SEBASTIAN SOLE retweeted
🚨 ESMO 2026: A new treatment algorithm for localized gastric & oesophageal cancer!
🔹 Oesophageal SCC: CROSS → Surgery → Adjuvant nivolumab (if residual disease)
🔹 Gastric/GEJ adenocarcinoma: Perioperative D-FLOT + durvalumab maintenance is now preferred.
🔹 Early-stage disease: Endoscopic or surgical resection.
🔹 Unresectable/unfit: Definitive chemoradiotherapy.
The key shift: Immunotherapy is now integrated into curative-intent treatment for selected patients.
#ESMO2026 #GastricCancer #EsophagealCancer @ASCO @oncoalert
SEBASTIAN SOLE retweeted
Sham controlled Randomized Trial Low Dose Radiation Therapy Knee Osteoarthritis
· LDRT signif response
· Sup responder rate persisted out to 8 mo
SEBASTIAN SOLE retweeted
ICYMI - Radiotherapy after surgery halves risk of recurrence in a type of brain tumour that can often grow back, trial shows.
Find out more in The Lancet: spkl.io/60147VN0i #EANO2026 @EANOassociation
SEBASTIAN SOLE retweeted
Every cancer organ gets the same sequence: surgery is the standard, then trials show you often don't need it, then surgery becomes the salvage.
Breast, larynx, limb, rectum, esophagus, mesothelioma.
Bladder is next. Patients want their organs. 🧵
SEBASTIAN SOLE retweeted
Was this one of the greatest ASTROs ever?
Lots of updates on the tables from this year’s event, also publication of ROADS & ROAM
GETUG P05
RTOG 0534 SPPORT
ALLIANCE 071801
Russia LDRT osteoarthritis
NRG CC009
STELLAR 2
MAVERICK
ARST 0531 & 1431
COPORT
RTOG 0815
ROADS
ROAM
SEBASTIAN SOLE retweeted
🇯🇵 Provocative update from JCOG 0802 again shows that lobectomy is associated with inferior OS when stage I NSCLC is managed surgically. This time, among pts with high-risk pathological findings (LVI, VSI, pleural invasion, or LN metastasis). This rekindles the aphorism that wider surgical margins don't always = better outcomes, even though lobectomy improves RFS. jto.org/article/S1556-0864(2…
SEBASTIAN SOLE retweeted
So proud of our #POPART around the 🌍 superbly presented by @PanizzaDenis 👏🏼
@StAr_MCM74 @valefacc22 @CChissotti @CiroFranzese1 @Raffa_Lucchini @roberta_muni
Post-prostatectomy RT in just 5 fractions? 👀
Ferrario et al and POPART team reports 100 pts treated with prostate-bed SBRT (32.5 Gy/5 fx):
• Late ≥G2 GU toxicity: 8.5%
• Only 1 late G2 GI event
• Just 3 in-field relapses
• 30-mo biochemical control: 74%
Very encouraging local control and toxicity—but urinary QoL remains important to watch.
#ASTRO26 #ProstateCancer #SBRT @HimanshuNagarMD @rtdess @RadOncDocJ @angela_jia_ @urotoday @TylerSbrt
SEBASTIAN SOLE retweeted
Across 3 prospective studies, the signal for post-prostatectomy SBRT in 5 fx is increasingly consistent: feasible, low toxicity & excellent in-field control. StereoBed randomized data show no PRO/toxicity penalty; POPART/esSBRT show few local failures.
#ASTRO26 @rtdess @HimanshuNagarMD @RadOncDocJ @NRGonc @ASTRO_org @urotoday @ChadTangMD @TylerSbrt @SbrtSean @jryckman3 @seanmmcbride
SEBASTIAN SOLE retweeted
Post-prostatectomy RT in just 5 fractions? 👀
Ferrario et al and POPART team reports 100 pts treated with prostate-bed SBRT (32.5 Gy/5 fx):
• Late ≥G2 GU toxicity: 8.5%
• Only 1 late G2 GI event
• Just 3 in-field relapses
• 30-mo biochemical control: 74%
Very encouraging local control and toxicity—but urinary QoL remains important to watch.
#ASTRO26 #ProstateCancer #SBRT @HimanshuNagarMD @rtdess @RadOncDocJ @angela_jia_ @urotoday @TylerSbrt
SEBASTIAN SOLE retweeted
#ASTRO26 Plenary -- PACE-A: 5-yr Outcomes of RP vs SBRT for GG1-2 PCa @nickva1 @urotoday
📍n=123 (60 RP, 63 SBRT), mFU 8 yrs, 10 🇬🇧 centers
📍13 BCF events: HR 0.48, 95% CI 0:16-1.46
📍7 deaths (no PCa): HR 0.55, 95% CI 0.12, 2.46
📍EPIC-26 >=1 urinary pad: 14/29 (48%) RP vs 3/36 (8%) SBRT
📍EPIC-26 bowel bother: 1/28 (4%) RP vs 0 SBRT
SEBASTIAN SOLE retweeted
Replying to @nickva1
@nickva1 @royalmarsdenNHS presenting 5 year outcomes of PACE-A @EmmaHall71 Surprised to see numerically less bowel bother in the SBRT arm, noting small numbers. Await sexual outcome data tomorrow @ASTRO_org #ASTRO26
SEBASTIAN SOLE retweeted
☢️ #ASTRO26: LDRT in knee OA is fascinating.
292 patients | 4.5 Gy/10 fractions
At 3 years:
🦵 VAS pain: 21 vs 55
📈 Responders: 69% vs 25% (p<0.0001)
Long-term: disability 14% vs 25%; KL-2 knee replacement 14% vs 36% (HR 0.32, p=0.021).
SEBASTIAN SOLE retweeted
Dr vanAs reports results of PACE-A confirming that SBRT is a safe, effective alternative to radical prostatectomy. Don’t miss the QoL results to be updated soon!
SEBASTIAN SOLE retweeted
🚨 #ASTRO2026 PACE-A trial / Prostate Cancer – 5-year follow-up
✅ Similar OS: 98% vs 98% at 5 years
✅ Better urinary continence with SBRT: 8% vs 48% reporting ≥1 pad 🔥
✅ No significant differences in late GI side effects: 0% vs 4% reporting moderate/big bowel problems 🚀















































