Updates in management of Gynecological 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.
Gynecologic oncology focuses on cancers of the female reproductive system, including ovarian cancer, uterine cancer, vaginal cancer, cervical cancer, and vulvar cancer. In the United States, 82,000 women are diagnosed with gynecologic cancer annually. In 2013, an estimated 91,730 were diagnosed. The comprehensive global cancer statistics from the International Agency for Research on Cancer indicate that gynecological cancers accounted for 19% of the 5.1 million estimated new cancer cases, 2.9 million cancer deaths and 13 million 5-year prevalent cancer cases among women in the world in 2002.Cervical cancer accounted for 493 000 new cases and 273 000 deaths; uterine body cancer for 199 000 new cases and 50 000 deaths; ovarian cancer for 204 000 new cases and 125 000 deaths; cancers of the vagina, vulva and choriocarcinoma together constituted 45 900 cases. More than 80% of the cervical cancer cases occurred in developing countries and two-thirds of corpus uteri cases occurred in the developed world. Political will and advocacy to invest in healthcare infrastructure and human resources to improve service delivery and accessibility are vital to reduce the current burden in low- and medium-resource countries.
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 Gynecological cancer ” in National Cancer Institute, India, All India Institute of Medical Sciences, New Delhi scheduled on 4th – 6th August, 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. Abhishek Shankar
Assistant Professor, Preventive Oncology, DRBRAIRCH, All India Institute of Medical Sciences, New Delhi
Dr. Ajeet Gandhi
Assistant Professor Radiation Oncology , RML Lucknow
Dr. Atul Batra
Assistant Professor, Medical Oncology, All India Institute of Medical Sciences, New Delhi
Dr. B C Das
Chairman & H. G. Khorana Chair Professor AIMMSCR DEAN, Health & Allied Sciences Amity University Uttar Pradesh Campus, Noida
Dr. Bhawna Sirohi
Medical Oncologist Queen Mary’s Hospital, London
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. Jagadesan P
Associate Professor, Department of Radiation Oncology, Regional Cancer Centre, JIPMER,Puducherry
Dr. N K Shukla
Professor Head, surgical Oncology,DRBRAIRCH, AIIMS, Delhi
Dr. Preetha Rajaraman
South Asia Program Director, Center for Global Health, National Cancer Institute
Dr. Priya Tiwari
Associate Consultant , Medical Oncology, Fortis Memorial Research Institute, New Delhi
Dr. Ritesh Kumar
Assistant Professor , Department of Radiation Oncology, AIIMS, New Delhi
Dr. Ruchir Bhandari
Consultant Radiation Oncologist, Manipal Hospitals, Jaipur
Dr. Sachidanand Jee Bharti
Associate Professor of Oncoanaesthesiology & Palliative Medicine, AIIMS , New Delhi
Dr. Seema Mishra
Professor, Oncoanaesthesia & Palliative Medicine, DRBRAIRCH, AIIMS, 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. Sushma Bhatnagar
Professor & Head, Radiotherapy Department, Regional Cancer Centre, Rohtak
Dr. Tejinder Kataria
Chairperson, Radiation Oncology at Medanta- The Medicity Hospital, Gurgaon
Dr. Vatsla Dadhwal
Professor, Obstetrics & Gynaecology,AIIMS, New Delhi
Dr. Vivek Kaushal
Professor & Head, Radiotherapy Department, Regional Cancer Centre, Rohtak
8:00-9:00 REGISTRATION
Session I: Prevention, Screening in Gynecological Cancer
- Dr. N. K Shukla
- Dr. Tanvir Kaur
Chairperson
| Time | Topic | Speaker |
|---|---|---|
| 09.00-09.15 | Epidemiology of Gynecological Cancer | Dr. G K Rath |
| 09.15-09.30 | Prevention of Gynecological Cancer: Evidence and Possibility in India | Dr. Bhawna Sirohi |
| 09.30-09.45 | HPV vaccination: Target Population and Future Perspective | Dr. B.C. Das |
| 09.45-10.00 | Screening methods in Gynae Cancers: What is the optimum | Dr. Preetha Rajaraman |
| 10.00-10.15 | Familial and Hereditary factors in Gynecological Cancer | Dr. Abhishek Shankar |
Session II: Imaging & Diagnosis in Gynecological Cancer
- Dr.Pratima Mittal
- Dr. Sudha Salahan
Chairperson
| Time | Topic | Speaker |
|---|---|---|
| 10.45-11.00 | Imaging in Gynecological Cancer | Dr. Harsh Mahajan |
| 11.00-11.15 | Diagnosis and Staging of Gynecological Cancer | Dr. Deepak Abrol |
| 11.15-11.30 | Role of PET –CT in primary and recurrent Gynecological Cancer | Dr. Punit Sharma |
| 11.30-11.45 | SLNB vs LND for Gynecological Cancer | Dr. Rupinder Sekhon |
| 11.45-12.00 | Challenges for pathologist in Gynecological Cancer | Dr. Sandeep Mathur |
Session III: Management of Early Cervical Cancer
- Dr. U P Sahi
- Dr. Alka Kriplani
Chairperson
| Time | Topic | Speaker |
|---|---|---|
| 12.00-12.15 | Surgical approach in early cervical cancer | Dr. Sunesh Kumar |
