society of surgical oncology

Young age (≤40 years) is associated with both increased IBTR after BCT as well as increased local relapse on the chest wall after mastectomy, and is also more frequently associated with adverse biologic and pathologic features. We use cookies to ensure that we give you the best experience on our website. Society of Surgical Oncology 9525 West Bryn Mawr Avenue, Suite 870 Rosemont, IL 60018 / Phone: 847-427-1400 *Affirmed September 2019: Since this guideline was published more than 3-5 years ago, the guideline development panel evaluated the content for currency, accuracy and validity. If you continue to use this site we will assume that you are happy with it. Within the HUB you may view unique sessions in the HUB Theater, attend Industry Forums and hear the latest industry information at the clinical trial spotlight sessions. Call for Abstracts Key InformationImportant Dates. Sep-Oct 2016;6(5) :287-295. Lisboa, Portugal. Society of Surgical Oncology 9525 West Bryn Mawr Avenue, Suite 870 Rosemont, IL 60018 / Phone: 847-427-1400 Telephone: +61 3 9276 7446 Fax: +61 3 9276 7432 Email: surgical.oncology@surgeons.org In addition, SSO 2021 virtual will debut the new SSO HUB, an interactive attendee experience, with a focus on five clinical zones. Society of Surgical Oncology Annual Cancer Symposium 2020 – du fährst hin? © Society of Surgical Oncology. Shaping the Future of Cancer Care. Wider negative margins than no ink on tumor are not indicated for invasive lobular carcinoma. Monica Morrow. 8 – 10 November 2021. Controversy exists regarding the optimal margin width in breast-conserving surgery for invasive breast cancer. He was President of the Canadian Oncology Society from 1989-91 and the founding President of the Canadian Society of Surgical Oncology from 1988 to 1991. 2010-2020. Society of Surgical Oncology–American Society for Radiation Oncology–American Society of Clinical Oncology Consensus Guideline on Margins for Breast-Conserving Surgery With Whole-Breast Irradiation in Ductal Carcinoma in Situ. Society of Surgical Oncology | 5,253 followers on LinkedIn. There are several resources available that provide information on the latest cancer treatment guidelines. A multidisciplinary consensus panel considered a meta-analysis of margin width and ipsilateral breast tumor recurrence (IBTR) from a systematic review of 33 studies including 28,162 patients as the primary evidence base for consensus. Welcome. This prompted the Society of Surgical Oncology (SSO), in collaboration with the American Society of Radiation Oncology (ASTRO), to undertake an evidence based consensus to provide a clear and comprehensive approach for practitioners. SSO PRESIDENTIAL ADDRESSJames R. Howe, MDProfessor of SurgeryDirector, Surgical Oncology andEndocrine SurgeryUniversity of Iowa Carver College of MedicineIowa City, IA, JAMES EWING LECTUREBert Vogelstein, MDDirector of the Ludwig Center, ClaytonProfessor of Oncology and PathologyThe Johns Hopkins Medical School andSidney Kimmel Comprehensive Cancer CenterBaltimore, MD, JOHN WAYNE CLINICAL RESEARCH LECTUREJatin P. Shah, MDElliot W. Strong Chair in Head and Neck OncologyMemorial Sloan Kettering Cancer CenterNew York, New York, American Cancer Society/SSO Basic Science LectureStacey Gabriel, PhDInstitute Scientist and Senior Director of the Genomics PlatformBroad Institute of MIT and HarvardBoston, MA. Guidelines. Society of Surgical Oncology-American Society for Radiation Oncology consensus guideline on margins for breast-conserving surgery with whole-breast irradiation in stages I and II invasive breast cancer Ann Surg Oncol. American Cancer Society/SSO Basic Science Lecture, SSO 2020 – International Conference on Surgical Cancer Care, The Charles M. Balch, MD, Distinguished Service Award Recipients, Harvey Baker Traveling Fellow Award Recipients, Additional Abstract-Related Award Recipients, Abstract Notifications Sent to Presenter/Submitter. The American Society of Clinical Oncology seeks to provide the highest-quality resources in education, policy, the pioneering of clinical research, and above all, advancing the care for patients with cancer. Thank you for your interest in a Society of Surgical Oncology (SSO) Match. The Annals of Surgical Oncology (ASO) is pleased to announce, The Landmark Series. METHODS The American Society of Clinical Oncology, American Society for Radiation Oncology, and Society of Surgical Oncology convened an Expert Panel to develop recommendations based on a systematic review of the literature and a formal … This study was conducted by the panel co-chaired by Dr. Morrow and ASTRO representative Meena S. Moran, MD, Department of Therapeutic Radiology, Yale School of Medicine, Yale University. This increased risk is not mitigated by favorable biology, endocrine therapy or a radiation boost. The significance of pleomorphic LCIS at the margin is uncertain. At the last count 50 countries were represented. In the uncommon circumstance of a patient not receiving adjuvant systemic therapy, there is no evidence suggesting that margins wider than no ink on tumor are needed. PURPOSE To develop recommendations for management of patients with breast cancer (BC) with germline mutations in BC susceptibility genes. IPSO is a truly global organisation, with an expanding membership from all parts of the world. Further Questions?If you have any questions regarding SSO 2021, please call the SSO during business hours at 847-427-1400 or email speakers@surgonc.org. 8 – 10 November 2021. The multidisciplinary, expert panel addressed 10 clinical practice questions in the guideline. The groups concluded, “The use of a two millimeter margin as the standard for an adequate margin in DCIS treated with whole breast radiation therapy (WBRT) is associated with low rates of recurrence of cancer in the breast and has the potential to decrease re-excision rates, improve cosmetic outcome, and decrease health care costs. 