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Multidisciplinary Breast Cancer Summit 2012

October 11-13, 2012

Ritz-Carlton, Cleveland
Cleveland, OH

 

Overview

Breast cancer is the most common malignancy among US women and is the second leading cause of cancer mortality. Mortality rates, however, have been decreasing, primarily due to widespread use of screening, which are detecting cancers at earlier stages and in younger women. In addition, advancements in medical and surgical treatments, as well as reconstructive options, have improved cancer outcomes and improved patients' self-esteem. These improved options for screening and treatment are increasingly more complex requiring more knowledge and skills to use them appropriately.

The Multidisciplinary Breast Cancer Summit is a two-day educational activity with an optional one-day hands-on cadaver lab workshop. The Summit will use a case-based interactive format to discuss the many aspects of care for patients with breast cancer from the perspectives of the many medical disciplines involved including imaging, genetics, oncology, breast surgery, plastic surgery, pathology, and radiation. Attendees will be encouraged to provide input, ask questions, and share their experiences in the discussions.

The optional Summit cadaver lab workshop will provide hands-on instruction on some of the innovations in surgical techniques including nipple-sparing mastectomy, oncoplasty reductions, and breast reconstruction using perforator free-flap and single-stage implants. Participants will have the opportunity to perform these techniques on cadavers under the guidance of the expert faculty who will share their experience and knowledge.

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Target Audience

The Summit is directed to practicing physicians and allied health professionals in medicine, surgery, plastic surgery, medical oncology, radiation oncology, radiology, pathology, and genetics.

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Objectives

• Demonstrate surgical techniques for nipple-sparing mastectomy, oncoplasty reductions, perforator free-flap reconstruction, and single-stage implant reconstruction;
• Compare and contrast guidelines on the use of mammography to screen for breast cancer, especially in different patient populations;
• Review literature and best practices for the management of various high-risk lesions from multiple specialists viewpoints;
• Present viewpoints from multiple medical disciplines regarding appropriate screening, diagnosis, prevention, counseling, and treatment strategies in young patients at high risk for breast cancer;
• Present options for management of ductal carcinoma in situ in terms of imaging, pathologic assessment, risk stratification for recurrence, breast reconstruction, radiation therapy, and hormonal therapy;
• List pros and cons regarding controversies in breast cancer management, including neoadjuvant vs adjuvant chemotherapy, survivorship, and reconstruction and postmastectomy radiation;
• Describe issues affecting breast cancer management in males and in very young and elderly patients;
• Summarize recent developments in imaging modalities, percutaneous ablation techniques, contralateral prophylactic mastectomy, plastic surgery for lymphedema, chemotherapies in development, and partial breast irradiation.

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Activity Codirectors
Jill Dietz, MD Department of General Surgery Digestive Disease Institute Cleveland Clinic Cleveland, OH	Risal Djohan, MD Department of Plastic Surgery Dermatology and Plastic Surgery Institute Cleveland Clinic Cleveland, OH

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Guest Faculty
Carol J. Fabian, MD Professor of Internal Medicine Division of Clinical Oncology University Distinguished Professor Morris Family Endowed Chair in Cancer Prevention Director, Breast Cancer Prevention and Survivorship Centers The University of Kansas Cancer Center Kansas City, KS	Janice Lyons, MD Director, Breast Cancer Services University Hospitals Case Medical Center Cleveland, OH
Thomas B. Julian, MD Professor of Surgery Drexel University College of Medicine Professor of Surgery Temple University School of Medicine Director, Division of Breast Surgical Oncology West Penn Allegheny Health System Senior Surgical Director, Medical Affairs NSABP Pittsburgh, PA	Robert Shenk, MD Medical Director, Breast Center University Hospitals Case Medical Center Cleveland, OH

