The Surg Onc Files show

The Surg Onc Files

Summary: Welcome to the Surg Onc Files! We are Washington University general surgery residents with an interest in surgical oncology. This is us trying to digest the latest research and trends in surg onc and often enlisting a lot of help to get us all the way there. Our goal is to cover surgical oncology from head to toe, discuss interesting topics in surgical oncology, and for each topic including where we are now, how got here, and what the future holds.

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  • Artist: Brad Krasnick, Linda Jin, Alston James
  • Copyright: surgoncfiles@gmail.com

Podcasts:

 Melanoma Lymph Nodes with Dr. Mark Faries | File Type: audio/mpeg | Duration: Unknown

On today's show we focus on melanoma and welcome Dr. Mark Faries onto the podcast. We discuss his role in the MSLT-I and MSLT-II trials as well as how their results have influenced the most recent editions of the NCCN and AJCC clinical practice guidelines. Before jumping into our interview with Dr. Faries, we take some time to introduce the basic staging principles for melanoma and the highlights of the MSLT-I and MSLT-II trials. 0-12:00 - Brad and Alston give overview of melanoma workup and 8th edition AJCC staging. Brief intro to MSLTI and MSLTII. 12:00- Interview with Dr. Faries 

 Gastric Cancer Deep Dive | File Type: audio/mpeg | Duration: Unknown

Welcome back to the SO Files! We're happy to present part 2 of our gastric cancer series. Here we briefly review the historical gastric cancer classifications (Lauren and WHO) and then explain how this has drastically changed over the past 5-10 years with the advent of next-generation sequencing capabilities. We go in depth to evaluate how this applies to the budding surgical oncologist, and what discoveries may lie on the horizon. We also welcome back Dr. Ryan Fields, MD, FACS who is an Associate Professor in the Department of Surgery at Washington University in St. Louis and was recently appointed co-leader of the Solid Tumor Therapeutics Program (STTP) at Siteman Cancer Center.  Dr. Fields talks about the outcomes of several recent trials and how they are helping us to treat gastric cancer patients in the clinic today. As always, all references from the podcast are linked below, enjoy!

 Oncotype DX Score, TailorX Trial, and the Role of Oncotype DX Score in Breast Cancer Management | File Type: audio/mpeg | Duration: Unknown

On this episode of SO Files, Alston, Brad and Linda take a closer look at the recently published TAILORx Clinical Trial Published in NEJM by Sparano and colleagues. The study expands the existing clinical application of the Oncotype DX score. If that score sounds familiar its because it has been making its way into clinical practice over the past few years (see our last episode on the new AJCC guidelines!). We explain the origin of the score, how it has been incorporated into clinical practice thus far, and how this trial addresses a large gap in the existing literature.

 AJCC 8 Breast Staging Updates with Dr. Cyr | File Type: audio/mpeg | Duration: Unknown

On this episode of SO Files, Brad and Linda cover the updated staging guidelines for breast cancer that have been in practice (theoretically) since Jan 1, 2018. The possibilities for stage groups now cover a full six pages in the AJCC manual and you can hear Brad and Linda read through each one right here.... just kidding. We will however cover the major changes, the reasoning behind them, and talk about how they are fitting into practice with podcast favorite Dr. Cyr. Show Breakdown: 0-14 minutes: Background information with Brad, Linda and Alston 14 minutes- end: Brad and Linda interview Dr. Cyr

 Modern Management of Colorectal Liver Metastases | File Type: audio/mpeg | Duration: Unknown

Today we will be discussing the modern management of colorectal liver metastases. For today’s episode, we are excited to be welcoming on Dr. Yuman Fong, Sangiacomo Family Chair in Surgical Oncology and Surgical chair at City of Hope Cancer Center in California. Dr. Fong previously held the Murray F. Brennan Chair of Surgery at Memorial Sloan Kettering Cancer center, and is an international expert in both liver and pancreatic surgery.

 Controversies in Differentiated Thyroid Cancer with Dr. Julie Ann Sosa | File Type: audio/mpeg | Duration: Unknown

We were so lucky to catch up with Dr. Julie Ann Sosa, who is the new Chair of Surgery at UCSF starting April 1st, 2018, and also world renowned endocrine surgeon on the newly updated staging guidelines for differentiated thyroid cancer and some common controversies in management in the US. We also chat about mentorship and her advice to learners at all stages! Check it out!

