News Newsletter of the Korean Gynecologic Oncology Group January 2010 (Vol. 5) The 1st Asian Society of Gynecologic Oncology (ASGO) Conference Held Successfully by Asian Society of Gynecologic Oncology Along with the 1st Asian Society of Gynecologic Oncology (ASGO) conference, the 8 th Korea-Japan Joint Gynecologic Oncology Meeting was held successfully last November 21 st and 22 nd in Toshi Center Hotel, Tokyo in Japan, attended by around 100 members from 10 Asian member nations. The meeting was mainly on the recent research and study of cervical cancer, ovarian cancer. At the last session, the latest treatment of cervical cancer performed in each of countries attended was shared. Professor Kang, Soon Beom of Seoul National University College of Medicine, Department of Obstetrics and Gynecology was elected as the very first president of ASGO and Professor Toshiharu Kamura of Kurume University, Japan hosted the 1st Biennial Meeting as a conference president. This conference had a historic significance in that it involved in founding the representative gynecologic oncology society of Asia that will be, hopefully, equivalent to the world renowned regional societies such as European Society of Gynecologic Oncology and Society of Gynecologic Oncologists. At this 1st ASGO conference, it was unanimously agreed that that the 2nd ASGO conference will be hosted in Seoul in November 2011 as well as an educational workshop to be held in Seoul in July 2010 for the development of gynecologic oncology societies in developing countries of Asia. Professor Kang, who is undertaking the position of the first presidency, has an ambitious plan of advancing the society to be the representative gynecologic oncology society of Asia that includes countries from all around Asia although, at the moment, it consists only of 10 member countries. Asian Society of Gynecologic Oncology will hopefully be the center of systematic and common studies and education as well as the hope for gynecologic oncology patients in Asian region. Next Meeting ASGO Education Meeting 2nd ASGO Biennial Meeting • Date : July 31, 2010 • Venue: Seoul Nat’l Univ. Hospital, Clinical Research Institute • Date : November 4-5, 2011 • Venue: Seoul, Korea Table of Contents: The 1st Asian Society of Gynecologic Oncology (ASGO) Conference Held Successfully by Asian Society of Gynecologic Oncology 1 The 1st Biennial Meeting of Asian Society of Gynecologic Oncology Scientific Meeting Program 2 KGOG Papers Published 3 Newly Published Research Works of KGOG Clinical Trials 4 How to Write a Good Grant Proposal 6 New Response Evaluation Criteria in Solid Tumors (RECIST ver 1.1) 7 The 4th Korean Gynecologic Oncology Group Meeting 10 Korean Gynecologic Oncology Group-Reorganized 13 Asian Society of Gynecologic Oncology (ASGO) 2nd Biennial Meeting 15 KGOG #102, 55-5 Nonhyun-dong, Gangnam-gu, Seoul, 135-010, Korea Tel : +822-512-5420 Fax: +822-512-5421 Homepage : www.kgog.org E-mail : koreagynonco@hanmail.net Editor : Soon-Beom Kang, M.D., Ph.D. The 1st Biennial Meeting of Asian Society of Gynecologic Oncology Scientific Meeting Program KGOG ■Date November 21 Council Meeting November 22 Scientific Meeting November 22 ■Venue Toshi Center Hotel 2-4-1 Hirakawa-cho Chiyoda-ku Tokyo 102-0093 Japan TEL: +81 3 3265 8211 FAX: +81 3 3262 1705 http://www.toshicenter.co.jp/e/index.html Room 701 9:00 ~ 10:40 Symposium on Cervical Cancer Part 1 “Epidemiology and Diagnosis” Chairperson: Mohammad Farid Aziz(Indonesia), Ikuo Konishi (Japan) Speaksers: Woong Ju (Korea), Annie NY Cheung (Hong Kong) Chih Long Chang (Taiwan), Heru Priyanto Samadi (Indonesia) 10:40 ~ 12:00 Symposium on Cervical Cancer Part 2 “HPV Vaccine and Prevention” sponsored by GSK Chairperson: Hee Sug Ryu (KOR), Hiroyuki Yoshikawa(JPN) Speakers: Hyun Hoon Chung (Korea), Ryo Konno (Japan) Supriadi Gandamiharja (Indonesia) 12:00 ~ 12:40 Lunch Time 12:40 ~13:40 Commemoration Lecture from IGCS and SGO Speaker: Ted Trimble (National Cancer Institute, United States) Chairperson: Shingo Fujii (National Hospital Organaization Kyoto Medical Center, Japan) 13:40 ~ 15:10 15:10 ~ 17:30 18:15 ~ 20:00 2 Room 705~706 Poster View Poster Tours Symposium on Cervical Cancer Part 3 “New Trend of Treatment” Chairperson: Sarikapan Wilailak (Thailand), Satoru Sagae (Japan) Speakers: Joo Hyun Nam (Korea), Kung Liahng Wang (Taiwan) Hiroaki Kobayashi (Japan), Chomporn Sitathanee (Thailand) SK Shrivastava (India), Yin Nin Chia (Singapore) Gala Dinner at Grand Prince Hotel Akasaka (47th Annual Meeting of JSGO & 32nd Annual Meeting of JSGOS) KGOG Papers Published Korean Gynecologic Oncology Group Protocol No. Title Journal Authors, Corresponding Author 1003 Clearance of human papillomavirus infection after successful conization in patients with cervical intraepithelial neoplasia. Int J Cancer 2009 Jul 29. [Epub ahead of print] Young-Tak Kim, Jong Min Lee, Soo-Young Hur, Chi-Heum Cho, Young Tae Kim, Seung Cheol Kim, Soon Beom Kang 1005 (3) Efficacy of different types of treatment in FIGO stage IB2 cervical cancer in Korea: results of a multicenter retrospective Korean study (KGOG-1005). Int J Gynecol Cancer 2007 Jan-Feb;17(1):1 32-6. H.