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Solving Everyday Problems in Breast Pathology: A ... - CME

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HARVARD MEDICAL SCHOOL<br />

DEPARTMENT OF CONTINUING EDUCATION<br />

<strong>Solv<strong>in</strong>g</strong> <strong>Everyday</strong> <strong>Problems</strong> <strong>in</strong> <strong>Breast</strong><br />

<strong>Pathology</strong>: A Morphological Approach<br />

October 5-7, 2009<br />

at the<br />

Omni Parker House Hotel<br />

Boston<br />

Sponsored by<br />

Departments of <strong>Pathology</strong><br />

Massachusetts General Hospital<br />

Memorial Sloan-Ketter<strong>in</strong>g Cancer Center<br />

Course Directors<br />

Mel<strong>in</strong>da Lerwill, MD Edi Brogi, MD, PhD<br />

Frederick C. Koerner, MD


HARVARD MEDICAL SCHOOL<br />

SOLVING EVERYDAY PROBLEMS IN BREAST<br />

PATHOLOGY: A MORPHOLOGICAL APPROACH<br />

COURSE DESCRIPTION<br />

This course will focus on diagnostic problems encountered<br />

<strong>in</strong> the daily practice of breast pathology and especially on<br />

those with important cl<strong>in</strong>ical implications. The discussions<br />

will emphasize the dist<strong>in</strong>ction of benign lesions from morphologically<br />

similar malignant ones and the differentiation<br />

of situations that require further evaluation from those that<br />

do not.<br />

The faculty will tailor their discussions to a level appropriate<br />

for experienced general surgical pathologists; the speakers<br />

will also discuss f<strong>in</strong>e po<strong>in</strong>ts of diagnosis for the benefit of<br />

those pathologists already conversant with the well-recognized<br />

problem areas. The late afternoon sessions will consist<br />

of concurrent <strong>in</strong>formal discussions of selected practical<br />

issues and diagnostic topics. Participants will be able to<br />

take part <strong>in</strong> one or more of these presentations accord<strong>in</strong>g<br />

to their specific professional needs and personal preferences.<br />

Students will also have the opportunity to study a<br />

large collection of illustrative cases at their leisure. The<br />

course will <strong>in</strong>clude self-assessment modules that qualify for<br />

the Ma<strong>in</strong>tenance of Certification program of the American<br />

Board of <strong>Pathology</strong>.<br />

Upon complet<strong>in</strong>g this course, students should have the<br />

tools needed to solve many problems encountered <strong>in</strong> the<br />

diagnosis of breast diseases. These tools <strong>in</strong>clude: specific<br />

morphological criteria, diagnostic algorithms, knowledge of<br />

diagnostic pitfalls and ways to negotiate them, and an<br />

understand<strong>in</strong>g of the <strong>in</strong>dications for and limitations of special<br />

diagnostic techniques.<br />

FACULTY<br />

MASSACHUSETTS GENERAL HOSPITAL<br />

Elena Brachtel, MD<br />

Frederick C. Koerner, MD<br />

Mel<strong>in</strong>da F. Lerwill, MD<br />

G. Petur Nielsen, MD<br />

Dennis Sgroi, MD<br />

MEMORIAL SLOAN-KETTERING CANCER CENTER<br />

Violetta Barbash<strong>in</strong>a, MD<br />

Edi Brogi, MD, PhD<br />

Adriana D. Corben, MD<br />

Dilip Giri, MD<br />

Melissa P. Murray, DO


SCH<br />

<strong>Solv<strong>in</strong>g</strong> <strong>Everyday</strong> <strong>Problems</strong> <strong>in</strong> Breas<br />

Omni Parker House Hot<br />

Monday October 5, 2009<br />

8:00 Initial Assessment<br />

8:30 Ductal Epithelial Proliferations: Usual<br />

Hyperplasia, Atypical Hyperplasia and<br />

Carc<strong>in</strong>oma In-Situ - Dr. Koerner<br />

9:15 Flat Epithelial Atypia - Dr. Lerwill<br />

9:45 Key Concepts of Ductal<br />

Proliferations - Dr. Koerner<br />

10:15 Beverages<br />

10:30 Dilemmas <strong>in</strong> the Diagnosis of Apocr<strong>in</strong>e<br />

Lesions - Dr. Giri<br />

11:00 Lobular Neoplasia: A Fresh Look at a<br />

Classic - Dr. Brogi<br />

11:45 Questions<br />

12:00 Midday Break<br />

1:30 <strong>Problems</strong> with the Diagnosis of Endocr<strong>in</strong>e<br />