 Management of Barrett’s Esophagus and Associated Lesions | File Type: audio/mpeg | Duration: Unknown

This week we discuss Barrett's esophagus, and management of associated dysplastic and neoplastic lesions. We are excited to welcome on esteemed guest Dr. John Hunter, former chair of surgery at and now the CEO of OHSU Health Systems and also the Kenneth A.J. Mackenzie Professor of Surgery, who will help guide us through the conversation about treatment options for both Barrett’s esophagus and early esophageal cancer.

 Systemic Options for Pancreatic Adenocarcinoma | File Type: audio/mpeg | Duration: Unknown

On this episode of the SO files, we interview Dr. Andrea Wang-Gillam MD/PhD, associate professor in the division of oncology at Wash U School of medicine and clinical director of the GI oncology, about systemic options for treating pancreatic adenocarcinoma. As much as we all love a good Whipple, this really is a systemic disease, and unlike other cancers 100% of patients regardless of stage will need some form of systemic treatment. Good thing we have great options to choose from! ...Right?

 Gastric Cancer Review- Resident geared, ABSITE friendly | File Type: audio/mpeg | Duration: Unknown

Happy new years from SO Files! Ring in 2018 with an algorithm based review of gastric cancer management! We released this all out of order so excuse our Thanksgiving banter but the great news is that bad jokes never go out of style, so enjoy some useful review while adhering to your gym goals for at least the first week of January.

 Minimally Invasive HPB and Oncologic Surgery | File Type: audio/mpeg | Duration: Unknown

On this episode of the SO Files, Brad and Linda discuss minimally invasive hepatobiliary surgical oncology, focusing specifically on MIS pancreatic and liver surgery. The SO Files welcome special guest, Dr. Chet Hammill, Associate Professor of Surgery in the Hepatobiliary and GI Surgical Section at Wash U, Barnes Jewish Hospital.

 The Future of Surgical Lymph Node Management | File Type: audio/mpeg | Duration: Unknown

On this episode of the SO Files, Brad and Linda discuss the current state and future of surgical lymph node management. The SO Files welcome special guest, Dr. William Hawkins, Neidorff Family and Robert C. Packman Professor of Surgery and Chief, Section of Hepatobiliary-Pancreatic and Gastrointestinal Surgery at the Washington University School of Medicine/ Siteman Cancer Center. We hope you enjoy this interesting discussion!

 ABSITE Breast Oncology Review | File Type: audio/mpeg | Duration: Unknown

On this episode of the SO files, Brad and Linda welcome Assistant Professor of Surgery at Washington University in St. Louis/ Siteman Cancer Center, and co-author of the NCCN Clinical Practice Guidelines for Breast Cancer, Dr. Amy Cyr . We will take you through both benign, pre-malignant, and malignant breast oncology, with a focus on ABSITE relevant information.

 Radiation Oncology for Dummies | File Type: audio/mpeg | Duration: Unknown

On this episode of the SO files, Brad and Linda dive into the basics of radiation oncology, with the goal to give a basis of understanding for different radiation therapy regimens. The episode begins with an overview of what is radiation oncology and what are the major types of radiation oncology we should know about. For this episode, the SO files is excited to welcome on repeat guest Dr. Parag Parikh, Associate Professor of Radiation Oncology, and chief of GI radiation oncology at Washington University in St. Louis School of Medicine.

 Lynch Syndrome- Modern management and outcomes | File Type: audio/mpeg | Duration: Unknown

On this episode of the SO files, Brad and Linda cover the genetic basis of Lynch syndrome, who should get screened, when patients should get surveillance, and go over two recent papers covering surgical options for colon cancer in Lynch as well as long term outcomes after resection. Then, we discuss current management with Dr. Paul Wise, Professor of Surgery and Director of the Washington University Inherited Colorectal Cancer and Polyposis Registry.

 Adjuvant Options for Advanced Melanoma | File Type: audio/mpeg | Duration: Unknown

On this episode of the SO files, Brad and Linda cover the recently published trials on adjuvant options for melanoma, including the COMBI-AD trial and the CHECKMATE-238 trial. As a very special guest, they'll be interviewing Dr. Robert Andtbacka, Associate Professor of Surgery at the University of Utah, co-author of the recently published MSLT II trial, panel member of the NCCN guidelines on Melanoma, and lead investigator in the use of viral oncolytic therapy "T-VEC". Given these new results, how will our approach to completion lymph node dissection and adjuvant therapy change in patients with advanced melanoma?

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