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Breast - Prostate Consensus November 11-12, 2016

Stre ami ng

Tel econ f e r e n c e

(Co o r d in ato r A. Far iñ a - CAID - FA LP)

PRE-MEETING COURSE SBRT-SOLAIR-ALATRO Advanced radiation therapy: oral junior communications SBRT vs SURGERY: Clinical and Economical Issues

November 10, 2016

RIO DE JANEIRO – BRAZIL In collaboration with

Venue: Hotel Sofitel Avda. Atlantica 4240 Copacabana

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Scientific Committe Sociedade Franco-Brasileira de Oncologia Carla Ismael, MD

Founder and Director Centro de Terapia Oncológica, CTO - Petropolis, Brazil President of SFBO

Sociedade Brasileira de Radioterapia Eduardo Weltman, MD

Professor of Radiotherapy University of Sao Paulo, Brazil Director Radiotherapy Department - A. Einstein Jewish Hospital, Sao Paulo President of SBRT

Asociación IberoLatino Americana de Terapia Radiante Oncologica Hugo Marsiglia, MD

Professor of Radiotherapy University of Los Andes, Chile Chief Medical Director FALP President of ALATRO

Education Office European Institute of Oncology (IEO) - Milano, Italy Roberto Orecchia, MD

Professor of Radiotherapy University of Milano, Italy Scientific Director IEO Scientific Director CNAO - Pavia, Italy

Centro Academico de Investigacion y Docencia (CAID) Fundación Arturo López Pérez (FALP) – Santiago, Chile Luis Marin, MD

Professor of H&N Surgery University of Los Andes, Chile Scientific Director FALP. Director Head and Neck Surgery, FALP

Instituto de Radioterapia Fundación Marie Curie Silvia Zunino, MD

Director Department of Radiotherapy Marie Curie Foundation Córdoba - Argentina

Centre Oscar Lambret – Lille, France Eric Lartigau, MD

General Director Centre Oscar Lambret Lille - France

University Hospital – Nijmegen, The Netherlands Philip Poortmans, MD, PhD

Director Radiotherapy Department University Medical Center Nijmegen - The Netherlands President of ESTRO

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Faculty Oscar Abuchaibe, MD

Maria José Alvés, MD

Director Dept Radiotherapy Foscal Bucaramanga - Colombia

Director Dept Radiotherapy, Hospital Servidor Público Estadual Hospital Alemão Oswaldo Cruz, Sao Paulo - Brazil

Juan Carlos Arbelaez, MD

Luis Barriga, MD

Director Dept Radiotherapy Centro de Control de Cáncer Bogotá - Colombia

Chief Executive Officer Oncomedica Group Secretary General SPRO Lima - Peru

Maria Yicel Bautista, MD

Ana Botero, MD

Director Radiotherapy Unit Hospital General de México. Dr. Eduardo Linceaga Mexico City - Mexico

Department of Radiotherapy Memorial Cancer Institute Pembroke Pines - USA

Pablo Castro Peña, MD

Enrique Chajon, MD

Medical Director Instituto de Radioterapia Fundación Marie Curie Córdoba - Argentina

Department of Radiotherapy Centre Eugene Marquis Rennes - France

Ana Maria Ciudad, MD

Abel Córdoba Largo, MD

Department of Radiotherapy Fundación Arturo López Pérez Santiago - Chile

Department of Radiotherapy Centre Oscar Lambret Lilles - France

Martha Cotes Mestre, MD

Marcela De La Torre, MD

Universidad Pontificia Javeriana Professor ad honorem Dept. Radiotherapy INCA Bogotá - Colombia

Director Dept Radiotherapy José de San Martín Hospital Buenos Aires - Argentina

Ícaro Thiago de Carvalho, MD

Antonio De Salles, MD, PhD

Department of Radiotherapy Hospital Albert Einstein Instituto Abathon Medicina e Saúde Sao Paulo - Brazil

Professor Neurosurgery Director, Neurosurgery Brain Research Institute - UCLA Los Angeles - USA Hospital do Corazão. São Paulo - Brazil

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Faculty Christian Domenge, MD

Ariel Fariña, MD

Vice President and CEO of SFBO

Coordinator Radiotherapy Education CAID FALP Santiago - Chile

João Luis Fernandes da Silva, MD

Robson Ferrigno, MD

Director Radiotherapy Department Hospital Sírio-Libanês Sao Paulo - Brazil

Department of Radiotherapy Fundação Antônio Prudente, Hospital do Câncer A.C. Camargo. Past President SBRT Sao Paulo - Brazil

