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CONCEPT
This seminar will cover the important clinical and histologic features and variations for both common and unusual diseases, underlining the most characteristic features. Case presentations will be used to highlight a practical approach to diagnosis. Issues regarding pathogenesis and treatment that are of importance to the Surgical Pathologist will be covered. The overall aim is to refresh the attendee’s knowledge and to provide a conceptual framework that will allow the Pathologist to approach breast specimens with confidence.
OBJECTIVES
At the completion of the seminar, participants will be able to:
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Evaluate the diagnostic criteria and clinical significance of various benign, in-situ, and malignant breast lesions and determine appropriate diagnostic testing.
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Summarize the uses and limitations of techniques such as core needle biopsy and immunohistochemistry in breast pathology.
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Describe differential diagnostic problems commonly encountered in breast pathology and develop strategies to resolve them in your practice environment.
FACULTY
Stuart J. Schnitt, M.D. is the Chief of Breast Oncologic Pathology for the Dana-Farber/Brigham and Women’s Cancer Center, Associate Director of the Dana-Farber Cancer Institute (DFCI)/ Brigham and Women’s Hospital (BWH) Breast Oncology Program, co-leader of the Dana Farber Harvard Cancer Center Breast Program, Senior Pathologist at BWH, a Professor of Pathology at Harvard Medical School and an internationally recognized expert in breast pathology. Dr. Schnitt did his internship, residency in Anatomic and Clinical Pathology, and fellowship in surgical pathology at Beth Israel Hospital in Boston. He was a faculty member in the Beth Israel Hospital/Beth Israel Deaconess Medical Center Department of Pathology from 1984-2017, including 11 years as Director of Anatomic Pathology and Vice Chair for Anatomic Pathology. He has published over 340 original articles, review articles, editorials, commentaries, and book chapters, primarily in the area of breast diseases. He has authored a popular breast pathology textbook entitled “Biopsy Interpretation of the Breast”, now its third edition. In addition, he is one of the editors of the current 2012 4th Edition and upcoming 5th of the “World Health Organization Classification of Tumours of the Breast”. Dr. Schnitt is a Past President of the United States and Canadian Academy of Pathology (USCAP) (2010-2011). Other notable honors include the Arthur Purdy Stout Society of Surgical Pathologists Annual Prize (1999), the Albany Medical College Distinguished Alumnus award (2014), the Lynn Sage Distinguished Lecturer (2014), the Maude Abbot Lecture at the USCAP Annual Meeting (2016), and the USCAP F.K. Mostofi Distinguished Service Award (2018). He is particularly proud to have been involved in the training of 37 breast pathology fellows since 1995. He has lectured extensively around the world. His research interests and contributions to our understanding of benign breast diseases and breast cancer have been broad, but have largely focused on risk factors for local recurrence in patients with invasive breast cancer and ductal carcinoma in situ treated with breast conserving therapy, benign breast disease, breast cancer risk, and stromal-epithelial interactions in breast tumor progression.
Beth T. Harrison, M.D. is an Associate Pathologist at Brigham and Women's Hospital (BWH) and an Instructor in Pathology at Harvard Medical School. Dr. Harrison completed residency in anatomic pathology at New York University Langone Medical Center (2014) followed by fellowships in breast pathology at BWH (2015) and gynecologic pathology at Massachusetts General Hospital (2016). She joined the Breast Pathology Service in July 2016 and has gained expertise in breast pathology under the tutelage of Dr. Susan Lester, Dr. Schnitt, and others. A majority of her clinical practice is devoted to the Breast Pathology Service, reading cases from BWH, DFCI, and private consultations. Dr. Harrison has authored several book chapters, review articles, and original research articles. She has interest in benign mimickers of malignancy, diagnostic pitfalls, and practice improvement in breast pathology. Recent publications include chapters on "adenosis, sclerosing lesions, microglandular adenosis, and mucocele-like lesions" in A Comprehensive Guide to Core Needle Biopsies of the Breast and the intraoperative evaluation of breast and axillary lymph node specimens in Diagnostic Pathology: Intraoperative Consultation (2nd Ed.); a review on the contemporary evaluation of breast lymph nodes; and original studies on amended reports in breast pathology; and the variability in diagnostic threshold for comedo necrosis in DCIS. Other areas of active clinicopathologic and translational investigation include mucinous breast lesions, lobular carcinoma in situ, and inflammatory breast cancer. She is the consultant pathologist for the Inflammatory Breast Cancer Program at the Dana-Farber Cancer Institute, participating in clinical trial protocols, multidisciplinary research collaborations and patient outreach events. Dr. Harrison has enjoyed lecturing for various courses and CME activities, including the Harvard CME course "Breast Pathology: Current Concepts and Controversies".
LOCATION AND TIMES
The Seminar will begin Saturday morning, January 5th, 2019 at the Hilton San Antonio Airport Hotel, located at 611 N.W. Loop 410 in northwest San Antonio. Click HERE for more information about accommodations.
Registration, distribution of materials, and a light breakfast will begin at 7:30 a.m; the program will begin at 8:00 a.m. Lunch will also be provided. The program will conclude at 5:00 p.m.
FORMAT
The Seminar, Problematic Issues in Breast Pathology, will be presented by Drs. Stuart J. Schnitt, M.D. and Beth T. Harrison, M.D. Time will be available for questions from the audience at the end of each section. Cases will be made available to registrants prior to the seminar online via virtual microscopy; user name, password, and instructions will be distributed to registrants by email upon registration.
An electronic copy of the Annual Seminar syllabus will be provided to all attendees via a USB-flash drive at the Annual Seminar. In addition, a spiral bound print version of the Annual Seminar syllabus can be selected for an optional fee to those who register by December 3, 2018.
SEMINAR COURSE CO-DIRECTORS
Kenneth N. Holder, M.D.
President of SASP
Associate Professor of Pathology
University of Texas Health Science Center
San Antonio, Texas
holderk@uthscsa.edu
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Andrea Gilbert, D.O.
Secretary of SASP
Assistant Professor of Pathology
University of Texas Health Science Center
San Antonio, Texas
gilbertar@uthscsa.edu
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Kristin Fiebelkorn, M.D.
Treasurer of SASP
Professor of Pathology
University of Texas Health Science Center
San Antonio, Texas
fiebelkorn@uthscsa.edu
CME CREDIT
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of The College of American Pathologists (CAP) and The San Antonio Society of Pathologists. The College of American Pathologists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The College of American Pathologists designates this live educational activity for a maximum of 7 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
SAN ANTONIO
January in San Antonio is a particularly beautiful time of year with a moderate climate. San Antonio offers a rich variety of dining, entertainment, and shopping along the Riverwalk. The Mexican Market, El Mercado, bustles with the people, products, and outdoor restaurants which give San Antonio much of its unique style. The adobe dwellings of the historic La Villita serve as homes for artisans, galleries, and restaurants. The Rivercenter Mall is a visual delight, with whimsical-to-elegant shops overlooking the Riverwalk. Shuttle service to Northstar Mall, which is immediately across the highway, is offered by the Hilton Hotel.
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