-S. RYU, S.B. KANG, K.-T. KIM, K.-H. CHANG, J.W. KIM & J.-H. KIM, KOREAN GYNECOLOGIC ONCOLOGY GROUP 1006 Cervical cancer associated with pregnancy: results of a multicenter retrospective Korean study (KGOG-1006). Am J Obstet Gynecol 2008 Jan;198(1): 92. e1-6. Jong-Min Lee, Kwang-Beom Lee, Young-Tak Kim, Hee-Sug Ryu, Young-Tae Kim, Chi-Heum Cho, Sung-Eun Namkoong, Ki-Hun Lee, Ho-Sun Choi, Kyung-Tai Kim 1007 (3) Prognostic factors in FIGO stage IB-IIA small cell neuroendocrine carcinoma of the uterine cervix treated surgically: results of a multi-center retrospective Korean study. Ann Oncol 2008 Feb;19(2): 321-6. J-M. Lee, K.-B. Lee, J.-H. Nam, S.-Y. Ryu, D.-S. Bae, J.-T. Park, S.-C. Kim, S.-D. Cha, K.-R. Kim, S.-Y. Song and S.-B. Kang 1010 Validation of a nomogram for predicting outcome of vulvar cancer patients, primarily treated by surgery, in Korean population: multicenter retrospective study through Korean Gynecologic Oncology Group (KGOG-1010). J Gynecol Oncol. 2008 Sep;19(3): 191-4. Mi-Kyung Kim, Jae Weon Kim, Jong-Min Lee, Nak-Woo Lee, Moon-Seok Cha, Byoung-Gie Kim, Ki Heon Lee, Young-Tae Kim, Jae-Hoon Kim, Eun-Seop Song, Moon-Hong Kim, Sang-Young Ryu, Won Gyu Kim, Young-Tak Kim, Kyung-Tai Kim, Soon-Beom Kang 2004 Ovarian preservation during the surgical treatment of early stage endometrial cancer: A nation-wide study conducted by the Korean Gynecologic Oncology Group. Gynecol Oncol. 2009 Jul 25 Taek Sang Lee, Jae Weon Kim, Tae Jin Kim, Chi Heum Cho, Sang Young Ryu, Hee-Sug Ryu, Byoung Gie Kim, Keun Ho Lee, Yong Man Kim, Soon-Beom Kang and the Korean Gynecologic Oncology Group Survey Surgical practice patterns in endometrial cancer: results of the Korean Gynecologic Oncology Group survey. J Gynecol Oncol. 2009 Jun;20(2): 107-12. Taek Sang Lee, Jae Weon Kim, Sung Hoon Kim, Seok Ju Seong, Eun-Seop Song, Jae-Hoon Kim, Jong-Hyeok Kim, Noh-Hyun Park, Ki-Heon Lee, Nak-Woo Lee, Hee-Sug Ryu Letter to editor Benefit of lymphadenectomy in endometrial cancer: Can the truth be obtained by RCT after ASTEC? Int J Gynecol Cancer. 2009 Lee, Taek Sang1; Kim, Jae Weon2; Seong, Seok Ju; Ryu, Hee Sug, on behalf of Korean Gynecologic Oncology Group - Uterine Corpus Committee 3003 Prognostic significance of histological grade in clear-cell carcinoma of the ovary: a retrospective study of Korean Gynecologic Oncology Group. Ann Oncol. 2009 Jun;20(6): 103 2-6. S.-Y. Ryu, S.-I. Park, B.-H. Nam, I. Kim, C. W. Yoo, J.-H. Nam, K. H. Lee, C.-H. Cho, J.-H. Kim, S. Y. Park, B.-G. Kim and S.-B. Kang 3004 Clinicopathologic characteristics of malignant germ cell tumors in the ovaries of Korean women: a Korean Gynecologic Oncology Group Study. Int J Gynecol Cancer. 2009 Jan;19(1):84-7. Lee, Ki Heon; Lee, In Ho; Kim, Byoung Gie; Nam, Joo Hyun; Kim, Won Kyu; Kang, Soon Beom; Ryu, Sang Young; Cho, Chi Heum; Choi, Ho Sun; Kim, Kyung Tai for the Korean Gynecologic Oncology Group 3005 Retrospective multicenter study of a clinicopathologic analysis of pseudomyxoma peritonei associated with ovarian tumors (KGOG 3005). Int J Gynecol Cancer. 2008 Sep-Oct;18(5): 916-20. LEE, J. K; SONG, S. H.; KIM, I.; LEE, K. H.; KIM, B. G.; KIM, J. W.; KIM, Y. T.; PARK, S. Y.; CHA, M. S.; KANG, S. B. 3 Newly Published Research Works of KGOG Clinical Trials KGOG 4 nc Korean Gynecologic Oncology Group 5 How to Write a Good Grant Proposal KGOG Chi-Hum, Cho Department of Obstetrics and Gynecology Keimyung University School of Medicine I’ve never learnt or even thought about how to write a research proposal or the method all through medical school and internship. I, myself, have never thought about it. I could never do any thinking for about a year busy taking care of my patients after I made the first step into college as a full-time lecturer. After that, I made frequent visits to a former classmate’s office for leisure where I had a lot of help and challenge. I often heard about where he submitted the research proposal but was not accepted or where he will submit it next and so on, and I got interested myself. I got to know where the research funds come from and that there are various types of research funds from small ones to a big national ones. After that, I started to write research proposals with a lot of frustrations at first, but later on, I started to enjoy the benefits of research funds and built up some confidence. I cannot say I had a lot of successes but I hope this chapter will be a help to many