Rafael Garcia, MD

Manuel Gonzalez, MD

Director Cyberknife Unit Fundación Grupo IMO Madrid - Spain

Dept Radiation Oncology Clínica Reñaca - Instituto Oncológico Fundação Antônio Prudente, Hospital do Câncer A.C. Camargo Viña del Mar - Chile

Pablo Gonzalez, MD

Jean Louis Habrand, MD

Medical Director Oncocare, Professor of Oncology & Radiotherapy University of Valparaíso Instituto Oncológico Viña del Mar - Chile

Professor and Chairman Dept. Radiation Oncology François Baclesse Cancer Center Caen - France

Judith Huertas, MD

Carla Ismael, MD

FUCAM Mexico

President SFBO Founder and Director Centro de Terapia Oncológica, CTO Petropolis - Brazil

Pedro Kasdorf, MD

Alberto Lachos, MD

Professor of Radiotherapy University of Uruguay Director Radiotherapy Department Instituto Nacional del Cancer Montevideo - Uruguay

Head Dept. Nuclear Medicine Radiotherapy Department Instituto Nacional de Enfermedades Neoplásicas Lima - Peru

Raul Lara, MD

Rafael Lengua, MD

Medical Director Centro Salvadoreño de Radioterapia San Salvador - El Salvador

Deputy Medical Director Hope International Guatemala

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Faculty Marc Levivier, MD

Alvaro Luongo, MD

Professor Université de Lausanne Director Neurosurgery Director Gamma Knife Lausanne University Hospital (CHUV) Lausanne - Switzerland

Medical Director Instituto Nacional del Cancer Montevideo - Uruguay

Hugo Marsiglia, MD

Carlos M. Mendonça de Araújo, MD

Chief Medical Director, Arturo Lopez Perez Foundation Santiago - Chile President of ALATRO

Head Radiotherapy Service National Cancer Institute Rio de Janeiro - Brazil

Thais Morella Rebolledo, MD, MSc

Neiro Motta, MD

Professor Radiotherapy & Nuclear Medicine Universidad Central de Venezuela Caracas - Venezuela

Director Radiotherapy Department Irmandade Santa Casa de Misericórdia Porto Alegre - Brazil

Roberto Orecchia, MD

Rosalba Ospino, MD

Professor of Radiotherapy University of Milano, Italy Scientific Director IEO Milan - Italy

President Cansercoop IPS Bogotá - Colombia

Eduardo Pessoa, MD

Ana Carolina Pires de Rezende, MD

Department of Radiotherapy Hospital do Servidor Publico Estadual Francisco Morato Sao Paulo - Brazil

Dept. Radiotherapy A. Einstein Jewish Hospital, Sao Paulo - Brazil

Luisa Rafailovici, MD

Ivan Rios, MD

Professor of Radiotherapy Co-Director Vidt Centro Médico VicePresident SATRO Buenos Aires - Argentina

Radiation Oncology Department, Cancer Institute, Centro Medico Imbanaco Cali - Colombia

Berta Roth, MD

Angeles Rovirosa, MD

Director Dept Radiotherapy Instituto de Oncologia A. Roffo Buenos Aires - Argentina President of ASARCA

Head of Brachytherapy Hospital Clínic Universitari Barcelona - Spain

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Faculty Kita Sallabanda, MD

Nestor O. Sánchez Ch, MD

Neuro-Oncology/Cyberknife Unit San Carlos University Hospital - IMO Madrid - Spain

Dept of Radiotherapy, Hospital de Clínicas Caracas - Venezuela

Camilo Sandoval, MD

Luis Schiappacasse, MD

Director Dept. Urology FALP Santiago - Chile

Director Radiation Oncology Unit Dept. Oncology UNIL - CHUV Lausanne - Switzerland

Arnaud Villers, MD

Eduardo Weltman, MD

Professor Urology Chairman, Dept Urology CHU Lille - France

Professor of Radiotherapy Director Dept Radiotherapy A. Einstein Jewish Hospital, Sao Paulo - Brazil President of SBRT

Silvia Zunino, MD Director Dept. Radiotherapy Fundación Marie Curie Córdoba - Argentina

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Letter from the Directors

Dear Colleague, Breast and Prostate Cancers have high incidences all over the world. Their treatment is by no means standardized, especially as regards irradiation. We organized this meeting in order to try and reach a consensus on the radiotherapy treatment of this widespread diseases, giving all participants (both those here and those connected via internet) the possibility to express their vote before and after each presentation. We thank you for coming to this meeting and we hope you’ll find it useful for your practice in the future

