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BC3CONFERENCE.COM
U P D A T E D p r o g r a m
MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL
BC3Breast CancerCoordinated Care
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FEBRUARY 20-22, 2014MANDARIN ORIENTAL WASHINGTON,DC
CO-CHAIRS: SCOTT L. SPEAR, MD ■ SHAWNA C. WILLEY, MD
LOCAL TREATMENT,PREVENTION,
RECONSTRUCTION
■ Coordinating Breast Conservation and Intraoperative RadiationTherapy
■ Incorporating Oncoplastic Surgeryin your Practice
■ Breast Cancer in the Obese Patient
■ Nipple-Sparing Mastectomy:Prophylactic and TherapeuticCoordinating Reconstruction with Post-Mastectomy XRT
■ Management of Breast Cancer inthe Augmented Breast
■ Breast Reconstruction in the Ptotic or Large Breast
■ Reducing Flap Necrosis
■ Stem Cells, Fat, and Acellular Tissue Matrices
■ Coordinating FlapReconstruction with Post-Mastectomy Radiation
■ Strategies in Working Up Breast Cancer andReconstruction Planning
■ Tumor Board Panel
■ Managing Lymphedema
■ When to Delay BreastReconstruction
Registration HoursThursday 8:00 AM - 7:00 PM
Friday 7:00 AM - 5:00 PM
Saturday 6:30 AM - 12:30 PM
C A L L F O R P O S T E R A B S T R A C T SD e a d l i n e J a n u a r y 9 , 2 0 1 4
1 4 . 5 C M E s
Exhibit HoursThursday 3:00 - 7:30 PM
Friday 7:30 AM - 4:00 PM
Scott L. Spear, MDProfessor and Chairman
Department of Plastic Surgery
Shawna C. Willey, MDAssociate Professor of Clinical Surgery
Vice-Chairman of Clinical Affairs,Department of Surgery
C O N F E R E N C E C O - C H A I R S
Tanir M. Allweis, MDKaplan Medical Center and
Hebrew University School of Medicine Jerusalem & Rehovot, Israel
Peter G. Cordeiro, MDMemorial Sloan-Kettering Cancer Center
New York, NY
Joseph H. Dayan, MDBeth Israel Medical Center
New York, NY
Prof. J. Michael Dixon, OBEUniversity of Edinburgh
Edinburgh, Scotland
Allen Gabriel, MDPeaceHealth Medical Group
Loma Linda University Medical CenterVancouver, WA & Loma Linda, CA
Armando E. Giuliano, MDCedars-Sinai Medical Center
Los Angeles, CA
Jane Grayson, MDInova Alexandria Hospital
Alexandria, VA
John B. Hijjawi, MDMedical College of Wisconsin
Milwaukee, WI
Dennis R. Holmes, MDLos Angeles Center for Women’s Health
Los Angeles, CA
Kelly K. Hunt, MDUniversity of Texas
MD Anderson Cancer CenterHouston, TX
Steven J. Kronowitz, MDUniversity of Texas
MD Anderson Cancer CenterHouston, TX
Albert Losken, MDEmory University
Atlanta, GA
R. Douglas MacMillan, MDNottingham Breast Institute
City HospitalNottingham, UK
Maurice Y. Nahabedian, MDMedStar Georgetown University Hospital
Washington, DC
Bridget A. Oppong, MDMedStar Georgetown University Hospital
Washington, DC
Beth N. Peshkin, MS, CGCGeorgetown Lombardi
Comprehensive Cancer CenterWashington, DC
F A C U L T Y
F A C U L T Y c o n t i n u e d
Juliann Reiland, MDAvera Medical Group, Comprehensive Breast Care
Sioux Falls, SD
Jennifer Rusby, MDRoyal Marsden Hospital
Sutton, UK
C. Andrew Salzberg, MDNew York Group for Plastic Surgery
Tarrytown, NY
Hani Sbitany, MDUniversity of California, San Francisco
San Francisco, CA
Michael Scheflan, MDPrivate PracticeTel Aviv, Israel
Melvin J. Silverstein, MDHoag Memorial Hospital Presbyterian &
Keck School of Medicine University of Southern California
Newport Beach & Los Angeles, CA
Sumner A. Slavin, MDHarvard Medical School
Boston, MA
Barbara L. Smith, MD, PhDMassachusetts General Hospital
Boston, MA
Alan Stolier, MDSt. Charles Surgical Hospital
