In recent years, important changes in practice have occurred in diagnosis and, particularly, in the treatment of colorectal cancer. New knowledge about tumor biology, as well as new ways of integrating different treatment forms and
techniques, require constant updating by those who care for colorectal cancer patients.
This year's format will present actual cases, followed by specific short presentations and a discussion, focusing essentially on practice.
Once again, we will have the privilege of having distinguished national and international speakers of representative world reference centers participating.
Participants will be able to vote on their positions before and after
each question is answered and discussed. They can also send questions to the speakers.
Target audience:
Coloproctologists, digestive surgeons, general surgeons, clinical oncologists, radiotherapists, oncogeneticists and residents of the respective areas.
Based on specific questions related to everyday cases, followed by short straight to the point presentations (7 minutes) and discussion (5 minutes). Attending participants will vote on every question right after the case
presentation an after discussion.
Target public: colorectal, GI and general surgeons; medical oncologists; radiotherapists.
The Symposium will be exclusively online, for free.
The 2021 Symposium was very
successful, which had basically the same format, had more than 2500 inscriptions from 24 countries all over the world. We desire to call again the attention of our colleagues for the 2023 version.
5:00pm – 5:05pm | Initial remarks |
5:05pm – 5:55pm | I – Diagnosing and Staging Moderator: FERNANDA CUNHA CAPARELI (SP) |
Q – MSI as a routine for primary and metastatic tumors? FERNANDA CUNHA CAPARELI (SP) |
|
Q – Kras, BRAF, Her-2 as a routine for metastatic disease? LUIZA DIB BATISTA BUGIATO FARIA (DF) |
|
Q – Liquid biopsy as a routine? TULIO EDUARDO FLESCH PFIFFER (SP) |
|
Q – PET/CT as a routine for staging? CARLOS ALBERTO BUCHPIGUEL (SP) |
|
Discussion | |
5:56pm – 6:56pm | II – Colon cancer Moderator: ANTONIO LACERDA FILHO (MG) |
Q – Neoadjuvant chemotherapy: has the time come? FERNANDA CUNHA CAPARELI (SP) Discussion |
|
Q – Robotic surgery for colon cancer: does it help? SAMUEL AGUIAR JUNIOR (SP) Discussion |
|
Q – Obstructive stage IV sigmoid cancer: Stent or surgery? RAUL CUTAIT (SP) Discussion |
|
Q – Splenic flexure cancer: segmental or extended left colectomy? SCOTT STEELE (USA) Discussion |
|
Q – Transverse colon tumor located in the region of the medial colic vessels: transversectomy or extended right colectomy? EDUARDO LONDOÑO (COLOMBIA) |
|
Discussion | |
6:57pm – 7:30pm | Conferences Moderator: HELIO MOREIRA JR (GO) |
Immunotherapy as first line therapy ANDREA CERCEK (USA) |
|
Middle/lower rectum lesion post neoadjuvance. Robotics can improve quality of surgery and results? ALESSIO PIGAZZI (USA) Discussion |
|
7:30pm – 8:13pm | III – Hereditary colorectal cancer Moderator: MARIA ISABEL ALVES DE SOUZA WADDINGTON ACHATZ (SP) |
1. A 43 y.o. female patient, member of a family with Lynch syndrome, presented with a right colon cancer; at biopsy it was detected MSH2 loss of expression | |
Q – Right colectomy or total colectomy? GABRIELA MÖSLEIN (GERMANY) |
|
Discussion | |
2. A 43 y.o. female patient, member of a family with Lynch syndrome, presented with a left colon adenoma, with MSH2 loss of expression. | |
Q – Prophylatic colectomy vs every year or other year colonoscopy? WAGNER ANTONIO DA ROSA BARATELA (SP) |
|
Q – Prophylatic histerectomy? Prophylatic oophorectomy? FABIO FERREIRA (SP) |
|
Discussion | |
3. Colonoscopy in a 32 y.o. male patient who presented with a couple of episodes of rectal bleeding showed 9 polyps, which were removed. Pathology: 7 low grade adenomas and 2 high grade adenomas. No family history of cancer. | |
Q – Is a genetic panel necessary? MARIA ISABEL ALVES DE SOUZA WADDINGTON ACHATZ (SP) |
|
Discussion |
5:00pm – 6:02pm | IV – Rectum 1 Moderator: RAUL CUTAIT (SP) |
1. Upper rectum lesion, almost circumferential: staging T4N1M0 Q – Neoadjuvance or surgery upfront? SCOTT STEELE (USA) |
|
Discussion | |
2. Cancer of the middle/lower rectum | |
Q – Lower rectum, rmT1N0 lesion: a) local resection? b) neoadjuvance followed by local resection (OR TME OR watch and wait)? ALEJANDRO MOREIRA GRECCO (ARGENTINA) Discussion |
|
Q – Middle rectum, rmT2N1: a) TME? b) neoadjuvance + TME (OR local resection OR watch and wait)? MARIA WIDMAR (USA) Discussion |
|
Q – Middle rectum, rmT2/T3N0 lesion: a) TME? b) neoadjuvance + TME (OR local resection OR watch and wait)? STEVEN WEXNER (USA) Discussion |
|
Q – Middle/distal rectum: which neoadjuvant scheme? DENIS LEONARDO FONTES JARDIM (SP) |
|
Discussion | |
6:03pm – 6:23pm | Conference Moderator: FREDERICO PEREGO COSTA (SP) |
Carcinomatosis: when to perform cytoreductive surgery + HIPEC? PAUL SUGARBAKER (USA) |
|
Discussion | |
6:24pm – 7:27pm | V – Rectum 2 Moderator: JOÃO AGUIAR PUPO NETO (RJ) |
1. Lower rectum, 1cm above the dentate line, rmT3N1: neoadjuvance, with an almost complete response (rectal touch, endoscopy, MRI) |
|
Q – How trustful is the post neoadjuvant MRI for staging? REGIS OTAVIANO FRANCA BEZERRA (SP) |
|
Q – TME? Local resection? More adjuvant chemotherapy? JOSE GUILLEM (USA) |
|
Discussion | |
2. Adenocarcinoma of the extraperitoneal rectum; MRI prior to neoadjuvance: increased lateral lymphnodes, MRI after neoadjuvance: “normal” lymphnodes | |
Q – When to perform lateral lymphadenectomy? Uni or bilateral? GEORGE CHANG (USA) |
|
Discussion | |
3. Lower colorectal anastomosis | |
Q – How to minimize LARS? GIOVANNA DA SILVA SOUTHWICK (USA) |
|
Discussion | |
4. Middle/distal rectum lesion and multiple liver metastasis | |
Q – What is the best approach? TULIO EDUARDO FLESCH PFIFFER (SP) |
|
Discussion | |
7:27pm – 7:35pm | Final remarks |