




Mya Tran
159 posts

@MyaPrecisionG
Precision Genomics Oncology Pharmacist, PharmD, BCOP, Indiana University Health - Simon Comprehensive Cancer Center

























DV in HER2 #BCSM in second line: ⬆️pCR. who are this patients? ❓how can we selcet this population? ⁉️effectiveness is due to the target or the payload ??? @tompowles1 @ASCO #GU26 @Blatam_urology

Finish Strong at WCS 2026! 🌴✨ The sun is rising on the final day of the 15th Annual Winter Cancer Symposium in San Juan! It has been an incredible journey of learning and connection. WCS 2026 has brought together a distinguished faculty from leading institutions to share the latest evidence across Breast, Lung, GI, GU, and Hematologic Malignancies. Every session was designed to help you think differently, treat confidently, and collaborate intentionally. As we wrap up this landmark year, we are already looking ahead. WCS 2027 is coming, and we have some truly incredible things in store for you soon! Thank you for being part of this community. Let's make this last day count! 🤝🩺 @MikeCusnir @drbonillaonc @Sarbaji85064063 @babaalexie @BPicoMD @LuisRaezMD @EddieSantosMD @drshieldsmd @AnaVManana #WCS2026 #WCS2027 #WinterCancerSymposium #Oncology #MedicalInnovation #SanJuan









This skin finding predicted lung cancer risk before cancer existed @JAMADerm describes a rare but provocative syndrome. Early, severe, NORMOGLYCEMIC acanthosis nigricans driven by EGFR L858R, identified by WES as de novo germline or somatic mosaicism. No patient had lung cancer, yet germline cases developed multiple bilateral lung nodules. Biopsy showed atypical adenomatous hyperplasia with a second somatic EGFR hit (p.V834L), a clonal precancerous state. Erlo/Osimertinib led to near complete skin remission & lung nodule regression. This is oncogenic interception. In early severe acanthosis nigricans think EGFR & consider testing. jamanetwork.com/journals/jamad… @OncoAlert #lcsm #EGFR


Do HER2 mutant #NSCLC tumors progressing on T DXd lose HER2 dependence? No. Resistance is mainly driven by payload related mechanisms such as SLFN11 loss or ABCC1 gain, or impaired antibody binding due to domain IV mutations, rather than loss of the HER2 driver. HER2 signaling persists, and tumors retain sensitivity to #HER2 TKIs (zongertinib/poziotinib). Progression on #TDXd opens a rational path to TKIs jto.org/article/S1556-… @OncoAlert @AndresFCardonaZ

🚨Pleased to share our paper published @ASCO @JCO_ASCO - Please read the paper & tweetorial +share your thoughts 🧵THREAD: Is It Time to Retire the Unified Cancer of Unknown Primary Concept in the Precision Oncology Era? Our new @JCO_ASCO commentary challenges a 50-year-old paradigm. Here's why CUP isn't one disease, it's many 1/n @OncoAlert #PrecisionOncology #CUP ascopubs.org/doi/full/10.12…