New Orleans, LA
Eric A. Strom, MDUniversity of Texas
MD Anderson Cancer CenterHouston, TX
Lorraine Tafra, MDAnne Arundel Hospital & Johns Hopkins Hospital
Annapolis, MD
Eleni Tousimis, MDMedStar Georgetown University Hospital
Washington, DC
Frank A. Vicini, MD21st Century Oncology / Michigan
Healthcare ProfessionalsFarmington Hills, MI
Julia R. White, MDThe Ohio State University
Comprehensive Cancer CenterColumbus, OH
Pat W. Whitworth, MDNashville Breast Center
Nashville, TN
MedStar Georgetown University Hospital • Washington, DC
Thursday 20 February 2014
SPECIAL SURGICAL CHALLENGES IN THE MANAGEMENT OF BREAST CANCER
5:00 - 5:10 The Previously Augmented Breast from the Breast Surgeon’s Perspective Pat W. Whitworth, MD
5:10 - 5:20 The Previously Augmented Breast from the Radiation Oncologist’s Perspective Frank A. Vicini, MD
5:20 - 5:30 The Previously Augmented Breast from the Plastic Surgeon’sPerspective Sumner A. Slavin, MD
5:30 - 5:40 The Obese Patient from the Plastic Surgeon’s PerspectiveAlbert Losken, MD
5:40 - 5:50 The Obese Patient from the Breast Surgeon’s PerspectiveJuliann Reiland, MD
5:50 - 6:00 The Obese Patient from the Radiation Oncologist’s PerspectiveJulia R. White, MD
6:00 - 6:30 Panel Discussion / Q & AModerator: Armando E. Giuliano, MD
6:30 - 7:30 Reception with Exhibitors
11:00 - 11:45 Symposium - TBA
12:00 - 12:45 Lunch Symposium - TBA
BREAST CONSERVATION THERAPY ANDONCOPLASTIC SURGERY
1:00 - 1:05 Welcoming Remarks Scott L. Spear, MD and Shawna C. Willey, MD
1:05 - 1:20 Our Experience with Oncoplastic Surgery and BreastConservation Therapy Focusing on Delayed Reconstruction(MD Anderson Team) Steven J. Kronowitz, MD
1:20 - 1:35 Our Experience with Oncoplastic Surgery and Breast Conservation Therapy Focusing on the Patient with Multiple Tumors (Edinburgh Team)Prof. J. Michael Dixon, OBE
1:35 - 1:50 Our Experience with Oncoplastic Surgery and Breast Conservation Therapy with Focus on Immediate Flap Reconstruction (Nottingham Team)R. Douglas MacMillan, MD
1:50 - 2:05 Our Experience with Oncoplastic Surgery and BreastConservation Therapy (Emory Team)Albert Losken, MD
2:05 - 2:20 Delayed Immediate Oncoplastic ReconstructionMaurice Y. Nahabedian, MD
2:20 - 2:35 Our Experience with Oncoplastic Surgery and BreastConservation Therapy Melvin J. Silverstein, MD
2:35 - 3:00 Panel Discussion / Q & A Moderator: Dennis R. Holmes, MD
3:00 - 3:45 Break / Exhibits / Faculty Booth
MOCK ONCOPLASTIC TUMOR BOARD PANELModerator: Prof. J. Michael Dixon, OBE
3:45 - 4:00 MD Anderson Team Kelly K. Hunt, MD
4:00 - 4:15 Community Team Juliann Reiland, MD
4:15 - 4: 30 Nottingham Team R. Douglas MacMillan, MD
4:30 - 4:45 Israeli Team Tanir M. Allweis, MD
4:45 - 5:00 Silverstein’s Team Melvin J. Silverstein, MD
Thursday 20 February 2014
Friday 21 February 2014
7:30 - 9:00 Breakfast / Exhibits / Faculty Booth
7:45 - 8:45 Breakfast Symposium - TBA
NIPPLE-SPARING MASTECTOMY
9:00 - 9:10 Genetic Counseling Including New Genetic TestsBeth N. Peshkin, MS, CGC
9:10 - 9:20 Prophylactic Mastectomy in the Non-Gene Mutation CarrierJennifer Rusby, MD
9:20 - 9:30 The Evidence on the Oncologic Safety of Prophylactic NSMKelly K. Hunt, MD
9:30 - 9:40 The Lateral Approach for NSM Barbara L. Smith, MD, PhD
9:40 - 9:50 The IMF Approach for NSM Pat W. Whitworth, MD
9:50 - 10:00 Lessons Learned in Reducing Complications with NSMArmando E. Giuliano, MD
10:00 - 10:10 My Approach to Avoid Nipple and Flap Necrosis Alan Stolier, MD