Tumors - Dr. Sgroi<br />

2:00 A Practical Approach to the Diagnosis of<br />

Muc<strong>in</strong>ous Lesions - Dr. Corben<br />

2:30 The Pathologic Spectrum of Basal-Like<br />

Carc<strong>in</strong>omas - Dr. Murray<br />

3:00 Questions<br />

3:15 Beverages<br />

3:30 Slide Sem<strong>in</strong>ar - Dr. Koerner<br />

4:30 Drop <strong>in</strong> Sessions: Specimen Handl<strong>in</strong>g and<br />

Report<strong>in</strong>g, Cytology Cases, Challeng<strong>in</strong>g<br />

Diagnoses<br />

5:30 Questions<br />

Tuesday October 6, 2009<br />

8:00 Beyond the Classic: Unusual Forms of<br />

Lobular Neoplasia - Dr. Brogi<br />

9:00 Non-Neoplastic Variants of Epithelial<br />

Atypia - Dr. Murray<br />

9:30 The Spectrum of Changes After Neoadjuvant<br />

Chemotherapy - Dr. Brachtel<br />

10:00 Questions<br />

10:15 Beverages<br />

10:30 The Multifaceted Radial Scar - Dr. Brachtel<br />

11:00 <strong>Problems</strong> with the Recognition of Invasion -<br />

Dr. Lerwill<br />

12:00 Questions<br />

12:15 Midday Break<br />

1:30 From Fibroadenoma to Phyllodes Tumor:<br />

A Morphological Spectrum - Dr. Giri


EDULE<br />

<strong>Pathology</strong>: A Morphological Approach<br />

el, Boston, Massachusetts<br />

Tuesday October 6, 2009, Cont’d<br />

2:15 Sp<strong>in</strong>dle Cell Carc<strong>in</strong>oma and its Mimics -<br />

Dr. Brogi<br />

2:45 Hard Tumors of the <strong>Breast</strong> - Maladies of the<br />

Mammary Mesenchyme - Dr. Nielsen<br />

3:15 Beverages<br />

3:30 Slide Sem<strong>in</strong>ar - MSKCC Faculty<br />

4:30 Drop-In Sessions: Cl<strong>in</strong>ical Implications, Subtle<br />

Invasive Carc<strong>in</strong>omas and Impostors,<br />

Challeng<strong>in</strong>g Diagnoses<br />

5:30 Questions<br />

Wednesday October 7, 2009<br />

8:00 Novel Molecular <strong>Breast</strong> Cancer Tests: Do<br />

They Provide Cl<strong>in</strong>ical Value? - Dr. Sgroi<br />

8:30 Current Issues <strong>in</strong> ER, PR, and Her2 Test<strong>in</strong>g -<br />

Dr. Barbash<strong>in</strong>a<br />

9:15 Sent<strong>in</strong>el Lymph Nodes: The Pathologist’s<br />

Perspective - Dr. Brogi<br />

10:00 Questions<br />

10:15 Beverages<br />

10:30 Diagnostic Immunohistochemistry: Challenges<br />

<strong>in</strong> Interpretation - Dr. Lerwill<br />

11:15 Mak<strong>in</strong>g Sense of Papillary Tumors -<br />

Dr. Koerner<br />

12:30 Adjournment<br />

OTHER UPCOMING PROGRAMS<br />

Dermatopathology Update with M<strong>in</strong>isymposium on<br />

Melanoma<br />

September 24-26, 2009, The Fairmont Copley Plaza Hotel<br />

Boston, MA<br />

Practical Placental and Trophoblast <strong>Pathology</strong><br />

September 26-27, 2009, Massachusetts General Hospital<br />

Boston, MA<br />

Current Concepts <strong>in</strong> Surgical <strong>Pathology</strong> - 29th Annual<br />

Course<br />

November 16-20, 2009, Four Seasons Hotel<br />

Boston, MA<br />

Surgical <strong>Pathology</strong> for the Practic<strong>in</strong>g Pathologist<br />

January 16-19, 2010, Camelback Inn<br />

Scottsdale, AZ


✁<br />

GENERAL INFORMATION<br />

Accreditation<br />

Harvard Medical School is accredited<br />

by the Accreditation Council for Cont<strong>in</strong>u<strong>in</strong>g<br />

Medical Education (AC<strong>CME</strong>) to<br />

provide cont<strong>in</strong>u<strong>in</strong>g medical education<br />

for physicians.<br />

Harvard Medical School designates<br />

this educational activity for a maximum<br />

of 20 AMA PRA Category 1<br />

Credit(s) TM. Physicians should only<br />

claim credit commensurate with the<br />

extent of their participation <strong>in</strong> the activity.<br />

Registration<br />

Tuition Fee - $625 (USD)<br />

Group Rate - $575 (USD) (4 or more per person)<br />

Register early, as space is limited.<br />

All foreign payments must be made by a draft on a United States<br />

Bank or by Visa or MasterCard. If pay<strong>in</strong>g by check, make payable<br />

to Harvard Medical School and mail with the completed registration<br />

form to: Harvard Medical School- Department of Cont<strong>in</strong>u<strong>in</strong>g<br />

