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Graham Collins
@graham74GC
Associate Professor of Haematology and lymphoma specialist at Oxford Cancer and Haematology centre. Christian, husband and father.
Opinions are mine
Joined December 2013
Posts
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    Just been through my clinic list for Tuesday. Out of 32, 21 suitable for telephone consult rather than face to face. Reduces risk to them and to others in hospital. (Also saves time, fuel, parking etc) This may change the way we work in the long term. #protectpatients #COVID19
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    It’s been a while coming but the first CAR-T are being infused today @OUHospitals. Great team involved in set up and delivery of this groundbreaking treatment.
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    Some good news for Saturday morning. Blood cancer survival rates rise faster than for other common cancer types. Data from 2010-2016. Most dramatic for myeloma.
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    Really honoured to be awarded the position of Associate Professor of Haematology in the @RDMOxford of Oxford University. And along with such amazing colleagues like @shapiro_susie.
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    Why haem is the best specialty: - most fascinating diseases (lymphoma, AML, TTP, Sickle) - most diverse treatments (ADCs, SCT, CAR-T, gene Rx) - most engaged and inspiring patients - most dynamic and committed teams Why would you do anything else? #haematologybestspecialty
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    Why is alpha thalassaemia hard to understand? Because we have 4 alpha globin genes (2 from each parent). 1 gene deleted: trait (harmless) 2 genes deleted: trait (harmless) 3 genes deleted: HbH disease (thal intermedia - occ blood Tx) 4 genes deleted: in utero death (hydrops)
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    #Hodgkin Lymphoma • unique history (Thomas Hodgkin) • unique demographic (TYA) • unique cancer cell (Reed-Sternberg) • unique microenv (exuberant inflammatory background) • unique sensitivity to treatment (RT, chemo and immunotherapy) #fascinatingdisease
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    Important to remember that lymphoma is not a radiological diagnosis. Biopsy always needed. In the last few months in my practise ‘lymphoma’ on CT turned out to be: - sarcoid - metastatic renal Ca - glioblastoma - adenoCa of small bowel #alwaysgetabiopsy #lymsm
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    Pola-R-CHP has been approved by NICE for front line treatment of DLBCL in IPI 2-5. This means hospitals in England are legally obliged to offer it so this will become a new standard. More thoughts in thread. #lymsm nice.org.uk/guidance/indev…
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    With #ASCO23 and #ICML23 just around the corner we'll hear a lot about PD1 inhibition and #Hodgkin lymphoma. What's all the fuss about? Follow this thread to understand more.
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    Time to stop doing marrows in follicular lymphoma? BM biopsy was irrelevant to accurate response assessment in 99% of trial subjects in this study. Further, if in imaging CR, no PFS diff if had BMBx to confirm. #lymsm
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    #ASH22 abstracts are out! Number 001 is the Triangle trial: • RCHOP/RDHAP + ASCT vs • ibrutinib + RCHOP/RDHAP + ASCT & ibr Mx vs • above but no ASCT Result: looks like we don’t need ASCT in 1st CR in MCL when Ibr used. Great work from European MCL network! #lymsm
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    ATLL in a tweet • HTLV1: test family • Types: smouldering, chronic, primary cut, lymphoma (>75% 🇬🇧 cases), acute • CD4/25+ ‘flower cells’, ⬆️ calcium • strongyloides co-infn: serology • AZT/IFN + CHOP if nodal • allo CR1 (incl raltegravir) • mogamulizumab for R/R #lymsm
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    Once a year I teach on haemostasis. Every year my imposter syndrome grows a little more acute. Had to look up the name of the reversal agents of dabigatran and apixaban beforehand but still couldn't remember! Anyway - here's the summary. @nicola_curry.