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European Hematology Association

haematologica
the hematology journal

News  > ARCHIVIO NEWS  > ESH-EHA Tutorial - Focus on Lymphoid Malignancies
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ESHEHA

Tallinn, 15-17 May 2009

ESH-EHA Tutorial - Focus on Lymphoid Malignancies

AUTORE

(24/6/2013)


On May 15-17, 2009 the 11th ESH - EHA Type II Hematology Tutorial “Diagnostic Work-up of Hematological Malignancies: Focus on Lymphoid Malignancies” was held in Tallinn, the capital of Estonia. 65 participants from 14 countries took part in this high-level education event. The largest number of participants, 21, was from the host country Estonia, followed by the Russian Federation with 13. Although this meeting was initially thought to be “regional”, participants came from all over Europe, as well from Saudi Arabia and even from Canada. One hematologist of the Russian Federation came from Novosibirsk, which is more than three thousand kilometers from Tallinn. Ireland and Portugal were represented both by 6 attendees, France and Slovakia by 3, Czech Republic, Lithuania, Slovenia and United Kingdom by 2 and Latvia, Poland and Spain each by 1. Therefore, the Tutorial was truly international.
 
Estonia is a small country with 1.3 million inhabitants and it appears that almost every hematologist/hematopathologist working in Estonia took advantage of having the Tutorial at home. Unfortunately, the other Baltic States - Latvia and Lithuania - due to the very severe economic situation were represented both by only 1 hematologist.
 
The meeting lasted three full days and covered 9 different topics on lymphoid diseases and these topics were covered by 9 international faculty members. The meeting started with a few opening words about Tallinn also in view of the fact that on May 15 Tallinn’s Day is celebrated. On May 15, 1248 the King of Denmark Erik IV gave Tallinn the Lübeck Rights that bound Tallinn to common legal space with medieval German merchant towns.


Gina Zini

The scientific program begun with a lecture on the new WHO 2008 classification, by Anna Porwit from Stockholm, Sweden. Anna Porwit is a co-author of many chapters in this classification. The second topic was T- and NK-cell malignancies, a very difficult group of diseases to diagnose and treat discussed by Hans Hagberg from Uppsala, Sweden. The last topic of the first day was presented by Robin Foà from Rome, Italy. He discussed acute lymphoblastic leukemia (ALL), a disease with a poor prognosis for the majority of adult patients. However, the very recent data on tyrosine kinase inhibitors like imatinib and dasatinib on Ph+  ALL were emphasized. The remarkable success and improvement of ALL prognosis with these novel agents were discussed at lenght.

The second day started with Gina Zini, Rome, Italy who gave a lecture on the leukemic phase of B-lineage non-Hodgkin’s lymphoma. She focused on three aggressive high-grade lymphomas – mantle cell lymphoma, diffuse large B-cell lymphoma and Burkitt’s lymphoma. Establishing a correct diagnosis in a short time is critical for these patients, since the treatment program differs between these diseases. The second topic was presented by Estella Matutes from London, UK. She discussed villous lymphocyte lymphomas, hairy cell leukemia (HCL), splenic marginal zone lymphoma with villous lymphocytes and HCL variant. The second day was concluded by chronic lymphocytic leukemia presented by Eva Kimby from Stockholm, Sweden. The newly described entity monoclonal B-cell lymphocytosis created a lively discussion.


Edward Laane

The last day of the tutorial started with follicular lymphoma presented by Edward Laane from Tallinn, Estonia. Interestingly this common lymphoma is “quite uncommon” in the Baltic States. Peter Borchmann from Cologne, Germany discussed the treatment experience of the German Hodgkin Lymphoma Study Group, one of the largest and successful investigation groups in Europe for the management of patients with Hodgkin’s lymphoma. The last topic of the Tutorial was multiple myeloma and this was covered by Hele Everaus from Tartu, Estonia.
 
The standard format of the Tutorial was based on a lecture, 2 tutored clinical cases and self-evaluation cases with voting box systems. Therefore, each topic lasted at least 3 hours and was thoroughly discussed. At the end, the answers to the questions given in the self-evaluation sessions were discussed and commented. The overall evaluation of the meeting by the participants was positive.
 
The participants and faculty members enjoyed the lovely and open atmosphere of the meeting and the venue. Attendees had the opportunity to experience the beauty and hospitality of Tallinn, especially Old Tallinn, which has been designated as UNESCO World Cultural Heritage site in 1997. Most importantly, we trust that they returned to their homes with an improved knowledge on lymphoid malignancies, which could be used for everyday practice and with many new friends.
 
We hope to meet again in Estonia in 2011 for a new Tutorial, focused this time on myeloid malignancies.
 
Edward Laane
Robin Foà

© 2007-2014 Clinica Ematologica dell'Universitą di Roma "La Sapienza" Ver. 6.4.1 del 17/12/2014 by Sinaptica IT S.r.l.
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