UPDATES IN MANAGEMENT OF BREAST CANCER
It gives me immense pleasure to have the honour of this correspondence.
Things change, when we choose to change them. Waiting for things to happen would not beget any change. And I would like to present you an opportunity to be a part of a radical change that would bring a new lease of life to many who are yet not aware that they are headed down the wrong corridor unknowingly, unsuspectingly.
I would like to draw your attention to a grave cause which has been plaguing India and many other Low and Middle Income Countries – Cancer. In fact, there is gradual yet consistent increase in the incidence of cancer the world over. The present cancer burden is quite alarming globally and India. What is more alarming is that this figure is going to increase 50% by the year 2020 as predicted by World Health Organization.
Breast cancer has emerged as the most common malignancy among women worldwide. In India also Breast cancer has the highest incidence across all Urban registries. There has been a surge in the literature about different aspects of breast cancer treatment. However, it is often difficult to follow this ever increasing flow of information. In addition, oncology practice is more multimodal and demands a strong inter-disciplinary understanding. However, in many occasion we have limited access to such multidisciplinary co-ordination.
Department of Preventive Oncology, Dr. BR Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, Delhi was started with a vision idea to promote basic and clinic research in the field of clinical oncology and other related specialties/super-specialities. We organize conferences, workshops and other means of continuing medical education to assist in acquisition of knowledge skills and dissemination of information regarding new and relevant advances in the field of Clinical Oncology, and related specialties. We also organize various educational and awareness program for cancer control and prevention for general public. In order to take this initiative forward, we plan to organize “ Updates in management of Breast Cancer ” in National Cancer Institute, India, All India Institute of Medical Sciences, New Delhi scheduled on 6th – 7th May, 2017.
We solicit your support for the conference and look forward to see you.
Regards
Dr GK Rath
Professor, Department of Radiation Oncology
Chief,Dr BR Ambedkar Institute Rotary Cancer Hospital Head, NCI-India, AIIMS, Delhi
Dr. Abhimanyu Kumar
Director,All India Institute of Ayurveda, New Delhi
Dr. Abhishek Shankar
Assistant Professor, Preventive Oncology, DRBRAIRCH, All India Institute of Medical Sciences, New Delhi
Dr. Ajay Gogia
Assistant Professor, Medical Oncology, All India Institute of Medical Sciences, New Delhi
Dr. Ajeet Gandhi
Assistant Professor Radiation Oncology , RML Lucknow
Dr. Amit Agarwal
Director & HOD in Medical Oncology Department at BLK Super Speciality Hospital, New Delhi
Dr. Anil Suri
Director, National Institute of Immunology, New Delhi
Dr. Ashok Chauhan
Head Unit,Department of Radiotherapy and Medical Superintendent Postgraduate Institute of Medical Sciences Rohtak
Dr. Atul Batra
Assistant Professor, Medical Oncology, All India Institute of Medical Sciences, New Delhi
