1st MALAYSIAN BREAST & ENDOCRINE SURGERY COURSE 3rd - 4th November 2012 Auditorium Hospital Putrajaya Putrajaya, Malaysia

SOUVENIR PROGRAMME Organised by

KEMENTERIAN KESIHATAN MALAYSIA

College of Surgeons Academy of Medicine Malaysia

International Society of Surgery

1st Malaysian Breast & Endocrine Surgery Course

Contents Message from the Deputy Director-General of Health (Medical)

3

Message from the President of the College of Surgeons,

4

Academy of Medicine of Malaysia Message from the Advisor

5

Organising Committee

6

Faculty

7

Programme

8

Acknowledgements

—2—

12

3rd - 4th November 2012

Message from the Deputy Director-General of Health (Medical) It is my great pleasure and privilege to welcome you to the 1st Malaysian Breast and Endocrine Surgery Course. This two-day course is the first collaboration between the Ministry of Health, Malaysia, and the College of Surgeons, Academy of Medicine of Malaysia with the International Association of Endocrine Surgeons (IAES) and the Breast Surgery International (BSI). Combined together, the IAES and the BSI, under the auspices of International Society of Surgery, bring with them knowledge and experience from world renowned leaders in the field of Breast and Endocrine Surgery. I can assure you that there will be much to learn in this course. The aim of this course is to further expand our knowledge in the finer management of breast and endocrine diseases. Topics chosen are specific to particular aspects of breast and endocrine diseases. The course is designed to involve and engage the audience in a discussion with the experts rather than a typical lecture course. I hope this course will provide an opportunity for breast and endocrine surgeons to learn and exchange ideas, as well as an avenue for networking. It is my hope that the knowledge attained from this course will spur enthusiasm to further enhance our current surgical practice. I wish you a fruitful course and an exciting time here in Putrajaya.

Datuk Dr Noor Hisham bin Abdullah Deputy Director General of Health (Medical) Ministry of Health Malaysia & Head and Senior Consultant Surgeon Department of Breast and Endocrine Surgery Putrajaya Hospital

—3—

1st Malaysian Breast & Endocrine Surgery Course

Message from the President of the College of Surgeons, Academy of Medicine of Malaysia The Ministry of Health Malaysia recognizes that surgeons in the Ministry of Health are required to update their knowledge and to acquire new skills to be able to provide the best care for their patients. In recent years, the Ministry has worked with the College of Surgeons, Academy of Medicine of Malaysia (CSAMM) to develop courses that will meet this objective. The two courses which are running regularly now are the Acute Trauma Life Support (ATLS) course and the Care of the Critically Ill Surgical Patient (CCrISP) course. Breast cancer is the commonest cancer in Malaysian women, and thyroid disease is also very common in Malaysia. Breast and Endocrine Surgery (BES) is one of the subspecialties under General Surgery and the Ministry has a three-year fellowship programme for surgeons interested in taking up this specialty. The Breast Surgery International (BSI) and the International Association of Endocrine Surgeons (IAES) are integrated societies under the International Surgical Society which has its headquarters in Geneva. These two societies also have a goal to work for international teaching in surgery in developed and developing countries. On 25th May 2012, the Ministry of Health and the CSAMM signed an memorandum of understanding with these two societies to work together with a local organizing committee to develop a curriculum for a BES course that will benefit surgeons interested in BES in Malaysia. With this course, it is hoped that surgeons in the Ministry will acquire new knowledge and improve their skills in the management of breast and endocrine diseases. I would like to thank the surgeons from the BSI and the IAES, who have taken the time to run the first Breast and Endocrine Surgery Course in Malaysia. I would also like to thank the local organizing committee chaired by Dr Sarinah Basro with Professor Dr Rohaizak Muhammad as their advisor for their effort in putting the programme together.