Education, P.O. Box 825, Boston, MA 02117-0825. If<br />

pay<strong>in</strong>g by credit card, please register onl<strong>in</strong>e at<br />

www.cme.hms.harvard.edu/courses /solv<strong>in</strong>gproblems.<br />

Telephone or mail-<strong>in</strong> registration with credit card payment is<br />

not accepted. Inquiries should be directed to the above address,<br />

made by phone: (617) 384-8600, Monday - Friday, 10 AM to 4 PM<br />

(EST), or by e-mail: hms-cme@hms.harvard.edu. Upon receipt<br />

of registration, a confirmation will be mailed to the address listed<br />

on the form.<br />

Please Note: Program changes/substitutions may be made without<br />

notice.<br />

Group Rate Discount Tuition Policy<br />

Group tuition rates are offered and based on the collective registration<br />

of all group members. Should a group member decide to<br />

withdraw their enrollment from the course the rema<strong>in</strong><strong>in</strong>g group<br />

members are responsible to f<strong>in</strong>d a replacement <strong>in</strong> order to ma<strong>in</strong>ta<strong>in</strong><br />

their group discount status. If the rema<strong>in</strong><strong>in</strong>g group members<br />

can not f<strong>in</strong>d a replacement prior to the start of the course, they will<br />

be <strong>in</strong>voiced and required to pay <strong>in</strong> full the difference between the<br />

<strong>in</strong>dividual tuition rate and the group discount rate.<br />

Refund Policy<br />

A handl<strong>in</strong>g fee of $60 is deducted for cancellation. Refund requests<br />

must be received by mail or fax one week prior to the<br />

course. No refunds will be made thereafter.<br />

Course Location<br />

All sessions will be held at the Omni Parker House Hotel, 60<br />

School Street, Boston, MA 02108 (tel 617-227-8600 or 800-843-<br />

6664).<br />

Accommodations<br />

A limited number of rooms have been reserved at the Omni<br />

Parker House Hotel until September 10, 2009. Please specify<br />

that you are enrolled <strong>in</strong> this course to receive the reduced room<br />

rate. Please call 617-227-8600 or 800-843-6664 for reservations.<br />

Travel<br />

Please do not make non-refundable airl<strong>in</strong>e reservations until your<br />

enrollment <strong>in</strong> the course has been confirmed. You can make your<br />

airl<strong>in</strong>e reservation by call<strong>in</strong>g the HMS Travel Desk toll free 1(877)<br />

4-HARVMD (1-877-442-7863) Monday - Friday 9 AM - 8 PM (EST).<br />

From outside the U.S., Canada and Virg<strong>in</strong> Islands, please call<br />

(617) 559-3764.<br />

Visit Harvard Medical School-Department of<br />

Cont<strong>in</strong>u<strong>in</strong>g Education onl<strong>in</strong>e:<br />

www.cme.hms.harvard.edu


SOLVING EVERYDAY PROBLEMS IN<br />

BREAST PATHOLOGY:<br />

A MORPHOLOGICAL APPROACH<br />

October 5 - 7, 2009 Class #2914088<br />

Tuition Fee: $625 (USD)<br />

Group Rate: $575 (USD) (4 or more per person)<br />

Please Pr<strong>in</strong>t Clearly. All Fields Required.<br />

Full Name ____________________________________________<br />

First Middle Initial Last<br />

Degree_______________________________________________<br />

Pr<strong>in</strong>t on name tag? Yes ❏ No ❏<br />

Mail<strong>in</strong>g Address ________________________________________<br />

Street<br />

____________________________________________________<br />

City State Zip Code<br />

Daytime Phone (____)___________________________________<br />

Fax Number (____)_____________________________________<br />

E-Mail Address_________________________________________<br />

❏ Please check if you want to be excluded from receiv<strong>in</strong>g email notices of future Harvard MED-DCE programs.<br />

Professional School Attended_______________________________<br />

Year Of Graduation______________________________________<br />

Profession____________________________________________<br />

Primary Specialty (Physicians Only) _________________________<br />

Board Certified: Yes ❏ No ❏<br />

Organization Affiliation____________________________________<br />

Payment Information<br />

Check is enclosed: Please make your check payable to Harvard<br />

Medical School and mail it with this registration form to:<br />

Harvard Medical School-Department of Cont<strong>in</strong>u<strong>in</strong>g Education<br />

P.O. Box 825<br />

Boston, MA 02117-0825<br />

Registrations paid by credit card may be made onl<strong>in</strong>e at:<br />

www.cme.hms.harvard.edu/courses/solv<strong>in</strong>gproblems<br />

Onl<strong>in</strong>e registrants - add the first three characters of<br />

the source code found here Source Code: W E B

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