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Cleveland Clinic Faculty

Steven Bernard, MD Department of Plastic Surgery Dermatology and Plastic Surgery Institute	Chad Michener, MD Department of OB/GYN OB/GYN and Women's Health Institute
Henry Blair, MD Department of Radiation Oncology Taussig Cancer Institute	Melinda Miller, MD Department of Breast Imaging Imaging Institute
George Thomas Budd, MD Department of Solid Tumor Oncology Taussig Cancer Institute	Susan Miller, MD Department of Breast Imaging Imaging Institute
Melanie Chellman-Jeffers, MD Department of Breast Imaging Imaging Institute	Halle Moore, MD Department of Solid Tumor Oncology Taussig Cancer Institute
Rebecca Cook, MS Genomic Medicine Institute	Andrea Moreira, MD Department of Plastic Surgery Dermatology and Plastic Surgery Institute
Michael Cowher, MD Department of General Surgery Digestive Disease Institute	Mita Patel, MD Department of General Surgery Digestive Disease Institute
Joseph Crowe, MD Department of General Surgery Digestive Disease Institute	Holly Pederson, MD Department of General Surgery Digestive Disease Institute
Andrea Dawson, MD Department of Anatomic Pathology Pathology and Laboratory Medicine Institute	Deborah Pratt, MD Department of General Surgery Digestive Disease Institute
Erinn Downs-Kelly, DO Department of Anatomic Pathology Pathology and Laboratory Medicine Institute	J. Jordi Rowe, MD Department of Anatomic Pathology Pathology and Laboratory Medicine Institute
Charis Eng, MD, PhD Genomic Medicine Institute	Graham Schwarz, MD Department of Plastic Surgery Dermatology and Plastic Surgery Institute
Alicia Fanning, MD Department of General Surgery Digestive Disease Institute	Wendy Shaw, MD Department of Breast Imaging Imaging Institute
Stephen Grobmyer, MD Section Head, Breast Center Digestive Disease Institute	Laura Shepardson, MD Department of Breast Imaging Imaging Institute
Abdo Haddad, MD Department of Regional Oncology Taussig Cancer Institute	Leah Sieck, MD Department of Breast Imaging Imaging Institute
Bethanie Rae Hammond, MD Department of Breast Imaging Imaging Institute	Robyn Stewart, MD Department of General Surgery Digestive Disease Institute
Raymond Isakov, MD Department of Plastic Surgery Dermatology and Plastic Surgery Institute	Rahul Tendulkar, MD Department of Radiation Oncology Taussig Cancer Institute
Paulette Lebda, MD Department of Breast Imaging Imaging Institute	Vincent Tuohy, PhD Department of Immunology Pathology and Laboratory Medicine Institute

Katherine Lee, MD Department of General Surgery Digestive Disease Institute	Stephanie Valente, DO Department of General Surgery Digestive Disease Institute
Roger Macklis, MD Department of Radiation Oncology Taussig Cancer Institute

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Agenda

Thursday, October 11    |    Friday, October 12    |    Saturday, October 13

THURSDAY, OCTOBER 11, 2012

Optional Hands-On Cadaver Workshop 8:00 am – 4:30 pm Location: Cleveland Clinic

The hands-on lab will include instruction on surgical techniques in nipple-sparing mastectomy, oncoplasty reductions, reconstruction techniques using perforator free-flap and single-stage implant reconstructions. Lab participants will be transported to the Cleveland Clinic from the Ritz-Carlton Hotel.

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FRIDAY, OCTOBER 12, 2012
6:45  am	Registration / Continental Breakfast / Exhibits Ballroom foyer
7:30  am	Welcome Stephen Grobmyer, MD Cleveland Clinic, Section Head, Breast Center, Department of General Surgery Introduction/Overview Jill Dietz, MD, Activity Codirector Risal Djohan, MD, Activity Codirector
	SESSION 1
7:45 am	Controversies in Screening Guidelines Moderator: Laura Shepardson, MD Overview of USPSTF Screening Guidelines and the ACR View Laura Shepardson, MD Why We Screen Debra Pratt, MD Question and Answer Session
	SESSION 2
8:45 am	Case Presentations: Management of Benign/High-Risk Breast Lesions Moderator: Katherine Lee, MD Panel: Imaging – Wendy Shaw, MD Medical Breast – Katherine Lee, MD Pathology – Andrea Dawson, MD Breast Surgery – Mita Patel, MD Cases: Radial Scar Papilloma PASH Phylloides F/A ADH/ALH/LCIS Pleomorhic LCIS Question and Answer Session
9:45 am	Refreshment Break / Exhibits
	SESSION 3
10:00 am	The Young High-Risk Patient Moderator: Holly Pederson, MD Topics: Cases/10 minutes each presentation  Medical Breast – Holly Pederson, MD: Identifying the High Risk Patient Genetics – Rebecca Cook, MS: Current Strategies for Genetic Counseling in the High Risk Patient Imaging – Bethanie Rae Hammond, MD: Breast Density and Screening the High-Risk Patient Medical Oncology – Carol J. Fabian, MD: Options for Chemoprevention Breast Surgery – Robyn Stewart, MD: Patient Selection for Bilateral Prophylactic Mastectomy Plastic Surgery – Steven Bernard, MD: Breast Reconstruction Options following Bilateral Prophylactic Mastectomy Question and Answer Session
11:15 am	LAWRENCE R. LEVY, MD ORATION: "Breast Cancer Prevention: Where We Are Now and Where We Are Going" Carol J. Fabian, MD
12:00 pm	Lunch
1:00 pm	RESEARCH LECTURE "Prophylactic Breast Cancer Vaccination: Development of Immune Protection Against Breast Cancer" Vincent Tuohy, PhD
1:30 pm	SESSION 4
	Management of DCIS Moderator: Stephanie Valente, DO Topics: Cases/10 minutes each presentation Imaging – Paulette Lebda, MD: How Can Imaging Impact Management of DCIS? Pathology – J. Jordi Rowe, MD: Challenges in Pathologic Assessment of Disease Extent and Margin Status of DCIS Breast Surgery – Melinda Miller, MD: Current Risk Stratification for Local Recurrence After Breast Conservation Therapy for DCIS Plastic Surgery – Graham Schwarz, MD: Options in Autologous Reconstruction Radiation Oncology – Roger Macklis, MD: Long-Term Outcomes of Radiation Therapy for DCIS Medical Oncology  – George Thomas Budd, MD: Hormonal Therapy for DCIS Question and Answer Session
3:00 pm	Refreshment Break / Exhibits
	SESSION 5
3:15 pm	Controversies in Breast Cancer Management Moderator: Jill Dietz, MD Panel: Imaging – Susan Miller, MD Medical Oncology – Halle Moore, MD Breast Surgery – Joseph Crowe, MD, and Robert Shenk, MD  Radiation Oncology – Rahul Tendulkar, MD Plastic Surgery – Andrea Moreira, MD Topics/Cases: Did ACOSOG Z11 Affect Your Practice? Who Is Appropriate for Neoadjuvent Therapy? Survivorship Issues and Cancer Follow Up Radiation and Reconstruction Question and Answer Session
4:15 pm	Genetics Lecture  "Heritable Breast Cancer: Genetics Guides Risk Management" Charis Eng, MD, PhD
5:00 pm	Adjourn

