TRAINING COURSE FOR MASTER TRAINERS IN BREAST, CERVICAL, COLORECTAL AND
ORAL CANCER EARLY DETECTION AND CONTROL
Jointly organised by
The National Cancer Control Programme, Ministry of Health and Indigenous Medicine,
Colombo, Sri Lanka
The International Agency for Research on Cancer, World Health Organization
(IARC/WHO), Lyon, France;
The WHO Country Office, Colombo, Sri Lanka
PROGRAMME
26 – 29 May 2015
Training course location:
Hector Kobbekaduwa Agrarian Research and Training Institute 114, Wijerama Mawatha,
Colombo 07, Sri Lanka.: +94-11-2698539-41 / +94-11-7417100-5
Web site : http://www.harti.gov.lk/
Cervical & Breast Cancer Early detection and control for MO/MCHs
26-27 May 2015 - Narayanasamy Conference Hall
Cervical, Breast, Colorectal and Oral Cancer Early detection and control for MO/NCDs
28-29 May 2015 - Narayanasamy Conference Hall
Oral Cancer Early detection and control for Regional Dental Surgeons
29 May 2015 - Subasinghe Conference Hall
With generous support from
A GETI Fellowship from the International Union Against Cancer (UICC)
NATIONAL FACULTY
Dr Kanishka Karunaratne
Consultant Gyneoncologist, NCI Maharagama
nlkgkaru@yahoo.com
Dr Samanthi Premaratne
Consultant Gyneoncologist, NCI Maharagama
samanthipremaratne@gmail.com
Dr Himali Ihalagama
Consultant Gyneoncologist, NCI Maharagama
himaliihalagama@yahoo.com
Dr Kanishka De Silva
Consultant Oncosurgeon, NCI Maharagama
gksdesilva@gmail.com
Dr Ajith De Silva
Consultant General Surgeon, NHSL
adesilva60@yahoo.com
Dr Yasantha Ariyaratne
Consultant Oncologist, NCI Maharagama
yariyaratne@yahoo.com
Dr B.G.N. Rathnasena
Consultant General Surgeon, NHSL
nimalrsena@gmail.com
Dr Ranil Jayasena
Consultant GI Surgeon, NHSL
rjayasena@gmail.com
Dr N.M.M. Navarathne
Consultant GI Physician, NHSL
nmmnawarathne@gmail.com
Dr Hemantha Amarasinghe
Cancer Epidemiologist & Board Certified Consultant in Dental Public Health
Research and Surveillance Unit, Institute of Oral Health
hemanthaamarasinghe@yahoo.com
Prof W.M. Thilakaratne
Professor of Oral Pathology,
Faculty of Dental Sciences, University of Peradeniya
wmtilak@pdn.ac.lk
Dr Padma De Silva
Consultant OMF Surgeon, DI Colombo
spadmasilva@gmail.com
Dr D.K. Dias
Consultant OMF Surgeon, TH Karapitiya
dkdias@sltnet.lk
Dr Janakie Fernando
Consultant Histopathologist of National Hospital
janakifernando@gmail.com
Dr Pandula Hettiarachchi
Consultant Radiologist of National Hospital
pandula69@icloud.com
Dr Prasanna Jayasekara
Consultant in Community Dentistry
National Cancer Control Programme,
Ministry of Health and Indigenous Medicine
jayasekara_prasanna@yahoo.com
Dr Nayana De Alwis
Consultant Community Physician
National Cancer Control Programme,
Ministry of Health and Indigenous Medicine
dealwisnayana@gmail.com
Dr Nethanjalie Mapitigama
Programme Manager – Women Health
Family Health Bureau, Ministry of Health and Indigenous Medicine
nethmap@hotmail.com
Dr Ramani Punchihewa
Consultant Pathologist
District General Hospital - Kalutara
ramanipunchihewa@yahoo.com
INTERNATIONAL FACULTY
Dr Rengaswamy Sankaranarayanan, Course Director
Special Advisor on Cancer Control
The International Agency for Research on Cancer (IARC/WHO), Lyon, France
Dr Walter Prendiville
Senior Visiting Scientist
The International Agency for Research on Cancer (IARC/WHO), Lyon, France
Dr Babu Mathew
Professor of Community Oncology, Regional Cancer Centre
Trivandrum, India
Dr Ashrafun Nessa
Professor, Department of Obstetrics & Gynaecology, BSMMU
Dhaka, Bangladesh
Dr Aylor S. Ramakrishnan
Additional Professor (GI & HPB oncology), Surgical Oncologist
Cancer Institute (WIA), Chennai, India
LOCAL ORGANIZERS
Dr Eshani Fernando, Director
