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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

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