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8th International Netherlands Cancer Institute Head and Neck Symposium Diagnosis and Treatment of Head and Neck Cancer: Controversies in Multidisciplinary Management Amsterdam, the Netherlands, November 15-16, 2007 Name:... Department:... Hospital:... Address:......... Telephone:... Fax:... E-mail:... I have paid... on account number 54.79.05.831 of ABN/AMRO Bank, Amsterdam, the Netherlands, marked Head and Neck Oncology Group NKI I have mailed a Bank Cheque for... marked Head and Neck Oncology Group NKI Date:... Signature:...

Marion van Zuilen, secretariat Department of Head and Neck Oncology and Surgery The Netherlands Cancer Institute Plesmanlaan 121 1066 CX Amsterdam The Netherlands POST STAMP

The 8 th International Netherlands Cancer Institute Head and Neck Symposium Diagnosis and treatment of head and neck cancer Amsterdam, November 15-16, 2007 Co-Sponsored by Memorial Sloan Kettering Cancer Center, New York MD Anderson Cancer Institute, Houston Centre Oscar Lambret, Lille Sydney Cancer Institute, Sydney Course directors AJM Balm JP de Boer MWM van den Brekel Controversies in multidisciplinary management

Since 1993 seven successful symposia have been organized around the theme of Diagnosis and Treatment of head and neck malignancies. These symposia aimed at diagnosis and treatment of malignancies in the head and neck and tried to define evidence based advices for daily clinical practice. The symposia offered an excellent podium for discussion between presenters and auditorium. In the last decade significant improvements have been made in the field of organ and function sparing surgery and multimodality treatment of advanced head and neck cancer. Chemo-irradiation, implementation of new molecular targeted therapies and basic science have significantly intensified multidisciplinary collaboration with many disciplines in head and neck oncology and changed the role of the head and neck surgeon. These developments have demonstrated that well organized multidisciplinary (para-)medical tumour boards are of utmost importance for the achievement of optimal functional and survival results. The multidisciplinary Head and Neck Oncology Team of the Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital has a longstanding tradition in commitment to head and neck cancer and is nowadays one of the largest head and neck groups in the Netherlands, treating more than 500 new patients per year. Undersigned members of the oncology team cordially invite you to participate in the forthcoming symposium on controversies in multidisciplinary management aiming at the following objectives: give insight in the complexity of organizing multidisciplinary treatment and rehabilitation, create awareness of the difficulties in optimal treatment selection as the treatment options diversify, define the role of paramedical disciplines in decision making, patient care and rehabilitation. This symposium is meant for medical specialists and those in training interested in head and neck oncology and surgery as well as paramedics working in this field. The symposium is open for poster presentations dealing with controversies and multidisciplinary management. At the end of the first day Poster tours are organized and all participants are stimulated to visit posters. Faculty members take responsibility for monitoring the discussion with attendees at the poster. On behalf of the Head and Neck Oncology Team Amsterdam (NKI-AVL/AMC) AJM Balm, JP de Boer, MWM van den Brekel,.

08.00 09.00 Registration Thursday, November 15, 2007 09.00 09.10 Introduction AJM Balm The Cancer Center Moderator: AJM Balm 09.10 09.30 Can we afford to treat head and neck cancer? G Cox 09.30 10.00 Higher volume, better outcome. DJ Gouma 10.00 10.30 Cancer survival: the influence of treatment variables and variation among centers. 10.30 11.00 Coffee break with poster visit Chemo-irradiation (1) Moderator: JP de Boer 11.00 11.45 Multi-institutional, multidisciplinary organ preservation trials: organisation, difficulties, new role for neo-adjuvant therapy? 11.45 12.15 The impact of predictive factors on chemoirradiation trial design. SF Hall MS Kies 12.15 13.15 Lunch with the expert (AR Shaha, case discussions) or poster visit Chemo-irradiation (2) Moderator: 13.15 13.50 The role of surgery (planned or salvage) in chemo-irradiation? 13.50 14.20 Nursing of chemo-irradiated patients: the advantage of concentrating all care on a specialized head and neck unit. JL Lefebvre JA Oldewarris Multidisciplinary decision making: weighing therapeutic options Moderator: LE Smeele 14.20 14.50 Patient factors influencing treatment choices. JA Kievit 14.50 15.15 The role of prognostic models in decision making. 15.15 15.45 Future role of head and neck surgeons in the oncology team? 15.45 16.15 Tea break with poster visit Debates on treatment modalities Moderator: MP Copper RJ Baatenburg de Jong AJM Balm 16.15 16.55 PDT versus local excision in early oral cancer. IB Tan & AR Shaha 16.55 17.35 N+: neck dissection or primary chemo-radiotherapy? MWM van den Brekel & 17.35 18.15 T2 laryngeal cancer: surgery or radiotherapy? J Overgaard & JL Lefebvre 18.15 20.00 Reception and poster tour.

