Thiago P. Muniz
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munizthiago.bsky.social
Thiago P. Muniz
@munizthiago.bsky.social
Medical Oncologist at Princess Margaret Cancer Centre. Focus on CNS tumors, brain metastases, melanoma and other skin cancers. Views are my own and not medical advice
Happy to do teaching for a living.

#MedicalOncology #MedicalEducation
July 24, 2025 at 3:16 AM
Today is Medical Oncologist’s Day in Brazil. Congrats to all my Med Onc Colleagues! May we continue to treat patients carefully and based on science! 🔪🦀
July 9, 2025 at 8:19 PM
May 31, 2025 at 10:21 PM
My takeaways from CNS abstract session at #ASCO25
- No need of concurrent TMZ in grade 3 IDHm gliomas, non-1p/19q co-deleted. 12 cycles of adjuvant post-rads remains SOC.
- Exciting emerging therapies for LMD (HER3-Dxd)
- Potential for cell therapies in GBM. Larger trials are needed.
May 30, 2025 at 10:31 PM
Great educational session at #ASCO25 discussing targeted therapies in neuro-oncology. We do need to understand molecular subgroups, which drugs are actually effective in CNS, and finally, who does actually benefit from IDHi?
May 30, 2025 at 7:02 PM
Excited to be attending #ASCO25. Starting off by watching an educational session on targeted therapy in neuro-oncology. The afternoon will continue with Neuro-Oncology Oral Abstract Sessions.
May 30, 2025 at 5:50 PM
So, I’ve just heard that US and Canada will become one big country called Panem and we will be wishing that our tributes win the Hunger Games.
January 7, 2025 at 11:35 PM
Merry Christmas and Happy Holiday to everyone here on BlueSky. May everyone spend this day with their loved ones.
December 25, 2024 at 2:23 PM
I was in São Paulo on November 29 discussing the practical management of tebentafusp in metastatic #uvealmelanoma. Glad to have Dr. Mirela Nardo and Dr. Rodrigo Munhoz joining the discussion. Hopefully, the drug will be soon approved in Brazil.
December 9, 2024 at 8:44 PM
I was at AC Camargo Cancer Center, Brazil today to share experience on the management of patients with #uvealmelanoma. It is gratifying to be back to my teaching hospital and share the knowledge with future Brazilian Medical Oncologists! I hope to be back in other opportunities. #MedicalEducation
November 28, 2024 at 1:24 PM
Hi all, I’ve been trying to access the LUMPO3 for the past few days and I’ve been getting an error message. Is this just me or is it happening to anyone else?
#uvealmelanoma #melanoma
November 24, 2024 at 12:14 AM
Sharing our publication on the role of ctDNA in high risk melanoma patients, led by Dr. Sofia Genta. Glad to be part of the melanoma team at Princess Margaret.

www.sciencedirect.com/science/arti...
Bespoke ctDNA for longitudinal detection of molecular residual disease in high-risk melanoma patients
Locally advanced melanoma has a variable prognosis. Currently, there are no reliable criteria to stratify the risk of disease relapse and identify tho…
www.sciencedirect.com
November 17, 2024 at 1:18 PM
It seems that there was a migration to BlueSky.
So, let me introduce myself: My name is Thiago Muniz. I’m from Brazil and I’m a Medical Oncologist at Princess Margaret in Toronto. My focus is skin cancers, brain tumors, and brain mets. I’m also a clinician teacher. Let’s connect! :)
November 15, 2024 at 5:56 AM
This past month, I received communications from two different students who felt I helped them achieving their goals. That is the most gratifying thing for a clinician teacher!
#MedicalEducation
November 15, 2024 at 4:01 AM
Hi, everyone :)
August 31, 2024 at 1:23 AM
3-4 months as a staff and already had one patient with ICI-related carditis after one dose of single agent anti-PD1. Rare, but it happens.
April 23, 2024 at 7:24 PM
Ok, now I will try to migrate here definitely. Spread the word.
April 15, 2024 at 11:09 PM
Higher excess mortality rates among Republican as compared to Democratic voters after full availability of COVID-19 vaccines. It makes me wonder what the results would be if a similar study was made in Brazil

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2807617
Excess Death Rates for Republican and Democratic Voters in Florida and Ohio During the COVID-19 Pand...
This cross-sectional study examines the differences in excess death rates between Republican and Democratic voters in Florida and Ohio after the COVID-19 vaccin
jamanetwork.com
July 24, 2023 at 11:43 PM
Today we celebrate the Medical Oncologist’s Day in Brazil! Congratulations to all the colleagues practicing in this wonderful and challenging specialty!
July 9, 2023 at 5:14 PM
Nice review on how to perform cranial nerves examination.

https://www.nejm.org/doi/full/10.1056/NEJMvcm2103640
July 6, 2023 at 8:50 PM
I arrived in Canada 4 years ago today. Many challenges, many lessons learned, no regrets.
June 20, 2023 at 9:58 PM
Thrilling to be living these exciting times of practice change in low-grade IDHmut #gliomas. Results of the INDIGO trial show that vorasidenib has improved PFS and Time to Next Intervention for patients not treated with chemo or RT.
June 4, 2023 at 6:45 PM
I am thrilled to share our just published review on BRAF mutations in gliomas, published at CNS Drugs, a journal by Springer Nature.

https://link.springer.com/article/10.1007/s40263-023-01016-5
BRAF Mutations in CNS Tumors—Prognostic Markers and Therapeutic Targets - CNS Drugs
Gliomas are a heterogeneous group of brain tumors with limited therapeutic options. However, identification of BRAF V600E mutations in a subset of gliomas has provided a genomic-targeted approach for management of these diseases. In this review, we aimed to review the role of BRAF V600E in gliomagenesis, to characterize concurrent genomic alterations and their potential prognostic implications, and to review comprehensively the efficacy data of BRAF inhibitors (combined or not with MEK inhibitors) for the treatment of low- and high-grade gliomas. We also provide a summary of the toxicity of these agents and describe resistance mechanisms that may be circumvented by alternative genomic approaches. Although the efficacy of targeted therapy for management of BRAF V600E-mutant gliomas has mostly been assessed in small retrospective and phase 2 studies with heterogeneous populations, the data generated so far are a proof of concept that genomic-directed therapies improve outcomes of patients with refractory/relapsed glioma and underpin the need of comprehensive genomic assessments for these difficult-to-treat diseases. In the future, the role of targeted therapy in the first-line setting and of genomic-directed therapies to overcome resistance mechanisms should be assessed in well-designed clinical trials.
link.springer.com
June 2, 2023 at 7:55 PM
Very interesting paper led by my friend Dr. Daniel Moore (still no Blue Sky) addressing the question of re-RT in patients with recurrent high grade glioma. Selection is key!

https://pubmed.ncbi.nlm.nih.gov/37256526/
Re-irradiation for recurrent high-grade glioma: an analysis of prognostic factors for survival and predictors of radiation necrosis - PubMed
We observe favorable OS rates following re-RT and identified prognostic factors, including methylation status, that can assist in patient selection and clinical trial design. Concurrent use of bevacizumab mitigated the risk of RN.
pubmed.ncbi.nlm.nih.gov
June 2, 2023 at 6:13 PM
Excited to start at Blue Sky just before #ASCO2023. I will not be there in person, but I hope to connect with the Medical Oncology community, especially neuro-oncology and melanoma/skin cancers.
May 24, 2023 at 4:50 PM