Dr. Bivas Biswas
Medical Oncologist, Tata medical Center, Kolkata
Dr. Chandra Prakash Prasad
Assistant Professor, All India Institute of Medical Sciences, New Delhi
Dr. D N Sharma
Professor, Dept. of Radiation Oncology, AIIMS, New Delhi
Dr. G K Rath
Head NCI-India, Chief Dr B R A IRCH AIIMS New Delhi
Dr. G V Giri
Professor, Department of Radiotherapy , Kidwai Memorial Institute Of Oncology
Dr. Gaurav Agarwal
Professor of Endocrine and Breast Surgery, SGPGI Lucknow
Dr. Jagadesan P
Associate Professor, Department of Radiation Oncology, Regional Cancer Centre, JIPMER, Puducherry
Dr. K S Dhiman
Director General,CENTRAL COUNCIL FOR RESEARCH IN AYURVEDIC SCIENCES, New Delhi
Dr. M D Ray
Professor of Endocrine and Breast Surgery, SGPGI Lucknow
Dr. Manish Singhal
Senior Consultant Medical Oncology at Apollo Indraprastha Hospital, New Delhi
Dr. N K Shukla
Professor and Head, Department of Surgical Oncology, AIIMS, New Delhi
Dr. P K Julka
Senior Director - Oncology Daycare Centre Max Super Speciality Hospital, SaketMax Institute of Cancer Care-Lajpat Nagar
Dr. Piyush Ranjan
Assistant Professor , Department of Surgery , AIIMS
Dr. Prabhat S Malik
Assistant Professor, Department of Medical Oncology, Dr.B.R.A.I.R.C.H.AllMS, New Delhi
Dr. Prasanth Ganesan
Associate Professor, Department of Medical Oncology, Cancer Institute , Adyar -Chennai
Dr. Prashanth G
Associate Professor, Department of Medical Oncology, Cancer Institute , Adyar -Chennai
Dr. Preetha Rajaraman
South Asia Program Director, Center for Global Health, National Cancer Institute, New Delhi
Dr. Priya Tiwari
Associate Consultant , Medical Oncology, Fortis Memorial Research Institute, New Delhi
Dr. Raja Pramanik
Assistant Professor, Medical Oncology, AIIMS
Dr. Rajesh Vashistha
Senior Consultant and Head, Radiation Oncology , Max Superspeciality Hospital, Bhatinda
Dr. Ravi Kant
Professor of surgery Vice Chancellor of King George's Medical University, Lucknow
Dr. Ritesh Kumar
Assistant Professor , Department of Radiation Oncology, AIIMS, New Delhi
Dr. Ruchir Bhandari
Consultant Radiation Oncologist, Manipal Hospitals, Jaipur
Dr. S C Sharma
Dept of Radiotherapy, MM Institute of Medical Sciences & Research, Mullana-Ambala
Dr. S Datta Gupta
Professor of Pathology, AIIMS , New Delhi
Dr. Sachianand Jee Bharti
Associate Professor of Oncoanaesthesiology & Palliative Medicine, AIIMS , New Delhi
Dr. Sameer Bakhshi
Professor,Department of Medical Oncology,Dr. B. R. A. Institute Rotary Cancer Hospital,AIIMS,New Delhi
Dr. Sapna Nangia
Senior Consultant & Academic Coordinator Indraprastha Apollo Hospital, New Delhi
Dr. Seema Mishra
Professor, Oncoanaesthesia & Palliative Medicine, DRBRAIRCH, AIIMS, Delhi
Dr. Smriti Hari
Additional Professor, Radiology, AIIMS, New Delhi
Dr. Subhas Pandit
Consultant Radiation Oncologist , Kathmandu Cancer Center , Nepal
Dr. Supriya Mallick
Senior Research Associate, DRBRAIRCH, All India Institute of Medical Sciences, Delhi
Dr. Surendra Shastri
Professor & Head, Department of Preventive Oncology, Tata Memorial Hospital
Dr. SVS Deo
Professor, Department of Surgical Oncology ,AllMS, New Delhi
Dr. Tejinder Kataria
Chairperson, Radiation Oncology at Medanta- The Medicity Hospital, Gurgaon
Dr. V Seenu
