Continuing a tradition of excellence

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1 13th Annual Pacific Northwest Excellence in Breast and Gynecologic Care Continuing a tradition of excellence Friday, Nov. 17, 2017 Sentinel Hotel, Portland, Oregon Legacy Health Legacy Cancer Institute

2 Excellence in Breast and Gynecologic Care Conference schedule 7:50 7:58 a.m. Welcome Duncan R. Neilson, M.D., FACS 7:58 8 a.m. Two-minute yoga session Cynthia Aks, D.O., FACOS 8 9:05 a.m. Current Topics in Gynecologic Cancer Moderator Paul C. Tseng, M.D., FACS Immunofluorescence in Gynecology: Detection of Sentinel Lymph Nodes and Endometriosis Implants Weiya Wysham, M.D. Surgery for Advanced Ovarian Cancer: What Difference Does It Make? 9:05 10:05 a.m. Enhancing the Immunologic Effects of Radiation Kristina Young, M.D., Ph.D. 10:05 10:20 a.m. Break 10:20 10:50 a.m. Cancer Prevention Strategies for the Gynecologist Carolyn Piszczek, M.D., FACOG 10:50 11:20 a.m. Hyperbaric Oxygen Therapy for Chronic Radiation Tissue Injury of the Breast Enoch T. Huang, M.D., MPH&TM, FACEP, FUHM, FACCWS 11:20 a.m. noon Updates on Breast Screening Noon 12:30 p.m. Mammographic Screening in Women Under 50: Low-Risk is Not Protective Jennifer Garreau, M.D. Early Experience with Automated Screening Whole Breast Ultrasound (ABUS) Kari Thomas, M.D. Lunch 12:30 12:35 p.m. Welcome Nathalie Johnson, M.D., FACS 12:35 12:40 p.m. Current Topics in Breast Cancer Alivia Cetas, M.D. 12:40 1:40 p.m. Managing High-Risk Patients Mastectomy for Treatment, Prevention and Prophylaxis: Not as Simple as Following Data Nathalie Johnson, M.D., FACS Risk-Reducing Mastectomy in BRCA+ Women with Advanced Ovarian Cancer: Surgical Futility or Valuable Prevention Oophorectomy versus Salpingectomy in the Management of High-Risk Patients Duncan Neilson, M.D., FACS 1:40 2:40 p.m. Cryoblation for the Management of Early Stage Breast Cancer Dennis Homes, M.D., FACS 2: p.m. Break 2:55 4:25 p.m. Molecular Panel Discussion to include updates on the new AJCC 8th edition staging guidelines, the use of gene assays and the benefits of a molecular tumor board. 2 3

