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2012 EDUCATIONAL BOOK - American Society of Clinical Oncology

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ESGO <strong>EDUCATIONAL</strong> AND RESEARCH ACTIVITIES<br />

accuracy <strong>of</strong> ultrasound in predicting tumor size, parametrial<br />

and lymph node involvement, distance between the tumor<br />

and the internal cervical os, and depth <strong>of</strong> stromal invasion<br />

in 83 patients undergoing radical hysterectomy for stage IB<br />

cervical cancer. Overall sensitivity <strong>of</strong> ultrasound imaging in<br />

the evaluation <strong>of</strong> parameters required for fertility-sparing<br />

surgery was 68.4%. The lower sensitivity mainly resulted<br />

from lack <strong>of</strong> detection <strong>of</strong> lymph-node involvement. 6<br />

The oral translation research award was assigned to<br />

Dr. Lai 7 for her presentation, “Human Ovarian Cancer<br />

Stem Cells Can Be Efficiently Killed by Gamma Delta<br />

T-Lymphocytes.” A subset <strong>of</strong> cancer stem cells (CSCs) from<br />

SKOV3 cell line were cocultured with gamma delta T cells.<br />

Their proliferation rate decreased to 40% after 48 hours <strong>of</strong><br />

exposure. The gamma delta T cells increased the sensitivity<br />

<strong>of</strong> SKOV3 CSCs to chemotherapeutic drugs. Dr. Lai also<br />

found that gamma delta T cells induced G2/M phase cellcycle<br />

arrest and subsequent apoptosis in SKOV3 CSCs.<br />

Moreover, xenograft mouse models demonstrate that<br />

gamma delta T cells dramatically reduced the tumor burden<br />

in vivo.<br />

Finally, the prize for the best oral presentation in the<br />

young pr<strong>of</strong>essionals’ session was awarded to “A Risk Model<br />

for Secondary Cytoreductive Surgery in Recurrent Ovarian<br />

Cancer: An Evidence-Based Proposal for Patient Selection.” 8<br />

Individual data on 1,075 patients with recurrent ovarian<br />

cancer undergoing secondary cytoreductive surgery were<br />

pooled and analyzed. Complete secondary cytoreduction was<br />

associated with six variables: International Federation <strong>of</strong><br />

Gynecology and Obstetrics (FIGO) stage (odds ratio [OR] �<br />

1.32), residual disease after primary cytoreduction (OR �<br />

1.69), progression-free interval (OR � 2.27), Eastern Cooperative<br />

<strong>Oncology</strong> Group (ECOG) performance status (OR �<br />

2.23), cancer antigen 125 (OR � 1.85), and ascites at<br />

recurrence (OR � 2.79). These variables were entered into<br />

the risk model and assigned scores to identify low- and<br />

high-risk categories. In external validation, the sensitivity<br />

and specificity were 83.3% and 57.6%, respectively.<br />

ESGO also provides online educational resources available<br />

on ESGO website: 1) webcasts <strong>of</strong> ESGO meeting sessions<br />

and e-Posters that extend the life <strong>of</strong> ESGO meetings<br />

and bring them to members who could not attend; 2) an<br />

online Video Library that provides a unique opportunity for<br />

visual education; 3) e-Series, which are webcast presentations<br />

by internationally renowned speakers; 4) educational<br />

DVDs; and 5) the Textbook <strong>of</strong> Gynaecological <strong>Oncology</strong>, a<br />

unique publication that compiles articles from world-famous<br />

authors in the field <strong>of</strong> gynecologic oncology, including surgery,<br />

radiotherapy, chemotherapy and imaging specialties.<br />

Care<br />

Committed to the cause <strong>of</strong> excellence in care, ESGO aims<br />

to establish multidisciplinary standards <strong>of</strong> care and acts<br />

as the European authority in the field. Therefore, together<br />

with the European training standards, ESGO set the<br />

multidisciplinary standards <strong>of</strong> care and provides supervision<br />

for certified training. Within the ESGO-European<br />

Board and College <strong>of</strong> Obstetrics and Gynaecology (EBCOG)<br />

Hospital Accreditation Program, ESGO has provided hospital<br />

recognition <strong>of</strong> excellence in training and care while<br />

certifying training centers across Europe. Trainees trained<br />

at ESGO-accredited centers become ESGO-certified gyneco-<br />

logic oncologists. Currently, more than 35 European hospitals<br />

and training centers have been accredited.<br />

Research<br />

One <strong>of</strong> ESGO’s ambitious goals is to become the voice <strong>of</strong><br />

