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What can we learn from Africa?
New insights to lymphoma classification, heterogeneity, molecular epidemiology

& biology

Certosa di Pontignano Siena, 7-8 may 2010

Thursday 6 may

18.00
registration

19.30-22.00
Welcome Cocktail

 

Friday 7 may

9.00-10.00
Registration and Coffee

10.00-10.15
Introduction
I. Magrath, INCTR, Bruxelles, Belgium

10.15-10.30
NCI’s perspectives and funding and training opportunities
Mostafa Nokta, NCI - Bethesda , USA

10.30-10.45
Feasibility of using the WHO lymphoma classification in the context of diagnostic practice in Africa - a pathologist's perspective'
Shaheen Sayed, Aga Khan University Hospital Nairobi, Kenya

10.45-13.00 BURKITT LYMPHOMA
Chairman: Lorenzo Leoncini

The Burkitt Tumor. Lessons and reminiscences (15 min)
Lucio Luzzatto, ITT, Italy

Revisiting the diagnosis of Burkitt lymphoma in light of recent developments (15 min)
Lorenzo Leoncini, University of Siena, Italy

PRESENTATION OF SELECTED CASES

  • 1280/09– Burkitt’s Lymphoma vs Lymphoblastic Lymphoma (10 min)
        Dr I Bovani APOF - Lacor Hospital, Uganda

  • 405/08- Cytology vs TruCut Biopsy in the diagnosis of Burkitt Lymphoma (10 min)
    Dr V Calbi, HSR, and Dr F Melotti APOF and Dr M Mawanda, Lacor Hospital, Uganda
  • 330/08 - Cytology vs Trucut Biopsy in the diagnosis of Burkitt Lymphoma (10 min)
    Dr V Calbi, HSR, and Dr F Melotti APOF and Dr M Mawanda, Lacor Hospital, Uganda
  • H1161/09 - Burkitt’s Lymphoma (10 min)
    Dr AA Oyekunle , Prof M Durosimni and Prof K Adelusola, University Ile Ife, Nigeria

How to make a diagnosis of BL with a limited panel of antibodies?
Naresh Kikkeri, Imperial College London, UK (30 min including discussion)

13.00 Lunch

14.00-16.00 HODGKIN LYMPHOMA
Chairman: Kikkeri Naresh

Hodgkin lymphoma – New concepts in the  WHO classification 2008 (30 min)
Stefano Pileri
, University of Bologna, Italy

PRESENTATION OF SELECTED CASES

  • 2170/07- Hodgkin lymphoma - Nodular LP - (10 min)
    Dr E Moshi and A Mwakogonja  Muhimbil U Hospital, Tanzania
  • 7587/07- Classical Hodgkin lymphoma - lymphocyte Depleted - (10 min)
    S Sayed and O Sherman, Aga Khan U Hospital, Kenya
  • S2073/04 -Grey zone lymphoma with features overlapping between DLBCL and cHL  (10 min)
    Dr J Githanga, Dr E Rogena, Dr J Nyagol and Dr W. Waweru  UON/KNH, Kenya
  • HP446/09 - ALCL, ALK positive (10 min)
    Dr E Moshi and A Mwakogonja Muhimbili U Hospital, Tanzania

Are there special aspects or attributes to classical Hodgkin lymphoma seen in the developing world? (30 min including discussion)
Naresh Kikkeri, Imperial College London, UK

16.00 Coffee Break

16.30-18.30 DLBCL
Chairman: Martine Raphael

Morphological, immunophenotypic and genetic heterogeneity of DLBCL (30 min)
H. Stein, Charitè University Berlin, Germany

PRESENTATION OF SELECTED CASES

  • 423/08 B Cell Lymphoma, unclassifiable, with features intermediate between     Burkitt’s Lymphoma and Diffuse Large B- Cell Lymphoma (10 min)
        Dr K Schurfeld APOF  Lacor Hospital, Uganda