3 Speakers Cynthia Aks, D.O., FACOS Legacy Medical Group Surgical Gresham, OR Alivia Cetas, M.D., FACS Legacy Medical Group Surgical West Linn, OR Jennifer Garreau, M.D. Legacy Medical Group Surgical Dennis Holmes, M.D., FACS Interim director, Margie Petersen Breast Center, Providence-St. John s Health Center, Santa Monica, Calif. Director and chief breast surgeon, Los Angeles Center for Women s Health at California Hospital Medical Center Los Angeles, CA Enoch Huang, M.D., MPH&TM, FACEP, FUHM, FACCWS Medical director, Hyperbaric Medicine and Wound Care, Legacy Health Nathalie Johnson, M.D., FACS Medical director, Legacy Cancer Institute and Breast Health Centers Legacy Medical Group Surgical Duncan Neilson, M.D, FACS Clinical vice president, Women s Services Legacy Health Carolyn Piszczek, M.D., FACOG Kaiser Permanente, Obstetrics and Gynecology Kari Thomas, M.D. Diagnostic Imaging NW Paul Tseng, M.D., FACS Medical director, Legacy Medical Group Gynecologic Legacy Medical Group Gynecologic Vancouver, WA Weiya Wysham, M.D. Legacy Medical Group Gynecologic Kristina Young, M.D., Ph.D. Radiation oncologist, The Oregon Clinic Assistant member, Tumor Microenvironment Laboratory, Earle A. Chiles Research Institute, Providence Health Services Program objectives 1. Identify the use of immunofluorescence for detection of sentinel lymph nodes. 2. Summarize the history of debulking surgery and improved survival in advanced ovarian cancer. 3. Identify risk-reducing measures for women with increased genetic risk of cancer. 4. Define different types of immunotherapy. 5. Explain the physiology of hyperbaric oxygen treatment and how it helps patients with chronic radiation tissue injury. 6. Explain discrepancy between all breast screening recommendations. 7. Identify indications or consideration for automated breast ultrasound. 8. Discuss multifaceted decision making on prophylactic mastectomy. 9. Recognize pros and cons of risk reduction surgery versus surveillance in patients with advanced ovarian cancer. 10. Identify long-term implications of oophorectomy and management of these patients. 11. Discuss the rationale behind cryoblation in the management of early stage breast cancer. 12. Discuss the role of genomic analysis of primary breast cancer for prognosis and planning of therapy. 13. Discuss the data that led to a change in breast cancer staging. 14. Describe how molecular tumor board can play a role in clinical practice and outcomes. Target audience Surgeons, plastic surgeons, gynecologists, primary care physicians, medical oncologists, radiation oncologists, radiologists, pathologists and other health care professionals involved in the treatment of breast and gynecological cancer patients Accreditation 4 Legacy Health is accredited by the Oregon Medical Association to provide continuing medical education for physicians. Legacy Health designates this live activity for a maximum of 7.25 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 5

4 Contact hours Legacy is an approved provider of continuing education for nursing. This program is approved by the California Board of Registered Nursing, provider number CEP8749 for 7 contact hours. Accreditation applied for through ASRT for Category A contact hours, MDCB for CMD contact hours and NASW for CE contact hours. Financial support Conference made possible in part through grants from the Good Samaritan Foundation, the Meridian Park Medical Foundation and the Salmon Creek Hospital Foundation. Companies providing educational grants and exhibits will be identified prior to the conference. Conference location Sentinel Hotel 614 S.W. 11th Ave or Hotel accommodations Hilton Downtown (eight blocks from Sentinel) 921 S.W. Sixth Ave Hotel deluxe (six blocks from Sentinel) 729 S.W. 15th Ave or Hotel Vintage Plaza (nine blocks from Sentinel) 422 S.W. Broadway or Inn at Northrup Station (on streetcar line) 2025 N.W. Northrup St or Sentinel Hotel 614 S.W. 11th Ave or Registration Form 13th Annual Pacific Northwest Excellence in Breast and Gynecologic Care Friday, Nov. 17, 2017 Register and pay online: Registration fee Fee includes continental breakfast, lunch and breaks. Physicians: All day, $200 Morning only, $100 Afternoon only, $100 Allied health care providers: All day, $160 Morning only, $85 Afternoon only, $85 Legacy employees: All day, $75 No half-day option offered Lunch: I will be attending lunch. I will not be attending lunch. Registration deadline: Nov. 15, 2017 No refunds after Nov. 1, 2017 Registration by mail or fax If you prefer to pay by check or money order, please make your check payable to Legacy Cancer Institute and send it, along with a completed registration form, to: Legacy Good Samaritan Medical Center Legacy Cancer Institute, Wilcox 209 Attention: Breast and GYN Care Conference 1015 N.W. 22nd Ave Name Credentials Street address Title City State Zip Phone Agency/institution Legacy Cancer Institute reserves the right to cancel this program if necessary. You may fax your completed registration form to For questions, please contact Jutta Kress at or jkress@lhs.org. 6 7

5 Legacy Good Samaritan Medical Center Legacy Cancer Institute 1015 N.W. 22nd Ave., Wilcox Nonprofit Org. U.S. Postage PAID Permit No. 11 CAN

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