doctors who are making their first step. First, the most important thing about writing a paper or research proposal is having an innovative idea and a proposal can be thought to be a good one if the idea involved the thinking process of 6 attracting the buyers (the institutions giving out the research fund or reviewers if it’s a paper). The most important point in this type of approach is that it should be logical and that developing of the theory was based on evidence. Think of a salesman selling a product. A simple, easy-to-understand example might be a salesman who knows the pros and cons of his product well and present what the buyer can buy. The importance of this point is not limited to research proposals. This is the basic concept that you must have and you must think of one field that you regard important to achieve it. This is also not easy for those who are undertaking an experiment or a research for the first time, but from my experience, I think it is important to study something that not many others do, select one field and put in consistent investment. That it, when someone is deciding on the criteria for assessment when screening for the research fund, one would consider the feasibility of success of the researcher and make the investment, which point makes a continuous research in one field important. The most important thing when making a research proposal is to master the purpose of the research-hosting institution and why they are offering the public subscription. When a new research fund is announced, the first description is always on the introduction of the research fund and who are eligible to apply. Therefore, it is important to write a research proposal based on the guideline. Most tasks require the following. 1. Necessity of the research 2. Research objectives and contents 3. Promotion strategy and method of the research 4. Practical use and expectations of the research results For necessity of the research, you must describe the background of the research you want to do simply and logically as well as the trend within and outside the country. You must make the clear statement why this research is necessary and why it must be done based on what you’ve described. When doing so, you must not cite the list too descriptively and it is important that it is reorganized so that it can easily be recognized by anyone. As for research objectives and contents, the objectives must be shown precisely and quantitatively, the methods to achieve the said objectives must be recorded in detail and the preceding research results shown if necessary. As for the promotion strategy and method of the research, the performed research methods must be arrayed or arranged in some way and a strategy must be devised to draw good results. As for practical use and expectations of the research results, explain the anticipated social and overall effects of the research results and describe the expected achievements based on the results. Currently, research funds provided in Korea are mostly given by National Korean Gynecologic Oncology Group Research Foundation of Korea, Korea Scientific Foundation, Ministry for Health, Welfare and Family Affairs and Ministry of Education, Science and Technology except for those given by universities and research labs. Also, investigators must always have completed the preparatory study equivalent to 70% of the research before applying for the research fund and it is also important to pursue the research in the same, consistent direction. I hope this content will be helpful to new investigators preparing for research funds. New Response Evaluation Criteria in Solid Tumors (RECIST ver 1.1) Taek-Sang, Lee Boramae Medical Center Introduction The oncology field has been continuously witnessing the development of new anticancer agents; various clinical studies are being conducted to validate them, and the number is continuing to grow. Correspondingly, it is very important to accurately evaluate the tumor response for validation of the usefulness of a new drug compared to conventional drugs in deciding the treatment direction for a patient and to predicting prognosis; we can evaluate whether a new drug is valuable enough to replace the conventional treatment only based on the result measured by objective and reliable criteria. Due to such reason, numerous investigators have been trying to establish the criteria for evaluation of responsiveness of chemotherapy; among them, the criteria by the World Health Organization (WHO) published by Miller, et al. in 1981 has been widely used.1 According to the WHO criteria, the response is defined as complete response, partial response, progressive disease or stable disease depending on the degree of response; the size of each tumor is shown in bidimension and in