10:10 - 10:30 Panel Discussion / Q & AModerator: Eleni Tousimis, MD
10:30 - 11:10 Break / Exhibits / Faculty Booth
ONE-STAGE OR TWO-STAGE BREAST RECONSTRUCTION
11:10 - 11:25 My Algorithm and Approach for Direct to Implant ReconstructionC. Andrew Salzberg, MD
11:25 - 11:40 My Algorithm and Approach to Expander/Implant ReconstructionsPeter G. Cordeiro, MD
11:40 - 12:00 Managing Flap Necrosis and Nipple Necrosis and the Failed Implant Reconstruction Scott L. Spear, MD
12:00 - 12:20 Panel Discussion / Q & AModerator: Sumner A. Slavin, MD
12:20 - 1:35 Lunch / Exhibits / Faculty Booth
12:30 - 1:15 Lunch Symposium – TBA
NIPPLE-SPARING THERAPEUTIC MASTECTOMY
1:35 - 1:50 Update on Imaging and Planning: 3D Mammography, MRI, & Other Technologies Lorraine Tafra, MD
1:50 - 2:05 The Evidence on the Oncologic Safety of Therapeutic Nipple-Sparing Mastectomy Barbara L. Smith, MD, PhD
2:05 - 2:20 Managing the Positive Margin after Therapeutic Nipple-SparingMastectomy: My Data and Experience Armando E. Giuliano, MD
2:20 - 2:35 My Experience with Therapeutic Nipple-Sparing Mastectomy in the Patient Who Receives Post-Mastectomy XRT Hani Sbitany, MD
2:35 - 2:50 NSM in the Previously Radiated Patient: Pros and ConsEleni Tousimis, MD
2:50 - 3:10 Panel Discussion / Q & AModerator: Bridget A. Oppong, MD
3:10 - 3:45 Break / Exhibits / Faculty Booth
POST-MASTECTOMY RADIATION THERAPY
3:45 - 4:00 Indications for Post-Mastectomy XRT Jane Grayson, MD
4:00 - 4:15 Is PMRT Necessary with a Complete Pathologic Response after Neoadjuvant Chemotherapy? Julia R. White, MD
4:15 - 4:30 Radiation Planning and the Reconstructed Breast Frank A. Vicini, MD
4:30 - 4:45 Lymphedema after BCT, Mastectomy, Axillary Dissection, and/or XRT: How Frequent? How Serious? How to Diagnose? Pat W. Whitworth, MD
4:45 - 5:00 Update on the Surgical Management of LymphedemaJoseph H. Dayan, MD
5:00 - 5:30 Panel Discussion / Q & AModerator: Kelly K. Hunt, MD
5:30 - 6:30 Poster Abstract Review with Authors
Saturday 22 February 2014
7:00 - 8:00 Breakfast
7:00 - 7:45 Breakfast Symposium - TBA
IORT AND COORDINATING RECONSTRUCTION WITH POST-MASTECTOMY XRT
8:00 - 8:15 Coordinating Reconstruction and Post-Mastectomy Radiation Therapy Eric A. Strom, MD
8:15 - 8:30 The Argument for Exchange of Expander to Implant Pre XRTPeter G. Cordeiro, MD
8:30 - 8:45 The Argument for Exchange of Expander to Implant Post XRTAllen Gabriel, MD
8:45 - 9:00 Delayed Immediate Reconstruction and XRT: An UpdateSteven J. Kronowitz, MD
9:00 - 9:15 Update on IORT DataDennis R. Holmes, MD
9:15 - 9:30 IORT and Oncoplastic Surgery?Melvin J. Silverstein, MD
9:30 - 10:00 Panel Discussion / Q & AModerator: Eric A. Strom, MD
10:00 - 10:30 Break
STEM CELLS, FAT, AND ACELLULAR TISSUE MATRICES
10:30 - 10:45 A Plastic Surgeon’s Experience with Fat as an Adjunct to Breast Reconstruction Including BCT/XRTJohn B. Hijjawi, MD
10:45 - 11:00 A Breast Surgeon’s Perspective on Fat as an Adjunct to Breast ReconstructionProf. J. Michael Dixon, OBE
11:00 - 11:15 Acellular Tissue Matrix Options in Immediate Breast Reconstruction Michael Scheflan, MD
11:15 - 11:30 Selective Use of ADMs in Immediate Breast ReconstructionHani Sbitany, MD
11:30 - 11:45 The Science Behind Fat Grafting and ADMsSteven J. Kronowitz, MD
11:45 - 12:00 Acellular Tissue Matrices: To Use or Not, What Is the Evidence?Maurice Y. Nahabedian, MD
12:00 - 12:30 Panel Discussion / Q & AModerator: Scott L. Spear, MD
