colorectal cancer 2024 New treatment, New Hope

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  • เผยแพร่เมื่อ 22 พ.ย. 2024

ความคิดเห็น • 15

  • @mohammedkhlid3020
    @mohammedkhlid3020 7 หลายเดือนก่อน +3

    Thank you so much for your informative lectures our professor ❤.. I’m Egyptian Surgical oncologist, hope to find a lecture about sarcoma by your my preferred way in explanation .
    Many thanks for helping us to understand and be updated our professor.❤

  • @RueCardinal
    @RueCardinal หลายเดือนก่อน +1

    You deserve more followers imho.

  • @stanleykim1924
    @stanleykim1924  3 หลายเดือนก่อน +1

    FDA approved Guardant Shield blood test for colorectal cancer screening. It provides 83% sensitivity.
    ascopost.com/news/july-2024/guardant-health-s-shield-blood-test-approved-by-the-fda-as-a-primary-screening-option-for-colorectal-cancer/

  • @stanleykim1924
    @stanleykim1924  4 หลายเดือนก่อน +1

    Adagrasib was approved by FDA for metastatic colorectal cancer with KRAS G12C mutation. It is combined with cetuximab with 35% responses rate:
    www.fda.gov/drugs/resources-information-approved-drugs/fda-grants-accelerated-approval-adagrasib-cetuximab-kras-g12c-mutated-colorectal-cancer

  • @stanleykim1924
    @stanleykim1924  3 หลายเดือนก่อน

    OPRA trial update
    The 3-year probability of OP (organ preservation: no surgery) was 77% (95% CI, 70%-85%) for patients with a CCR (clinical complete response) and 40% (95% CI, 32%-51%) for patients with an NCR (near complete response) (P 

  • @taytase
    @taytase 6 หลายเดือนก่อน

    Why no mention of Keytruda for right side colon cancer?

  • @stanleykim1924
    @stanleykim1924  8 หลายเดือนก่อน +1

    Corrections:
    1. At 2:16, I said 5cm, but it should be 5 mm.
    2. At 32:17, regarding intermittent therapy, I said some patients may take chemotherapy free time of several month or a year. But I should have said several months out of a year.

  • @stanleykim1924
    @stanleykim1924  4 หลายเดือนก่อน

    Who benefits adjuvant chemotherapy (ACT) in Stage 2 colon cancer?
    The updated DYNAMIC trial showed that patients with (-)ctDNA do not need ACT.
    meetings.asco.org/abstracts-presentations/234913

  • @stanleykim1924
    @stanleykim1924  4 หลายเดือนก่อน

    FDA approved BRAF inhibitor for all solid cancer with BRAFV600E mutation.
    www.fda.gov/drugs/resources-information-approved-drugs/fda-grants-accelerated-approval-dabrafenib-combination-trametinib-unresectable-or-metastatic-solid

  • @coro0813
    @coro0813 7 หลายเดือนก่อน

    교수님 림사랑에서 ebv관련글 잘 보았습니다 저희아이가 ebv로 t세프림프종과 hlh이 왔습니다 항암중 부작용이 심하게 와 옵디보(키트루다와같은기전으로알고있습니다)쓰려고 하고 있습니다 그런데 몇일전 스테로이드를 낮추는 과정에서 간수치가 7천까지 올라 간부전까지 올 수있는 위험한 상황이였어요 낮추면 열이 오른다거나 하는 순간은 많았습니다 다행히 고용량스테이로이로 위험한 순간은 넘겼지만 .. 신장투석으로 중환자실에 있습니다 옵디보를 몆일 안으로 사용하려 하는거 같은데 옵디보를 사용할 시 스테로이드를 끊어야 하는 상황에서 hlh이나 ebv가 얼마나 위험한 상황까지 갈 수도 있지 않을까 의료진들도 폭풍이 올거라고 무서운얘기만 했습니다 너무 두렵습니다 1회치료로 어느정도 효과가 있다면 너무 감사하겠지만 그러지 못하면 저번같은 간부전 상황까지 올까봐 너무 두렵습니다 11살딸아이입니다 혹시 의견들을수 있을까 유투브에 글남겨봅니다 간절한 마음으로 남겨봅니다

    • @stanleykim1924
      @stanleykim1924  7 หลายเดือนก่อน

      귀한 따님의 병으로 마음이 아프시겠네요.
      HLH 는 아주 급성이라 먼저 스테로이드 약을 쓰는 것이 중요합니다. 간혹 사이클로스포린 이라는 면역 억제 약도 추가합니다. 그리한 후 원인 병 즉 T cell lymphoma 치료를 합니다. T cell Lymphoma는 보통 항암치료를 하는데 일차 항암에 반응 하지 않으면 이차적인 항암제로 치료합니다.
      키트루다가 EBV 바이러스로 생긴 NK/T cell lymphoma 에서 효과가 있다는 보고도 있습니다. 그러나 반응 하더라도 약 몇주 후 효과가 나므로 아주 습성인 경우에는 몇주를 기다릴 수 없으니 이차적인 항암치료로 합니다.
      따님이 빨리 회복되기 기도합니다

    • @coro0813
      @coro0813 7 หลายเดือนก่อน

      ​@@stanleykim1924교수님 답변 너무 감사했습니다 아이가 중환자실에 나온후 수치가 많이 좋아져 면역항암을 하지않고 이식이 결정되었어요 간수치도 정상으로 ebv바이러스 수치도 지금 세자리수입니다 원래는 이백만대에서 오백만대.. 중환자실갈때는 천팔백만대.. 엄청 높았는데 지금 삼백에서 육백사이 유지하고 있습니다 지금은 신장수치가 좀 안좋아 걱정이지만.. 어쨋든 이식까지 잘 이루어지길 바랄뿐입니다 먼나라에서 이렇게 잊지않고 답변주셔서 다시 한번 감사드려요

  • @stanleykim1924
    @stanleykim1924  4 หลายเดือนก่อน

    FDA approved repotrektinib for metastatic solid tumor with NYRK fusion.
    www.fda.gov/drugs/resources-information-approved-drugs/fda-grants-accelerated-approval-repotrectinib-adult-and-pediatric-patients-ntrk-gene-fusion-positive#:~:text=On%20June%2013%2C%202024%2C%20the,advanced%20or%20metastatic%20or%20where

  • @stanleykim1924
    @stanleykim1924  4 หลายเดือนก่อน

    FDA approved fam-trastuzumab deruxican (Enhertu) for any solid tumor with HER2 (+).
    www.fda.gov/drugs/resources-information-approved-drugs/fda-grants-accelerated-approval-fam-trastuzumab-deruxtecan-nxki-unresectable-or-metastatic-her2