March 2017 : Report on “CME on Multidisciplinary Approach to Head & Neck Cancers"

REPORT ON “CME on Multidisciplinary Approach to Head & Neck Cancers in association with KCIAPM & MERT” CONDUCTED AT 4th March 2017 AT SDUMC KOLAR

THEME OF THE PROGRAMME – “CME on Multidisciplinary Approach to Head & Neck Cancers in association with KCIAPM & MERT”

CONDUCTED – 4th March 2017 VENUE: AV HALL, SDUMC, KOLAR

Sponsors – Sri Devaraj Urs Academy of Higher Education and Research, Karnataka Chapter of  Indian Association of Pathologist and Microbiologists, Medical Education Research Trust, APR sales corporation, L N Distributors, BIOCARE Medical  and JAYPEE Publications.

AIMS AND OBJECTIVES –

Head and Neck Cancers are devastating diseases that has tremendous implications on the overall health of the patients, as well as their appearance and quality of life. Multidisciplinary approach in this field that addresses all aspects and representing a wide spectrum of specialists including Oncosurgeons, Radiotherapists, Medical Oncologists and Pathologists are necessary for proper treatment of the patients. Pathologists are core members of Cancer Multidisciplinary teams and are essential to the provision of a successful service.  Our main objective was to concentrate on difficult aspects of Head and Neck pathology such as Laryngeal lesions, Salivary Gland tumors and Thyroid Pathology.

         The programme began by registration of delegates followed by breakfast. The delegates came from various private hospitals and medical colleges to name a few including, Kempegowda institute of medical sciences, PESIMSR, Kuppam, Adichunchunagiri institute of medical sciences,   SRL Diagnostics, BMCRI Bangalore, Command Hospital Bangalore, ESIMC PGIMSR, Anand diagnostics, SRL Reference Lab, Bangalore, JSS Mysore, VIMS & RC, MS Ramaiah Medical College , MVJ Medical College, Dr.B.R.Ambedkar Medical college, Apollo hospital, Chennai, Sambharam medical college and Private labs Bellary.

 Formal inauguration was done in between the session under the presence of dignitaries – Hon. Vice Chancellor Dr Raghuveer CV, Principal & Dean Faculty of Medicine Dr Harendra Kumar M L, PG director Dr S R Prasad and KMC Observer Dr Bhaskaran A.

We began with invoking the blessing of the almighty and lighting the lamp for knowledge and prosperity. It was followed by Welcome Speech by Dr CSBR Prasad, Prof and HOD Pathology, followed by the Presidential Address by our beloved Hon. Vice Chancellor Dr Raghuveer CV.

About 170 delegates including consultants, teaching faculty, post-graduates attended and participated in CME.

SPEAKERS

1)Anatomy of Larynx by Dr. VijayaGovindarajan, Consulting ENT Surgeon/ Teacher, Honorary teacher, Government Medical college and ENTertainmENT classes, Vellore, Tamil Nadu.  He simplified and delivered an entertaining talk on the anatomy of Larynx and strengthened various concepts and cleared many doubts. A momento & certificate was awarded to the speaker to express the gratitude.

 2) Grossing of Larynx: Dr Suresh TN, Professor of Pathology, Sri Devaraj Urs Medical College, Kolar. He gave an excellent talk in-depth and step by step approach to Larynx grossing for malignancies. A momento & certificate was awarded to the speaker to express the gratitude.

  3) Approach to Salivary Gland Lesions by Dr Rajendiran S, Professor of Pathology, Sri Ramchandra Medical College, Chennai discussed on how to approach a case of various salivary gland tumors, histogenesis, pattern analysis, mimics, difficulties, WHO classification of salivary gland tumors, different types of cells and lesions associated with it and pitfalls in salivary gland lesions along with differential diagnosis and usefulness of IHC markers. A momento and certificate was awarded to the speaker to express our gratitude.

This was followed by an Inauguration and short 15 mins tea break.

Patho quiz- Slide shows of interesting cases were projected on the screen for delegates to make their diagnosis.

4) Recent concepts in Thyroid Pathology by Dr Thanka J, Professor of Pathology, Sri Ramchandra Medical College, Chennai. She explained about recent concepts in papillary carcinoma thyroid, its variants along with major histomorphological features, newly described thyroid tumors like Follicular variant of encapsulated without invasion. She also stressed on molecular pathogenesis and its association with thyroid carcinoma evolution. She highlighted the role of pathologist in arriving at the diagnosis of thyroid nodule.   A momento and certificate was awarded to the speaker to express our gratitude.

 5) Salivary Gland Slide Seminar – Dr Rajendiran S, Professor of Pathology, Sri Ramchandra Medical College, Chennai. He discussed 15 cases which was put on website and had sent to all delegates as a PowerPoint presentation. He discussed the differential diagnosis and the special stains and IHC required to finally confirm the diagnosis and role of cytogenetics in these cases. His explanations taught us that a systematic approach will help us reach a correct final diagnosis in almost all cases.

 This was followed by lunch break of thirty minutes duration. Interesting cases glass slides were focused for delegates to view.

5) Head and Neck Slide Seminar – Dr Thanka J, Professor of Pathology, Sri Ramchandra Medical College, Chennai. She discussed 30 cases which was put on website and emailed to all delegates as a PowerPoint presentation. It was a kaleidoscopic head and neck slide seminar. She covered almost all important exam oriented cases in head and neck lesions in very smooth & fantastic manner. She discussed the differential diagnosis, the special stains and IHC required to finally confirm the diagnosis.

6) Panel discussion “Multidisciplinary approach to Head & Neck Cancers: Moderated by Dr Harendra Kumar ML, Pathologist and panelist  members are Dr Azeem Mohiyuddin SM, Head & Neck Oncosurgeon, Dr Manjunath GN, Radiation Oncologist, Dr Suresh TN, Pathologist and Dr Kalyani R, Pathologist. They discussed various issues regarding neoplastic and non neoplastic entities in this area. They also discussed importance of biopsy report, margins, perivascular invasion, lymph node status and perinodal spread. The amount of impact these parameters have on the treatment modularity & on patient survival were discussed. Four interesting cases were discussed highlighting the crucial role of pathologist and good communication between the pathologist and treating clinician will help overcome the difficulties of diagnostic challenges.

Dr Harendra Kumar ML and Dr CSBR Prasad awarded prizes to delegates for winning the Patho quiz.

The CME ended successfully by vote of thanks by Organizing Secretary Dr. Supreetha MS followed by collection of participant feedback forms and distribution of certificates to delegates which was then followed by High Tea.

Comments from feedback forms praised the selection of topics & speakers. Hospitality, communication, glass slide viewing of interesting cases and arrangements were well appreciated. Provision of handouts and CD’s of the Power Point presentations was suggested for future CME’s.