Controversies in the Detection and Management of Early-Stage Breast Cancer

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1 Baylor College of Medicine Breast Cancer Symposium 2016 Controversies in the Detection and Management of Early-Stage Breast Cancer Saturday, February 27, 2016 Saturday, February 27, 2016 Bobby R. Alford Education Center McNair Campus 7200 Cambridge St. Houston, TX ACTIVITY DIRECTOR: Karla A. Sepulveda, MD Assistant Professor of Radiology, Lester & Sue Smith Breast Center ACTIVITY CO-DIRECTOR: Matthew J. Ellis, MD, PhD Professor and Director, Lester & Sue Smith Breast Center Baylor College of Medicine Houston, Texas Jointly provided by Baylor College of Medicine and Lester & Sue Smith Breast Center part of the Baylor College of Medicine Dan L. Duncan Cancer Center, a national institute-designated comprehensive cancer center Register online at BaylorCME.org/CME/1510

2 Needs Breast cancer is the second most common cancer among women in the United States, other than skin cancer. It is also the second leading cause of cancer death in women, after lung cancer. The American Cancer Society s estimates for breast cancer in women in the United States for 2015 are about 231,840 new cases of invasive breast cancer, about 62,290 new cases of ductal carcinoma in situ (DCIS) of the breast, and about 40,290 deaths from breast cancer. The overall goal of this conference is to educate clinicians to improve treatment, survival, and quality-of-life in patients with early stage breast cancer. Target Audience Clinicians who treat patients with early stage breast cancer. Educational Objectives At the conclusion of the activity, participants should be able to: Implement evidence-based recommendations for treatment of early stage breast cancer and its subtypes. Apply current research to appropriately screen patients for breast cancer. Evaluate evidence based recommendations of optimum management of the axilla in women with early stage breast cancer. Discuss the concept of overtreatment, evaluate evidence-based recommendations for treatment of ductal carcinoma in situ (DCIS), and discuss the role for active surveillance as an alternative approach. Review various types of molecular prognostic tests for breast cancer and their appropriate use. Educational Methods Lectures F Panel Discussion F Question and Answer Sessions Evaluation Evaluation by questionnaire will address program content, presentation, and possible bias. Accreditation/Credit Designation This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Baylor College of Medicine and the Lester & Sue Smith Breast Center part of the Baylor College of Medicine Dan L. Duncan Cancer Center. Baylor College of Medicine is accredited by the ACCME to provide continuing medical education for physicians. Baylor College of Medicine designates this live activity for a maximum of 5.50 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

3 Fee, Registration, and Confirmation Information Refer to the registration form for the fee schedule. Your registration will not be processed until payment is received. Your registration will be confirmed. If you have not received confirmation at least five business days before the activity start date, contact the Office of Continuing Medical Education (OCME) immediately. If you plan to register on-site, contact OCME at least 24 hours in advance to confirm activity status and space availability. The OCME reserves the right to limit the number of participants in an activity and will not be responsible for any expenses incurred by an individual whose registration is not confirmed and for whom space is not available. To register/pay online visit the activity website at BaylorCME.org/CME/1510 and follow the instructions. Cancellation/Refund Policy Requests for registration refunds must be in writing and received by the OCME at least 10 business days before the activity begins. The date the request is received by the OCME will be considered the cancellation date. Requests received after the refund deadline will not be processed. Cancellations are subject to a $50 administrative fee deducted from the registration fee paid to cover guarantees and other expenses. Requests should be mailed to the OCME or faxed to The OCME reserves the right to cancel activities, not less than 10 business days before the scheduled date, if extenuating circumstances make it necessary. Registrants will be notified at the contact number indicated on the registration form followed by written notification. If an activity is cancelled, OCME s liability is limited to the registration fee paid. Note: If payment is made by check, a social security number is required to process the refund. Disclosure In order to meet the requirements of the Accreditation Council for Continuing Medical Education (ACCME), it is the policy of Baylor College of Medicine (BCM) that all individuals who are in a position to control the content of the CME activity (activity director, planning committee members, and faculty) disclose relevant financial relationships with commercial interests. All identified conflicts of interest are managed to help ensure that the educational material is scientifically based, accurate, current and objectively presented. Specific disclosure will be made to the participants prior to the educational activity. Registration for, attendance at, and/or participation in this activity constitutes acknowledgement by the registrant/attendee/participant that photos may be made of the conference events and constitute agreement by the registrant/attendee/ participant that Baylor College of Medicine may use and distribute in its publications, on its web site, and in the conference proceedings, such photos that include the image of the registrant/attendee/participant. By participating in the course, the registrant/attendee/participant acknowledges that he or she agrees to these stipulations. Audio or videotaping is prohibited without written permission from the Activity Director and the Office of Continuing Medical Education, Baylor College of Medicine, Houston, Texas. Faculty, topics, program schedule, and credits are subject to change.

