Living with Brain Tumors - Dana-Farber Cancer Institute
Living with Brain Tumors - Dana-Farber Cancer Institute
Living with Brain Tumors - Dana-Farber Cancer Institute
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<strong>Living</strong> <strong>with</strong> <strong>Brain</strong> <strong>Tumors</strong>:<br />
A Focus on Gliomas<br />
Sponsored by the Center for<br />
Neuro-Oncology<br />
Sept. 8, 2012<br />
Presented by:<br />
Patrick Wen, MD<br />
Director, Center for Neuro-Oncology<br />
<strong>Dana</strong>-<strong>Farber</strong>/Brigham and Women’s <strong>Cancer</strong> Center<br />
Department of Medical Oncology<br />
<strong>Dana</strong>-<strong>Farber</strong> <strong>Cancer</strong> <strong>Institute</strong><br />
Professor of Neurology<br />
Harvard Medical School<br />
Conference co-chairs:<br />
Lisa Doherty, APRN, BC, OCN<br />
Andrew Norden, MD, MPH<br />
David A. Reardon, MD<br />
Patrick Wen, MD
<strong>Living</strong> <strong>with</strong> <strong>Brain</strong> <strong>Tumors</strong>: A Focus on Gliomas<br />
Welcome<br />
Dear Friends,<br />
It is an exciting time at <strong>Dana</strong>-<strong>Farber</strong>/Brigham<br />
and Women’s <strong>Cancer</strong> Center (DF/BWCC). Over<br />
the past few years, we have made important<br />
strides in research and the development of new<br />
treatments for patients <strong>with</strong> brain tumors.<br />
With the help of many of our patients, <strong>Dana</strong>-<br />
<strong>Farber</strong> participated in a large study of the drug<br />
Avastin, which blocks a tumor’s ability to form<br />
the blood vessels that allow them to thrive and<br />
grow. Avastin proved effective in patients <strong>with</strong><br />
recurrent gliobastomas and was approved by<br />
the FDA in 2009. While Avastin is not a cure, it<br />
has prolonged the life of many patients. A major<br />
focus of our research is to improve on the results<br />
of Avastin alone.<br />
Another major focus of research at <strong>Dana</strong>-<strong>Farber</strong><br />
is to characterize the molecular and genetic<br />
abnormalities in brain tumors. It is our hope that,<br />
over time, this information will enhance our<br />
ability to uncover the causes of each person’s<br />
tumor, allowing us to select the most appropriate<br />
treatment, or speed the development of new,<br />
targeted therapies.<br />
We are already making progress. <strong>Dana</strong>-<strong>Farber</strong><br />
researchers have assisted <strong>with</strong> the development<br />
of targeted molecular drugs for glioblastomas<br />
and are identifying the most promising and<br />
best combination for our patients. Clinical<br />
trials are underway on new drugs that target<br />
the PI3 kinase, one of the most critical pathways<br />
in glioblastomas. We also have a large research<br />
program studying the biology of tumor stem cells,<br />
which are resistant to treatment, and finding the<br />
best drugs to kill them. In addition, new trials are in<br />
progress on tumor vaccines to stimulate the body’s<br />
immune system to fight tumors.<br />
Although a major focus of research at <strong>Dana</strong>-<strong>Farber</strong> is<br />
finding better treatments for gliomas, we also have<br />
active research programs for meningiomas, CNS<br />
lymphomas, ependymomas, brain metastases, and<br />
other tumor types.<br />
With your help, we hope to find cures for brain<br />
tumors. If you would like additional information or<br />
are interested in supporting this innovative research,<br />
please consider donating to the Adult <strong>Brain</strong> Tumor<br />
Research Fund by contacting me at patrick_wen@<br />
dfci.harvard.edu or 617-632-2166; or Susan<br />
Korsmeyer at susan_korsmeyer@dfci.harvard.edu<br />
or 617-582-8393.<br />
Thank you so much.<br />
Patrick Wen, MD<br />
Professor of Neurology, Harvard Medical School<br />
Director, Center for Neuro-Oncology<br />
<strong>Dana</strong>-<strong>Farber</strong>/Brigham and Women’s <strong>Cancer</strong> Center
<strong>Living</strong> <strong>with</strong> <strong>Brain</strong> <strong>Tumors</strong>: A Focus on Gliomas<br />
Agenda<br />
10:45 – 11 a.m.<br />
BREAK<br />
Questions due for panel discussion<br />
Patrick Wen,<br />
MD<br />
8 a.m.<br />
Registration and coffee (Light breakfast will<br />
be provided)<br />
8:25 a.m.<br />
Patrick Wen, MD<br />
Welcome and introduction to conference<br />
11 – 11:15 a.m.<br />
Nancy Goldsmith Tharler, LICSW<br />
Caring for the caregiver<br />
11:15 – 11:50 a.m.<br />
Stacy Kennedy, MPH, RD, CSO, LDN<br />
Nutrition<br />
Nancy Goldsmith<br />
Tharler, LICSW<br />
David Reardon,<br />
MD<br />
Rameen<br />
Beroukhim,<br />
MD, PhD<br />
Debra LaFrankie,<br />
RN, OCN<br />
8:30 – 8:45 a.m.<br />
David Reardon, MD<br />
Background information on brain tumors<br />
and treatments<br />
8:45 – 9:05 a.m.<br />
Rameen Beroukhim, MD, PhD<br />
<strong>Brain</strong> tumors: Basic science and novel therapies<br />
9:05 – 9:25 a.m.<br />
Patrick Wen, MD<br />
Clinical trials for brain tumors<br />
9:25 – 9:40 a.m.<br />
BREAK<br />
9:40 – 10 a.m.<br />