Professor of Surgery, Dept.of Surgical Disciplines, AIIMS, New Delhi
Dr. Vatsla Dadhwal
Professor, Obstetrics & Gynaecology,AIIMS, New Delhi
Dr. Venkatraman Radhakrishnan
Associate Professor, Medical Oncology, Cancer Institute , Adyar- Chennai
Dr. Vivek Kaushal
Professor & Head, Radiotherapy Department, Regional Cancer Centre, Rohtak
09.00-10.45 Session I: Prevention, Screening & Evaluation
- Dr. N K Shukla
Session Co-ordinator: Dr. Mayank Singh
Chairperson
| Time | Topic | Speaker |
|---|---|---|
| 09.00-09.15 | Epidemiology of Breast Cancer | Dr. G K Rath |
| 09.15-09.30 | Prevention: Evidence and Possibility in India | Dr. Abhishek Shankar |
| 09.30-09.45 | BRCA Mutation: Target Population and Risk Reduction Methods | Dr. Surendra Shastri |
| 09.45-10.00 | Time and Target Population for Breast Cancer Screening | Dr. Preetha Rajaraman |
| 10.00-10.15 | Imaging in Breast Cancer | Dr. Smriti Hari |
| 10.15-10.30 | Management of Axilla: SLNB vs ALND | Dr. V Seenu |
11.00-11.45 Session II: Breast Cancer Pathology & Gene Signature
- Dr. Rajesh Vashistha
Session Co-ordinator: Dr. Chandra Prakash Prasad
Chairperson
| Time | Topic | Speaker |
|---|---|---|
| 11.00-11.15 | Diagnosis and Staging of Breast Cancer | Dr. S V S Deo |
| 11.15-11.30 | Pathology & Molecular Classification of Breast Cancer | Dr. S Datta Gupta |
| 11.30-11.45 | Role of Gene Signatures in Management of Breast Cancer | Dr. Amit Aggarwal |
11.45-01.15 Session III: Early Breast Cancer
- Dr. Sameer Bakshi
Session Co-ordinator: Dr.Thoudam Debraj Singh
Chairperson
| Time | Topic | Speaker |
|---|---|---|
| 11.45-12.00 | BCS vs MRM-When and Why? | Dr. S V S Deo |
| 12.00-12.15 | Hypo-fractionation in Breast Cancer: Present and Future | Dr. S C Sharma |
| 12.15-12.30 | Accelerated Partial Breast Irradiation- Current Status and Perspectives | Dr. D N Sharma |
| 12.30-12.45 | Optimal Chemotherapy for Early Breast Cancer | Dr. Bivas Biswas |
| 12.45-01.00 | Oncoplasty: An Emerging Paradigm | Dr. Gaurav Agarwal |
| 01.00-01.15 | Breast Cancer and Pregnancy | Dr. Vatsla Dadhwal |
02.15-03.45 Session IV: Locally Advanced Breast Cancer
- Dr. Vivek Kaushal
Session Co-ordinator: Dr.Ashok Sharma
Chairperson
| Time | Topic | Speaker |
|---|---|---|
| 02.15-02.30 | Surgical management of LABC | Dr. Gaurav Agarwal |
| 02.30-02.45 | Adjuvant radiotherapy after MRM and Radiotherapy after NACT | Dr. Supriya Mallick |
| 02.45-03.00 | Adjuvant RT in 1-3 LN positive cases | Dr. Ritesh Kumar |
| 03.00-03.15 | Optimal chemotherapy and targeted for LABC | Dr. Atul Batra |
| 03.15-03.30 | Hormonal therapy for non-metastatic breast cancer | Dr. Raja Pramanik |
| 03.30-03.45 | RT Techniques & Radiation Induced Heart Disease in Breast Cancer | Dr. Ajeet Gandhi |
Inuaguaration Ceremony
- Dr. G K Rath
National Cancer Institute, India: Future in Making
09.00-10.00Session V: Metastatic Breast Cancer (MBC)
- Dr. P.K.Julka
Session Co-ordinator: Dr.Subhradip Karmakar
Chairperson
| Time | Topic | Speaker |
|---|---|---|
| 09.00-09.15 | Role of Surgery in MBC Bre | Dr.S V S Deo |
| 09.15-09.30 | Role of Radiation in MBC | Dr.Subhas Pandit |
| 09.30-09.45 | Optimal chemotherapy and targeted for MBC | Dr.Prasanth Ganesan |