Thyroid cancer Moderator: MWM van den Brekel Friday, November 16, 2007 08.30 09.15 Controversies in thyroid cancer treatment: do all cancers need to be treated and by whom? 09.15 09.45 Controversies in medical treatment and follow-up. 09.45 10.30 Controversies in the management of advanced thyroid cancer. 10.30 11.00 Coffee break Evidence-based rehabilitation in head and neck cancer (1) Moderator: PJFM Lohuis JA Kievit TP Links AR Shaha 11.00 11.30 Functional outcome after reconstructive surgery. G Cox 11.30 12.15 Organ preservation is not (always) synonymous with function preservation: implications for therapy and rehabilitation? 12.15 12.45 Quality of life assessment and its implementation in clinical practice. 12.45 13.30 Lunch poster visit Evidence-based rehabilitation in head and neck cancer (2) Moderator: FJM Hilgers EC Ward & FJM Hilgers AH Ackerstaff 13.30 14.00 Voice and speech rehabilitation. MA van Rossum 14.00 15.00 Swallowing rehabilitation. EC Ward 15.00 15.15 Neck rehabilitation: shoulder and neck morbidity and rehabilitation. Case presentations and discussion Moderator: AR Shaha MM Stuiver 15.15 16.00 During this session several cases will be presented with emphasis on Multidisciplinary Diagnosis and Treatment issues. The participants are invited to participate actively in the discussion using an anonymous computerized voting system. Results of voting will be graphically presented. 16.00 Closing remarks. MWM van den Brekel This leaflet is sponsored by Platon Medical Ltd.

Guest faculty: RJ Baatenburg de Jong Department of ORL/Head and Neck Oncology, Erasmus University Medical Center, Rotterdam, The Netherlands G Cox Department of Head and Neck Surgery, The Radcliffe Hospital, Oxford, England DJ Gouma Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands SF Hall Division of Cancer Care and Epidemiology, Queen s Cancer Research Institute, Kingston, Ontario, Canada JA Kievit Department of Surgery, Leiden University Medical Center, Leiden, The Netherlands MS Kies Head and Neck Cancer Center, MD Anderson Cancer Center, Houston, USA JL Lefebvre Department of Head and Neck Oncology, Centre Oscar Lambret, Lille, France TP Links Department of Endocrinology, Groningen University Medical Center, Groniingen, The Netherlands J Overgaard Department of Radiotherapy, Aarhus University Hospital, Aarhus, Denmark AR Shaha Department of Head and Neck Oncology, Memorial Sloan Kettering Cancer Center, New York, USA EC Ward School of Health and Rehabilitation Sciences, Division of Speech Pathology, University of Queensland, Brisbane, Australia Faculty: The Netherlands Cancer Institute Antoni van Leeuwenhoek Hospital & Academic Medical Centre Department of Head & Neck Oncology & Surgery AJM Balm MD MWM van den Brekel MD MP Copper MD FJM Hilgers MD PJFM Lohuis MD LE Smeele MD DDS IB Tan MD AH Ackerstaff PhD MA van Rossum PhD Department of Medical Oncology JP de Boer MD Department of Radiotherapy MD Department of Physical Therapy MM Stuiver Head and Neck Nursing Staff JA Oldewarris

Posters: Online submission of poster abstracts is requested and instructions for submission can be found on. The number of posters is limited to fifty. The course directors try to increase the interaction between audience and poster presenters by organizing a poster tour at the end of the first conference day. Posters are exhibited during the two conference days in the reception hall. Language: The official language of the symposium will be English. Location: Piet Borst Auditorium The Netherlands Cancer Institute Further information: Marion van Zuilen, secretary Department of Head & Neck Oncology & Surgery The Netherlands Cancer Institute Antoni van Leeuwenhoek Hospital Plesmanlaan 121 1066 CX Amsterdam The Netherlands Tel. +31-20-512 2550 Fax +31-20-512 2554 E-mail kno@nki.nl Registration online: Registration deadline: The deadline for registration is November 1, 2007. Accreditation: CME points have been applied for. Fees: Clinicians: 350,00; Trainees (with a letter from their Director): 250,00. The fee includes material, lunch, coffee and tea during breaks. Payments: Payments should be made directly to the account number 54.79.05.831 (IBAN code NL38ABNA0547905831) of ABN/AMRO Bank, P.O. Box 9028, 1006 AA Amsterdam, The Netherlands, BIC-code ABNANL2A, stating your full name and address. Please make sure your remittance is marked Head and Neck Group NKI and is free of transfer charge. Bank cheques should include bank charges. Credit cards are not accepted. Cancellation policy: For registration fees to be refunded, written notice of cancellation must be received by October 25, 2007. The amount of registration fees remitted, minus a 15% handling fee, will be refunded after the symposium. Substitutions are accepted with written notification. After October 25, 2007, no refunds will be made. Hotels: Controversies in multidisciplinary management