Dato’ Dr Yip Cheng Har President College of Surgeons Academy of Medicine of Malaysia

—4—

3rd - 4th November 2012

Message from the Advisor It is with great pleasure that I welcome all the delegates to the 1st Malaysian Breast & Endocrine Surgery Course which will be conducted on 3rd to 4th November 2012 at the Hospital Putrajaya. The course is organised by the College of Surgeon, Academy of Medicine of Malaysia together with the Ministry of Health Malaysia and International Association of Endocrine Surgeon (IAES), following the signing of the MoU between the three parties. The course consists of lectures by invited speakers on important and common topics, followed by local case presentations and discussions. The first day will focus on Breast Diseases followed by Endocrine Disorders on the second day. During the course, the participants will have the opportunity to have interactive discussion with the speakers who are specially invited from the IAES and the Breast Surgery International (BSI). We are privileged to have the two speakers from IAES, Professor Dr Robert Parkyn and Professor Dr Thomas Lennard, and the representatives from the BSI, Associate Professor Dr Kerstin Sandelin and Associate Professor Dr Shawna C Willey. This is the first time the course is conducted together with the IAES and will provide a golden opportunity for the EndocrineBreast trainee surgeons and general surgeons in Malaysia to share the experience in treating patients with the diseases. In addition to the scientific programme, other activities include visit by the speakers to the ENB training centres and the opportunity to observe the cases treated in the local hospitals. We look forward to welcoming you to our meeting!

Professor Dr Rohaizak Muhammad Advisor 1st Malaysian Breast and Endocrine Surgery Course

—5—

1st Malaysian Breast & Endocrine Surgery Course

Organising Committee Advisor

: Professor Dr Rohaizak Muhammad

Co-Advisor

: Dr Nor Aina Emran

Dr Normayah Kitan Course Director

: Dr Sarinah Basro

Secretary

: Dr Shahrun Niza Abdullah Suhaimi

Treasurer

: Dr Anita Baghawi

Committee Members : Dr Nor Azham Hakim Darail Dr Teh Yew Ching : Ms Kong Yoon Moi

Secretariat

Mr Melvin Raj

—6—

3rd - 4th November 2012

Faculty Dr Thomas W J Lennard Professor of Breast & Endocrine Surgery, Newcastle University Head of the School of Surgical and Reproductive Sciences, Royal Victoria Infirmary, Newcastle-upon-Tyne, UK

Dr Robert F Parkyn Associate Professor, Discipline of Surgery, University of Adelaide Senior Visiting Surgeon and Director of Endocrine Surgery, The Breast and Endocrine Surgery Unit, The Queen Elizabeth Hospital, Adelaide, Australia

Dr Kerstin Sandelin Associate Professor, Department of Breast & Endocrine Surgery, Karolinska Institutet, Stolkholm, Sweden

Dr Shawna C Willey Associate Professor and Chief, Division of Breast Surgery Director, Betty Lou Ourisman Breast Health Centre, Georgetown University Hospital, Washington DC, USA

—7—

1st Malaysian Breast & Endocrine Surgery Course

Programme 3rd November 2012 (Saturday) BREAST SURGERY 0730 - 0815

REGISTRATION

0815 - 0845

WELCOME REMARKS / OPENING CEREMONY

0845 - 1030

Symposium I: Pre-Invasive Breast Lesion

0845 - 0915

Pathological Significance of Extensive DCIS Shawna Willey / Kerstin Sandelin

0915 - 0945

Mammographic Features of DCIS Kerstin Sandelin



Chairpersons: Nur Aishah Mohd Taib / Cheong Yew Teik

0945 - 1015 Current Surgical Management of DCIS



Shawna Willey

1015 - 1030 Case Discussion



Kirubakaran Malapan

1030 - 1045 COFFEE 1045 - 1245

Symposium II: Invasive Breast Carcinoma

1045 - 1115

Positive SLNB: Where Does Axillary Clearance Stand? Shawna Willey

1115 - 1145

Case Discussion Nani Harlina Md Latar

1145 - 1215

Recalcitrant Breast Carcinoma Following Neoadjuvant Chemotherapy: What Shall We Do? Kerstin Sandelin





Chairpersons: Nur Aishah Mohd Taib / Cheong Yew Teik

1215 - 1245 Case Discussion





Raflis Ruzairee Awang

—8—

3rd - 4th November 2012

Programme 3rd November 2012 (Saturday) BREAST SURGERY 1245 - 1315

Lunch Satellite Symposium 1 (Covidien)