2020, Society of Gastrointestinal and Endoscopic Surgeons, Clinical Investigator Award (CIA) Criteria and Application Process, Young Investigator Award Criteria and Application Process. The Society of Surgical Oncology (SSO) Cancer Symposium 2021 will be held on 18-19 Mar 2021. They have also been associated with patients choosing to have double mastectomies. Italian Society of Surgical Oncology (SICO) Background. The term "Italian Society of Surgical Oncology, ESSO affiliated" is permanently added to the current denomination. The Society of Surgical Oncology (SSO), the American Society for Radiation Oncology (ASTRO) and the American Society of Clinical Oncology (ASCO) together published the new guideline in their respective journals, the Annals of Surgical Oncology, Practical Radiation Oncology and the Journal of Clinical Oncology. If you continue to use this site we will assume that you are happy with it. There is no evidence of an association between increased risk of IBTR and EIC when margins are negative. McGuire KP, Mamounas EP. Through leading-edge research, dialogue and networking with peers, you’ll be more inspired than ever to effect change in the future of cancer care. Since breast-conserving therapy was introduced more than 40 years ago, significant changes in breast-imaging technology, pathology assessment and the use of systemic therapy have improved patient outcomes. Registration . The 2013 SSO/ASTRO Guideline on Margins in Breast-Conserving Surgery for Invasive Cancer is summarized here. ESMO is Europe’s leading medical oncology society, providing a professional network for its members and working with national societies across Europe. Ann Surg Oncol. 2020. https:doi.org/10.1245/s10434-020-08396-8. The choice of whole breast radiation delivery technique, fractionation, and boost dose should not be dependent on the margin width. Currently, it is the leading professional scientific surgical association in Ukraine, with over 150 acting members and many more supporting. Margins more widely clear than two millimeters do not further reduce the rates of recurrence of cancer in the breast and their routine use is not supported by evidence.”. The results of randomized clinical trials, reproducibility of margin assessment, and current patterns of multimodality care were also considered. ROSEMONT, Ill., ARLINGTON, Va., ALEXANDRIA, Va. – Three leading national cancer organizations today issued a consensus guideline for physicians treating women who have ductal carcinoma in situ (DCIS) treated with breast-conserving surgery with whole breast irradiation. A clear, negative, or clean margin means there are no cancer cells at the outer inked edge of tissue that was removed, while a positive margin means that cancer cells extend to the inked tissue. View the complete Consensus Guideline on Margins for Breast-Conserving Surgery with Whole Breast Irradiation in Ductal Carcinoma In Situ. General Info . Surgical Oncology Section Secretariat Royal Australasian College of Surgeons 250-290 Spring Street East Melbourne VIC 3002 Australia. Re-excisions have the potential for added discomfort, surgical complications, compromise in cosmetic outcome, additional stress for patients and families, and increased health care costs. There is no evidence that more widely clear margins reduce IBTR for young patients, unfavorable biology, lobular cancers, or cancers with an extensive intraductal component. The European Society of Surgical Oncology (ESSO) is committed to the full development of Surgical Oncology in Europe. The Society of Surgical Oncology® is the premier organization for surgeons and health care … Brazilian Society of Surgical Oncology - SBCO Background. Society of Surgical Oncology-American Society for Radiation Oncology-American Society of Clinical Oncology Consensus Guideline on Margins for Breast-Conserving Surgery With Whole-Breast Irradiation in Ductal Carcinoma in Situ Pract Radiat Oncol. The Society of Surgical Oncology (SSO) maintains disease site workgroups (DSWGs) to represent the various disease sites associated with surgical oncology. Management of hereditary breast cancer: ASCO, ASTRO, and SSO Guideline. Margins wider than no ink on tumor are not indicated based on biologic subtype. The key recommendations from this comprehensive review are summarized below. Previous Next. Classic LCIS at the margin is not an indication for re-excision. An EIC identifies cases that may have a large residual DCIS burden after lumpectomy. Monica Morrow, MD . Positive margins (ink on invasive carcinoma or ductal carcinoma in situ) are associated with a two-fold increase in the risk of IBTR compared