Accreditation Statement: MedStar Georgetown University Hospital is accredited by the Accreditation Council for ContinuingMedical Education to provide continuing medical education for physicians.
Medstar Georgetown University Hospital designates this educational activity for a maximum of 14.5 AMA PRA Category 1Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Disclosure of Financial Relationships with Any Commercial InterestAs a sponsor accredited by the ACCME, it is the policy of MedStar Georgetown University Hospital to require that everyone who is in theposition to control the content of an educational activity disclose all relevant financial relationships with any commercial interest prior to theeducational activity. The ACCME considers relationship of the person involved in the CME activity to include financial relationship of aspouse or partner. Faculty and planners who refuse to disclose relevant financial relationships will be disqualified from participating in theCME activity. For an individual with no relevant financial relationship(s), the participant must be informed that no conflicts of interest orfinancial relationship(s) exist.
MedStar Georgetown University Hospital Department of Nursing Education is an approved provider of continuing nursing educationby the Maryland Nurses Association, an accredited provider by the American Nurses Credentialing Center’s Commission on accreditation.Nurses will be awarded a maximum of 14.5 contact hours for successfully completing the program.
Conference Objectives: Following this program, participants should have a thorough understanding of the important controversialaspects of coordinated local treatment of breast cancer and breast reconstruction. They will be aware of the pros and cons regardingprophylactic mastectomy, as well as the pros and cons regarding nipple-sparing in both prophylactic and therapeutic mastectomy. They willunderstand surgical techniques designed to improve the likelihood of nipple preservation and reduce the risk of flap or nipple necrosis withmastectomy. They will have a more complete understanding of the impact of reconstruction on post-mastectomy radiation delivery and,conversely, of the impact of post-mastectomy radiation on prior reconstruction. They will learn different philosophies regarding radiationdelivery including new techniques and how to minimize side effects to the surrounding tissue. They will obtain a better understanding of thearguments regarding re-staging patients after neoadjuvant chemotherapy and the pros and cons of downstaging based upon response tochemotherapy pre-mastectomy on the subsequent treatment plan, the scope and power of oncoplastic surgery in the patient who undergoesbreast conservation therapy for breast cancer, and the arguments in favor of a coordinated team approach in oncoplastic surgery to maximizethe cosmetic and oncologic outcomes. Attendees will also become familiar with different methods of breast reconstruction includingimplantbased reconstruction, flap-based reconstruction, and microsurgical-assisted free flap reconstruction. They will become aware of theproper patient selection and timing for these procedures as well as the evolving role of alloplastic materials in breast reconstruction both interms of enhancing and facilitating device reconstruction of the breast, as well as reconstructing the abdomen after flap harvesting.