Dr Nayana De Alwis, Consultant Community Physician
Dr Prasanna Jayasekara, Consultant in Community Dentistry
National Cancer Control Programme, Ministry of Health and Indigenous Medicine,
Colombo, Sri Lanka
Dr Suraj Perera, Consultant Community Physician, Course Co-Director
National Cancer Control Programme, Ministry of Health and Indigenous Medicine,
Colombo, Sri Lanka
COURSE SECRETARIAT:
Ms Sandrine Montigny, Screening Group
The International Agency for Research on Cancer (IARC/WHO), Lyon, France
montignys@iarc.fr
Tuesday 26 May 2015 (for MO/MCHs – day 1 of 2)
Narayanasamy Conference Hall
09.00 – 09.10
09.10 - 09.20
09.20 – 09.35
09.35 – 10.00
Welcome and Opening Ceremony
Presentation of workshop objectives,
expected results and outcomes
Pre-workshop evaluation questionnaire
Introductions (participants and faculty)
Dr Eshani and Sri Lankan colleagues
Dr Eshani/Dr R. Sankar
Cervical Cancer Early detection and control
10.00 – 10.15
Cervical cancer: causes, global burden and prevention using
HPV vaccination
10.15 - 10.30
Coffee break
10.45 – 11.00
Anatomy and physiology of lower genital
tract with particular emphasis on the cervix
Natural history and pathology of cervical neoplasia
Screening for cervical cancer: cytology, HPV testing,
Visual screening
Current situation in Cervical Cancer Screening
Programme in Sri Lanka and way forward
Cervical Cytology & Reporting in cervical cancer
screening programme in Sri Lanka
Introduction to colposcopy: Colposcopic features of
normal cervix, inflammation, CIN and preclinical
early invasive cancer; role of colposcopy in the early
detection and prevention of cervical neoplasia
11.15 – 11.30
11.30 – 12.00
12.00 – 12.15
12.15 - 12.25
12.25 – 13.10
Dr R. Sankar
Dr H. Ihalagama
Dr R. Sankar
Dr S. Premaratne
Dr N. Mapitigama
Dr R. Punchihewa
Dr W. Prendiville
13.10 - 14.00
Lunch
14.00 – 14.30
15.15 - 15.45
Treatment of precancerous lesions using
thermocoagulation (cold coagulation) and cyotherapy
Treatment of precancerous lesions using LLETZ
and cold knife conization
Staging and surgical management of cervical cancer
15.45 – 16.00
Coffee break
16.00- 16.20
16.20 – 16.50
Non-surgical management of cervical cancer
Bangladesh national cervical screening programme
16.50 – 17.20
Screening for cervical cancer:
Dr Eshani and Sri Lankan colleagues
Strategies and recommendations,
National Guidelines, discussion and questions
14.30 – 15.15
Dr A. Nessa
Dr W. Prendiville
Dr K. Karunaratne
Dr R. Sankar
Dr A. Nessa
Wednesday 27 May 2015 (for MO/MCHs – day 2 of 2)
Narayanasamy Conference Hall
Breast Cancer Early detection and control
09.00 – 09.30
09.30 – 10.00
10.00 - 10.25
10.25 – 10.50
10.50 – 11.00
Global burden risk factors and prevention breast cancer
Dr R. Sankar
Anatomy of the breast, symptoms
Dr Ajith De Silva
signs and staging of breast cancer
Breast awareness, breast self- examination
Dr R. Sankar
Screening and early diagnosis by clinical breast examination
Dr A. Nessa
Strengthening early detection of breast cancers
Dr N. de Alwis
11.00 – 11.30
Coffee break
11.30 – 12.00
12.00 – 12.30
Mammography and ultrasonography in screening
and early diagnosis of breast cancer
The role of cytology and histopathology
including immuno-histochemistry in the early diagnosis
and management of breast cancer
12.30 – 13.30
Lunch break
13.30 – 14.00
14.00 – 14.30
14.30 – 15.00
Treatment of breast cancer: surgery
Treatment of breast cancer: radiotherapy
Treatment of breast cancer: adjuvant chemo
and hormone therapy
15.00 – 15.30
Coffee break
15.30 – 16.00
16.30 – 17.00
Practical sessions on clinical breast examination and diagnosis of breast
cancer: using breast prosthesis.