Guest faculty: RJ Baatenburg de Jong Department of ORL/Head and Neck Oncology, Erasmus University Medical Center, Rotterdam, The Netherlands G Cox Department of Head and Neck Surgery, The Radcliffe Hospital, Oxford, England DJ Gouma Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands SF Hall Division of Cancer Care and Epidemiology, Queen s Cancer Research Institute, Kingston, Ontario, Canada JA Kievit Department of Surgery, Leiden University Medical Center, Leiden, The Netherlands MS Kies Head and Neck Cancer Center, MD Anderson Cancer Center, Houston, USA JL Lefebvre Department of Head and Neck Oncology, Centre Oscar Lambret, Lille, France TP Links Department of Endocrinology, Groningen University Medical Center, Groniingen, The Netherlands J Overgaard Department of Radiotherapy, Aarhus University Hospital, Aarhus, Denmark AR Shaha Department of Head and Neck Oncology, Memorial Sloan Kettering Cancer Center, New York, USA EC Ward School of Health and Rehabilitation Sciences, Division of Speech Pathology, University of Queensland, Brisbane, Australia Faculty: The Netherlands Cancer Institute Antoni van Leeuwenhoek Hospital & Academic Medical Centre Department of Head & Neck Oncology & Surgery AJM Balm MD MWM van den Brekel MD MP Copper MD FJM Hilgers MD PJFM Lohuis MD LE Smeele MD DDS IB Tan MD AH Ackerstaff PhD MA van Rossum PhD Department of Medical Oncology JP de Boer MD Department of Radiotherapy MD Department of Physical Therapy MM Stuiver Head and Neck Nursing Staff JA Oldewarris Posters: Online submission of poster abstracts is requested and instructions for submission can be found on. The number of posters is limited to fifty. The course directors try to increase the interaction between audience and poster presenters by organizing a poster tour at the end of the first conference day. Posters are exhibited during the two conference days in the reception hall. Language: The official language of the symposium will be English. Location: Piet Borst Auditorium The Netherlands Cancer Institute Further information: Marion van Zuilen, secretary Department of Head & Neck Oncology & Surgery The Netherlands Cancer Institute Antoni van Leeuwenhoek Hospital Plesmanlaan 121 1066 CX Amsterdam The Netherlands Tel. +31-20-512 2550 Fax +31-20-512 2554 E-mail kno@nki.nl Registration online: Registration deadline: The deadline for registration is November 1, 2007. Accreditation: CME points have been applied for. Fees: Clinicians: 350,00; Trainees (with a letter from their Director): 250,00. The fee includes material, lunch, coffee and tea during breaks. Payments: Payments should be made directly to the account number 54.79.05.831 (IBAN code NL38ABNA0547905831) of ABN/AMRO Bank, P.O. Box 9028, 1006 AA Amsterdam, The Netherlands, BIC-code ABNANL2A, stating your full name and address. Please make sure your remittance is marked Head and Neck Group NKI and is free of transfer charge. Bank cheques should include bank charges. Credit cards are not accepted. Cancellation policy: For registration fees to be refunded, written notice of cancellation must be received by October 25, 2007. The amount of registration fees remitted, minus a 15% handling fee, will be refunded after the symposium. Substitutions are accepted with written notification. After October 25, 2007, no refunds will be made. Hotels: Controversies in multidisciplinary management The 8 th International Netherlands Cancer Institute Head and Neck Symposium Diagnosis and treatment of head and neck cancer Amsterdam, November 15-16, 2007 Co-Sponsored by Memorial Sloan Kettering Cancer Center, New York MD Anderson Cancer Institute, Houston Centre Oscar Lambret, Lille Sydney Cancer Institute, Sydney Course directors AJM Balm JP de Boer MWM van den Brekel Controversies in multidisciplinary management

