Endometrial and Penile Cancer Brachytherapy

Carry out a proper pre-operative workup

Choose the right surgical technique according to disease stage

Discuss pelvic node dissection and its indications

Use sentinel lymph node biopsy adequately

Discuss the risks of uterine morcellation during a laparoscopic surgery

Identify candidates for adjuvant brachytherapy

Choose patients who need external beam radiotherapy

Differentiate between patients who are candidates for external beam radiotherapy only and those who are candidates for a combination of external beam radiotherapy and brachytherapy

Choose the ideal applicator according to the patient's anatomy

Optimize the implant to adapt to unusual anatomies

Discuss the choice of the imaging modality for contouring and dosimetry

Learn the physics workflow to obtain a dosimetry

Adapt this workflow to unusual implants

Master the steps for adequate quality assurance

Incorporate 3D imaging in dose calculation and optimization

Break

Poster session

Exhibits

Pros: Dr David D'Souza

Cons: Dr Louis Souhami

Identify the tumor on CT-scan and MRI

Identify the regions at risk for recurrence on CT-scan and MRI

Identify lymphatic drainage pathways on CT-scan and MRI

Identify organs at risk on CT-scan and MRI

Contour the CTV on 3D imaging after a brachytherapy implant

Contour the CTV on 3D imaging for external beam radiotherapy

Lunch

Systemic treatment in endometrial cancer

Gain better understanding of the literature supporting adjuvant chemotherapy

Select candidates for neoadjuvant chemotherapy

Identify the indications for palliative chemotherapy in metastatic endometrial cancer

Discuss systemic treatments in elderly patients or women with multiple comorbidities

Determine the ideal number of chemotherapy cycles and the type of medication according to the clinical situation

Discuss hormonal therapy in the curative and palliative contexts

Inoperable endometrial cancer

Determine the inoperability of an endometrial tumor

Classify inoperable endometrial cancers according to cause of inoperability

Determine the indications for a curative treatment

Establish the indications for a palliative treatement at radical dose

Determine which patients would benefit from neoadjuvant radiotherapy

Choose patients who would benefit from brachytherapy

Interpret the results of this treatment

Choose an applicator adapted to the patient's clinical situation

Know the advantages and disadvantages of available applicators

Break

Poster Session

Exhibits

Evaluate the consequences of treatment on women's sexuality

Explain the benefits of sexual counseling in these women

Include sexual evaluation and conseling in the treatment for endometrial cancer 

Learn the physics workflow to obtain a dosimetry

Master the steps for adequate quality assurance

Incorporate 3D imaging in dose calculation and optimization

Identify candidates ofr curative treatment

Choose the best treatment between surgery and radiation therapy according to the patient's situation

Determine the appropriate radiation dose

Identify the type of brachytherapy adapted to the patient's recurrence

Interpret the results of this treatment

Collaborate between specialties to choose the optimal treatment for each patient

Promote global management inlcuding sexual health

Questions

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