Charles Okwonna (@prinzcharlesng) 's Twitter Profile
Charles Okwonna

@prinzcharlesng

Clinical Oncologist || ExJam || Arsenal fan || Politician

ID: 174265005

calendar_today03-08-2010 14:20:55

4,4K Tweet

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Dr. Foxpaws Fauxpas (@foxpaws_onco) 's Twitter Profile Photo

Let's review #TNT Total Neoadjuvant Treatment and Organ Preservation in #Rectal #Cancers. 1. PRODIGE23 - Induction CT + CRT 2. PROSPECT - No RT & Mid/upper only 3. OPRA - Induction CRT CT Ph2 4. OPERA - Contact Brachy Boost 5. MORPHEUS - HDR BT boost #crcsm #Oncology

Let's review #TNT Total Neoadjuvant Treatment and Organ Preservation in #Rectal #Cancers.

1. PRODIGE23 - Induction CT + CRT
2. PROSPECT - No RT & Mid/upper only
3. OPRA - Induction CRT CT Ph2
4. OPERA - Contact Brachy Boost
5. MORPHEUS - HDR BT boost

#crcsm 
#Oncology
Rishabh Jain (@drrishabhonco) 's Twitter Profile Photo

🧵 Rectal cancer is not one disease. Tumor location should shape treatment. A new JCO review argues that low- and mid-rectal cancers need different neoadjuvant strategies, with major implications for organ preservation, RT use, and QoL. 📍 Low-rectal cancers Goal: maximize

🧵 Rectal cancer is not one disease. Tumor location should shape treatment.

A new JCO review argues that low- and mid-rectal cancers need different neoadjuvant strategies, with major implications for organ preservation, RT use, and QoL.  

📍 Low-rectal cancers
Goal: maximize
MV Chandrakanth (@chandrakanthmv) 's Twitter Profile Photo

Rectal cancer treatment is moving toward DE-ESCALATION. • dMMR → Immunotherapy first • Upper/Mid rectum → Radiation may be omitted • Lower rectum → Organ preservation (OPRA watch-and-wait) Biology + anatomy now guide therapy. #MVOnco #RectalCancer #Oncology

Rectal cancer treatment is moving toward DE-ESCALATION.

• dMMR → Immunotherapy first
• Upper/Mid rectum → Radiation may be omitted
• Lower rectum → Organ preservation (OPRA watch-and-wait)

Biology + anatomy now guide therapy.

#MVOnco #RectalCancer #Oncology
Polyglot adedeji Odulesi (@polyglotodulesi) 's Twitter Profile Photo

The inaugural South-East Mathematics Olympiad Competition Grand Finale was held on Saturday, 7 March 2026 in Enugu, Nigeria. The Olympiad aimes to promote excellence in mathematics and STEM education among young students in the South-East region. It was convened by education

The inaugural South-East Mathematics Olympiad Competition Grand Finale was held on Saturday, 7 March 2026 in Enugu, Nigeria. 

The Olympiad aimes to promote excellence in mathematics and STEM education among young students in the South-East region.
It was convened by education
MV Chandrakanth (@chandrakanthmv) 's Twitter Profile Photo

Lung cancer staging always felt confusing to me… until I learnt the simple 3-4-5 rule 👇 • ≤3 cm → IA • 3–4 cm → IB • 4–5 cm → IIA IA → No chemo IB → Gray zone ≥II → Adjuvant chemo Nodes ↑ stage Metastasis → Stage IV #MVOnco #LungCancer

Lung cancer staging always felt confusing to me… until I learnt the simple 3-4-5 rule 👇
• ≤3 cm → IA
• 3–4 cm → IB
• 4–5 cm → IIA
IA → No chemo
IB → Gray zone
≥II → Adjuvant chemo
Nodes ↑ stage
Metastasis → Stage IV
#MVOnco #LungCancer
MV Chandrakanth (@chandrakanthmv) 's Twitter Profile Photo

ALINA Trial 👇 Adjuvant Alectinib vs Platinum Chemo in resected ALK+ NSCLC • DFS HR 0.24 • 2-yr DFS 93.8% vs 63% • CNS relapse ↓ 78% Targeted therapy moving earlier in curative lung cancer treatment #MVOnco #LungCancer #ThoracicOncology

ALINA Trial 👇
Adjuvant Alectinib vs Platinum Chemo in resected ALK+ NSCLC
• DFS HR 0.24
• 2-yr DFS 93.8% vs 63%
• CNS relapse ↓ 78%
Targeted therapy moving earlier in curative lung cancer treatment
#MVOnco #LungCancer #ThoracicOncology
MV Chandrakanth (@chandrakanthmv) 's Twitter Profile Photo

ADAURA vs ALINA 👇 Adjuvant targeted therapy in oncogene-driven NSCLC • DFS HR 0.23 vs 0.24 • Strong CNS protection • ADAURA: add TKI after chemo • ALINA: replace chemo with TKI Targeted therapy is moving into curative lung cancer care #MVOnco #LungCancer #ThoracicOncology