case there are multiple legions, the product of dimensions of each legion was obtained, and the sum of such product was used for the final response evaluation. However, the classification by WHO criteria was too complicated to be used in clinical practice, and due to such complexity of adjudication criteria, the evaluation result of response to a drug used to be arbitrarily interpreted by the drug manufacturer involved in the drug development; to address such problems, new methods for tumor response evaluation were suggested and the RECIST (response evaluation criteria in solid tumors) criteria were published in 2000.2 This is a unidimensional method; the product of the longest diameter of each lesion is obtained and the evaluation of response to chemotherapy before and after treatment is to be specified in line with 4 criteria as the WHO criteria. The core contents of RECIST are 1) the sum of the longest diameter of each tumor has more linear relationship with tumor cell apoptosis than the sum of products of bidimensional figures, 2) the smallest diameter of a measurable lesion is stipulated as 20 mm, 3) the number of lesions required for response evaluation is specified as the maximum of 10. Subsequently, RECIST was applied to advanced gastric cancer, colon cancer, lung cancer, etc., and a 7 New Response Evaluation Criteria in Solid Tumors (RECIST ver 1.1) KGOG conclusion was reached that there is no difference in the response rate between WHO and RECIST criteria.3-5 Why Update RECIST? Since RECIST was introduced in 2000, several issues had been raised continuously while applying this for tumor response evaluation; relevant details are as follows: 1. Is it necessary that the number of target legions required for overall tumor response evaluation reach 10? 2. In a phase 3 clinical study with the primary objective of investigating the disease progression, not the degree of tumor response, if measurable lesion is not clear, it might be necessary that the method of RECIST application should be different. 3. How to use PET or MRI that are being widely used in evaluation of tumor recurrence? 4. If a lesion suspected of lymph node metastasis is included in tumor evaluation, what criteria should be applied? 5. Is it necessary to re-confirm the evaluation of the degree of response? 6. RECIST that evaluates the response of solid tumor to anticancer agent was revised in 9 years. 7. For evaluation of response to target agents that are being used currently, what criteria should be used? Regarding these issues, centered around Europe, the RECIST Working group consisting of clinicians, statisticians, pharmaceutical companies, imaging scientists, etc. published the revised RECIST ver 1.1 in the early 2009 in the Special Edition of European Journal of Cancer after applying and validating the newly revised contents by using the cohort of 6,500 or more patients and 18,000 or more cases of target lesion in the database of EORTC data center. Key revision items of RECIST 1.1 are as follows. • Number of target lesions to be evaluated: The number of lesions required for response evaluation was reduced from the maximum of 10 to 5, the maximum of 5 per organ to 2. • Lymph node evaluation: A lymph node with a short axis of 15 mm or longer might be a measurable target lesion; the size of a lymph node by such unilateral measuring should be included in the sum of lesions when calculating the tumor response. • Confirmation of response: Although this is still required in clinical studies with the primary objective of degree of response, it is not required in randomized studies with the main objective of degree of disease progression. This is because in randomized studies, a control group might provide appropriate information for interpretation of data from the study group. • Definition of progressive lesion: Other than defining progression as 20% or more increase in the sum of target legions, absolute increase of 5 mm in size is required. This is to prevent the description of changes in very small tumors in only several mm as disease progression since such changes might be within the range of measuring error. In addition, in relation to the contents on ‘unequivocal progression’ of nonmeasurable/non-target legion that had been confusing in the previous guideline, more unequivocal criterion was presented Table 1. What has changed in RECIST 1.1 RECIST 1.0 Measuring tumor burden 10 targets (5/organ) 5 targets (2/organ) Lymph node Measuring long axis as for other lesions. Silent on normal size. Measure short axis. Define normal size. Progression definition 20% increase in sum Non-measurable disease PD “Must be unequivocal” Confirmation Required 20% increase and at least 5 mm absolute increase. Expanded definition to convey impact on overall burden of