Debra LaFrankie, RN, OCN<br />
Symptom management for patients<br />
<strong>with</strong> brain tumors<br />
10 – 10:15 a.m.<br />
Alexandra Golby, MD<br />
Surgical treatment for brain tumors<br />
11:50 a.m. – 12:05 p.m.<br />
Eudocia Q. Lee, MD, MPH<br />
Medical complications of gliomas<br />
12:05 – 12:10 p.m.<br />
Susan Korsmeyer<br />
12:10 – 12:55 p.m.<br />
LUNCH<br />
12:55 – 1:15 p.m.<br />
Halyna Vitagliano, MD<br />
Thoughts, memories, and brain tumors:<br />
Cognitive issues<br />
1:15 – 2:15 p.m.<br />
Panel discussion moderated by<br />
Lisa Doherty, APRN, BC, OCN<br />
Panelists:<br />
Brian Alexander, MD<br />
Jane Bausch, LICSW<br />
Mark Johnson, MD<br />
Debra LaFrankie, RN, OCN<br />
Stacy Kennedy,<br />
MPH, RD, LDN<br />
Eudocia Q. Lee,<br />
MD, MPH<br />
Lisa Doherty,<br />
APRN, BC, OCN<br />
10:15 – 10:30 a.m.<br />
Lakshmi Nayak, MD<br />
Brian Alexander, MD, MPH<br />
Radiation therapy for brain tumors<br />
Mikael Rinne, MD<br />
Halyna Vitagliano, MD<br />
10:30 – 10:45 a.m.<br />
Tony and Wendy O’Neil<br />
Nancy Campbell, MS<br />
2:15 p.m.<br />
Exercise for patients and survivors<br />
Conference concludes
<strong>Living</strong> <strong>with</strong> <strong>Brain</strong> <strong>Tumors</strong>: A Focus on Gliomas<br />
Multispecialty Clinic, Meet the Speakers<br />
Meet the Speakers<br />
Multispecialty brain tumor clinic:<br />
A team approach, focused on your needs<br />
The Multispecialty Clinic for Patients and Families at the Center for Neuro-<br />
Oncology is a weekly clinic that gives patients and their families a single time<br />
and place to meet <strong>with</strong> many different specialists from <strong>Dana</strong>-<strong>Farber</strong>/Brigham and<br />
Women’s <strong>Cancer</strong> Center, including specialists in surgical, medical, and radiation<br />
oncology. This approach focuses on your needs and ensures carefully coordinated<br />
treatment and support.<br />
The clinic is held every Friday, from 7:30 to 11 a.m., on the 8th floor of<br />
<strong>Dana</strong>-<strong>Farber</strong>’s Yawkey Center for <strong>Cancer</strong> Care. To schedule an appointment,<br />
call 877-442-3324.<br />
All speakers are affiliated <strong>with</strong> <strong>Dana</strong>-<br />
<strong>Farber</strong>/Brigham and Women’s <strong>Cancer</strong><br />
Center, unless otherwise noted.<br />
Brian Alexander, MD, MPH, is a<br />
radiation oncologist specializing in the<br />
treatment of cancers of the central<br />
nervous system. He is also an instructor<br />
of Radiation Oncology at Harvard<br />
Medical School. He received his<br />
medical degree from the University of<br />
Michigan and completed his residency<br />
as part of the Harvard Radiation<br />
Oncology Program.<br />
Rameen Beroukhim, MD, PhD, treats<br />
patients <strong>with</strong> primary brain cancers and<br />
leads a research laboratory investigating<br />
the mutations that lead to related<br />
cancers. He completed his medical<br />
degree and residency at the University<br />
of California, San Francisco, and is now<br />
an assistant professor of medicine at<br />
Harvard Medical School and a neurooncologist<br />
at <strong>Dana</strong>-<strong>Farber</strong>.<br />
Nancy Campbell, MS, is an exercise<br />
physiologist in <strong>Dana</strong>-<strong>Farber</strong>’s Adult<br />
Survivorship Program. She began her<br />
career at the <strong>Institute</strong> in 2005 and has<br />
been involved in numerous research<br />
studies involving cancer survivors<br />
and exercise. A Certified <strong>Cancer</strong><br />
Exercise Trainer, she also leads fitness<br />
classes for female cancer patients and<br />
survivors, and provides no-cost exercise<br />
consultations to male and female<br />
patients and survivors.<br />
Lisa Doherty, APRN, BC, OCN, is a<br />
nurse practitioner in the Center for<br />
Neuro-Oncology. Doherty has extensive<br />
experience caring for adult patients<br />
<strong>with</strong> primary brain tumors, including<br />
patients on clinical trials. Prior to<br />
<strong>Dana</strong>-<strong>Farber</strong>, Doherty worked <strong>with</strong><br />
hematology and oncology patients at<br />
University of Massachusetts Memorial<br />
Medical Center and the Lahey Clinic in<br />
Burlington, Mass.<br />
Alexandra Golby, MD, is a<br />
neurosurgeon and director of Imageguided<br />
Neurosurgery at <strong>Dana</strong>-<strong>Farber</strong>/<br />
Brigham and Women’s <strong>Cancer</strong> Center,<br />
where she focuses on the treatment<br />
of brain tumors and epilepsy. Her<br />
expertise is in the treatment of patients<br />
<strong>with</strong> lesions in the eloquent cortex and<br />
the use of functional brain mapping<br />
techniques, including awake surgery,<br />
to improve neurologic outcome. She is<br />
also Principal Investigator of the Golby<br />
Lab, a surgical brain mapping laboratory<br />
at Harvard Medical School. She earned<br />
her bachelor’s degree in physics and<br />
philosophy from Yale University and<br />
her medical degree from Stanford<br />
University School of Medicine.