| 09.45-10.00 | Hormonal therapy for metastatic Breast Cancer | Dr.Manish Singhal |
10.00-11.00 Session VI: Recurrent Breast Cancer & Survivorship
- Dr.G V Giri
- Seema Mishra
Session Co-ordinator: Dr.Rakesh Garg
Chairperson
| Time | Topic | Speaker |
|---|---|---|
| 10.00-10.15 | Evaluation of Breast Cancer at recurrence | Dr. Priya Tiwari |
| 10.15-10.30 | Management of Recurrence for HR sensitive Breast Cancer | Dr.Prasanth Ganesan |
| 10.30-10.45 | Management of Recurrence for HR non-sensitive Breast Cancer | Dr.Prasanth Ganesan |
| 10.45-11.00 | Palliative and Supportive care in Breast Cancer Survivor | Dr.Sachidanand Bharti |
11.30-12.45 Session VII: Special Issues Part I
- Dr. Ravi Kant
Session Co-ordinator: Dr.Vinod Kumar
Chairperson
| Time | Topic | Speaker |
|---|---|---|
| 11.45-12.00 | Is it possible to avoid Radiation after BCS? | Dr. Jagadesan P |
| 12.00-12.15 | Bone Health in Breast Cancer | Dr. Venkatraman Radhakrishnana |
| 12.15-12.30 | TNBC: Burden, Biology and Challenges | Dr. Ajay Gogia |
| 12.30-12.45 | Radiotherapy in the management of DCIS | Dr. Tejinder Kataria |
| 12.45-01.00 | Different aspects of Radiotherapy in TNBC | Dr. Ruchir Bhandari |
1.45-3.15 Session VIII: Special Issues Part 2
- Dr.Ashok Chauhan
Session Co-ordinator: Dr.Chandra Prakash Prasad
Chairperson
| Time | Topic | Speaker |
|---|---|---|
| 01.45-02.00 | Issues in management of Elderly Breast Cancer Patients | Dr.Sapna Nangia |
| 02.00-02.15 | Adjuvant Endocrine Therapy for Young Women | Dr.Prabhat S Malik |
| 02.15-02.30 | Follow-up in Breast Cancer | Dr.Piyush Ranjan |
| 02.30-02.45 | Immunotherapy in Breast Cancer | Dr.Anil Suri |
| 02.45-03.00 | Scope of Ayurveda for management of Breast Cancer | Dr.Abhimanyu Kumar |
| 03.00-03.15 | AYUSH QOL-2C Study in Breast Cancer | Dr.K S Dhiman |
1.45-3.15Session IX: QUIZ
- Dr.Sachidanand Jee Bharti
- Dr.M D Ray
Session Co-ordinator: Dr.Prashanth G, Dr Carthikeyan S m, Dr.Yousra Izzuddeen, Dr.Srikanth Anne
Chairperson
Foyer, JLN Auditorium
Welcome Address
- Dr. G.K. Rath
Moderator
- Dr. D N Sharma
- Haresh KP
- Subhash Gupta
| S.No | Topic | Speaker |
|---|---|---|
| 1 | Radiological Anatomy | Dr Ritesh Kumar |
| 2 | Simulation Protocols | Dr Ajeet Gandhi |
| 3 | OAR Delineation | Dr Shikha Goyal |
Tea Break
Moderator
- Dr. D N Sharma
- Haresh KP
- Subhash Gupta
| S.No | Topic | Speaker |
|---|---|---|
| 1 | Nodal volume delineation in GYN malignancies | Dr Ajeet Gandhi |
| 2 | Primary Target volume delineation in Cervical Cancer | Dr Ritesh Kumar |
| 3 | Target Volume delineation in Image Based Brachy in Cervix | Dr Ajeet Gandhi |
| 4 | Brachytherapy for Challenging cases | Dr D N Sharma |
Lunch
Moderator
- Dr. D N Sharma
- Haresh KP
- Subhash Gupta
| S.No | Topic | Speaker |
|---|---|---|
| 1 | Dr Subhas Pandit | Dr Ajeet Gandhi |
| 2 | Target Volume delineation in Carcinoma Vulva | Dr Shikha Goyal |
Interaction with Participants
Chairperson
- Dr. D N Sharma
Co-ordinator
- Dr. Wineeta Melgandi
- Dr. Ravi Kanodia
Dr. Ramalingaswamy Board Room, AIIMS, New Delhi
Video Session 1: Surgery for Cancer Cervix
| S.No | Topic | Speaker |
|---|---|---|
| 1 | Laparoscopic Approach | Dr. Alka Kriplani |
| 2 | Open surgery | Dr Sunesh Kumar |
| 3 | Radical Vaginal Hysterectomy | Dr. Juhi Bharti |