  • 5673/08 B Cell Lymphoma, unclassifiable, with features intermediate betwee
        Burkitt’s Lymphoma and Diffuse Large B- Cell Lymphoma
    (10 min)
        Dr E Moshi and A Mwakogonja Muhimbil U Hospital, Tanzania
  • 47/65 - B Cell Lymphoma, unclassifiable, with features intermediate between Burkitt’s Lymphoma and Diffuse Large B- Cell Lymphoma (10 min)
    Dr J Githanga, Dr E Rogena, Dr J Nyagol and Dr W. Waweru  UON/KNH, Kenya 
  • S3265/08 - B Cell Lymphoma, unclassifiable, with features intermediate between Burkitt’s Lymphoma and Diffuse Large B- Cell Lymphoma (10 min)
    Dr J Githanga, Dr E Rogena, Dr J Nyagol and Dr W. Waweru  UON/KNH , Kenya


Intermediate cases between BL and DLBCL is likely to be a real disease entity: a lesson from African cases (30 min including discussion)
Martine Raphael, University Paris Sud, France

20.30 Social Dinner

 

 

Saturday 8 may

9.00-10.30: SMALL B CELL LYMPHOMA
Chairman: Nina Hurwitz

Small B-cell lymphomas. New Concepts in the WHO classification 2008 (30 min)
M. Piris, CNIO, Madrid, Spain

PRESENTATION OF SELECTED CASES

  • 73/07 - Malt lymphoma (10 min)
        S Sayed and O Sherman, Aga Khan U Hospital, Kenya
        
  • 2220/08 - CLL in transformation (10 min)
    Dr E Moshi and A Mwakogonja Muhimbil U Hospital, Tanzania


Small B-cell lymphomas in Africa - is it under-diagnosed? (30 min including discussion)
Nina Hurwitz, Basel, Switzerland

10.30 Coffee break

11.00-13.00: HIV and HHV8 RELATED LYMPHOMA
Chairman: Leona Ayers

HIV associated lymphomas (15 min)
Martine Raphael, University Paris Sud, France

HHV-8 associated lymphoprolipherative disorders: primary effusion lymphoma (PEL) and Castleman disease (15 min)
Ethel Ceserman, Cornell University, NewYork

PRESENTATION OF SELECTED CASES

  • H887/02 Multicentric Castlemann Disease (10 min)
    Dr AA Oyekunle Prof M Durosimni and Prof K Adelusola, University Ile Ife, Nigeria
  • 3217/07 - Plasmablastic Lymphoma (10 min)
    Dr E Moshi and A Mwakogonja Muhimbil U Hospital, Tanzania
  • 4785/08 - Burkitt’s Lymphoma with follicular colonization in large lymph node due to HIV infection (10 min)
    Dr E Moshi and A Mwakogonja Muhimbil U Hospital, Tanzania

Atypical lymphoproliferative disorders in HIV positive patients in the developing world (30 min including discussion)
Leona Ayers, Ohio University      

13.00 Lunch

14.00-14.30
Malignancies mimicking lymphomas – how to differentiate these from lymphomas on morphology with or without a limited panel of immunostains?
Anita Borges, Bombay, India

14.30-15.00
Therapeutic implications of incorrect diagnosis of malignancies mimicking lymphomas.
Emanuele Zucca, Bellinzona, Switzerland

15.00-15.30 SPECIAL SEMINAR INVITED BY THE ISTITUTO TOSCANO TUMORI (ITT)
Is intensive chemotherapy for aggressive and highly aggressive non Hodgkin’s lymphomas necessary in Africa, and is it feasible?
Nicholas Abinya, Kenya

15.30-16.00
How to treat and manage HIV-associated lymphomas in the developing world?
Mark Bower, Imperial College London, UK

16.00-16.30 Coffee Break

16.30-18.00
Round Table

Chairman: Kikkeri Naresh

Practical recommendations for improving lymphoma diagnosis in Africa

How
can WHO classification be adapted for the practice of lymphoma pathology in developing countries?

Ethical issues associated with designing treatment protocols specifically for developing countries.

Is there a need alternate treatment protocols for adult lymphomas in Africa with treatment regimens different from those used in the Western countries?

Role of telemedicine in improving diagnostics and management of lymphomas in Africa.

The biological basis of epidemiological differences in lymphomas across the world - a route for future research

18.00 Conclusion Kikkeri Naresh, I. Magrath, Lorenzo Leoncini

20.00 Dinner