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SATURDAY, OCTOBER 13, 2012
7:15 am	Continental Breakfast / Exhibits
8:00 am	Announcements
	SESSION 6
8:05 am	Multidisciplinary Tumor Board: "The Extra-Ordinary Breast Cancer Patient" Moderator: Joseph Crowe, MD Panel: Imaging – Leah Sieck, MD Breast Surgery – Michael Cowher, MD and Robert Shenk, MD Plastic Surgery –Raymond Isakov, MD Medical Oncology – George Thomas Budd, MD and Abdo Haddad, MD Pathology – Erinn Downs-Kelly, DO Radiation Oncology – Janice Lyons, MD Topics: The Male Patient Breast Cancer in the Very Young Breast Cancer in the Elderly Question and Answer Session
9:15 am	Best of Everything Papers Michael Cowher, MD
9:45 am	Refreshment Break / Exhibits
	SESSION 7
10:00 am	Multidisciplinary Updates Moderator: Halle Moore, MD Topics: Cases/10 minutes each presentation Imaging – Laura Shepardson, MD: Update on New Imaging Modalities Breast Surgery – Debra Pratt, MD: Percutaneous Ablative Techniques Breast Surgery – Robyn Stewart, MD: The Rise of the Contralateral Prophylactic Mastectomy Plastic Surgery – Graham Schwarz, MD: Options for Lymphedema Medical Oncology – Halle Moore, MD: New Chemotherapeutics on the Horizon Radiation Oncology – Henry Blair, MD: Update on Partial Breast Irradiation Gynecology Oncology – Chad Michener, MD: Prophylactic Oopherectomy for Prevention and Treatment Question and Answer Session
11:30 am	Clinical Research Lecture "Advances in Breast Cancer Care: Why Clinical Trials Rock!" Thomas B. Julian, MD
12:15 pm	Lunch/Exhibits/Concurrent Sessions
	SURGERY TRACK SESSION Moderators: Risal Djohan, MD and Jill Dietz, MD
12:30 pm	Oncoplastics for the BCT Patient Imaging – Melanie Chellman-Jeffers, MD Breast Surgery – Alicia Fanning, MD Plastic Surgery – Raymond Isakov, MD
1:00 pm	Reduction Lumpectomy for Large Breasted Women Melinda Miller, MD and Raymond Isakov, MD
1:20 pm	Fat Injection In Reconstruction – Andrea Moreira, MD
1:30 pm	Nipple Reconstruction Options – Steven Bernard, MD
	Nipple-Sparing Mastectomy (NSM)
1:40 pm	Oncologic Consideration and Patient Selection – Stephanie Valente, DO
1:50 pm	Techniques to Decrease Necrosis – Joseph Crowe, MD
2:00 pm	For Large Breasted Women – Jill Dietz, MD
2:10 pm	Advances in Reconstruction of Post NSM -  Risal Djohan, MD
	Question and Answer Session
2:30 pm	Adjourn
	ONCOLOGY TRACK SESSION Moderators: Rahul Tendulkar, MD, and George Thomas Budd, MD
12:30 pm	Predictive Prognostic Testing  – Halle Moore, MD
	Question and Answer Session
	Newer Therapeutic Agents – George Thomas Budd, MD Endocrine Therapy Novel Targets and Triple Negative Question and Answer Session
1:45 pm	Treatment for Metastatic Breast Cancer, Bone Metastasis Abdo Haddad, MD Post-Mastectomy Radiotherapy for Locally Advanced Breast Cancer Rahul Tendulkar, MD Question and Answer Session
2:30 pm	Adjourn

