Cutaneous Cutaneous Lymphoma Lymphoma Foundation: Foundation: Promoting Making sure awareness each person and education, with cutaneous advancing lymphoma patientgets care,the and best facilitating care possible research. Forum www.clfoundation.org Winter/Spring 2007 Ground-breaking Quality of Life Research From the Executive Director ........ 2 From the President: Diving into the Board .................... 3 A Changing Board ....................... 3 Giving Made Easy with the Pension Protection Act of 2006 ... 4 Clinical Trials .................................4 Ask the Expert ...............................5 International Spotlight for T-Cell Lymphomas ........................6 Cutaneous Lymphoma Patient Educational Fourms ......... 7 Run for the CTCL Cure There was no race for the cure of cutaneous T-cell lymphoma--until now. Running in the Long Island 10k 1/2 Marathon in May, is a patient who is raising money in support of the Cutaneous Lymphoma Foundation. Scott, a 24-year-old college grad, has already raised over $11,000, with a goal of $15,000. All of this money will be donated to the Cutaneous Lymphoma Foundation. To track Scott’s progress and donate, please visit www.firstgiving. com/scott. Please join us in supporting Scott in his goal! D In March 2005, the survey was sent r. Marie-France Demierre of to the Foundation’s mailing list, as Boston University School of well as made available online, on the Medicine, Director of Skin Oncology, Foundation website. All anonymous collaborated with the Cutaneous responses from the completed surveys Lymphoma Foundation on an (from the paper and online versions) extremely important study, that of were compiled by Dr. Demierre and our patients’ health-related quality of her team at Boston University. The life. Health-related quality of life is a data was analyzed multidimensional and the results were term that includes “We physicians need recently published the physical, functo do a better job in the important tional, psychologiwhen we care for our peer-reviewed jourcal, social health, patients. We need nal CANCER. The and well-being to acknowledge the article was titled of the individual. emotional aspect “Significant Impact Dr. Demierre has and social impact of of Cutaneous Tbelieved for several the disease on our cell Lymphoma on years that cutanepatients.” Patients’ Quality ous T-cell lymphoof Life: Results of ma patients’ healtha 2005 National related quality of Cutaneous Lymphoma Foundation life was often overlooked in patient care. Her own experience taught Survey.” her that unless one could improve “An impressive 68% of all members patients’ sleep or itch, one would not with cutaneous T-cell lymphoma combe able to completely improve their pleted the survey. While the majority had early stage mycosis fungoides, the health. responses were compelling with 94% In collaboration with Ms. Judy reporting that they worried about the Jones, Executive Director and coseriousness of their disease and 80% founder of the Foundation and with worrying about dying from the disthe approval of the Board of the ease” said Dr. Demierre. Other findCutaneous Lymphoma Foundation, ings were the following: 94% of memshe and her colleagues developed a bers who responded were bothered comprehensive survey that addresses by skin redness, 88% by pruritus, and all the dimensions of health-related the extent of symptoms affected the quality of life. The survey’s goal was choice of clothing in 63%. For most, to evaluate patients’ perspectives the disease had a functional impact, regarding the impact of cutaneous making them tired or affecting their T-cell lymphoma and its treatment sleep. Sixty-two percent felt that on their lifestyle, occupation, emotheir disease made them unattractive. tional health, and social condition. QOL continued on page 4 Cutaneous Lymphoma Foundation Forum The newsletter of the Cutaneous Lymphoma Foundation ALL RIGHTS RESERVED DESIGNER & EDITORIAL DIRECTOR Amanda L. J. Kik MEDICAL EDITOR Stuart Lessin, M.D. Cutaneous Lymphoma Foundation is a 501(c)(3) non-profit organization. Donations are tax deductible to the extent allowed by law. SCIENTIFIC ADVISORY BOARD Thomas Anderson, M.D. University of Michigan Kevin Cooper, M.D. Case Western Reserve University Madeleine Duvic, M.D. MD Anderson Cancer Center Francine Foss, M.D. Yale University School of Medicine Lars French, M.D. Geneva Medical Center Sam Hwang, M.D., Ph.D. National Institutes of Health Robert Knobler, M.D. University of Vienna Thomas Kupper, M.D. Brigham and Women’s