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Rounds with the Investigators

Rounds with the Investigators - Research To Practice

Rounds

Rounds with the Investigators: Clinical Research Leaders Consult onChallenging Cases of Early Breast CancerA Continuing Medical Education ProgramOVERVIE W O F AC TIVIT YHistorically, surgery has been the primary method for treating early breast cancer. More recently, thediagnostic, surgical and medical management of breast cancer has escalated in complexity becauseof advancements in technology and clinical experience in addition to the availability of novel pharmaceuticalagents. Thus, the care of breast cancer has evolved toward a multifaceted approach necessitatinginput from a variety of interdisciplinary experts. This paradigm shift has created the opportunityfor extensive knowledge exchange among oncologic subspecialties and the challenge of ensuring thatmajor clinical advances influencing local and systemic treatment algorithms are effectively disseminatedamong the cross-functional team members. To bridge the gap between research and patient care, thisCME activity features a panel discussion with leading breast cancer investigators. By providing accessto the latest research developments and expert perspectives, this program assists breast surgeons inthe formulation of up-to-date clinical management strategies.LE A RNIN G O B JEC TIVES• Apply the results of emerging research in breast cancer clinical management to treatment andreferral strategies for patients with early-stage disease.• Recognize the variability in routine ER, PR and HER2 testing, and implement appropriate guidelinesto maximize accurate pathologic assessment.• Develop a treatment plan for patients with HER2-positive breast cancer, considering tumor size andnodal status.• Effectively utilize biomarkers and genomic risk classifiers to estimate patient prognosis and select orrecommend adjuvant therapy.• Counsel patients about the value of sentinel lymph node biopsy and its influence on further local andsystemic treatment.• Recall the design and eligibility criteria for ongoing breast cancer clinical trials, and enroll or referappropriate patients for study participation.AC CREDITATION STATEMENTResearch To Practice is accredited by the Accreditation Council for Continuing Medical Education toprovide continuing medical education for physicians.CREDIT D E SIGNATION STATEMENTResearch To Practice designates this educational activity for a maximum of 1.5 AMA PRA Category 1Credits. Physicians should only claim credit commensurate with the extent of their participation inthe activity.H OW TO USE THIS CME AC TIVIT YThis CME activity contains an audio component. To receive credit, the participant should review theCME information, listen to the CD and complete the Post-test and Educational Assessment and CreditForm located in the back of this booklet or on our website at CME.ResearchToPractice.com.This program is supported by educational grants from Genentech BioOncology and Genomic Health Inc.Last review date: August 2010; Release date: August 2010; Expiration date: August 2011This educational activity contains discussion of published and/or investigational uses of agents that arenot indicated by the Food and Drug Administration. Research To Practice does not recommend the useof any agent outside of the labeled indications. Please refer to the official prescribing information for eachproduct for discussion of approved indications, contraindications and warnings. The opinions expressedare those of the presenters and are not to be construed as those of the publisher or grantors.2

CME InformationFacult yProfessor Mike DixonProfessor of Surgery and Consultant SurgeonAcademic Office, Edinburgh Breast UnitWestern General HospitalEdinburgh, United KingdomJulie R Gralow, MDProfessor, Medical OncologyUniversity of Washington and Fred HutchinsonCancer Research Center; DirectorBreast Medical Oncology, Seattle Cancer CareAlliance/University of WashingtonSeattle, WashingtonClifford Hudis, MDChiefBreast Cancer Medicine ServiceSolid Tumor Division, Department of MedicineMemorial Sloan-Kettering Cancer CenterNew York, New YorkThomas B Julian, MDAssociate Professor, Human OncologyDrexel University College of MedicineAssociate Director, Breast Care CenterAllegheny Cancer CenterAllegheny General HospitalPittsburgh, PennsylvaniaSandra M Swain, MDMedical DirectorWashington Cancer InstituteWashington Hospital CenterProfessor of Medicine, Georgetown UniversityWashington, DCC o ntributin g C a se Pa nelistsLori Chapleskie Alfonse, DOMedical Director, Breast CenterCancer Liaison Physician, Cancer ProgramMercy Suburban HospitalNorristown, PennsylvaniaLinda K Han, MDMedical Director, Breast Health ServicesMt Carmel HealthColumbus, OhioLisa Jablon, MD, FACSDirector of the Breast ProgramAlbert Einstein Medical CenterMarion Louise Saltzman Women’s CenterPhiladelphia, PennsylvaniaClaudia Lago-Toro, MDBreast Surgery FellowBryn Mawr HospitalBryn Mawr, PennsylvaniaMarian P McDonald, MDAssociate Director, Oncology ServicesSt Luke’s Hospital and Health NetworkAllentown, PennsylvaniaM o d er atorNeil Love, MDEditor, Breast Cancer Updatefor SurgeonsResearch To PracticeMiami, FloridaC O NTENT VA LIDATION A ND DIS CLOSURE SResearch To Practice (RTP) is committed to providing its participants with high-quality, unbiased andstate-of-the-art education. We assess potential conflicts of interest with faculty, planners and managersof CME activities. Real or apparent conflicts of interest are identified and resolved through a conflict ofinterest resolution process. In addition, all activity content is reviewed by both a member of the RTPscientific staff and an external, independent physician reviewer for fair balance, scientific objectivity ofstudies referenced and patient care recommendations.FACULTY — Drs Alfonse, Gralow, Han, Jablon, Lago-Toro and McDonald had no real or apparentconflicts of interest to disclose. The following faculty (and their spouses/partners) reported real orapparent conflicts of interest, which have been resolved through a conflict of interest resolutionprocess: Prof Dixon — Advisory Committee: Novartis Pharmaceuticals Corporation, Pfizer Inc.Dr Hudis — Advisory Committee: Amgen Inc, Boehringer Ingelheim Pharmaceuticals Inc, GenentechBioOncology, Roche Laboratories Inc; Paid Research: AstraZeneca Pharmaceuticals LP, BayerHealthCare Pharmaceuticals. Dr Julian — Protocol Advisor: SenoRx Inc. Dr Swain — Paid Research:Bristol-Myers Squibb Company, Genentech BioOncology; Paid Travel: Sanofi-Aventis.MODERATOR — Dr Love is president and CEO of Research To Practice, which receives funds in theform of educational grants to develop CME activities from the following commercial interests: AbraxisBioScience, Allos Therapeutics, Amgen Inc, AstraZeneca Pharmaceuticals LP, Aureon LaboratoriesInc, Bayer HealthCare Pharmaceuticals/Onyx Pharmaceuticals Inc, Biogen Idec, Boehringer IngelheimPharmaceuticals Inc, Bristol-Myers Squibb Company, Celgene Corporation, Cephalon Inc, Eisai Inc,EMD Serono Inc, Genentech BioOncology, Genomic Health Inc, Genzyme Corporation, Lilly USA LLC,Millennium Pharmaceuticals Inc, Monogram BioSciences Inc, Novartis Pharmaceuticals Corporation,OSI Oncology, Sanofi-Aventis and Spectrum Pharmaceuticals Inc.RESEARCH TO PRACTICE STAFF AND EXTERNAL REVIEWERS — The scientific staff and reviewersfor Research To Practice have no real or apparent conflicts of interest to disclose.3

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