always better! Many important drugs (expensive) in oncology have been approved for excessive doses...
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Biliary Tract Cancers: French National Clinical Practice Guidelines for diagnosis, treatments and follow-up A very comprehensive and great guide👇
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Neoadjuvant EGFR-TKI therapy in Non-Small cell lung cancer An excellent review👇
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Preventing alpelisib-related hyperglycaemia in HR+/HER2−/PIK3CA-mutated advanced breast cancer using metformin: METALLICA 🔍Normoglycemic pts (Cohort A) and prediabetic pts (B) G3-4 HG (first 8 weeks) Cohort A➡️2.1% Cohort B➡️15% Prophylactic metformin✅️ @OncoAlert
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Alectinib in Resected ALK-Positive Non–Small-Cell Lung Cancer : ALINA Trial @OncoAlert
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1 year
Olaparib plus Beva first-line maintenance in ovarian cancer: final OS results from the PAOLA-1/ENGOT-ov25 trial mOS for ITT➡️56.5 vs 51.6 mos, HR:0.92❗️ mOS for HRD+➡️75.2 vs 57.3 m, HR: 0.62✅ mPFS for HRD+➡️46.8 vS17.6 m, HR: 0.41✅ @OncoAlert @Annals_Oncology
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#ESMO23 DESTINY-PanTumor01: Efficacy and safety of T-DXd in pts with solid tumors harboring specific HER2m+ mF/U: 8.6 mo ORR All➡️29.4% Endometrial➡️100% (n:2) Cervical➡️66.7 (n:3) Breast➡️50% (n:20) CRC➡️20% (n:20) Panc➡️0% (n:5) ILD➡️(10.8% [G3, n=1; G5, n=2]) @OncoAlert
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Pembrolizumab Plus Chemotherapy in Squamous Non–Small-Cell Lung Cancer: 5-Year Update of the Phase III KEYNOTE-407 Study @JCO_ASCO Pembro + ChT vs ChT 5y OS➡️18.4 vs 9.7% (HR:0.71) 5y PFS➡️10.8 vs 3.5% (HR:0.62) ORR➡️62% vs 39% @OncoAlert
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3 months
Pan-Asian adapted ESMO Clinical Practice Guidelines for the diagnosis, treatment and follow-up of patients with gastric cancer
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9 months
Newly diagnosed and relapsed epithelial ovarian cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up👇 @myESMO @Annals_Oncology @OncoAlert
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Systemic Therapy for Tumor Control in Metastatic Well-Differentiated Gastroenteropancreatic Neuroendocrine Tumors: ASCO Guideline 💥Systemic treatment recommendations for well diff G1-2-3 GEPNETs👇 @ASCO @JCO_ASCO @OncoAlert
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Initial Management of Noncastrate Advanced, Recurrent, or Metastatic Prostate Cancer: ASCO Guideline Update ⚡️Update on the integration of triple therapies into prostate cancer treatment👇 @ASCO @JCO_ASCO @OncoAlert
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Ribociclib plus Endocrine Therapy in Early Breast Cancer : NATALEE 3y-iDFS: 90.4% vs 87.1% (HR:0.75)
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#ESMO23 Evolution of oncology🙂
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Novel endocrine therapies: What is next in estrogen receptor positive, HER2 negative breast cancer? An excellent review👇
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The CREATE-X study's first efficacy analysis was presented at the 2015 SABCS. In June 2017, the final results were published in NEJM. Adjuvant capecitabine was recommended in ASCO guidelines starting May 2018. The KN-522 trial initiated patient enrollment in March 2017,…
@PTarantinoMD
Paolo Tarantino
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KEYNOTE-522 outcomes by RCB out on @Annals_Oncology . Largest benefit from pembro was observed in the RCB-2 group. Striking difference in 3-year EFS between RCB-1 (≃84%) and RCB-3 (≃30%): not all residual disease is created equal!