disease. Required when response primary endpoint but not PFS New sections which includes comments on FDG-PET interpretation New lesions 8 RECIST 1.1 __ Korean Gynecologic Oncology Group as “the case in which the degree of change for entire target legions show a substantial change”, not referring to the change in size for only one targe lesion. • Guideline for imaging examination: Use of imaging examination for detection of a new lesion, interpretation of FDG-PET scan evaluation, etc. are included. Conclusion The latest revision was implemented at an appropriate timing to address questions that had been raised so far with the development of methodology and various treatment agents since 2000. It is considered that the latest revision would not influence the interpretation of clinical study results that had been conventionally implemented in that it maintained the previous RECIST framework to evaluate the responsiveness of tumor by anatomical approach while simplifying and optimizing the work load related to the conduct of a clinical study. References 1. Miller AB, Hoogstraten B, Staquet M, Winkler A. Reporting results of cancer treatment. Cancer 1981;47: 207-14. 2. Therasse P, Arbuck SG, Eisenhauer EA, Wanders J, Kaplan RS, Rubinstein L, et al. New guidelines to evaluate the response to treatment in solid tumors. European Organization for Research and Treatment of Cancer, National Cancer Institute of the United States, National Cancer Institute of Canada. J Natl Cancer Inst 2000;92:205-16. 3. Yoshida S, Miyata Y, Ohtsu A, Boku N, Shirao K, Shimada Y. Significance of and problems in adopting response evaluation criteria in solid tumor RECIST for assessing anticancer effects of advanced gastric cancer. Gastric Cancer 2000;3:128-33. 4. Werner-Wasik M, Xiao Y, Pequignot E, Curran WJ, Hauck W. Assessment of lung cancer response after nonoperative therapy: tumor diameter, bidimensional product, and volume. A serial CT scan-based study. Int J Radiat Oncol Biol Phys 2001;51:56-61. 5. Trillet-Lenoir V, Freyer G, Kaemmerlen P, Fond A, Pellet O,Lombard-Bohas C, et al. Assessment of tu-mour response to chemotherapy for metastatic colorectal cancer: accuracy of the RECIST criteria. Br J Ra-diol 2002;75:903-8. 6. Eisenhauer EA, Therasse P, Bogaerts J, Schwartz LH, Sargent D, Ford R, Dancey J, Arbuck S, Gwyther S, Mooney M, Rubinstein L, Shankar L, Dodd L, Kaplan R, Lacombe D, Verweij J. New response evaluation criteria in solid tumours: revised RECIST guideline (version 1.1). Eur J Cancer. 2009 Jan;45(2):228-47. 9 The 4th Korean Gynecologic Oncology Group Meeting KGOG Woong, Ju Ewha Womans University Mokdong Hospital Last July, as monsoon rains that come and go ceased and full-blown scorching heat of summer was creeping in, our party that left Incheon Airport to attend the 79 th GOG Semi-Annual Meeting arrived safely at Dulles Airport in Washington D.C. in the morning of July 15th, local time. It took about an hour from Dulles Airport to Baltimore where the conference was held and during this time my hope for success of the 4 th Korean Gynecologic Oncology Group Meeting that was going to be held during this conference never stopped in the corner of my mind despite the long journey and the fatigue I felt. We arrived at Baltimore Marriott Waterfront Hotel where the conference was held, were each assigned to the rooms and settled in. After all the settling-in was done, we gathered at the lobby for lunch. It flickered across my mind that Baltimore was no sanctuary from all that heat we were faced with back in Korea from which we hoped to run away. It was possibly even worse. As Andrew Warhola, a great figure in the history of pop art, once pointed out, we were sick of standardized mass production of in-flight meals and were dying for lunch with some oriental soup that could ease the fatigue and void of our long journey, and the executive director, a man of great 10 sense, saw through the needs of the public and took us to a nearby Japanese restaurant. Japanese restaurant La. Interior with modern sense and a variety of menus caught my attention. We set down and dove into the menu. After a little while, an optimum list of menus was selected that could soothe our empty stomach and as everyone was hoping someone would start ordering with fluent English, the chef eased us with a quick sense saying “I’m a Korean.” Everyone instantly felt that this restaurant was going to be our place for lunch for a couple of days ahead of us and could not hide our relief. After lunch, we decided to maximize the efficiency of overcoming the jetlag - some people trying to rub sleep off their eyes by going on a tour of Johns Hopkins Hospital, the dream of those in the field of medicine. Several people joined in upon hearing an acquaintance of Professor