SUMMARY

This year’s conference was organised in San Francisco from 18–20th January 2024, again as a hybrid event. It was an excellent meeting, with TIGIT as new immune checkpoint target in oesophageal squamous cell carcinoma. Tinengotinib is a new fibroblast growth factor receptor (FGFR) inhibitor that enriches the armentarium for cholangiocarcinoma. Considering metastasis-directed therapy in oligometastatic pancreatic cancer is worth the effort. Shifting immunotherapy + angiogenesis inhibition to the transarterial chemoembolisation setting is the way forward in hepatocellular carcinoma. Nivolumab + ipilimumab is the second immunotherapy scheme that shows promising results in the first-line treatment of MSI-high/deficient mismatch repair (MMR) metastatic colorectal cancer. The prognostic role of circulating tumour DNA (ctDNA) in colorectal cancer stage II-III is highly consistent between studies, but its predictive role and how and which chemotherapy to use in case of ctDNA-positivity is more variable/immature at this moment and under active investigation. Top story of ASCO GI 2024 is peptide receptor radionuclide therapy (PRRT) entering the first-line treatment algorithm of high grade 2 and grade 3 gastroenteropancreatic neuroendocrine tumours. In this report, the most important headlines will be discussed, with comments on the clinical relevance of the different studies.

(Belg J Med Oncol 2024;18(3):95–108)