General discussion: Breast cancer
Dr Eshani & Sri Lankan colleagues
early detection approaches in primary care
and breast cancer control policy in Sri Lanka
Post-workshop evaluation questionnaire
17.00 – 17.30
Distribution of certificates, Closing ceremony
16.00 – 16.30
Dr P. Hettiarachchi
Dr J. Fernando
Dr Kanishka De Silva
Dr Y. Ariyaratne
Dr Y. Ariyaratne
Thursday 28 May 2015 (for MO/NCDs – day 1 of 2)
Narayanasamy Conference Hall
08.00 – 08.15
08.15 – 08.30
08.30 – 08.45
Welcome and Opening Ceremony
Presentation of workshop objectives,
expected results and outcomes
Pre-workshop evaluation questionnaire
Introductions (participants and faculty)
Dr Eshani and Sri Lankan colleagues
Dr R. Sankar
Cervical and Breast Cancer Early detection and control
09.00 - 09.45
09.45 – 10.15
Anatomy and physiology of the lower genital tract, natural history of
cervical cancer, screening methods for cervical neoplasia
Dr R. Sankar
Introduction to the role of colposcopy in the prevention of
Dr R. Sankar
cervical cancer
10.15 – 10.45
Treatment of precancerous lesions by cold coagulation
and cyotherapy
10.45 - 11.00
Coffee break
11.00 – 11.20
11.20 – 11.50
11.50 - 12.10
12.10 - 12.30
12.30 – 13.00
Treatment of precancerous lesions by LLETZ and
Dr K. Karunaratne
cold knife conization
Staging and surgical management of cervical cancer
Dr K. Karunaratne
Non-surgical treatment of cervical cancer
Dr R. Sankar
Prevention of cervical cancer by HPV vaccination
Dr A. Nessa
Prevention & screening of cervical cancer:
Dr Eshani & Sri Lankan colleagues
Strategies and recommendations,
National Guidelines, discussion and questions
13.00 - 14.00
Lunch break
14.00 – 14.30
15.10 - 15.30
Anatomy of the breast, symptoms, signs and staging
Dr Ajith Da Silva
of breast cancer
Breast awareness, breast self- examination, and clinical
Dr A. Nessa
breast examination in the early diagnosis of breast cancer
Mammography and ultrasonography in the early
Dr P. Hettiarachchi
diagnosis and management of breast cancer
Fine needle aspiration cytology and histopathology
Dr J. Fernando
15.30 – 15.45
Coffee break
15.45 – 16.05
16.05 – 16.30
Treatment of breast cancer: surgery
Dr Kanishka Da Silva
Treatment of breast cancer: radiotherapy,
Dr Y. Ariyaratne
chemotherapy and hormone therapy
Practical sessions on clinical breast examination
and diagnosis of breast cancer: using breast prosthesis.