Ligasure Small Jaw Jamie Ch’ng



Initial Experience in Advanced Energy for Mastectomy Anthony Tang

1315 - 1400

LUNCH

1400 - 1500

Symposium III: Inheritance

1400 - 1430

Hereditary Breast Carcinoma Kerstin Sandelin

1430 - 1500

Case Discussion See Mee Hoong

1500 - 1730

Symposium IV: Miscellaneous

1500 - 1530

How Close is a Safe Margin? American and European Differences & Similarities Shawna Willey / Kerstin Sandelin

1530 - 1600

Case Discussion Juliana Abd Latiff



1600 - 1615

Chairpersons: Nor Aina Emran / Hussain Mohammad

Chairpersons: Nor Aina Emran / Hussain Mohammad

COFFEE

1615 - 1640

Improving Cosmetic Outcomes in Breast-Conserving Surgery Shawna Willey / Kerstin Sandelin

1640 - 1700

Case Discussion Teoh Mei Shi

1700 - 1730

General Discussions / Case Presentation on Follow Up and Surveillance in Breast Carcinoma Siti Hartinie Mohamad





—9—

1st Malaysian Breast & Endocrine Surgery Course

Programme 4th November 2012 (Sunday) ENDOCRINE SURGERY 0800 - 0930

Symposium IV: Parathyroid

0800 - 0830

Parathyroid Imaging for Surgeons Robert Parkyn

0830 - 0900

Strategies for Parathyroid Exploration Thomas Lennard / Robert Parkyn

0900 - 0930

Case Presentation Nani Harlina Md Latar

0930 - 1030

Symposium V: Thyroid

0930 - 1000

Surgery for Thyroid Cancer Thomas Lennard / Robert Parkyn

1000 - 1030

Case Discussion Raflis Ruzairee Awang

1030 - 1045

COFFEE

1045 - 1245

Symposium VI: Adrenal

1045 - 1115

Management of Adrenal Incidentaloma Thomas Lennard / Robert Parkyn

1115 - 1145

Case Discussion Seniyah Md Shikin

1145 - 1215

Management of Phaeochromocytoma Thomas Lennard / Robert Parkyn

1215 - 1245

Case Discussion Zamzuri Zakaria

1245 - 1315

Lunch Satellite Symposium 2 (Johnson & Johnson) Safe Surgery in Thyroidectomy Rohaizak Muhammad











Chairpersons: Normayah Kitan / Shahrun Niza Abdullah Suhaimi

Chairpersons: Normayah Kitan / Shahrun Niza Abdullah Suhaimi

Chairpersons: Normayah Kitan / Shahrun Niza Abdullah Suhaimi

1315 - 1400 LUNCH — 10 —

3rd - 4th November 2012

Programme 4th November 2012 (Sunday) ENDOCRINE SURGERY 1400 - 1500 Symposium VII: Benign Thyroid Disease Chairperson: Imisairi Abd Hadi / Sarinah Basro 1400 - 1430

Management of Thyroid Nodules Thomas Lennard / Robert Parkyn

1430 - 1500

Case Presentation Maizatul Rahman Selamat

1500 - 1515

COFFEE

1515 - 1715

Symposium VIII: Miscellaneous

1515 - 1545

The Management of Renal Hyperparathyroidism Robert Parkyn / Thomas Lennard

1545 - 1615

Case Discussion Chan Ai Chen

1615 - 1645

“How to Keep Your Nerve” Thomas Lennard

1645 - 1715



General Discussion and Case Presentations on Complications of Neck Surgery Robert Parkyn / Suraya Baharudin

1715

Closing Remarks Rohaizak Muhammad









Chairperson: Imisairi Abd Hadi / Sarinah Basro

Visits to Hospitals 2nd November 2012 (Friday) UM Medical Centre Shawna Willey 5th November 2012 (Monday) Hospital Putrajaya Robert Parkyn / Kerstin Sandelin Hospital Kuala Lumpur Thomas Lennard / Shawna Willey 6th November 2012 (Tuesday) UKM Medical Centre Robert Parkyn / Thomas Lennard — 11 —

Acknowledgements The Organising Committee of the Malaysian Breast and Endocrine Surgery Course would like to express its appreciation to the following for their support and contribution: 1st

Covidien Johnson & Johnson Mundipharma Pharmaceuticals Sdn Bhd Novartis Oncology Roche Malaysia Sdn Bhd UMMI Surgical Sdn Bhd