4 Activity Director Karla A. Sepulveda, MD n Assistant Professor of Radiology Lester & Sue Smith Breast Center Activity Co-Director Matthew J. Ellis MD, PhD n Professor of Medicine/Oncology Director, Lester & Sue Smith Breast Center Planning Committee Members Darlene M. Miltenburg, MD n Alyssa N. Johnston n Joshua W. Newby Baylor College of Medicine Course Faculty Stacey A. Carter, MD Medical Resident of Surgery Matthew J. Ellis, MD, PhD Professor of Medicine/Oncology Director, Lester and Sue Smith Breast Center Carolina Gutierrez, MD Associate Professor of Pathology Shelley Hwang, MD, MPH Surgical Oncologist and Professor of Surgery Duke University School of Medicine Durham, North Carolina Shayan A. Izaddoost, MD Associate Professor of Plastic Surgery Darlene M. Miltenburg, MD Breast Surgeon Texas Women s Comprehensive Breast Center Julie R. Nangia, MD Assistant Professor Lester and Sue Smith Breast Center Susan Rafte Founder Pink Ribbons Project Emily Sedgwick, MD The Pat Korell Endowed Professorship in Breast Imaging Associate Professor of Radiology Karla A. Sepulveda, MD Assistant Professor of Radiology Lester & Sue Smith Breast Center Melinda L. Telli, MD Assistant Professor of Medicine/Oncology Stanford University School of Medicine Stanford, California Timothy Wagner, MD Assistant Professor of Radiation Oncology

5 Agenda Saturday, February 27, :30 a.m. Registration and Continental Breakfast 8:30 Welcome: Announcements and Introduction Matthew J. Ellis, MD, PhD 8:35 Advocacy Susan Rafte SCREENING n Moderator: Karla A. Sepulveda, MD 8:50 Current Screening Recommendations Emily Sedgwick, MD 9:10 Screening in Gene Carriers Julie R. Nangia, MD 9:30 Screening in Underserved Populations Karla A. Sepulveda, MD 9:50 PANEL DISCUSSION Julie R. Nangia, MD, Emily Sedgwick, MD and Karla A. Sepulveda, MD 10:10 Break CONTROVERSIES n Moderator: Darlene M. Miltenburg, MD 10:20 Molecular Prognostic Testing Carolina Gutierrez, MD 10:40 Management of ductal carcinoma in situ (DCIS) Shelley Hwang, MD, MPH 11:15 Management of the Axilla Darlene M. Miltenburg, MD 11:35 PANEL DISCUSSION Carolina Gutierrez, MD, Shelley Hwang, MD, MPH and Darlene M. Miltenburg, MD 11:55 Lunch MANAGEMENT OF EARLY-STAGE INVASIVE BREAST CANCER n 12:40 p.m. Neoadjuvant Chemo Melinda L. Telli, MD Moderator: Matthew J. Ellis, MD, PhD 1:15 Neoadjuvant Endocrine Matthew J. Ellis, MD, PhD 1:35 Surgery Post Neoadjuvant Stacey A. Carter, MD 1:55 Role of Radiation Timothy Wagner, MD 2:15 Plastic Surgery Shayan A. Izaddoost, MD 2:35 PANEL DISCUSSION Stacey A. Carter, MD, Matthew J. Ellis, MD, PhD, Shayan A. Izaddoost, MD, Melinda L. Telli, MD and Timothy Wagner, MD 2:55 Closing Remarks Karla A. Sepulveda, MD 3:00 Adjourn

6 Baylor College of Medicine Breast Cancer Symposium 2016 Controversies in the Detection and Management of Early-Stage Breast Cancer Saturday, February 27, 2016 Conference Location Baylor College of Medicine Bobby R. Alford Education Center McNair Campus 7200 Cambridge Street Houston, TX Accommodations There are several hotels in close proximity and walking distance to the conference location in the Texas Medical Center. Many hotels offer shuttles within a two to five mile radius. Please note that room blocks have not been secured at any of these hotels. Participants are responsible for making their hotel arrangements. Suggested hotels include: Wyndham Houston Medical Center Hotel & Suites Main St. Houston, TX Houston Marriott at the Texas Medical Center Fannin St., Houston, TX Best Western Plaza Hotel & Suites at Medical Center Main St., Houston, TX Parking Parking is available underground at the McNair Campus building. The cost for parking per day is estimated to be $12. Attire Attire for the conference is business casual. Since meeting room temperatures and personal comfort levels vary, it is recommended that you bring a sweater or jacket. For Further Information Baylor College of Medicine Office of Continuing Medical Education One Baylor Plaza, MS: BCM 155 Houston, TX Phone: Fax: Visit our Website located at BaylorCME.org for information about other Baylor College of Medicine CME activities.

7 Baylor College of Medicine Breast Cancer Symposium 2016 Registration Controversies in the Detection and Management of Early-Stage Breast Cancer (Please print clearly) Name: Degree: Please check if: Resident Fellow Affiliation: Address: City: State: ZIP: Phone: Fax: Specialty: Prof. License: Emergency Contact: Phone: No./State National Provider Identifier (NPI): Registration Fees First MI Last Physician... $150 BCM Faculty... $95 Physician Assistant... $95 Nurse... $95 Other Healthcare Professional... $95 Resident... $50 Fellow... $50 Advocate... $25 Patient... $25 Method of Payment (Your registration must be PREPAID) Check or money order (in U.S. funds) made payable to: Baylor College of Medicine Visa MasterCard Discover Amex $ Total amount enclosed Card No. Exp. Date: Name on the Card: Authorized Signature: With credit card payment, you may fax completed registration form to Return completed form and payment to: Baylor College of Medicine Office of CME (1510) P.O. Box 4708 Houston, TX Special Requests Contact OCME if you have any dietary needs (specify below) or any ADA accommodation needs. FOR OFFICIAL USE ONLY To register/pay online, visit the activity website at BaylorCME.org/CME/1510 and follow the instructions. CK CC LB Cash Date: Amount:

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