<strong>Living</strong> <strong>with</strong> <strong>Brain</strong> <strong>Tumors</strong>: A Focus on Gliomas<br />
Meet the Speakers (cont.)<br />
Stacy Kennedy, MPH, RD, CSO, LDN,<br />
is a senior clinical nutritionist at <strong>Dana</strong>-<br />
<strong>Farber</strong>/Brigham and Women’s <strong>Cancer</strong><br />
Center. She specializes in physical activity<br />
for cancer survivors and is certified<br />
through the American College of Sports<br />
Medicine. She is also board certified as a<br />
Specialist in Oncology Nutrition through<br />
the American Dietetic Association. She<br />
conducts educational seminars and<br />
workshops on nutrition, exercise, weight<br />
management, and wellness in Boston and<br />
throughout New England.<br />
Debra LaFrankie, RN, OCN, is a program<br />
nurse in the Center for Neuro-Oncology.<br />
She is a co-leader of the <strong>Dana</strong>-<strong>Farber</strong><br />
<strong>Brain</strong> Tumor Support Group, and<br />
facilitates the weekly multidisciplinary<br />
brain tumor board conference. She is<br />
also captain of “Team Neuro,” which<br />
helps raise brain tumor awareness and<br />
research funds through the annual Boston<br />
Marathon ® Jimmy Fund Walk.<br />
Eudocia Q. Lee, MD, MPH, is a neurooncologist<br />
and instructor in neurology<br />
at Harvard Medical School. Her research<br />
focuses on biomarkers in glioblastomas<br />
and neurologic complications of cancer.<br />
Lee received her medical degree from<br />
Washington University.<br />
David Reardon, MD, served as the<br />
associate deputy director at the Preston<br />
Robert Tisch <strong>Brain</strong> Tumor Center at<br />
Duke University Medical Center before<br />
joining the Center for Neuro-Oncology<br />
as clinical director in 2011. His work<br />
includes using clinical therapeutic agents<br />
to improve the cure rates in patients <strong>with</strong><br />
brain and spinal tumors.<br />
Nancy Goldsmith Tharler, LICSW, is the<br />
full-time ambulatory neuro-oncology<br />
social worker at <strong>Dana</strong>-<strong>Farber</strong>/Brigham and<br />
Women’s <strong>Cancer</strong> Center. In 2009, Tharler<br />
received the National Neuro-Oncology<br />
Social Worker of the Year Award.<br />
Halyna Vitagliano, MD, MSci, is<br />
an attending psychiatrist at <strong>Dana</strong>-<br />
<strong>Farber</strong> in Psychosocial Oncology. She<br />
provides neuropsychiatric evaluations,<br />
treatment, and follow-up for patients<br />
<strong>with</strong> psychiatric and cognitive issues<br />
that result from brain cancer and<br />
hematological malignancies and their<br />
sequelae. Vitagliano is a graduate of<br />
Tufts University School of Medicine.<br />
She completed her psychiatry residency<br />
and fellowship at Massachusetts<br />
General Hospital.<br />
Patrick Wen, MD, is professor of<br />
neurology at Harvard Medical School,<br />
director of the Center for Neuro-<br />
Oncology at <strong>Dana</strong>-<strong>Farber</strong>/Brigham and<br />
Women’s <strong>Cancer</strong> Center, and director of<br />
the Division of <strong>Cancer</strong> Neurology in the<br />
Department of Neurology at Brigham and<br />
Women’s Hospital. His research focuses<br />
on novel treatments for brain tumors,<br />
including targeted molecular therapies<br />
and inhibitors of angiogenesis.<br />
Contac
<strong>Living</strong> <strong>with</strong> <strong>Brain</strong> <strong>Tumors</strong>: A Focus on Gliomas<br />
Notes