MAX Institute of Medical Excellence Welcomes you to a live online course on, Sentile Lymph node biopsy (SLNB), Breast cancer.
Sentinel Lymph Node Biopsy (SLNB) has become a standard staging tool in the surgical management of breast cancer. Though it has evolved over the last few decades, its usage is still limited owing to lack of proper exposure and training, long learning curve, cost of equipment, multi-departmental workup involving nuclear medicine and pathology.
This course aims at basic training on SLNB through virtual video platforms and hands-on training and is led by renowned members.
SLNB course is a 2-month staggered course aimed at training the postgraduates, residents of surgical oncology or general surgery, practising surgeons with a special interest in breast surgical oncology in SLNB procedure in Breast malignancy Cases. It includes a combination of Virtual and hands-on courses the includes 6 virtual lectures, a 2-day observer-ship, and 2-day assisted hands-on under supervision. It includes two different modules that are detailed below. The trainee can opt according to feasibility. Those opting for Module-B have to complete the same within 2 months. This course is designed keeping in view the availability of cases and trainees time restraints.
Learning Modules:
This course is conducted and managed by the MAX Institute of Medical Excellence (MIME), New Delhi.
The course will be conducted either at max Super Speciality Hospital, Patparganj or Max Super Speciality Hospital, Vaishali.
Programme Director: Dr. Geeta Kedayaprath, MBBS, MS, FRCS, Senior Director-Surgical Oncology (Breast Oncology), Max Super Speciality Hospital, Patparganj, New Delhi. Ex-Fellow, Breast Unit, Royal Marsden Hospital London.
Programme Co-Ordinator: Dr. Naresh Guthula, Attending Consultant Breast Oncology Department of Surgical Oncology Max Super Speciality Hospital, Patparganj, New Delhi.
Academic Co-Ordinator: Dr. Vanita Mittal, Max Institute of Medical Excellence, General Manager Academics.
MAX Healthcare Faculty:
Dr. Arun Goel: Senior Director, Breast Surgical Oncology.
Dr. Rooma Ambastha: Senior Consultant, Dept. of Pathology.
Dr. Mukta Jain Shah: Senior Consultant, Dept. of Nuclear Medicine
Dr. Vaishali Zamre: Principal Consultant Breast Surgical Oncology.
Dr. Neha Kapoor: Senior Consultant, Dept. of Pathology.
Dr. Ajay Vyas: Senior Consultant, Dept. of Nuclear.
Dr. Rajesh Tandon: Principal Consultant, Dept. of Pathology.
Dr. Abhishek Gupta: Principal Consultant, Dept. of Nuclear Medicine.
International Faculty:
Dr. Sankaran Narayanan: Consultant Breast Surgeon at Nuffield North Staffordshire.
Dr. Dayalan Clarke: Consultant General and Breast Surgeon, UK.
Dr. Ruth James: Consultant Oncoplastic Breast Surgeon at Luton and Dunstable University Hospital, Milton Keynes, England, UK
The course is conducted and managed by the Max Institute of Medical Excellence (MIME), New Delhi. The course will be conducted either at Max Super Speciality Hospital, Patparganj or Max Super Speciality Hospital, Vaishali.
Video Lectures (8, Virtual Platform: 6 Hours)
- 06-08-2021: Introductory Class and Evolution of SLNB- Dr. Dayalan Clarke
- 13-08-2021: Breast Surgery and SLNB- The conventional Techniques- Dr. Arun Goel
- 20-08-2021: Pathology and Frozen section of the Sentinel Node- Dr. Neha Kapoor
- 27-08-2021: Nuclear Medicine and Sentinel Node mapping - Dr. Abhishek Gupta
- 03-09-2021: Newer Techniques (ICG) and Operative lecture of SLNB - Dr. SVS Deo
- 10-09-2021: De-escalation of Axilla after NACT - The Evidence- Dr. Sankaran Narayanan
- 17-09-2021: Alternatives to SLNB - Low axillary sampling- Dr. Vani Parmar
- 24-09-2021: Recent advantages (Mag Seed), Landmark & Ongoing Trials in SLNB- Dr. Ruth James
Observership (2 Days ):
The trainees will get exposure to each of the below-mentioned departments in the course of their course (Two Days)
Nuclear Medicine: preoperative Sentinel node Mapping:
- Pre - Operative preparation of Nano- Colloid
- Injection of nano-colloid-technique
- Identification and mapping of Sentinel lymph nodes using Scintiscan
Intra - Operative:
- Technique of injection of Dye (Methylene Blue)
- Pre- Operative Procedural Preparations
- Setting of gamma Probe monitor and handling of Gamma Prob
- Intimation to Patgology team & Filling of Frozen form
- Surface marking of SLN before incision
- Plan of incision based on tutor location, type of Surgery (bcs/MRM)
- Identification of hot & Blue Node and Excision
- Specific cases of interest (Obese/male/Elderly)
- Challenges in a previously operated Breast
Pathology: Frozen Section of Sentinel Node - The Procedure, The Pros And The Cons:
- Preparation of slides
- Examination of slides
- Identification of Micro-metastasis/ITCs
- Examination of slides
- Role of IHC
Assisted hands-On Under Supervision (2 days):
A two-day assisted hands-on where the trainee will be guided with an injection of nano-colloid, dye, plan of incision, assisted SLN identification and excision.
Final Evolution:
- An MCQ based evaluation of the trainees will be carried out at the completion of the course
- A completion certificate will be handed to the student at the end of the course.
Course Audience:
- Practicing Surgeons with a special interest in Breast Surgical Oncology.
- MS/DNB graduates of General Surgery/Surgical Oncology.
- Post Graduates of General Surgery/Surgical Oncology.
Essential Qualification:
- MCh Surgical oncology or equivalent Graduates
- MS/DNB General Surgery or Equivalent Graduates with Oncology as the field of interest.
- Surgical Oncology, MS/DNB Post Graduate residents (Presently Pursuing).
- Fellowship in Breast Surgical oncology
Required Documents:
- MBBS Graduation Certificate
- MS/DNB Graduation certificate
- State Medical Council/MCI Registration Certificate
- ID card ( Aadhar/PAN/Driving Licence/Passport )
- Letter of HOD/Joining Letter of post-graduates.
Please download and install the Zoom app on your phone or desktop: https://zoom.us/client/latest/ZoomInstaller.exe
Please download and install Zoom app on your phone or desktop: https://zoom.us/client/latest/ZoomInstaller.exe