Discussion
- Dr. Abha Singh
- Dr. Sunesh Kumar
Video Session 2: Surgery for Endometrial cancer
| S.No | Topic | Speaker |
|---|---|---|
| 1 | Open surgery | Dr. Jyoti Meena |
Video Session 3: Surgery for Ca Ovary
| S.No | Topic | Speaker |
|---|---|---|
| 1 | Primary Debulking Surgery | Dr.Deepika Gupta |
| 2 | Surgery for a Young Patient | Dr.Jayshree Dr. Sunesh Kumar |
| 3 | HIPEC | Dr. M D Ray |
Lunch
Video Session 4: Surgery for Vulval Cancer
| S.No | Topic | Speaker |
|---|---|---|
| 1 | Radical Vulvectony | Dr.Seema Singhal |
| 2 | Sentinal LN Biopsy | Dr.Jyoti Meena |
Co-ordinator
- Dr. Deepika Gupta
- Dr.Jayashree Natarajan
Dept. of Biochemistry, AIIMS, New Delhi
Basics in Translational Oncology
- Dr Chandra Prakash Prasad
Instrumentation in Molecular Oncology
- Dr Debraj Singh Thoudam
PCR and its variants in diagnosis and prognosis of Gynaecological Cancers
- Dr Subhradip Karmakar
Lunch
In vitro tissue culture as a model System in gynaecological cancers.
- Dr Mayank Singh
Studying protein expression and molecular events in gynaecological cancers.
- Dr Ashok Sharma
Seminar Room, 1st Floor, Dr. BRAIRCH, AIIMS, New Delhi
Basic of palliative care
- Dr Sushma Bhatnagar
Palliative care need in Gynecological cancers
- Dr Sachidanand Jee Bharti
Cancer Pain management
- Dr Vinod Kumar
Lunch
Symptom management in Gynaecological Malignancies
| S.No | Topic | Speaker |
|---|---|---|
| 1 | Bowel obstruction, Recurrent Ascitis, Nausea & Vomiting, Constipation | Dr Nishkarsh Gupta |
| 2 | Vaginal Bleeding, Obstructive Uropathy, Lymphedema, DVT | Dr.Rakesh Garg |
| 3 | End of life care and Ethical issues | Dr Seema Mishra |
Workshop Station
- Medications
- Interventional Pain Management
- Stoma & Wound Care
- Role of Physiotherapy
Quiz Master’s
- Dr. Prashanth G
- Dr. Carthikeyan S M
- Dr. Yousra Izzuddeen
- Dr. Srikanth Anne
Quiz prizes
- Ist Prize 30000
- 2nd Prize 20000
- 3rd Prize: 10000
Top 5 teams selection based on multiple choice questions (30 mins)
- 20 Multiple choice questions will be asked. To answer these MCQ’s 15 mins will be allotted
- Every correct answer shall be given 2 points and wrong answer shall have a negative marking of 1 point
- If multiple teams tie, selection will be based on order of registration for quiz.
Round 1 : Audio visual round (15-20 mins)
- Direct answer: 20 Points
- Wrong answer : - 10 Points
- On passing, first on buzzer gets chance.
- Correct answer: 10 Points
- Wrong answer: -5 Points
Round 2: Evidence based round (15-20 min)
- In this round two questions would be asked to each team
- Correct answer :10 Points
- Wrong answer: -5 Points
- No passing in this round
Round 3 : Connection point (20-25 min)
- Each team would be given an array of different pictures you need to connect these different pictures.
- Correct answer: 20 Points
- Wrong answer : No Points
- On passing, first on buzzer gets chance
- Correct answer: 10 Points
- Wrong answer : No Points
Round 4: Rapid fire (15 min)
- Each team will be asked a set of ten questions each. They have to answer within 120 seconds.
- Correct answer: 4 Points
- Wrong answer : No Points
- Tie breaker Round in case of a tie. QUIZ master’s decision to be final.
- These rounds are subject to change.