4 th Cutaneous Lymphoma Patient Educational Forum Saturday April 14, 2012 Cummings Auditorium Women's College Hospital.

44thth Cutaneous Lymphoma Cutaneous Lymphoma Patient Educational ForumPatient Educational Forum

Saturday April 14, 2012Saturday April 14, 2012

Cummings Auditorium Cummings Auditorium

Women's College HospitalWomen's College Hospital

Cutaneous Lymphoma FoundationCutaneous Lymphoma Foundation

Phototherapy Education and Research Phototherapy Education and Research Centre (PERC)Centre (PERC)

Women's College HospitalWomen's College Hospital

WHO-EORTC Classification of WHO-EORTC Classification of Cutaneous T-cell Lymphomas:Cutaneous T-cell Lymphomas:

Cutaneous T-cell Lymphomas:Cutaneous T-cell Lymphomas:Mycosis fungoidesMycosis fungoides

Folliculoptropic MF Folliculoptropic MF Pagetoid reticulosis Pagetoid reticulosis Granulomatous slack skin Granulomatous slack skin

Anaplastic large cell lymphomaAnaplastic large cell lymphomaLymphomatoid papulosisLymphomatoid papulosisSubcutaneous panniculitis-like T-cell lymphomaSubcutaneous panniculitis-like T-cell lymphomaCD4+ pleomorphic lymphomaCD4+ pleomorphic lymphomaSezary Syndrome Sezary Syndrome NK/T-cell lymphomaNK/T-cell lymphomaCD8+ T-cell lymphomaCD8+ T-cell lymphomaGamma/delta T-cell lymphomaGamma/delta T-cell lymphomaPeripheral T-cell lymphoma NOSPeripheral T-cell lymphoma NOS

Willemze et al. 2005. Blood. 105: 3768-85.

Southern Ontario Lymphoma Network:Southern Ontario Lymphoma Network:

Multi-disciplinary effort to integrate health Multi-disciplinary effort to integrate health care specialists focussing in cutaneous T-care specialists focussing in cutaneous T-cell lymphomas to provide the highest cell lymphomas to provide the highest level of care.level of care.

Nurses, physicians, wound care Nurses, physicians, wound care specialists.specialists.

Dermatology, hematology, radiation Dermatology, hematology, radiation oncology, pediatrics.oncology, pediatrics.

Southern Ontario Lymphoma Network:Southern Ontario Lymphoma Network:

Dermatology:Dermatology:Dr. Raed AlhusayenDr. Raed Alhusayen

Dr. Perla LansangDr. Perla Lansang

Dr. Neil ShearDr. Neil Shear

Dr. Scott WalshDr. Scott Walsh

Dr. Elena PopeDr. Elena Pope

GabiGabi

JudiJudi

CorrieCorrie

CathyCathy

SandraSandra

ElmiraElmira

AngieAngie

MichelleMichelle

Southern Ontario Lymphoma Network:Southern Ontario Lymphoma Network:

Hematology:Hematology:Dr. Kevin ImrieDr. Kevin Imrie

Dr. Matthew CheungDr. Matthew Cheung

Dr. Eugenia PiliotisDr. Eugenia Piliotis

Dr. David BarthDr. David Barth

Dr. Sheila WeitzmanDr. Sheila Weitzman

MelbaMelba

JuneJune

GiancarloGiancarlo

Southern Ontario Lymphoma Network:Southern Ontario Lymphoma Network:

Radiation Oncology:Radiation Oncology:Dr. Jonathan SussmanDr. Jonathan Sussman

Dr. Raymond WongDr. Raymond Wong

Dr. Bob MacKenzieDr. Bob MacKenzie

DebraDebra

Challenges:Challenges:

InterferonInterferon

Psoralens (Valeant Pharma)Psoralens (Valeant Pharma)

Ultraviolet light accessibilityUltraviolet light accessibility

BexaroteneBexarotene

Newer agents (vorinostat)Newer agents (vorinostat)

Dermatology:Dermatology:

Cutaneous Aspects of CTLCCutaneous Aspects of CTLC– Dr. Raed AlhusayenDr. Raed Alhusayen

Staff Dermatologist at Sunnybrook Health Sciences Centre.Staff Dermatologist at Sunnybrook Health Sciences Centre.

Dermatology residency training at University of Ottawa.Dermatology residency training at University of Ottawa.

Fellowship training at University of Ottawa and University of Fellowship training at University of Ottawa and University of Toronto.Toronto.

Masters and research in clinical epidemiology.Masters and research in clinical epidemiology.

Specializes in cutaneous lymphomas, autoimmune skin Specializes in cutaneous lymphomas, autoimmune skin diseases and general medical dermatology.diseases and general medical dermatology.

Hematology:Hematology:

Why do you seen the Oncologist?Why do you seen the Oncologist?– Dr. Kevin ImrieDr. Kevin Imrie

Physician-in-Chief Department of Medicine at Sunnybrook Physician-in-Chief Department of Medicine at Sunnybrook Health Sciences Centre.Health Sciences Centre.

Professor of Medicine at the University of Toronto and Professor of Medicine at the University of Toronto and Clinical Hematologist at the Odette Centre.Clinical Hematologist at the Odette Centre.

Vice-Chair of Education in the Department of Medicine and Vice-Chair of Education in the Department of Medicine and Vice-President of Education for the Royal College of Vice-President of Education for the Royal College of Physicians and Surgeons of Canada.Physicians and Surgeons of Canada.

Department of Medicine Teacher of the Year.Department of Medicine Teacher of the Year.

Driving force behind guidelines for CTCL and our Southern Driving force behind guidelines for CTCL and our Southern Ontario Lymphoma Network.Ontario Lymphoma Network.

Radiation Oncology:Radiation Oncology:

The Role of Radiation in CTCL: Then & The Role of Radiation in CTCL: Then & NowNow– Dr. Jonathan SussmanDr. Jonathan Sussman

Associate Professor of Radiation Oncology at the Juravinski Associate Professor of Radiation Oncology at the Juravinski Cancer Centre in Hamilton.Cancer Centre in Hamilton.

Training as a family physician at U of T with susequent Training as a family physician at U of T with susequent residency and fellowship in radiation oncology at McMaster residency and fellowship in radiation oncology at McMaster University.University.

Specialization in hematological and breast malignancies.Specialization in hematological and breast malignancies.

Director of Supportive Cancer Care Research Unit and Director of Supportive Cancer Care Research Unit and Program Lead for Ministry of Health transitions in care Program Lead for Ministry of Health transitions in care program.program.

Patient PanelPatient Panel

Facilitated by Susan Thornton, Cutaneous Facilitated by Susan Thornton, Cutaneous Lymphoma Foundation.Lymphoma Foundation.