ADAURA vs ALINA 👇
Adjuvant targeted therapy in oncogene-driven NSCLC
• DFS HR 0.23 vs 0.24
• Strong CNS protection
• ADAURA: add TKI after chemo
• ALINA: replace chemo with TKI
Targeted therapy is moving into curative lung cancer care
#MVOnco #LungCancer #ThoracicOncology
Yakup Ergün (@dr_yakupergun) 's Twitter Profile Photo

Oral paclitaxel (DHP107) was non-inferior to IV paclitaxel in oncologic outcomes; it eliminates the need for IV infusion and results in less neuropathy, but is associated with higher hematologic and gastrointestinal toxicity. OPTIMAL trial full text👇 annalsofoncology.org/article/S0923-…

Oral paclitaxel (DHP107) was non-inferior to IV paclitaxel in oncologic outcomes; it eliminates the need for IV infusion and results in less neuropathy, but is associated with higher hematologic and gastrointestinal toxicity.

OPTIMAL trial full text👇

annalsofoncology.org/article/S0923-…
MV Chandrakanth (@chandrakanthmv) 's Twitter Profile Photo

PD-L1 predicts in metastatic… but not early cancer. Why? • Metastatic → exhausted immunity • Needs PD-L1 removal • Early → strong immunity • Builds new response • Same shield, different outcome #MVOnco #Oncology #Immunotherapy

PD-L1 predicts in metastatic… but not early cancer. Why?
• Metastatic → exhausted immunity
• Needs PD-L1 removal
• Early → strong immunity
• Builds new response
• Same shield, different outcome
#MVOnco #Oncology #Immunotherapy
Rishabh Jain (@drrishabhonco) 's Twitter Profile Photo

Exercise after a cancer diagnosis may improve survival. A pooled analysis of 17,141 cancer survivors across 6 cohorts shows that post-diagnosis physical activity is associated with lower cancer mortality. 🏃‍♂️ Even small amounts of activity helped. 📊 Key findings • Any

Exercise after a cancer diagnosis may improve survival.

A pooled analysis of 17,141 cancer survivors across 6 cohorts shows that post-diagnosis physical activity is associated with lower cancer mortality.

🏃‍♂️ Even small amounts of activity helped.

📊 Key findings

• Any
MV Chandrakanth (@chandrakanthmv) 's Twitter Profile Photo

WHO 2021 changed glioma forever Same histology ≠ same treatment • IDH, 1p/19q, MGMT drive decisions • From observation → RT → chemo → delay strategies Think molecular → treat smarter 🧠 #MVOnco #NeuroOncology #Glioma

WHO 2021 changed glioma forever
Same histology ≠ same treatment
• IDH, 1p/19q, MGMT drive decisions
• From observation → RT → chemo → delay strategies
Think molecular → treat smarter 🧠
#MVOnco #NeuroOncology #Glioma
Pathology mcqs (@pathology_mcqs) 's Twitter Profile Photo

🔬✨ Molecular Classification of Breast Cancer — Made Visual & Easy 🧬 From hormone-driven luminal tumors to aggressive triple-negative and claudin-low variants, this chart connects IHC profile + morphology + prognosis in one glance. #Pathology #BreastCancer #MolecularPathology

🔬✨ Molecular Classification of Breast Cancer — Made Visual & Easy

🧬 From hormone-driven luminal tumors to aggressive triple-negative and claudin-low variants, this chart connects IHC profile + morphology + prognosis in one glance.

#Pathology #BreastCancer #MolecularPathology
MV Chandrakanth (@chandrakanthmv) 's Twitter Profile Photo

If you remember only one thing from BRCA biology, remember this👇 • BRCA1 → detects DNA damage • BRCA2 → repairs DNA • PARP → fixes small damage Block PARP + lose BRCA2 → no repair left → cell dies 👉 That’s why PARP works best in BRCA2 #MVOnco #Oncology #MedOnc

If you remember only one thing from BRCA biology, remember this👇
• BRCA1 → detects DNA damage
• BRCA2 → repairs DNA
• PARP → fixes small damage
Block PARP + lose BRCA2 → no repair left → cell dies
👉 That’s why PARP works best in BRCA2
#MVOnco #Oncology #MedOnc
MV Chandrakanth (@chandrakanthmv) 's Twitter Profile Photo

Today I learnt 👇 Why 5-FU is less effective in dMMR CRC Same drug. Same DNA damage. But without MMR, damage isn’t recognized → less apoptosis. Not true resistance—failure of damage sensing. #MVOnco #CRC #Oncology

Today I learnt 👇
Why 5-FU is less effective in dMMR CRC
Same drug. Same DNA damage.
But without MMR, damage isn’t recognized → less apoptosis.
Not true resistance—failure of damage sensing.
#MVOnco #CRC #Oncology