Kwon, Yong-il, happened to be studying in the graduate program of School of Public Health in Johns Hopkins School of Medicine who could give an indepth tour of the place. Our party received the favor of Dr. Jung, Hun-Jae, who was studying at Johns Hopkins, and were filled with admiration as we took the tour around Johns Hopkins Hospital which is known to be one of the hospitals with the best clinical medicine. We decided to have dinner/discussion which is essential for successful participation in the conference of next day after a quick break. Our party got to spend a special evening at the historic Obrycki’s Crab House upon recommendation of a commendable participant who searched through various blogs to taste Baltimore's famous Blue Crab. We each grabbed one blue crab stacked full on a platter, used a small knife and a wooden hammer to dissect and taste the chewy flesh of crab and took a sip of famous Samuel Adams beer without which experience I believe no one should say that one enjoyed the true taste of Baltimore. There were obvious wanting expressions on the faces around the table as the amicable dinner at Obrycki’s House started to die down. It was the first trip to the States for some and some did not make the slightest effort to hide not wanting to go back to hotel rooms for deep affection for KGOG. A professor who is great at grasping situations and Korean Gynecologic Oncology Group livening up the mood opened his mouth with a sentence. “Alright, beer on me. I take it there’s HOOTERS around our hotel” It was Professor Kim, Young-Tak, who had a joyous occasion in the family coming a few days later. He studied in Baltimore before and he took the highly elated group to HOOTERS. Ah, HOOTERS. One of the trendiest bars that one could hardly get a seat rooted as famous energy factories in places like in Apgujeong and Gangnam with all that youth and vitality and the famous owl logo. The proud KGOG members took over the HOOTERS bar with all that cheeriness to which was drawn even the owner of the place, an American, who brought out some munchies on the house, did love-shots with the members and even presented Professor Kim with a T-shirt with HOOTERS owl logo on it. I saw the opportunity, made my way in with body language and got another HOOTERS T-shirt for myself, making a great contribution to our suffering economy. After a simple arrival event in the night of 15th, we had a great sleep to participate with eager in the GOG meeting on the 16 th to study GOG protocol proposal, evaluation, adoption and procedures. Individual protocols will not be explained here for lack of space. That evening, we soothed our tired body and soul with dinner with wine at Fleming’s steak house in front of the hotel and played our roll in scholarly interchange and civil diplomacy through candid conversations with American GOG members. The 17th was the opening day of KGOG meeting. In the 4th KGOG meeting that was proceeded from 4 p.m., foreign and Korean speakers like Dr. Daniela Matei, Dr. Robert Coleman, Dr. Wui-Jin Koh etc. presented and discussed about GOG258, GOG213 and GOG263 protocols followed by introduction and Q&A on KGOG protocols related to GOG237, GOG9601 and HPV vaccine in the 2nd part of the meeting. A grand dinner party was held in a few Korean restaurants “Jongkak” that existed in Baltimore. GOG investigators, responsible person for data management and statistics and research nurses sat down with KGOG members around each table enjoying Korean BBQ to have meaningful time. At that very spot KGOG President Kang, Soon-Beom, thanked everybody for ever-enriching KGOG meetings and proposed a toast for high level of quality in the future multinational, multicenter studies through organic cooperation between KGOG and GOG. A time of friendship and thanking ensued, eventually leading to waves of Soju-Macju shots, which is a big hit in Korea, and the night of KGOG meeting blossomed with ever more frequent laughter and clanging of glasses in between English, Korean and Konglish. 11 GOG 79th Semi-Annual Meeting (July 16-19, 2009) The 4th Korean Gynecologic Oncology Group Meeting • Date : Friday, July 17, 2009 (16:00~18:00) • Venue : Baltimore Marriott Waterfront Hotel (Harborside Salon E) 16:00-16:05 Opening Remark Soon-Beom Kang, M.D. (President of KGOG, Seoul National University Hospital) Part I. GOG Protocol Statement 16:05-16:20 GOG0258 A randomized phase III trial of cisplatin and tumor volume directed irradiation followed by carboplatin and paclitaxel vs. carboplatin and paclitaxel for optimally debulked, advanced endometrial carcinoma Daniela Matei (Indiana University Medical Center) David Mutch (Washington University School of Medicine) Marcuse Randall (University of Kentucky Department of Radiation Medicine) 16:20-16:35 •Measurement of tumor