Carla Ismael President SFBO

Hugo Marsiglia President ALATRO

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Eduardo Weltman President SBRT

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A D VA N C E D R A D I AT I O N T H E R A P Y: O R A L J U N I O R C O M M U N I C AT I O N S

08:30-12:30

ADVANCED RADIATION THERAPY: ORAL COMMUNICATIONS Moderator: To be defined

08:30-12:00

EXPERIENCE AND PROJECTS IN LATAM



08:30-08:45 Brazil 08:45-09:00  Alberto Lachos (Perú) 09:00-09:15  Ivan Rios (Colombia) 09:15-09:30  Manuel Gonzalez (Chile) 09:30-10:45 México 10:45-10:00  Argentina 10:00-10:15  Rafael Lengua (Guatemala) 10:15-10:30 Coffee Break

12:30-14:00

Lunch Symposium – Accuray Moderator: To be defined



Cyberknife in SBRT Ana Botero (USA)



Tomotherapy indications in breast and prostate cancer Judith Huertas (México)



Cyberknife and Tomotherapy cost efficient treatments To be defined

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10:30-10:45 Panamá 10:45-11:00  Salvador 11:00-11:15  Costa Rica 11:15-11:30  Venezuela 11:30-11:45 Ecuador 11:45-12:00  República Dominicana 12:00-12:15  Puerto Rico 12:15-12:30 Bolivia

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Thursday, 10 November P R E - M E E T I N G C O U R S E S B R T- S O L A I R - A L A T R O SBRT vs SURGERY: Clinical and Economical Issues

14:00-16:15

INTRACRANEAL INDICATIONS Moderators: Eduardo Pessoa - Neiro Motta (Brazil)



I Session: Arteriovenous Malformation (MAV) 14:00-14:15 Neurosurgery Marc Levivier (Switzerland) 14:15-14:30 SBRT Luis Schiappacasse (Switzerland) 14:30-14:45 Discussion



II Session: Benign Tumors 14:45-15:00 Neurosurgery 15:00-15:15 SBRT 15:15-15:30 Discussion



III Session: Oligometastasis and spinal tumors 15:30-15:45 Neurosurgery vs Radiosurgery Kita Sallabanda (Spain) 15:45-16:00 SBRT Eduardo Weltman (Brazil) 16:00-16:15 Discussion

16:15-16:30

Coffe break

16:15-18:00

EXTRACRANEAL INDICATIONS Moderators: Robson Ferrigno - J. Luis Fernández Da Silva (Brazil)



IV Session: Prostate 16:15-16:30 Surgery 16:30-16:45 SBRT 16:45-17:00 Discussion

Camilo Sandoval (FALP) Roberto Orecchia (Italy)



V Session: Oligometastasis 17:00-17:15 Metastasectomy 17:15-17:30 SBRT 17:30-17:45 Discussion

SFBO Delegate Enrique Chajón (France)

17:45-18:00

Closing Remarks: Latin American Experience in SBRT Hugo Marsiglia (Chile)

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Antonio De Salles (Brazil) Ariel Fariña (Chile)

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Friday, 11 November – Breast Day M O RN I N G

P R O GR A M

09:00-09:30 Registration 09:30-10:00

Opening Lecture: The Present and future of Radiotherapy in Breast Cancer Roberto Orecchia (Italy)

10:00-11:40

I SESSION: LOCOREGIONAL RADIOTHERAPY Moderators: Nestor O. Sanchez Ch - Thais Rebolledo (ALATRO)

10:00-10:10

Vote on Radiotherapy of the IMC (before)

10:10-10:30

Radiotherapy of the internal mammary chain Ana Carolina Pires de Rezende (SBRT)

10:30-10:40

Vote on Radiotherapy of the IMC (after)

10:40-11:00

Coffe break

11:00-11:10

Vote on Breast irradiation after mastectomy (before)

11:10-11:30 Breast irradiation after mastectomy –  Node-negative axilla –  T1-3 N+ disease

Hugo Marsiglia (ALATRO)

11:30-11:40

Vote on Breast irradiation after mastectomy (after)

11:40-13:00

SYMPOSIUM: ELEKTA Moderators: To be defined

Mosaiq: Paperless Center Luis Barriga (Peru) Mosaiq: Verify and Record System Enrique Chajon (France) Mosaiq: Comprehensive Data Center To be defined