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Location

The Ritz-Carlton
1515 West Third
Cleveland, OH 44113
Phone: 216.623.1300

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Ground Transportation

Taxi service is available from Cleveland Hopkins International Airport to the Ritz-Carlton Hotel. As an alternative, take the Regional Transit Authority (RTA) on the Red Line from the airport to Tower City in downtown Cleveland. The Ritz-Carlton Hotel is in Tower City.

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Parking

Valet parking is available at the hotel for a charge of $12 per day.  Overnight parking is available for $28 per day.  Tower City parking is $8 per day if you enter before 9:00 am.  After 9:00 am on weekdays, the cost is $14 for the entire day.  Weekend cost for the day is $14.

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Hotel Accomodations

A block of rooms has been reserved at the Ritz-Carlton, Cleveland Hotel until September 19, 2012. To make your reservations, contact the Hotel Reservations Department at 216.623.1300 or 1-800-241-3333. Identify yourself as being with the Cleveland Clinic Breast Summit for a special rate of $189 single/double plus tax.

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Additional Information

For further information about this Summit, contact the Cleveland Clinic Center for Continuing Education at:

Local: 216.448.0770
Toll Free: 800.238.6750

For questions about registering online, call 216.448.0777 or email CMEregistration@ccf.org.

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Faculty Disclosure

The Cleveland Clinic Foundation Center for Continuing Education has implemented a policy to comply with the current Accreditation Council for Continuing Medical Education Standards for Commercial Support requiring resolution of all faculty conflicts of interest. Faculty declaring a relevant commercial interest will be identified in the activity syllabus.

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Americans with Disabilities Act

The Cleveland Clinic Foundation Center for Continuing Education fully intends to comply with the legal requirements of the Americans with Disabilities Act.  If you need assistance, please notify us at least two weeks prior to the activity. 

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Accreditation

The Cleveland Clinic Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Cleveland Clinic Foundation Center for Continuing Education designates this live activity for a maximum of 21.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit.

The Ohio Board of Nursing will accept at face value the number of contact hours awarded for an educational activity that has been approved for CE by a nationally accredited system of CE approval. Therefore, the 21.5 AMA PRA Category 1 Credits™ will be accepted for nursing credits.

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Online Registration/Fees

Registration fee includes syllabus, continental breakfast, breaks and lunch.

	FULL		PER DAY
Category	On or Before September 3, 2012	After September 3, 2012	On or Before September 3, 2012	After September 3, 2012
Physician	$400.00	$450.00	$250.00	$275.00
Alumnus	$240.00	$270.00	$150.00	$175.00
Corporate	$400.00	$450.00	$250.00	$275.00
Resident/Fellow	$200.00	$250.00	$125.00	$150.00
Physician Assistant	$200.00	$250.00	$125.00	$159.00
Nurse/Nurse Practitioner	$200.00	$250.00	$125.00	$150.00
Allied Health/Social Worker	$200.00	$250.00	$125.00	$150.00
Therapist/Counselor/PhD	$200.00	$250.00	$125.00	$150.00
Scientist/Researcher/Professor	$400.00	$450.00	$250.00	$275.00
Student	$200.00	$250.00	$125.00	$150.00
Other	$200.00	$250.00	$125.00	$150.00
Optional Hands-on Cadaver Workshop	$1200.00		$1200.00

 

* Letter from program director must be received in our office prior to the course to receive this fee.

If registering by mail or fax, download registration form (PDF)

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Preregistrations are accepted by fax or online until 2:00 pm ET October 10, 2012. Please register on-site after this date.  In case of cancellation, a full refund will be made if canceled by October 1, 2012.  After October 1, 2012, a $50 cancellation fee will be deducted from your refund. Written notification of your cancellation is required to process your refund. NO REFUNDS WILL BE ISSUED AFTER November 30, 2012.

The Hands-On Cadaver lab is limited and is first-come, first-served.  The lab must be prepaid at time of registration.  No "Pay on Arrivals" allowed for the lab.  Lab cancellations after October 1, 2012, are nonrefundable.

For questions about registration, please call 216.448.0777 or email us at cmeregistration@ccf.org.