volume •Tumor volume and prognosis in endometrial cancer •Definition of optimal debulking for endometrial cancer •Sequential vs concurrent chemoradiation in endometrial cancer •Targeted therapy for endometrial cancer 16:35-16:50 Soon-Beom Kang(Seoul National Univ. Hosp.) Byoung-Gie Kim(Samsung Medical Center) Jae Weon Kim(Seoul National Univ. Hosp.) Hang Jo Yoo(Ulsan Univ. Hosp.) Jong-Hyeok Kim(Asan Medical Center) GOG 0213 A phase III randomized controlled clinical trial of carboplatin and paclitaxel alone or in combination with bevacizumab followed by bevacizumab and secondary cytoreductive surgery in platinum-sensitive, recurrent ovarian, peritoneal primary and fallopian tube cancer Robert Coleman(UT M.D. Anderson Cancer Center) 16:50-17:05 •Definition of platinum sensitivity •Selection of surgical candidate •Efficacy of bevacizumab in recurrent ovarian cancer •Rationale for ‘no surgery’ in operable patients •Background of sequential single agents chemotherapy Joo-Hyun Nam(Asan Medical Center) Jae-Hoon Kim(Kangnam Severance Hosp.) Yong-Il Kwon(Kangdong Sacred Heart Hosp.) Young Tak Kim(Asan Medical Center) Kidong Kim(Korea Cancer Center Hosp.) 17:05-17:20 GOG 0263 Randomized phase III clinical trial of adjuvant radiation versus chemoradiation in Intermediate risk, stage I/IIA cervical cancer treated with initial radical hysterectomy and pelvic lymphadenectomy Sang-Young Ryu (Korea Cancer Center Hosp.) Wui-Jin Koh (University of Washington School of Medicine) 17:20-17:35 •Cooperation with radiation oncologist •Validation of radiotherapy •The role of IMRT in early cervical cancer •Definition of clinical tumor size •Changes of inclusion criteria Chi-Heum Cho(Dongsan Medical Center) Moon Hong Kim(Korea Cancer Center Hosp.) Woong Ju(Ewha Womans Univ. Mokdong Hosp.) Hyun Hoon Chung(Seoul National Univ. Hosp.) Yong Man Kim(Asan Medical Center) Part Ⅱ. GOG & KGOG Protocol HPV Vaccine 12 17:35-17:45 GOG0237 Comparative analysis of CA-IX, p16, proliferative markers and human papilloma virus (HPV) in the diagnosis of significant cervical lesions in patients with a cytologic diagnosis of atypical glandular cells (AGC) (Shu-Yuan Liao) Joo Hyun Nam (Asan Medical Center) 17:45-17:55 GOG9601 A phase I study of a human papillomavirus E7 lipopeptide vaccine for the treatment of recurrent or persistent cervical cancer (Michael A. Steller) Chi-Heum Cho (Dongsan Medical Center) 17:55-18:05 Investigation of changes in lesion, HPV viral load, and serum anti-HPV 16 and 18 VLPs after HPV vaccination in CIN I patients (Seung Cheol Kim) Young Tak Kim (Asan Medical Center) 18:05 Closing Korean Gynecologic Oncology Group-Reorganized on Jan. 2010 KGOG Group President : Soon-Beom Kang, M.D. (Seoul National University Hospital) Vice-President : 1) Joo-Hyun Nam, M.D. (Asan Medical Center) 2) Hee-Sug Ryu, M.D. (Ajou University Medical Center) Secretary General : Jae-Hoon Kim, M.D. (Kangnam Severance Hospital) KGOG Administrative Office # 102, 55-5 Nonhyun-dong, Gangnam-gu, Seoul, 135-010, Korea Phone : (822) 512-5420 Fax : (822) 512-5421 E-mail : koreagynonco@hanmail.net Homepage : www.kgog.org Appointing Committee Seung-Jo Kim, M.D. (Bundang CHA Medical Center) Sung-Eun Namkoong, M.D. (The Catholic University) Jae-Wook Kim, M.D. (Myongji Hospital) Eung Soo Lee, M.D. (Ilsan Paik Hospital) Protocol Committee Director : Kyung-Tai Kim, M.D. (Hanyang University Hospital) Won-Gyu Kim, M.D. (Kosin University Gospel Hospital) Young-Tae Kim, M.D. (Severance Hospital) Sang-Yoon Park, M.D. (National Cancer Center) Duk-Soo Bae, M.D. (Samsung Seoul Hospital) Woong-Shick Ahn, M.D. (Seoul St. Mary's Hospital) Soon-Do Cha, M.D. (Keimyung University Dongsan Medical Center) Sei-Jun Han, M.D. (Chosun University Hospital) Young-Tak Kim, M.D. (Asan Medical Center) Joo-Hyun Nam, M.D. (Asan Medical Center) Chan-Yong Park, M.D. (Gil Medical Center) Yong-Sang Song, M.D. (Seoul National University Hospital) Seon-Kyung Lee, M.D. (East-West Neo Medical Center) Ho-Sun Choi, M.D. (Chonnam National University Hospital) Audit Ki-Tae Kim, M.D. (Pusan Paik Hospital) Committee Director : Hee-Sug Ryu, M.D. (Ajou University Medical Center) 1. Tumor Site Committees 1) Cervix, Vulva, Vagina TSC Director : Seung-Cheol Kim, M.D. (Ewha Womans University Medical Center) Members : Yong-Il Kwon, M.D. (Kangdong Sacred Heart Hospital) Young-Tak Kim, M.D. (Asan Medical Center) Tae-Jin Kim, M.D. (Cheil General Hospital & Women's Healthcare Center) Hong-Bae Kim, M.D. (Kangnam Sacreat Heart Hospital) Geun-Ho Lee, M.D. (Seoul St. Mary's Hospital) Jae-Kwan Lee, M.D. (Korea University Guro Hospital) Jong-Min Lee, M.D. (East-West Neo Medical Center) Cheon-Jun Lee, M.D. (Kosin University Gosple Hospital) Seok-Chul Choi, M.D. (Cancer Center Hospital) Cheol-Min Lee, M.D. (Sanggye Paik Hospital) Yong-Beom