2012 DDW Daily News - Sunday - (Page 10)
DDW Daily News
Joint symposium to address benign liver neoplasms
While some benign liver neoplasms are life threatening, most aren’t. That’s why it’s important to evaluate the risk-benefit ratio for each patient before making treatment decisions, said Jean-Nicolas Vauthey, MD, SSAT board trustee and president of the Americas HepatoPancreato-Biliary Association (AHPBA). To address these important treatment questions, the SSAT and the AHPBA have put together a joint symposium on the Evaluation and Treatment of Benign Liver Neoplasms, which will be held on Monday and will bring together renowned physicians who will discuss several aspects that relate to benign liver neoplasms. The diagnoses and evaluaJean-Nicolas Vauthey, tion of benign liver neoplasms, MD a constellation of diseases, is an important aspect of its clinical management, Dr. Vauthey said. Most benign liver neoplasms are incidentally diagnosed on an ultrasound or CT scan. Some may require biopsies, which are typically not definitive. During Monday’s symposium, Claude B. Sirlin, MD, will discuss advances in the imaging of benign liver neoplasms. Dr. Sirlin is an associate professor of radiology and chief of body imaging and abdominal MRI at the University of California, San Diego (UCSD). He has been active in diagnostic radiology and was instrumental in forming UCSD’s Liver Imaging Group. In addition to imaging, biomarker research has been instrumental in characterizing many of the benign liver neoplasms. Characterization is invaluable in determining the aggressiveness of the disease. Histologic features of the neoplasms coupled with their molecular characteristics have been responsible for a new classification system that takes into account molecular subtypes, which may have therapeutic significance. The symposium’s final speaker, Yun Shin Chun, MD, will Valerie Paradis, MD, professor in the department of pathology at the Hôpital Beaujon, Clichy, France, will discuss discuss whether hemangiomas, focal nodular hyperplasia (FNH) and adenomas should be resected or whether a the pathology and biology of benign liver neoplasms durwait-and-see approach is appropriate. Dr. Chun is an asing the session. Dr. Paradis specializes in liver pathology sociate member of surgical oncoland transplantation and combines ogy at the Fox Chase Cancer Center, molecular and pathological apPhiladelphia, PA. proaches dedicated to benign liver Most benign liver hyperplasias neoplasms, preneoplastic cirrhotic do not require treatment. Hemannodules and hepatocellular carcigiomas may require treatment in nomas. infants to prevent blood clotting The treatment of complex cysts, and heart failure. Treatment is selpolycystic liver disease, Caroli’s dom required for FNH, but surgical disease and cystadenoma will be resection may be warranted in cases discussed by Michael G. House, where it is large. Adenomas, which MD, assistant professor in the occur in greater frequency with department of surgery at Indiana Symptomatic hepatic cyst in a 79 yearcontraceptive use, typical regress University School of Medicine, Inold woman. if contraceptive use is stopped. Dr. dianapolis. Dr. House will provide Chun will discuss general treatment insight into the treatment of these modalities and will outline instances conditions and will review how where treatment may be recommisdiagnosis can lead to inappromended. priate clinical management. Monday’s joint symposium will Cystic lesions are some of the end with case studies presented in more common manifestations of an interactive fashion that will allow benign liver neoplasms. Cystic for attendee participation. lesions may include simple cysts or “With renowned specialists gathmultiple cysts (as is seen in polyered on this panel, the symposium cystic liver disease), may have bile promises to be exciting and will duct involvement (Caroli’s disease) provide useful, up-to-date inforor may have the potential to be Asymptomatic expanding liver hemanmation that will have far-reaching malignant (cystadenoma). Treatgioma in a 47 year-old woman. consequences to one’s clinical pracment approaches vary based on tice,” said Dr. Vauthey, who is chief of the liver surgery in manifestations. While some treatments aim at debulking the department of surgical oncology at the MD Anderson massively large cystic liver, other treatments will interfere with mechanisms that trigger further proliferation. In Cancer Center, Houston, TX. some cases, therapies are supportive in nature and involve Please refer to the Schedule-at-a-Glance in Monday’s treatment of biliary infection and portal hypertension. issue for the time and location of this and other DDW® Liver transplantation may be mandated in extreme cases. events.
Images courtesy of Jean-Nicolas Vauthey, MD
Today’s Trainee and Young GI Track focuses on career issues and board review
Today is a key day for the AGA Trainee and Young GI Track The afternoon kicks off with a lunchtime seminar on Career and Professional Related Issues, which will be followed by the Board Review Session later this afternoon “We are looking forward to a variety of speakers from various walks of GI life talking about how to find a job,” said Michelle K Kim, MD, MSc, director of endoscopic ultrasound and assistant professor of medicine at Mount Sinai School of Medicine, New York, who will serve as course director for the lunchtime session “Having gone through this not so long ago, I know firsthand just how many questions there are and the lack of formal resources The career-related speakers will provide answers to some of the Michelle K. Kim, MD, MSc questions that have never been addressed in a comprehensive manner anywhere else ” Today’s topics include how to plan and conduct a job search, where and how to research job opportunities and key differences between searching for jobs in academia versus private practice But landing that first job is only the beginning, Dr Kim noted The challenges and experiences of the first few years in the working world can be just as confusing “There are multiple challenges in terms of time management and productivity, publishing, grants, teaching, efficiency, even how to tell when it’s time to change jobs,” she said “These kinds of answers can be particularly elusive because you can’t always ask the people in your immediate surroundings This session is a valuable way to get some outside information and perspective ” The session includes a free box lunch for attendees who arrive early Board Review The annual Board Review Session is one of the most eagerly anticipated presentations at DDW®, especially among trainees “There is a certain sense of urgency among trainees in their preparation for certification exams,” said Arthur J DeCross, MD, AGAF, associate professor of medicine at the University of Rochester, NY The course is designed around the sixth edition of Digestive Disease Self Evaluation Program® Arthur J. DeCross, (DDSEP), said John F KuemMD, AGAF merle, MD, AGAF, vice chair of gastroenterology, hepatology and nutrition and professor of medicine, physiology and biophysics at the Medical College of Virginia, Richmond Authors of three of the 16 DDSEP chapters will select a few key questions from his or her chapter to discuss in detail and answer audience questions “It is an opportunity to hear these internationally recognized experts discuss questions that John F. Kuemmerle, relate to their field of expertise,” MD, AGAF Dr Kuemmerle said “It is not only a catalyst to learning, but a chance for young apprentices to meet and interact with some of the bright lights of our profession It is an important part of bringing them into the family of gastroenterology ” “This session provides a snapshot of just how useful a tool DDSEP can be,” noted Seth Sweetser, MD, assistant professor of medicine at the Mayo Clinic, Rochester, MN “With the sixth edition, we are trying to highlight some of the newer information and to show off the authors DDSEP can clearly help you on the board certification exam, but it is also applicable to providing better care for your patients ” Please refer to the Schedule-at-a-Glance in today’s issue for the time and location of these and other DDW® events
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