Since 1993 seven successful symposia have been organized around the theme of Diagnosis and Treatment of head and neck malignancies. These symposia aimed at diagnosis and treatment of malignancies in the head and neck and tried to define evidence based advices for daily clinical practice. The symposia offered an excellent podium for discussion between presenters and auditorium. In the last decade significant improvements have been made in the field of organ and function sparing surgery and multimodality treatment of advanced head and neck cancer. Chemo-irradiation, implementation of new molecular targeted therapies and basic science have significantly intensified multidisciplinary collaboration with many disciplines in head and neck oncology and changed the role of the head and neck surgeon. These developments have demonstrated that well organized multidisciplinary (para-)medical tumour boards are of utmost importance for the achievement of optimal functional and survival results. The multidisciplinary Head and Neck Oncology Team of the Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital has a longstanding tradition in commitment to head and neck cancer and is nowadays one of the largest head and neck groups in the Netherlands, treating more than 500 new patients per year. Undersigned members of the oncology team cordially invite you to participate in the forthcoming symposium on controversies in multidisciplinary management aiming at the following objectives: give insight in the complexity of organizing multidisciplinary treatment and rehabilitation, create awareness of the difficulties in optimal treatment selection as the treatment options diversify, define the role of paramedical disciplines in decision making, patient care and rehabilitation. This symposium is meant for medical specialists and those in training interested in head and neck oncology and surgery as well as paramedics working in this field. The symposium is open for poster presentations dealing with controversies and multidisciplinary management. At the end of the first day Poster tours are organized and all participants are stimulated to visit posters. Faculty members take responsibility for monitoring the discussion with attendees at the poster. On behalf of the Head and Neck Oncology Team Amsterdam (NKI-AVL/AMC) AJM Balm, JP de Boer, MWM van den Brekel,. 08.00 09.00 Registration Thursday, November 15, 2007 09.00 09.10 Introduction AJM Balm The Cancer Center Moderator: AJM Balm 09.10 09.30 Can we afford to treat head and neck cancer? G Cox 09.30 10.00 Higher volume, better outcome. DJ Gouma 10.00 10.30 Cancer survival: the influence of treatment variables and variation among centers. 10.30 11.00 Coffee break with poster visit Chemo-irradiation (1) Moderator: JP de Boer 11.00 11.45 Multi-institutional, multidisciplinary organ preservation trials: organisation, difficulties, new role for neo-adjuvant therapy? 11.45 12.15 The impact of predictive factors on chemoirradiation trial design. SF Hall MS Kies 12.15 13.15 Lunch with the expert (AR Shaha, case discussions) or poster visit Chemo-irradiation (2) Moderator: 13.15 13.50 The role of surgery (planned or salvage) in chemo-irradiation? 13.50 14.20 Nursing of chemo-irradiated patients: the advantage of concentrating all care on a specialized head and neck unit. Multidisciplinary decision making: weighing therapeutic options Moderator: LE Smeele JL Lefebvre JA Oldewarris 14.20 14.50 Patient factors influencing treatment choices. JA Kievit 14.50 15.15 The role of prognostic models in decision making. 15.15 15.45 Future role of head and neck surgeons in the oncology team? 15.45 16.15 Tea break with poster visit Debates on treatment modalities Moderator: MP Copper RJ Baatenburg de Jong AJM Balm 16.15 16.55 PDT versus local excision in early oral cancer. IB Tan & AR Shaha 16.55 17.35 N+: neck dissection or primary chemo-radiotherapy? MWM van den Brekel & 17.35 18.15 T2 laryngeal cancer: surgery or radiotherapy? J Overgaard & JL Lefebvre 18.15 20.00 Reception and poster tour. Thyroid cancer Moderator: MWM van den Brekel Friday, November 16, 2007 08.30 09.15 Controversies in thyroid cancer treatment: do all cancers need to be treated and by whom? 09.15 09.45 Controversies in medical treatment and follow-up. 09.45 10.30 Controversies in the management of advanced thyroid cancer. 10.30 11.00 Coffee break Evidence-based rehabilitation in head and neck cancer (1) Moderator: PJFM Lohuis This leaflet is sponsored by Platon Medical Ltd. JA Kievit TP Links AR Shaha 11.00 11.30 Functional outcome after reconstructive surgery. G Cox 11.30 12.15 Organ preservation is not (always) synonymous with function preservation: implications for therapy and rehabilitation? 12.15 12.45 Quality of life assessment and its implementation in clinical practice. 12.45 13.30 Lunch poster visit Evidence-based rehabilitation in head and neck cancer (2) Moderator: FJM Hilgers EC Ward & FJM Hilgers AH Ackerstaff 13.30 14.00 Voice and speech rehabilitation. MA van Rossum 14.00 15.00 Swallowing rehabilitation. EC Ward 15.00 15.15 Neck rehabilitation: shoulder and neck morbidity and rehabilitation. Case presentations and discussion Moderator: AR Shaha MM Stuiver 15.15 16.00 During this session several cases will be presented with emphasis on Multidisciplinary Diagnosis and Treatment issues. The participants are invited to participate actively in the discussion using an anonymous computerized voting system. Results of voting will be graphically presented. 16.00 Closing remarks. MWM van den Brekel