Kim, M.D. (Seoul National University Bundang Hospital) Kwang-Beom Lee, M.D. (Gil Medical Center) Suk-Jun Chang, M.D. (Ajou University Medical Center) Dae-hoon Chung, M.D. (Pusan Paik Hospital) 2) Uterinecorpus-GTT TSC Director : Jae-Weon Kim, M.D. (Seoul National University Hospital) Members : Jae-Hoon Kim, M.D. (Kangnam Severance Hospital) Dong-Choon Park, M.D. (St. Vincent’s Hospital) Eun-Seop Song, M.D. (Inha University Hospital) Nak-Woo Lee, M.D. (Korea University Ansan Hospital) Jong-Hyeok Kim, M.D. (Asan Medical Center) Seok-Ju Seong, M.D. (CHA General Hospital International Clinic) Hee-Sug Ryu, M.D. (Ajou University Medical Center) 13 Korean Gynecologic Oncology Group-Reorganized on Jan. 2010 KGOG Sang-Hoon Kwon, M.D. (Keimyung University Dongsan Medical Center) Sung-Hoon Kim, M.D. (Severance Hospital) Taek-Sang Lee, M.D. (Boramae Hospital) 3) Ovarian-Fallopian tube TSC Director : Byoung-Gie Kim, M.D. (Sungkyunkwan University) Members : Seok-Mo Kim, M.D. (Chonnam National University Medical School) Sang-Young Ryu, M.D. (Cancer Center Hospital) Chi-Heum Cho, M.D. (Keimyung University School of Medicine) Moon-Seok Cha, M.D. (Dong-A University Medical Center) Suk-Bong Koh, M.D. (Daegu Catholic University Medical Center) Dae-Youn Kim, M.D. (Asan Medical Center) 2. Treatment Modality Committee 1) Chemotherapy TMC Chief : Hee-Sook Park, M.D. (Soonchunghyang University Hospital) Members : Seok-Mo Kim, M.D. (Chonnam National University Medical School) Young-Tae Kim, M.D. (Severance Hospital) Sang-Young Ryu, M.D. (Cancer Center Hospital) Jong-Min Lee, M.D. (Kyunghee University Medical Center) Jin-Hyuk Choi, M.D. (Ajou University School of Medicine) Yong-Man Kim, M.D. (Asan Medical Center) Chan Lee, M.D. (Bundang CHA Medical Center) Woong Ju, M.D. (Ewha Womans University Medical Center) Soo-Young Hur, M.D. (The Catholic University of Korea) Jae-Whoan Koh, M.D. (Inje University Seoul Paik Hospital) Tae-Joong Kim, M.D. (Sungkyunkwan University) Young-Tak Kim, M.D. (Asan Medical Center) Jin-Hee Ahn, M.D. (Asan Medical Center) Nam-Su Lee, M.D. (Soonchunhyang University) Moon-Seok Cha, M.D. (Dong-A University Medical Center) 2) Radiotherapy TMC Chief : Kwan-Ho Cho, M.D. (Proton Therapy Center National Cancer Center) Members : Jae-Weon Kim, M.D. (Seoul National University) Joo-young Kim, M.D. (National Cancer Center) Jin-Hee Kim, M.D. (Keimyung University) Seong-Soo Shin, M.D. (Asan Medical Center) Dae-Sik Yang, M.D. (Korea University Anam Hospital) Hak-Jae Kim, M.D. (Seoul National University) Hee-Sug Ryu, M.D. (Ajou University School of Medicine) Kyung-Ja Lee, M.D. (College of Medicine Ewha Women's University) Kyu-Chan Lee, M.D. (Gachon Medical School) Mi-Son Chun, M.D. (Ajou University School of Medicine) Ha-Chung Chun, M.D. (Hanyang University Hospital) Chul-Koo Cho, M.D. (Cancer Center Hospital) Seung-Jae Huh, M.D. (Sungkyunkwan University School of Medicine) 3. Pathology Committee Chief : Kwang-Sun Suh, M.D. (Chungnam National University) Members : Sun-Young Kwon, M.D. (Keimyung University) Dong-Won Kim, M.D. (Soonchunhyang University Hospital) Hy-Sook Kim, M.D. (Cheil General Hospital) Moon-Hyang Park, M.D. (Hanyang University Hospital) Sang Yong Song, M.D. (Samsung Medical Center) Chong-Woo Yoo, M.D. (National Cancer Center) Hee-Jae Joo, M.D. (Ajou University Medical Center) Kyu-Rae Kim, M.D. (Asan Medical Center) In-Sun Kim, M.D. (Korea University Guro Hospital) Jong-Hee Nam, M.D. (Chonnam National University Medical School) In-Ae Park, M.D. (Seoul National University Hospital) Hee-Jeong Ahn, M.D. (Bundang CHA Medical Center) Hye-Kyoung Yoon, M.D. (Inje University Pusan Paik Hospital) 4. Translational Research Committee Chief : Yong-Man Kim, M.D. (Asan Medical Center) Members : Sokbom Kang, M.D. (National Cancer Center) Yong-Il Kwon, M.D. (Kangdong Sacred Heart Hospital) Byoung-Gie Kim, M.D. (Sungkyunkwan University) Jae-Hoon Kim, M.D. (Yonsei University College of Medicine) Tae-Jin Kim, M.D. (Cheil General Hospital & Women's Healthcare Center) Jae-Kwan Lee, M.D. (Korea University Guro Hospital) Chi-Heum Cho, M.D. (Keimyung University School of Medicine) Soo-Young Hur, M.D. (The Catholic University of Korea) Taek-Sang Lee, M.D. (Boramae Hospital) 5. Statistics and Data Committee Chief : Byung-Ho Nam, Ph.D. (National Cancer Center) 6. International Collaboration Committee *CRA : 14 Seon-Hee Kim, Jong-Soon Kim, Eun-Kyung Park Asian Society of Gynecologic Oncology (ASGO) 2 Biennial Meeting nd November 4~5, 2011, Seoul, Korea ASGO Educational Meeting July 31, 2010, Seoul, Korea Homepage : www.asiansgo.org E-mail : office@asiansgo.org 15 KGOG Administrative Office # 102, 55-5 Nonhyun-dong, Gangnam-gu, Seoul, 135-010, Korea Phone : (822) 512-5420 Fax : (822) 512-5421 E-mail : koreagynonco@hanmail.net Homepage : www.kgog.org