European research in gynecologic cancers and the coordinating<br />

body <strong>of</strong> European clinical and translational research,<br />

with the aim to improve the prediction, prevention, detection,<br />

and treatment <strong>of</strong> women-specific cancers.<br />

In 2007, at ESGO’s congress in Berlin, Germany, the<br />

European Network <strong>of</strong> Gynaecological Oncological Trial<br />

Groups (ENGOT) was founded. Currently, the network<br />

consists <strong>of</strong> 17 European cooperative groups and national and<br />

regional clinical trial units. A consensus statement on requirements<br />

for trials between academic groups and pharmaceutical<br />

companies has been produced and a roadmap for<br />

clinical trials in Europe has been designed. 9<br />

To complement these existing activities and make further<br />

advances, in 2009 ESGO formed the European Network<br />

<strong>of</strong> Translational Research in Gynaecological <strong>Oncology</strong><br />

(ENTRIGO), a platform that brings together scientists,<br />

clinical academics, and patients. In 2011, ESGO organized<br />

the first ENTRIGO Translational Research Workshop,<br />

which brought together the leading European scientists<br />

in the fields <strong>of</strong> epidemiology, molecular carcinogenesis, personalized<br />

medicine and molecular imaging, pathology, and<br />

cancer genetics and epigenetics. In a long-term perspective,<br />

the aim <strong>of</strong> ENGOT is to run large European Union–funded,<br />

trans-European research programs.<br />

Collaboration and Networking<br />

The goal <strong>of</strong> ESGO is to be a platform promoting and<br />

facilitating collaboration among scientific societies, health<br />

care pr<strong>of</strong>essionals, patient organizations, business, industry,<br />

and governmental bodies. Within this aim, ESGO’s<br />

biennial meetings give the best networking opportunities to<br />

meet and discuss women-specific cancers, not only to ESGO<br />

members but also to the wide community <strong>of</strong> medical pr<strong>of</strong>essionals<br />

interested in these cancers.<br />

Networking is rated by members as one <strong>of</strong> the most<br />

important appeals <strong>of</strong> initiating or renewing ESGO membership.<br />

Task forces have been recently established within the<br />

ESGO community to give members opportunities to exchange<br />

ideas and debate a wide range <strong>of</strong> related topics (e.g.,<br />

cancer in pregnancy, fertility preservation, psycho-oncology,<br />

surgery harmonization). Members are welcome to be involved<br />

in the association, use the ESGO newsletter and<br />

website to promote their open projects, and search for<br />

collaboration with their colleagues.<br />

ESGO pays special attention to cooperation with sister<br />

societies, with regional and international societies <strong>of</strong> gynecologic<br />

cancer and mainly with the International <strong>Society</strong> <strong>of</strong><br />

Gynecologic Cancer (IGCS), <strong>Society</strong> <strong>of</strong> Gynecologic <strong>Oncology</strong><br />

(SGO), and Asian <strong>Society</strong> <strong>of</strong> Gynecologic cancer (AGCS).<br />

ESGO is a member and representative <strong>of</strong> gynecologic oncologic<br />

subspecialty <strong>of</strong> EBCOG and a member <strong>of</strong> European<br />

Cancer Organisation (ECCO) which is the umbrella organization<br />

<strong>of</strong> all European cancer-related societies.<br />

Awareness<br />

One <strong>of</strong> ESGO’s objectives is to raise public and governmental<br />

awareness <strong>of</strong> gynecologic cancers in Europe, and <strong>of</strong><br />

their prevention and treatment. The incidence <strong>of</strong> and mor-<br />

337

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