Gaurav Goyal
@GauravGoyalMD
Faculty at @ONealCancerUAB, previous hem-onc fellow @MayoClinic- interested in lymphoma, histiocytosis, HIV-cancers, health outcomes. Tweets are my own opinions
This #RareDiseaseDay, let us challenge ourselves! 55-year-old female with remote history of localized breast cancer and diabetes insipidus presents with b/l leg pain. Technetium bone scan showed intense symmetric tracer uptake around knees. What is the likely diagnosis? 1/12
HIV-associated HCC is poorly understood and carries worse prognosis. 🩺 We show for the first time that HIV+ HCC has distinctive immunophenotypic characteristics 🦠 with strong evidence of immune exhaustion - rationale for #immunotherapy? 💥 jhep-reports.eu/article/S2589-…
🔁 Re-sharing a study from our group on long-term outcomes in adult LCH 🧬 Clinical phenotypes, treatment patterns, and prognostic factors 📊 219 adults | ↑ mortality vs general population esp. among <55y and multi-system disease 🔗 tinyurl.com/yvdry9ms #LCH #RareDiseases

“That’s the way we’ve always done it” is not a justification. It’s a lazy excuse for failing to evolve. Blind faith in traditions makes us prisoners of the past. Routines should be based on present value and future potential. A key to new growth is questioning old habits.
Interesting early data in this terrible disease of secondary HLH. Glad to be able to offer a trial to this population at @ONealCancerUAB. @HistiocyteSoc @Histiocytosis
#EHA2024 Abhishek Maiti presenting our groundbreaking early data #LBA on ELA26 in malignancy associated HLH #HLH well tolerated and 100% 60 day survival in TCL with HLH @Daver_Leukemia
Our two institution (UAB and Mayo Clinic) experience for an ultra-rare disease, malignant histiocytosis, encompassing the 'sarcomas' (histiocytic, dendritic and Langerhans). Kudos to @GordonRuan for his perseverance on this study that took nearly 5 years to publish.@Histiocytosis
Malignant histiocytosis is an extremely rare neoplasm with prognosis tied to disease extent and type of organ involvement. @MayoClinic's experience on clinical characteristics, molecular aberrations, treatments, and outcomes: doi.org/10.1002/ajh.27… @aravindranmd @GordonRuan
Command-and-control leadership doesn't work anymore. But leaders who only share and never hold power — or never tell and only listen — will also struggle to be effective. s.hbr.org/3uToGT3
Dear #Pathology colleagues, Is there a better term than calling a lymph node morphologic description as "sinus histiocytosis"? I have often seen it being misinterpreted as a histiocytic neoplasm (RDD), thereby misdiagnosing the patients. @SocforHemepath @HemepathJC @aravindranmd
“Wellbeing comes from one place, and one place only — a positive culture.” hbr.org/2015/12/proof-…
How many clicks do we need per ASH abstract submission? Is it going to keep becoming more tedious each year? @ASH_hematology
Spectrum of clonal hematopoiesis in VEXAS syndrome sciencedirect.com/science/articl… #UBA1 #DNMT3A #TET2 @bhavishap29 @NealSYoung1 @LashoTerra @NIH @MayoCancerCare @BloodJournal
Interesting article about bullying at workplace, how to recognize it, and steps to bring a change. If you only want yes-people around you and do not like others challenging you, this article may be for you!
80 million U.S. workers are affected by bullying each year. hbr.org/2023/05/6-sign…
Hot off the press!🔥🧠 Neurologic manifestations of histiocytic disorders - detailed review of the diverse neurological involvement in these rare entities. Neurological involvement can be difficult to diagnose and cause significant morbidity and mortality @ECDGA #RareDisease
Recognizing and diagnosing CNS histiocytic disorders can be difficult, here we offer a straightforward stepwise approach to diagnosis link.springer.com/article/10.100…
Such an amazing experience co-hosting this meeting after a long pandemic hiatus! The outcomes of ECD are improving, with two FDA approved therapies (vemurafenib and cobimetinib), and likely many more to come. @ECDGA @Histiocytosis @HistiocyteSoc @jpcrsc @skandshekharMD
Erdheim-Chester Disease Global Alliance annual meeting 2023 at Mayo Clinic, MN. Such a phenomenal meeting with great minds and great energy. Lots to do and future is bright. Thank you @ECDGA @kathleenbrewer @GauravGoyalMD @aravindranmd @MayoHemeOnc @MayoHEM @GordonRuan
This is a classic example of how to not send mass emails to get shadowing opportunities. I realize that it is hard to get such rotations as an IMG, so you have to be very specific in your email showing that you are genuinely interested. Such emails get deleted unfortunately.

Quite concerning data!
Across every demographic group, Americans die at younger ages than their counterparts in other wealthy nations. How could this happen? One group of researchers isn't surprised at all. n.pr/3FTHmEW
"Don’t let anyone talk you into believing you’re worth less than what you know you’re truly worth." #ScienceMagArchives scim.ag/20Z
Venetoclax in Relapsed or Refractory Hairy-Cell Leukemia | NEJM nejm.org/doi/full/10.10…
Rare! What is it?
A 62-year-old man was incidentally found to have soft-tissue infiltration of the kidneys and severe hydronephrosis on CT. Histopathological examination of a core-biopsy specimen revealed pale-staining histiocytes. nej.md/3ydbkPY
In this national study co-led by @richaparikh36 we found that individuals with LCH have a higher risk of mortality from non-LCH causes (CV disease, second cancers, infections). There is a need to identify those at highest risk #survivorship @HistiocyteSoc @Histiocytosis @ECDGA
Hot off the press: our study, co-first authored with @GauravGoyalMD, on spectrum of second primary malignancies and cause-specific mortality in peds and adult langerhans cell histiocytosis - a SEER based analysis. N=1392, peds LCH=936, adult LCH=456. authors.elsevier.com/c/1gYpwX17opv9m
Honest question: Why do journals charge a submission fee when they don't intend to send the article for peer review? #AcademicTwitter @BloodJournal @Haematologica #hematology