Target Audience: This program is specifically designed to be a multidisciplinary program and is intended for a wide range of medicalpractitioners who are interested in the latest information regarding the local treatment of breast cancer. The program is purposely targeted forgeneral, plastic, breast and oncologic surgeons, as well as radiation & medical oncologists. It is also intended for primary care physicians,oncology nurses and practitioners, genetic counselors and hospital administrators who have an interest in the treatment of breast cancerpatients.
Course Description: Breast cancer is the most common cancer affecting women. Its diagnosis and treatment are part of the practice of awide number of medical specialties including primary care physicians, medical oncologists, surgical oncologists, breast surgeons, plastic surgeons,radiation oncologists, psychologists and other healthcare professions. There are national initiatives calling for a multidisciplinary approach to thecare of these patients. The multiple components and aspects of the treatment of breast cancer require a high level of coordinated care amongdifferent specialties. This coordination becomes even more challenging because of the rapid evolution of new treatment modalities and isespecially important because of the possibility of improved outcomes both in terms of curing the disease, as well as maintaining the physical andpsychological well-being of the patient. This meeting is the first of its kind to assemble an international faculty of specialists focused on the localtreatment of breast cancer including breast surgeons, plastic surgeons and radiation oncologists. The intent of the meeting is to present a rangeof treatment options and points of view from different specialties regarding specific controversial areas of treatment.
The meeting will offer presentations and panel discussions on a number of currently important topics in the local treatment of breast cancerincluding oncoplastic surgery, the role of prophylactic mastectomy, the state of partial breast irradiation, intraoperative radiation therapy,timing and indications for post-mastectomy radiation, neoadjuvant chemotherapy and its role in restaging breast cancer, nipple-sparingmastectomy both therapeutic and prophylactic, treatment of breast cancer in a previously augmented breast, the status of MRI screening forbreast cancer, the effects of reconstruction on the delivery of post-mastectomy radiation, and the evolving role of alloplastic materials in breastreconstruction.
Attendees will hear different models for coordination of breast cancer from major centers across the USA. They will also hear argumentsfor and against treatments such as nipple-sparing mastectomy in the patient with breast cancer and the timing of reconstruction vis-a-vispostmastectomy radiation therapy. The meeting’s intent is not only to educate the faculty and attendees about the wide range of optionsavailable for breast cancer coordinated care, but also to encourage the development of more standardized treatment strategies and protocolsin the local treatment of breast cancer.
Acknowledgment: This continuing medical education activity is supported by unrestricted educational grants and exhibitor &commercial support from contributing organizations, each of which will be identified in course materials at the conference.
Advisory: Certificates of Attendance for CMEs and Contact hours are available for you to print online during and after this conference.Attendees can update or edit their Attendance Checklist or CME Certificate through March 17, 2014. After that time, no further changes canbe made on the forms. Certificates can be printed for a period of two years.