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Checkpoint inhibitors and anti-angiogenic agents: a winning combination Weekend reading👇
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#ASCO23 Treatment algorithm for HR+/HER2- mBC From the excellent presentation by Dr. @StoverLab @OncoAlert
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PRIMARY THERAPY OF EARLY BREAST CANCER Evidence, Controversies, Consensus 18th St.Gallen International Breast Cancer Conference @stolaney1 @curijoey @hoperugo @PTarantinoMD @OncoAlert @OncBrothers @prat_aleix
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Defining the Biology of Estrogen Receptor-Low-Positive Breast Cancer "Most ER-low+/HER2− breast cancers are basal-like (>80%), with Risk Score≥26 suggesting these tumors are similar to triple-negative disease"
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#ASCO23 The importance of circadian rhythm A very interesting study.. 💥According to this study, evening tamoxifen intake is associated with an improved DFS in high-risk HR+/HER2- breast cancer patients The work of Dr. Sylvie Giacchetti and colleagues👇 @OncoAlert
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The treatment of Advanced Melanoma: Current approaches and new challenges 🔹️A great review on melanoma with rapidly expanding treatment options👇
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Median 6.6 years follow-up results of the MONALEESA-2 trial; ribociclib plus letrozole vs. letrozole in mBC first-line ☑️Median OS; 63.9 vs. 51.4 months, HR: 0.76 ☑️72 months OS rate; 44% vs. 32% ☑️ No new safety signals @NEJM @OncoAlert @TotalHealthConf 10.1056/NEJMoa2114663
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Current advances in targeted therapy for metastatic colorectal cancer – Clinical translation and future directions - Cancer Treatment Reviews
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Yakup Ergün
1 year
Bevacizumab plus FOLFIRI after failure of platinum–etoposide first-line ChT in patients with advanced neuroendocrine carcinoma (PRODIGE 41-BEVANEC) FOLFIRI + Beva vs FOLFIRI 6-month OS➡️53% vs 60% Beva🚫 FOLFIRI may be a second-line option @OncoAlert
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@dr_yakupergun
Yakup Ergün
10 months
@historyinmemes In every story about Thomas Edison, those close to him lose, but he always wins. interesting
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@dr_yakupergun
Yakup Ergün
9 months
Novel targets for immune checkpoint inhibition in cancer A great review for weekend reading👇
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@dr_yakupergun
Yakup Ergün
4 months
Systemic Treatment of Patients With Metastatic Breast Cancer: ASCO Resource–Stratified Guideline Suggestions for alternative treatment approaches in cases of access problems👇 (In the hope that all patients have fair access to effective treatments)
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@dr_yakupergun
Yakup Ergün
1 year
Role of Immunotherapy in Breast Cancer @JCOOP_ASCO 💥A good review on the role of immunotherapy in early and advanced breast cancer. @SayaJacob3 @laura_huppert @hoperugo
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@dr_yakupergun
Yakup Ergün
10 months
Management of Stage III NSCLC: ASCO Guideline Rapid Recommendation Update Resectable stage 3➡️neoadjuvant therapy should be standard EGFR mt(19, 21)➡️Osimertinib after platinum-based ChT @JCO_ASCO @ASCO @OncoAlert
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@dr_yakupergun
Yakup Ergün
8 months
Prophylactic Radiation Therapy Versus Standard of Care for Patients With High-Risk Asymptomatic Bone Metastases: A Randomized Phase II Trial 🔍78 patients with 122 high-risk bone metastases RT👉SRE⬇️ Hospitalization⬇️ OS⬆️
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@dr_yakupergun
Yakup Ergün
2 years
Treatment of mCRC: ASCO Guideline 🔹Anti-EGFR with triplet ChT is not recommended 🔹CRS may be recommended for selected pts with PM 🔸HIPEC is not recommended 🔹SBRT may be recommended for pts with oligometastases of the liver... @JCO_ASCO @OncoAlert
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@dr_yakupergun
Yakup Ergün
13 days
A great review about the present and future of tumor-agnostic treatments👇 @OncoAlert
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@dr_yakupergun
Yakup Ergün
4 months
Adjuvant Chemotherapy for Older Adult Patients With Biliary Tract Cancer 🔍Retrospective, 8091 older adult pts (>70y) 💥Adjuvant chemotherapy did not improve survival❗️ 📌This patient group needs to be further included in clinical trials @JAMANetworkOpen
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@dr_yakupergun
Yakup Ergün
5 months
Dacomitinib in EGFR-mutant NSCLC with brain metastasis Treatment naive 30 pts iORR➡️96.7% (CR:63.3%) mPFS➡️17.5 mo (intra/extracranial) 💥Highly impressive efficacy in cranial metastatic patients without severe symptomatic brain metastases, such as the need for RT or…
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@dr_yakupergun
Yakup Ergün
6 months
FLAURA 2: Osimertinib with or without Chemotherapy in EGFR-Mutated Advanced NSCLC
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@dr_yakupergun
Yakup Ergün
7 months
The CDK4/6 Inhibitors Biomarker Landscape: the most Relevant Biomarkers of Response or Resistance for Further Research and Potential Clinical Utility 💥Excellent review for weekend reading👇
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@dr_yakupergun
Yakup Ergün
1 year
How I treat endocrine-dependent metastatic breast cancer A great review👇 @ESMO_Open @OncoAlert @OncologyAdvance
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@dr_yakupergun
Yakup Ergün
8 months
Emerging systemic therapy options beyond CDK4/6 inhibitors for hormone receptor-positive HER2-negative advanced breast cancer 💥An excellent review👇
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@dr_yakupergun
Yakup Ergün
4 months
Exploring the next generation of antibody–drug conjugates 📌Bispecific ADCs, probody–drug conjugates, immune-stimulating ADCs, protein-degrader ADCs and dual-drug ADCs.... The scope of ADCs is expanding. Great review on this topic👇
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