General discussion: Breast cancer
Dr Eshani & Sri Lankan colleagues
early detection approaches in primary care
and breast cancer control policy in Sri Lanka
14.30 - 14.50
14.50 - 15.10
16.30 – 16.45
16.45 – 17.00
Dr A. Nessa
Friday 29 May 2015 (for MO/NCDs – day 2 of 2)
Narayanasamy Conference Hall
Colorectal and Oral Cancer Early detection and control
09.00 - 09.30
09.30 – 09.45
Anatomy of the large bowel, natural history
Dr B.G.N. Rathnasena
of colorectal cancer: adenoma-carcinoma sequence,
neoplastic and non-neoplastic lesions of the colorectal mucosa
Colorectal cancer screening using fecal occult blood
Dr R. Sankar
testing (FoBT)
09.45 – 10.15
10.15 – 10.45
Staging and treatment of colorectal cancer
Dr A.S. Ramakrishnan
The role of colonoscopy in the early detection of colorectal Dr R. Jayasena
cancer
10.45 - 11.15
Treatment of lesions during colonoscopy:
polypectomy, endoscopic mucosal resection,
endoscopic submucosal dissection
11.15 - 11.30
11.30 – 12.00
Coffee break
Demonstration of the FoBT kit with faecal samples,
demonstration of colonoscopy and endoscopic excision
procedures using videos
General discussion: Integrating colorectal
Dr Eshani & Sri Lankan colleagues
cancer early detection and referral in primary care
12.00 -12.30
Dr N.M.M. Navarathne
12.30 - 13.30
Lunch break
14.00 – 14.30
Anatomy of the oral cavity and oral visual and soft
Dr B. Mathew
tissue examination methods and documenting findings
Natural history of oral carcinogenesis:
Dr W.M. Thilakaratne
oral precancerous lesions
Screening and early diagnosis of oral precancerous
Dr B. Mathew
lesions and oral cancer using oral visual screening
14.30 – 15.00
15.00 – 15.30
15.30 – 15.45
Coffee break
15.45
16.00
16.30
17.00
Management of oral precancerous lesions
Dr Padma Da Silva
Staging and surgical management of oral cancer
Dr D.K. Dias
Non-surgical management of oral cancer
Dr R. Sankar
Screening for oral cancer: Strategies
Dr Eshani & Sri Lankan colleagues
and recommendations, National Guidelines,
discussion and questions
Post-workshop evaluation questionnaire
Distribution of certificates, Closing ceremony
- 16.00
– 16.30
– 17.00
- 17.30
17.30 – 17.45
17.45 – 18.15
Friday 29 May 2015 (for Regional Dental Surgeons)
Subasinghe Conference Hall
Oral Cancer Early detection and control
08.00 – 08.15
08.15 - 08.30
08.30 – 08.45
08.45 – 09.00
09.00 – 09.30
09.30 – 10.00
10.00 – 10.30
10.30 – 11.00
Welcome and Opening Ceremony
Presentation of workshop objectives,
expected results and outcomes
Pre-workshop evaluation questionnaire
Introductions (participants and faculty)
Dr Eshani and Sri Lankan colleagues
Global burden of and risk factors for oral cancer
Dr H. Amarasinghe
Anatomy of the oral cavity and oral visual and soft
Dr B. Mathew
tissue examination methods and documenting findings
Natural history of oral carcinogenesis:
Dr W.M. Thilakaratne
oral precancerous lesions
Screening and early diagnosis of oral cancer
Dr B. Mathew
using oral visual screening
11.00 – 11.15
Coffee break
11.15 – 11.30
11.30 - 12.00
12.00 - 12.30
12.30 - 13.00
Adjunctive tests for early detection
of oral neoplasia
Management of oral precancerous lesions
Staging and management of oral cancer
Non-surgical management of oral cancer
13.00 – 14.00
Lunch break
14.00 - 14.30
16.00 – 16.30
Screening for oral cancer: Strategies
and recommendations, National Guidelines,
discussion and questions
Practical sessions using videos/photos of
oral precancerous and cancer lesions
General discussion
16.30 – 17.00
Post-workshop evaluation questionnaire
17.00 - 17.15
Distribution of certificates, Closing ceremony
14.30 – 16.00
Dr R. Sankar
Dr W.M. Thilakaratne
Dr Padma Da Silva
Dr D.K. Dias
Dr R. Sankar
Dr P. Jayasekera
Workshop documents will be accessible to participants:
-
Sri Lanka NCCP documents and early detection guidelines for cervix, breast and oral
cancers
Colposcopy and Treatment of Cervical Intraepithelial Neoplasia: A Beginners’ Manual
Manuals on the role of cold coagulation and cryotherapy in the treatment of cervical
intraepithelial neoplasia (CIN) lesions
E-publication book chapter ‘Treatment of precancerous cervical lesions’
Training materiel on VIA, VILI, LEEP, cryotherapy and cold coagulation and other
electronic documents in PDF).
Breast, oral and cervix cancer early detection charts
IARC Manual on early detection of breast cancer
IARC Manual on early detection of oral neoplasia
IARC manual on colonoscopy and early detection of colorectal cancer
Selected literature on breast, cervix, colorectal and oral cancer early detection and
treatment
WHO Guidance note on cervical cancer control
WHO position paper on HPV screening
WHO guidelines on mammographic screening
IARC Publications (Sankar et al in “Cancer Control” by INCTR) on cervix, breast and
colorectal cancer early detection in primary care