TA R G E T A U D I E N C E :General, Plastic, Breast and Oncologic Surgeons
Radiation and Medical Oncologists ✦ Primary Care PhysiciansOncology Nurses & Practitioners ✦ Genetic Counselors
Hospital Administrators
BC3 Conference Headquarters ■ 2701 Johnston Street, Suite 201 ■ Lafayette, LA 70503 Tel: 337.235.6606 ■ Fax: 337.235.7300 ■ [email protected]
WWW.BC3CONFERENCE.COM
BC3 CONFERENCE HOTEL
Mandarin Oriental W a s h i n g t o n , D CModern luxury in the nation’s capitalThe hotel’s unique location on the southwest waterfront makes Mandarin
Oriental, Washington DC the only hotel offering views of the Jefferson Memorial andWashington Monument, Tidal Basin and Washington Marina.
Close to both Capitol Hill and the Smithsonian Institute, the hotel exudes arefined sense of style with beautifully designed rooms, a serene spa, excellentrestaurants and legendary service.
Blending Oriental elegance with traditional American style, every guest roomboasts a spectacular view of tranquil water or historic monuments.
1 3 3 0 M a r y l a n d Av e S W • W a s h i n g t o n , D C • 2 0 2 - 7 8 7 - 6 1 4 0
BC3 Hotel Rate - $279 Single or DoubleMention "Breast Cancer Coordinated Care" to receive the group rate.
CONFERENCE MANAGEMENT
CANCELLATION POLICY If your registration must be cancelled, the course fee less $150 administrative costs will be refunded if we are notified in writing by January 1, 2014. After January 1, 2014, no refunds will be given.
YOU WILL RECEIVE AN EMAIL CONFIRMATION OF YOUR REGISTRATION
MAIL TO: BC3 ADMINISTRATIVE HEADQUARTERS • 2701 JOHNSTON STREET • SUITE 201• LAFAYETTE, LA 70503
FAX: 337.235.7300 • TEL: 337.235.6606 • [email protected] • www.BC3conference.com
CONFERENCE HOTEL • MANDARIN ORIENTAL WASHINGTON, DC1330 Maryland Ave. SW • Washington, DC 20024 • Reservations 866-926-3713 • 202-787-6140
BC3 Hotel Rate - $279 Single or Double • Mention “Breast Cancer Coordinated Care” to receive the group rate.
PAYMENT METHOD� Enclosed is a check in the amount of $____________ (Please make checks payable to MedStar Georgetown University Hospital)
� Charge my credit card the amount of $__________ � Visa � MasterCard � American Express � Discover
Charge will appear as ICMMEETINGS COM
Card#___________________________________________________________ Exp. Date _____/______ Security Code #__________
Cardholder’s Name (please print)_____________________________________________________________________________________
Signature________________________________________________________________________________________________________
REGISTRATION INCLUDES ◆ Tuition ◆ Online Course Webcast (post con) ◆ CMEs / Contact Hours
◆ Welcome Reception ◆ All Conference Meals
Register online at www.BC3conference.com or Fax to: 337-235-7300
REGISTRATION FEES 10/1/13 TO 11/30/13 12/1/13 TO 2/19/14 ONSITE
MDs/DOs � $775 � $875 � $950RNs/NPs/Allied Health Professionals � $525 � $600 � $650
Residents / Students* � $250 (*Proof Required)
Industry � $900
Military � $450
MDs–One Day � $375 Check One: � Thur. � Fri. � Sat.
RNs/Allied Health Professionals–One Day � $325 Check One: � Thur. � Fri. � Sat.
GUEST FEESCompanion � $200 Includes Welcome Reception, All Conference Meals and Access to Exhibits
Reception � $50 Includes Welcome Reception ◆ GUEST NAME_______________________________
MANDARIN ORIENTAL WASHINGTON, DCCONFERENCE REGISTRATION FEBRUARY 20 – 22, 2014BC3
Breast CancerCoordinated Care
NAME PLEASE PRINT
TITLE/DEGREE POSITION
SPECIALTY: General Surgery � Oncology � Breast � Plastic Surgery � Rad Onc �
Med Onc � PCP � Other ______________________
AFFILIATION / INSTITUTION
STREET ADDRESS
ADDRESS LINE 2
CITY STATE/PROV
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