Download - Introduction to Tumor Board
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Introduction to Tumor BoardXinni Song MD, FRCPC
Joanne Meng MD, FRCPCOttawa Hospital Cancer Center
University of OttawaFeb 10, 2016
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IntroductionWhat is tumor board?
Why is it important to have tumor board meetings?
What can be discussed at tumor board meetings
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What is Tumor Board?Multidisciplinary meeting of cancer specialists
including, but not exclusive to Medical oncologistsRadiation oncologistsSurgeonsPathologistsRadiologistsPharmacistsNursing staffPsychosocial support team
Regular meetings to discuss issues related to patient care
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Why is tumor board important?
Review complex or rare casesIdentify clinical issues and formulate
solutions Saves timeShare clinical expertiseDiscuss evidence-based medicineContinue medical education - scholar
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What’s discussed at tumor board?Diagnosis
Clinical presentationImaging findingsPathology findings
Specific clinical question Second opinionsLessons learned/clinical challenges
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Tumor Board Feb 11, 2016 8:00-9:30 and 11:00-12:30
Dr. Andrea Gutauskas - SurgeryDr. Joanne Meng – Radiation oncologyDr. Xinni Song – Medical oncology
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Clinical Case42 year old woman presented to her family
physician’s office with a new lump on her right breast
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QuestionsWhat is the differential diagnosis of a breast
lump?
How to differentiate benign vs. malignant lesions?
What are the risk factors for breast cancer?
What types of imaging study can help this patient make a diagnosis?
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QuestionsWhat are the surgical options for breast cancer?
What are some of the important pathological factors used in treatment decision making?
What is the role of local-regional radiation for breast cancer?
What are possible systemic treatment options for breast cancer?
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6 years later......This patient presented with redness and swelling
involving right breast – cancer recurrence with inflammatory featuresWhat are possible therapeutic options for her?
Determination of operability Radiation Systemic therapy
On clinical history, she is also having back pain and bone scan showed multiple lesions on spine consistent with metastatic breast cancer.What are possible therapeutic options for her now?
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Questions?
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Special Guest Tamara Levine
a long-time adult educator and literacy activist. She pioneered workplace literacy and clear language initiatives across Canada with the Ontario Federation of Labour and the Canadian Labour Congress. Following breast cancer treatment and recovery, she retired from her job in labour education in 2011. She lives in Ottawa with her family where she writes, sings, walks, and swims with the loons.
“But Hope Is Longer - Navigating the Country of Breast Cancer”
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Questions for our guest1) How was your cancer diagnosed?
Initial presentation – symptoms Tests done
2) Tell us about the types of physicians involved in your care
3) what types of treatment did you receive? Your personal experience
4) Resources for the survivorship journey that you found helpful
5) Do you have any advice for medical students as a cancer survivor?