| 12.15-12.30 | Cervical Cancer in Pregnancy: A surgeons perspective | Dr. Vatsla Dadhwal |
| 12.30-12.45 | Role of radiation in early cervical cancer | Dr. V Kannan |
| 12.45-13.00 | Optimal Chemotherapy for Early cervical Cancer | Dr. Indranil Ghosh |
| 13.00-13.15 | Evolution of ICRT for cervical cancer | Dr. Tejinder Kataria |
Session IV: Management of Locally Advanced Cervical Cancer
- Dr. Anjali Tempe
- Dr. Dilip Parida
- Dr. Vivek Kaushal
Chairperson
| Time | Topic | Speaker |
|---|---|---|
| 14.15-14.30 | Optimal treatment for Locally Advanced Cervical Cancer | Dr. S K Srivastava |
| 14.30-14.45 | Emerging Strategies in the treatment of advanced cervical cancer: where does Bevacizumab fit in? | Dr. Atul Batra |
| 14.45-15.00 | Interstitial brachytherapy in Locally Advanced Cervical Cancer | Dr. D N Sharma |
| 15.00-15.15 | What is the role of surgery in management of recurrent cervical cancer | Dr. Seema Singhal |
| 15.15-15.30 | Is there a role of radiation in management of recurrent cervical cancer | Dr. Ajeet K. Gandhi |
| 15.30-15.45 | Recurrent and metastatic cervical cancer- systemic treatment | Dr. Bivas Biswas |
| 15.45-16.00 | Bone health and QOL in patients of cervical cancer | Dr. Sachidanand Jee Bharti |
Session V: Management of Endometrial Cancer
- Dr. AK Anand
- Dr. Mamta Gupta
Chairperson
| Time | Topic | Speaker |
|---|---|---|
| 9.00-9.15 | Surgical strategies in endometrial cancer- lymph-node dissection, laparoscopic | Dr. Rama Joshi |
| 9.15-9.30 | Is Lymph node dissection in Endometrial cancer necessary | Dr. K Keditsu |
| 9.30-9.45 | Role of adjuvant radiotherapy in early intermediate risk endometrial cancer | Dr. Supriya Mallick |
| 9.45-10.00 | Adjuvant systemic treatment in high risk endometrial cancer | Dr. Ahitagni Biswas |
| 10.00-10.15 | Brachytherapy in Endometrial Cancer | Dr. Subhas Pandit |
| 10.15-10.30 | Systemic treatment of metastatic / recurrent disease | Dr. Priya Tiwari |
Session VI: Management of Ovarian Cancer
- Dr. PK Julka
- Dr. Sangita Ajmani
Chairperson
| Time | Topic | Speaker |
|---|---|---|
| 11.00-11.15 | Surgery in Ovarian Cancer what is the update | Dr. Asima Mukhopadhyay |
| 11.15-11.30 | Chemotherapy in ovarian cancer : Adjuvant or NACT | Dr. Raja Pramanik |
| 11.30-11.45 | Optimising the treatment outcomes in Ovarian Cancer: Role of Bevacizumab | Dr. Manish Singhal |
| 11.45-12.00 | Secondary debulking: what is optimum | Dr. Sabhyata Gupta |
| 12.00-12.15 | Molecular and targeted therapy in ovarian cancers | Dr. Prabhat Malik |
| 12.15-12.30 | Evolving treatment approach in Ovarian Cancer (HIPEC/PIPEC) | Dr. M D Ray |
| 12.30-12.45 | Radiation in ovarian Cancer: Is there an opportunity | Dr. Saikat Das |
Session VII: Management of Vulva/ Vaginal Cancer
- Dr. Nutan Agarwal
- Dr. Pushpa Singh
Chairperson
| Time | Topic | Speaker |
|---|---|---|
| 13.45-14.00 | Optimal Surgery in vulvar/vaginal cancers | Dr. Satinder Kaur |
| 14.00-14.15 | Interstitial brachytherapy in vulva/vaginal cancer | Dr. Jagadesan P |
| 14.15-14.30 | Adjuvant radiotherapy in vulvar cancers – Indications and techniques | Dr. Ritesh Kumar |
| 14.30-14.45 | Systemic therapy in Vulvar cancer | Dr. Dipanjan Panda |
Session VIII: Association of Breast and Gynae Cancers
- Dr. Rajesh Vashistha
- Dr. VK Kadam
- Dr.Prashanth G
- Dr.Carthikeyan S M
- Dr.Yousra Izzuddeen
- Dr.Srikanth Anne
Chairperson
| Time | Topic | Speaker |
|---|---|---|
| 14.45-15.00 | Breast and Ovarian Cancer Syndrome | Dr. Munish Gairola |
| 15.00-15.15 | HRT as risk of Breast and Gynae Cancers | Dr. Kanika Gupta |
| 15.15-15.30 | Approach to case of Krukenberg tumor secondary to Breast Cancer | Dr. Saritha Shamsunder |
| 15.30-15.45 | Approach to breast cancer patients on Tamoxifen | Dr. Sachin Khurana |
| 15.45-16.00 | Follow up protocol for Breast/Gynecological Cancer | Dr. Renu Madan |
| 16.00-16.15 | Adjuvant management of uterine sarcomas | Dr. Ruchir Bhandari |
| 16.15-16.30 | Challenges in palliative care for gynecological Cancer | Dr. Seema Mishra |
Session Co-ordinators:
Foyer, JLN Auditorium
Welcome Address
- Dr. G.K. Rath
Moderator
- Dr. D N Sharma
- Dr. Haresh KP
- Dr. 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
- Dr. Haresh KP
- Dr. 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
- Dr. Haresh KP
- Dr. Subhash Gupta
| S.No | Topic | Speaker |
|---|---|---|
| 1 | Target volume delineation in postoperative cases | Dr Subhas Pandit |
| 2 | Target Volume delineation in Carcinoma Vulva | Dr Shikha Goyal |
Interaction with Participants
Chairperson
- Dr. D N Sharma
Panelists
- Dr. Ritesh Kumar
- Dr. Shikha Goyal
- Dr. Ajeet Gandhi
- Dr. Subhas Pandit
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.