🤔Management of high risk intrahepatic cholangiocarcinoma🌱 👉🏻 chemo first?

Follow on📝review from AnnalsSurgOncology & trials discussions👇🏻

From #ECGPulseCheck , new @ihpba early career group discussions series (keep👁️out for more!) - thanks Timothy Newhook for getting ball rolling

Syed A. Ahmad Emmanuel Melloul Julie Hallet Cholangiocarcinoma Foundation AnnalsSurgOncology Hop S. Tran Cao Flavio G Rocha, MD, FACS, FSSO Shishir K. Maithel Jean-Nicolas Vauthey MD Bas Groot Koerkamp Sean Cleary Milind Javle Hop S. Tran Cao leading some exciting Phase II trials
MD Anderson Cancer Center

clinicaltrials.gov/study/NCT06050…

clinicaltrials.gov/study/NCT05967…

Julie Hallet Thor Halfdanarson Thomas Hope Jaydira Del Rivero, MD Pheo Para Alliance NANETS CNETS Aman Chauhan NET Research Foundation NET Cancer Day Ronny Allan There’s a phase 2 clinical trial going on at NCI looking at PRRT in pheo/para classic.clinicaltrials.gov/ct2/show/NCT03…

This Alpha study with Pb212 also plans to include pheo para- classic.clinicaltrials.gov/ct2/show/NCT05…

☢️More data for PRRT in pheo/pgg from 🇩🇰

28 pts with🔆SSTR+ advanced tumors
▪️OS 72 months median (pgg=pheo)
▪️PFS 30 months median (pgg>pheo)
⬆️with germline mutation (RET, SDHx)

Can #NETologists pull off RCT?

📝tinyurl.com/mu6ua2mh

Surgical instruments should be adapted for all🚨

#CrowdSourcing to finalize talk for #SAGES2024

❓What are top challenging instruments for you? Why?
❓What do you want to know about adapting instrumentation in the OR?
👇🏻👇🏻👇🏻

#SoMe4Surgery

Back pain? Hand and finger pain at the end of your OR day? Come join me & Julie Hallet at the SAGES Is In Cleveland 2024! Society of Surgical Ergonomics joint session on surgical ergonomics with Chee-Chee Stucky Andrew Wright MD and Fahad Alam to reduce injuries and prolong your surgical career!!!

⁉️Extra-abdo mets in advanced SB/PNETs👉🏻look for them to assess full extent disease

PNETs 13% > SB NETs 34%
on Ga68-PET-CT☢️

Of 100 advanced NETs: extra-abdo mets in
SB➡️23🦴| 6🫁| 2🫀| 2👁️| 5 pancreas
PNET➡️ 10🦴| 2🫁

🤔How integrate in management?
📝tinyurl.com/38kp9xwm

Now available on-demand! Module 3 of a discussion with our HPB Disease Site Work Group on crucial aspects of quality care in HPB cancer surgery. Julie Hallet Patricio Polanco Teviah Sachs Ugwuji Maduekwe Zhi Ven Fong, MD MPH DrPH

Watch now through ExpertEd: ow.ly/Onqq50RfcZy

⁉️How to design better surgical instruments?
The kind that adapt to the surgeon, make surgery easier, and patient safety😃

🔥Lots talk about this recently 👉join the discussion with Society of Surgical Ergonomics 🗓️May 16th
🆓🔗us06web.zoom.us/webinar/regist…

🎉1 year of #NETs biobanking Sunnybrook Health Sciences Centre ! 👏🏻 & only getting started

Each of us have been told at one point not to study NETs because too uncommon, unfundable, and unknown. Well, look at this! Congrats iacovos michael!
So proud of and grateful for this NETs team ⭐️

🔔 Join us TOMORROW for this critical discussion on understanding disparities in outcomes, clinical trials & support to ensure every patient receives the attention they deserve. Julie Hallet Patricio Polanco Teviah Sachs Ugwuji Maduekwe Zhi Ven Fong, MD MPH DrPH

📝 ow.ly/qYIu50RaQyW

‼️Attention CT surgeons/CT surgical trainees‼️
We ask for your help completing this 3-min survey regarding ergonomic challenges in our field. We hope to identify opportunities to improve wellness & career longevity. Thank you!

mdanderson.co1.qualtrics.com/jfe/form/SV_2l…

Excellent thread here from Julie Hallet on why having surgical tools of the right size is so important. From a study she links: ‘firing the stapler by gripping the proximal side of the lever was defined as “physically impossible”’ for women surgeons

Getting right-sized surgical instruments for all surgeons requires data to build from (first step)

For those interested, consider these surveys:

✋size (all surgeons) ➡️tinyurl.com/4rfy5464

Urology instrument fit ➡️ tinyurl.com/27df8mzy

⁉️Other ones we should promote?

This tweet is the perfect opportunity to wish a very happy birthday to one of the smartest, kindest, most genuine and most supportive people I know in oncology🥳🎈

Jaydira Del Rivero, MD, you're awesome!
Thank you for being you 🖤🤍