to negative margins. SSO promotes leading edge research, quality standards, and knowledge exchange connecting cancer surgeons worldwide to continuously improve cancer outcomes. Management of Hereditary Breast Cancer: ASCO, ASTRO and SSO Guideline, McGuire KP, Mamounas EP. It supports its members in a wide range of activities including education, research and leadership in multidisciplinary cancer care. The SSO Scientific Program Committee thanks those SSO members, residents, fellows, students, and researchers involved in cancer care who submitted their scientific work to make SSO 2021 exceptional. We hope the guideline also translates into peace of mind for women who will know that future surgeries may not be needed,” said Mariana Chavez-MacGregor, MD, University of Texas MD Anderson Cancer Center and panel member representing ASCO. Register by February 15, 2021, for the best rates. SSO collaborated with the American Society of Clinical Oncology and the American Society for Radiation Oncology to develop, Management of Hereditary Breast Cancer: ASCO, ASTRO and SSO Guideline. The SSO expects all Match participants to conduct their affairs in an … To determine the margin width, a pathologist paints the outer surface of the tissue that’s been removed with ink. The panel established by SSO, ASTRO and ASCO to develop the consensus guideline relied on a review examining the relationship between margin width and cancer recurrence in the breast that included 30 studies involving 7,883 patients, as well as other studies relevant to this topic. For additional information and to complete an Endorsement Request Form please click here. Bruce G. Haffty, MD, immediate past chair of ASTRO’s Board of Directors, said this new guideline builds on previously published standards and will benefit clinicians who have struggled with margin width in women with DCIS. Since BCT was established, the landscape of DCIS management has evolved with advances in imaging and pathologic evaluation, and the availability of adjuvant endocrine therapy, resulting in a decline in IBTR rates. The routine practice to obtain wider negative margin widths than no ink on tumor is not indicated. The information below serves as an index for various information databases, as well as specific guidelines organized by disease site. Focusing on Primary Therapy of Early Breast Cancer, the St Gallen international breast cancer conference will be held online between 17 and 21st March and will offer an interactive programme featuring renowned experts in the field, amongst whom ESSO President-Elect, Professor Isabel-Teresa Rubio. The complete guideline document, as well as the supporting evidence from the meta-analysis can be found in the “Annals of Surgical Oncology,” here. The Society of Surgical Oncology (SSO) is a dynamic global community of cancer surgeons shaping advancements in the profession to deliver the highest quality surgical care for cancer patients. 13 In view of these changes and the lack of consensus on what represents adequate negative margins in DCIS, the Society of Surgical Oncology (SSO), American Society for … The rates of IBTR are reduced with the use of systemic therapy. Society of Surgical Oncology9525 West Bryn Mawr Avenue, Suite 870Rosemont, IL 60018 / Phone: 847-427-1400. Recommendations were developed using the ASCO modified Delphi formal consensus methodology. Negative margins (no ink on tumor) minimize the risk of IBTR. The mission of the Society of Surgical Oncology is to improve multidisciplinary patient care by advancing the science, education and practice of cancer surgery worldwide. Clinical judgment should be used in determining the need for further surgery in patients with negative margins less than two millimeters. Supported by a grant from Susan G. Komen, SSO spearheaded the guideline initiative and established a panel of experts from the three organizations, including clinicians, researchers and a patient advocate to create the new guideline to provide clarity regarding the optimal negative margin width for ductal carcinoma in situ. Lisboa, Portugal. Monica M. Morrow, MD, Breast Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, Meena S. Moran, MD, Department of Therapeutic Radiology, Yale School of Medicine, Yale University, New Haven, CT, S. Schnitt, MD, Department of Pathology, Harvard Medical School, Boston, MA, A. Giuliano, MD, Department of Surgery, Cedars Sinai Medical Center, Los Angeles, CA, J. Harris, MD, Department of Radiation Oncology, Harvard Medical School, Boston, MA, S. Khan, MD, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, J. Horton, MD, Department of Radiation Oncology, Duke University Medical Center, Durham, NC, S. Klimberg, MD, Department of Surgery, University of Arkansas for Medical Sciences, Fayetteville, AR, M. Chavez-MacGregor, MD, Department of Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, G. Freedman, MD, Department of Radiation Oncology, University of Pennsylvania School of Medicine, Philadelphia, PA, N. Houssami, MD, PhD, School of Public Health, Sydney Medical School, University of Sydney, Sydney NSW 2006, Australia, PL Johnson, Advocate in Science, Susan G. Komen, American Society of Breast Cancer Surgeons, National Cancer Institute: Adrenocortical carcinoma, National Cancer Institute: Gastrointestinal