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.

NCI-India has been envisaged by the Government of India as an Institute of National importance which will look after cancer research and formulation of modern therapy for cancer patients in India. This state of the art translational cancer research centre will have more than 700 beds and more than 3000 employees working in a campus of 50 acres. The NCI will start functioning in July, 2018. We have started collaboration with national and international institutes of excellence for promoting translational and clinical research in different India centric cancers. We have also started educational series on updates in management of different cancers as an initiative of NCI, India. 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

Prof G K Rath
Head NCI & Chief Dr B R A IRCH
AIIMS

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

    Session Co-ordinator: Dr. Mayank Singh

    Chairperson

  • Dr. N K Shukla

  • 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
10.30-11.00 Tea Break

11.00-11.45 Session II: Breast Cancer Pathology & Gene Signature

    Session Co-ordinator: Dr. Chandra Prakash Prasad

    Chairperson

  • Dr. Rajesh Vashistha

  • 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

    Session Co-ordinator: Dr.Thoudam Debraj Singh

    Chairperson

  • Dr. Sameer Bakshi

  • 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
1.15-02.15 Lunch

02.15-03.45 Session IV: Locally Advanced Breast Cancer

    Session Co-ordinator: Dr.Ashok Sharma

    Chairperson

  • Dr. Vivek Kaushal

  • 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
03.45-04.15 Tea Break

Inuaguaration Ceremony

    National Cancer Institute, India: Future in Making

  • Dr. G K Rath
7 PM onwards Dinner

09.00-10.00Session V: Metastatic Breast Cancer (MBC)

    Session Co-ordinator: Dr.Subhradip Karmakar

    Chairperson

  • Dr. P.K.Julka

  • 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

    Session Co-ordinator: Dr.Rakesh Garg

    Chairperson

  • Dr.G V Giri
  • Seema Mishra

  • 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
11.00-11.30 Tea break

11.30-12.45 Session VII: Special Issues Part I

    Session Co-ordinator: Dr.Vinod Kumar

    Chairperson

  • Dr. Ravi Kant

  • 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
12.45-1.45 Lunch

1.45-3.15 Session VIII: Special Issues Part 2

    Session Co-ordinator: Dr.Chandra Prakash Prasad

    Chairperson

  • Dr.Ashok Chauhan

  • 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

    Session Co-ordinator: Dr.Prashanth G, Dr Carthikeyan S m, Dr.Yousra Izzuddeen, Dr.Srikanth Anne

    Chairperson

  • Dr.Sachidanand Jee Bharti
  • Dr.M D Ray
4.15-4.30 Valedictory Function 4.30-4.45 Vote of Thanks :Dr.Ajay Gogia

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
Each team: 3 members (One from each radiation oncology/Medical Oncology/Surgical Oncology )

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.
Rounds

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.