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Friday, 11 November – Breast Day A F T E R N O O N

P R O GR A M

14:00-16:00 II SESSION: HYPOFRACTIONATED RADIOTHERAPY Moderators: Yicel Bautista – Martha Cotes Mestre (ALATRO) 14:00-14:20 Modalities and indications of hypofractionated RT: IOERT - IMAT Hypofractionated RT +/- Systemic treatment Roberto Orecchia (Italy) 14:20-14:40 Is RT mandatory in CDIS? Which modality? Luisa Rafailovici (SATRO) 14:40-14:50

Vote on hypofractionated RT in large or node-positive breasts (before)

14:50-15:10

Is hypofractionated RT possible in large or node-positive breasts? Silvia Zunino (ALATRO)

15:10-15:20

Vote on hypofractionated RT in large or node-positive breasts (after)

16:10-16:20

Coffe break

15:30-17:00

SYMPOSIUM IBA Moderators: Alvaro Luongo - Pedro Kasdorf (ALATRO)

15:30-15:50 Radioimmunotherapy Enrique Chajon (France) 15:50-16:10 Radiogenomics in breast cancer Ariel Fariña (Chile) 16:10-16:30

Proton Therapy vs New Photon Therapy Tecnique Berta Roth (Argentina)

16:30-16:50 Proton Therapy in Pediatric Disease J. Louis Habrand (France) 16:50-17:00 Discussion

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Saturday, 12 November – Prostate Day M O RN I N G

P R O GR A M

9:00-10:30

I SESSION: EARLY PROSTATE CANCER Moderators: Juan Carlos Arbelaez – Oscar Abuchaive (ALATRO)

09:00-09:20

Wait and see vs Robotic Surgery Arnaud Villers (France)

09:20-09:40

Robotic Surgery vs SBRT Camilo Sandoval (FALP)

09:40-10:00

SBRT vs Brachytherapy Abel Córdoba Largo (France)

10:00-10:30

Round table: Debate and Consensus Marcela De La Torre (ALATRO)

10:30-10:50

Coffe break

10:50-12:30

II SESSION: LOCALLY ADVANCED PROSTATE CANCER Moderators: María José Alves - Carlos M. Mendonça de Araújo (Brazil)

10:50-11:10

Is surgery always the standard? Arnaud Villers (France)

11:10-11:30

Alternatives in radiation treatments Robson Ferrigno (SFBO)

11:30-11:50

Local recurrence: SBRT vs Brachytherapy vs Surgery Enrique Chajón (France)

11:50-12:30

Round table: Debate and Consensus Angeles Rovirosa (ALATRO)

12:30-14:00

LUNCH SYMPOSIUM – VIEW RAY (To be defined)

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Saturday, 12 November – Prostate Day A F T E R N O O N

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14:00-15:30

III SESSION: OLIGOMETASTATIC PROSTATE CANCER Moderators: Pablo Gonzalez – Rosalba Ospino (ALATRO)

14:00-14:20

New drugs for oligometastatic prostate cancer Christian Demonge (SFBO)

14:20-14:40

SBRT approaches Pablo Castro Peña (ALATRO)

14:40-15:00

Synergy between SBRT and hormone therapy I. Thiago de Carvalho (SBRT)

15:00-15:30

Round table: Debate and Consensus

15:30-16:00

Closing remarks Carla Ismael (SFBO) Eduardo Weltman (SBRT)

16:00-16:30

Coffe break

16:30-17:30

COMPARING PLANNING SYSTEMS IN BREAST AND PROSTATE IMAT Radiation Therapy Varian, Elekta, Accuray

17:30-18:30

ALATRO ASSEMBLY

20:00-22:00

DINNER SYMPOSIUM – VARIAN Moderators: To be defined

ARIA: Paperless Center To be defined ARIA: Record and Verify System To be defined ARIA: Comprehensive Data Center To be defined

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General Information

Organizing Secretariat Nordiana Baruzzi n o r d i a n a . b a r u z z i @ f a l p. o r g Te l : + 5 6 2 2 7 0 6 7 5 5 0 Cell: +56 9 5652 1864

Leticia Prieto [email protected] Te l : + 9 1 7 8 2 0 0 3 3 Fax: +91 561 5787

SFBO w w w. s f b o. c o m . b r s f b o @ s f b o. c o m . b r

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Scientific Societies

SOCIEDAD LATINO IBEROAMERICANA DE RADIOCIRUGÍA

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In collaboration with

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