carcinoid tumor, National Cancer Institute: Islet cell tumor, National Cancer Institute: Parathyroid cancer, National Cancer Institute: Pituitary tumor, National Cancer Institute: Thyroid cancer, American Society of Colon and Rectal Surgeons, American Society of Radiation Oncology (ASTRO): Radiation Therapy for Rectal Cancer: Executive Summary of an ASTRO Clinical Practice Guideline, National Cancer Institute: Colon and Rectal Cancer Treatment, Agency for Healthcare Research and Quality, American Society of Clinical Oncology and Society of Surgical Oncology, National Cancer Institute: Soft tissue sarcoma, American Thyroid Association: Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer, Society of Surgical Oncology9525 West Bryn Mawr Avenue, Suite 870Rosemont, IL 60018 / Phone: 847-427-1400. Correspondence. © Society of Surgical Oncology. Register to attend the SSO 2021 – International Conference on Surgical Cancer Care virtual meeting, March 18 – 19, 2021. “With this guideline, it is our two-pronged goal to help physicians improve the quality of care they provide to women undergoing surgery for DCIS and ultimately improve outcomes for those patients. In addition to SSO participation in the Expert Panel, the Guideline was reviewed by members of SSO’s Breast Disease Site Work Group, the Chair of the SSO Quality Committee and approved by the SSO Executive Council. The new guideline has the potential to save many women from unnecessary surgeries while reducing costs to the health care system. The use of no ink on tumor as the standard for an adequate margin in invasive cancer in the era of multidisciplinary therapy is associated with low rates of IBTR and has the potential to decrease re-excision rates, improve cosmetic outcomes, and decrease healthcare costs. “An important finding from the review of the published literature performed to provide evidence for this guideline is that margin widths greater than two millimeters (approximately 1/8th of an inch) do not reduce the risk of cancer recurring in the breast in women with DCIS who are treated with lumpectomy and whole breast radiation therapy,” said Monica Morrow, MD, past SSO President and panel co-chair, Memorial Sloan Kettering Cancer Center, Breast Service, Department of Surgery. There is no evidence that increased margin width nullifies the increased risk of IBTR in young patients. Dr. Shibata has played a pivotal role in the NSABP, serving as member of the Executive Committee from 1980 to 1983 and as a member of the Board of Directors from 1997 to 2001. More widely clear margins than no ink on tumor do not significantly decrease the rate of IBTR. The SSO maintains the highest professional standards in the conduct of its Matches and in its interactions with all participants. The Italian Society of Oncological Surgery (SICO) was established in March of 1976 in Naples. By providing a forum for exchange of knowledge and expertise, via its web site, its Fellowships, its international congresses, master-classes, board exams and other educational resources it helps to improve European cancer care. A 2010 survey found that 42 percent of surgeons recommended a two millimeter margin, while 48 percent favored larger margins. The Brazilian Society of Surgical Oncology (BSSO) is a non-profit organization created in 1998. The Society of Surgical Oncology (SSO) is a dynamic global community of cancer surgeons shaping advancements in the profession to deliver the highest quality surgical care for cancer patients. International Society of Paediatric Surgical Oncology IPSO is an international society of surgeons who specialize in the surgical care of children with cancer. Management of hereditary breast cancer: ASCO, ASTRO, and SSO Guideline. A robust line-up of ten symposia sessions, two Great Debates and 110 oral and video abstracts will cover research developments, clinical trials and future trends in cancer care. SSO believes that the information in this guideline, which has been endorsed by the American Society of Clinical Oncology (ASCO) and the American Society of Breast Surgeons (ASBS), can be used to decrease unnecessary margin re-excisions while maintaining excellent outcomes in breast conserving surgery and will serve as a definitive resource to the profession. Wider margin widths do not significantly lower this risk. The Veterinary Society of Surgical Oncology (VSSO) was developed to bring together individuals with various backgrounds but similar goals: to more effectively treat veterinary patients with cancer and to advance the understanding of cancer across species. Dr. Morrow advised that if a woman with a negative margin is told to have a re-excision, she needs to ask what factors are prompting the surgeon to recommend that re-excision. “This important cooperative guideline generated by these societies involved a multidisciplinary panel of surgical, medical and radiation oncologists, as well as pathologists and statistical experts. The Canadian Society of Surgical Oncology (CSSO) is an organization made up of surgical oncologists and general surgeons across Canada that are dedicated to improving Cancer Care in Canada Editorial comments on various aspects of the tissue that ’ s been removed with ink development... 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