society of surgical oncology

PURPOSE To develop recommendations for management of patients with breast cancer (BC) with germline mutations in BC susceptibility genes. Margins wider than no ink on tumor are not indicated based on biologic subtype. 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. 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. Italian Society of Surgical Oncology (SICO) Background. The information below serves as an index for various information databases, as well as specific guidelines organized by disease site. “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, SSO 2021 virtual will debut the new SSO HUB, an interactive attendee experience, with a focus on five clinical zones. 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. This increased risk is not mitigated by favorable biology, endocrine therapy or a radiation boost. Negative margins (no ink on tumor) minimize the risk of IBTR. The complete guideline document, as well as the supporting evidence from the meta-analysis can be found in the “Annals of Surgical Oncology,” here. With funding from the Susan G. Komen, a multidisciplinary panel of experts assembled in July 2013 to examine the evidence on the relationship between the amount of tissue removed surrounding a breast cancer, called a surgical margin, and ITBR. 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. Based on their recommendation, the SSO, ASTRO, and ASCO have affirmed that an update to the guideline is not required. These changes have resulted in a decreased rate of ipsilateral breast tumor recurrence (IBTR, also called local recurrence or in breast recurrence). Society of Surgical Oncology 9525 West Bryn Mawr Avenue, Suite 870 Rosemont, IL 60018 / Phone: 847-427-1400 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. 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. The choice of whole breast radiation delivery technique, fractionation, and boost dose should not be dependent on the margin width. 40 th Congress of the European Society of Surgical Oncology. 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. IPSO is a truly global organisation, with an expanding membership from all parts of the world. There is no evidence that increased margin width nullifies the increased risk of IBTR in young patients. The Annals of Surgical Oncology (ASO) is pleased to announce, The Landmark Series. 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. 2010-2020. 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. 2020. https:doi.org/10.1245/s10434-020-08396-8. The European Society for Medical Oncology (ESMO), the European Society for Radiotherapy & Oncology (ESTRO) and the European Society of Surgical Oncology (ESSO) have come together to produce 2 sets of joint clinical practice guidelines, on anal cancer and on gastric cancer. 2014 Mar;21(3):704-16. doi: 10.1245/s10434-014-3481-4. Society of Surgical Oncology Annual Cancer Symposium 2020 – du fährst hin? 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.”. SSO promotes leading edge research, quality standards, and knowledge exchange connecting cancer surgeons worldwide to continuously improve cancer outcomes. The SSO expects all Match participants to conduct their affairs in an … Society of Surgical Oncology | 5,253 followers on LinkedIn. Wider negative margins than no ink on tumor are not indicated for invasive lobular carcinoma. Sep-Oct 2016;6(5) :287-295. Controversy exists regarding the optimal margin width in breast-conserving surgery for invasive breast cancer. 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. Surgical Oncology Section Secretariat Royal Australasian College of Surgeons 250-290 Spring Street East Melbourne VIC 3002 Australia. The 2013 SSO/ASTRO Guideline on Margins in Breast-Conserving Surgery for Invasive Cancer is summarized here. 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. Management of hereditary breast cancer: ASCO, ASTRO, and SSO Guideline. 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. Management of Hereditary Breast Cancer: ASCO, ASTRO and SSO Guideline, McGuire KP, Mamounas EP. As described by ASO Editor-in-Chief, Kelly M. McMasters, MD, PhD, “The Landmark Series is designed to trace the origins of current multidisciplinary therapy for each type of solid tumor, and demonstrate the logical progression of clinical trials and other key evidence. 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. 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. Register by February 15, 2021, for the best rates. We use cookies to ensure that we give you the best experience on our website. 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. The term "Italian Society of Surgical Oncology, ESSO affiliated" is permanently added to the current denomination. Call for Abstracts Key InformationImportant Dates. The The Society of Surgical Oncology (SSO) Cancer Symposium 2021 exhibition presents medical device, technology, equipment, pharmaceuticals and other products and services for the surgical oncologist. At the last count 50 countries were represented. Management of hereditary breast cancer: ASCO, ASTRO, and SSO Guideline. 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. Clinical judgment should be used in determining the need for further surgery in patients with negative margins less than two millimeters. 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 More widely clear margins than no ink on tumor do not significantly decrease the rate of IBTR. 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. Monica Morrow, MD . Guidelines. There are several resources available that provide information on the latest cancer treatment guidelines. Monica Morrow. 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. 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. In addition, SSO’s Breast Disease Site Work Group Chair and Vice Chair published the following Editorial on the Guideline. The Italian Society of Oncological Surgery (SICO) was established in March of 1976 in Naples. The European Society of Surgical Oncology (ESSO) is committed to the full development of Surgical Oncology in Europe. 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. While the guideline appropriately allows for some flexibility and clinical judgment in interpretation, the conclusion that a two millimeter margin width is adequate in patients with DCIS will be helpful and reassuring to clinicians and patients in clinical decision-making.”, “This guideline is another important step in our collective work to ensure that women are receiving the best and most appropriate breast cancer care,” said Susan G. Komen President and CEO Judy Salerno, MD, MS. “We were pleased to support the panel, both through funding and by lending the patient perspective to these discussions, and hope it empowers both patients and physicians to make well-informed treatment decisions that will reduce the likelihood for re-excisions.”. The significance of pleomorphic LCIS at the margin is uncertain. 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. 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. There is no evidence of an association between increased risk of IBTR and EIC when margins are negative. 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 … If you continue to use this site we will assume that you are happy with it. Thank you for your interest in a Society of Surgical Oncology (SSO) Match. 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. 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. Take a break from your clinic work to connect with a worldwide group of surgical cancer leaders. Telephone: +61 3 9276 7446 Fax: +61 3 9276 7432 Email: surgical.oncology@surgeons.org 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. To determine the margin width, a pathologist paints the outer surface of the tissue that’s been removed with ink. 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. The SSO maintains the highest professional standards in the conduct of its Matches and in its interactions with all participants. It supports its members in a wide range of activities including education, research and leadership in multidisciplinary cancer care. Shaping the Future of Cancer Care. The Society of Surgical Oncology (SSO) maintains disease site workgroups (DSWGs) to represent the various disease sites associated with surgical oncology. 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. “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. 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. A 2010 survey found that 42 percent of surgeons recommended a two millimeter margin, while 48 percent favored larger margins. A positive margin, defined as ink on invasive cancer or ductal carcinoma in situ (DCIS), is associated with at least a two-fold increase in IBTR. The results of randomized clinical trials, reproducibility of margin assessment, and current patterns of multimodality care were also considered. The Society of Surgical Oncology® is the premier organization for surgeons and health care … Recommendations were developed using the ASCO modified Delphi formal consensus methodology. View the complete Consensus Guideline on Margins for Breast-Conserving Surgery with Whole Breast Irradiation in Ductal Carcinoma In Situ. “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. ESMO is Europe’s leading medical oncology society, providing a professional network for its members and working with national societies across Europe. An organization’s request must meet several criteria and the review process make take up to three months. *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. 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. Register to attend the SSO 2021 – International Conference on Surgical Cancer Care virtual meeting, March 18 – 19, 2021. General Info . © Society of Surgical Oncology. Welcome. 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