Hospital Liliane Laroche, M.D. University of Paris Stuart Lessin, M.D. Fox Chase Cancer Center Sue McCann, MSN, RN University of Pittsburgh Medical Center Lauren Pinter-Brown, M.D. UCLA Medical Center Porcu Pierluigi, M.D. Ohio Sate University David Ramsay, M.D. New York University Alain Rook, M.D. University of Pennsylvania Steven T. Rosen, M.D. Northwestern University Marianne Tawa, MSN, RN, ANP Dana Farber Cancer Institute, Boston Martin Weinstock, M.D., Ph.D. Brown University Sean Whittaker, M.D., MRCP Guys & St. Thomas Hospital Lynn Wilson, M. D., MPH Yale University School of Medicine Cutaneous Lymphoma Foundation PO Box 374 Birmingham, MI 48012-0374 telephone: (248) 644-9014 fax: (248) 644-9014 email: [email protected] www.clfoundation.org Forum is published by the Cutaneous Lymphoma Foundation. Because each person’s body and response to treatment is different, no individual should indulge in self-diagnosis or embark upon any course of medical treatment that is described in Forum without first consulting with his or her physician. Cutaneous Lymphoma Foundation is not responsible for the medical care or treatment of any individual. 2 From the Executive Director F or those of you that have been around a while, you may notice a new picture of the executive director. I really enjoyed not getting any older for the past seven years and decided it was time to “get real.” Now, as I travel around the country attending the educational forums, you’ll recognize me. I am so excited about our Cutaneous Lymphoma Patient Educational Forums this year. We are in the process of planning ten of these events across the United States and will also be in Calgary, Canada this fall. This is an ambitious program, and we’ve had really good feedback on how valuable they are to patients and their families. The success of our Educational Forums depends on you. I hope you will watch for us coming to your area and attend. We will post information about upcoming events on our website as we obtain firm dates and locations. We started off this year with the usual flurry of activity surrounding the many meetings in February: American Academy of Dermatology Annual Meeting, Dermatology Nurses’ Association Annual Convention, Coalition of Skin Diseases Annual Meeting and the International Society of Cutaneous Lymphomas Workshop on Sezary Syndrome. There is a lot of exciting research being done in the field of CTCL both in the basic sciences and in treatment options through clinical trials. Both types of research are necessary to both give us additional treatment options as we look for the causes and cure. We will be reporting on this research in future issues. Other cancers have golf outings, biking, running and walking events, which I fully support. This is necessary in providing funding for cancer in general, but there was no one running for cutaneous lymphomas…until now. Scott had just graduated from college when he was diagnosed with CTCL. For the past two years he has been undergoing treatment and unless someone finds a cure, will continue treatment throughout his life. He has decided to run the Long Island 10k Half Marathon to increase awareness of CTCL and raise funding for the Cutaneous Lymphoma Foundation. We will use this money to continue to increase awareness and encourage research in the field. To track Scott’s progress and donate, please visit www.firstgiving.com/scott. One step at a time--that’s the way the Cutaneous Lymphoma Foundation has evolved. Now, Scott is taking us-one step at a time--to find a cure. Join us in supporting Scott in his goal. Forum, Winter/Spring 2007 From the President: Diving into the Board I n November 2002, a group of people received an email from Judy Jones with an invitation to attend a meeting. It began, “Plans were put in motion for this meeting over three years ago, and I’m excited that it is finally, actually going to be a reality. You are going to be involved in taking the Mycosis Fungoides Foundation to the next level. Some of the decisions we make at this meeting will be the basis of setting the direction of the MFF in the years to come.” The nine members of the newly created Board of Directors, mostly strangers to one another, would face dual challenges in the years following that meeting: Running the foundation, and at the same time learning a new job. Although some of us had experience serving on boards and committees, starting a foundation and board from scratch was entirely different. Forming our board’s “team”: getting to know one another, and then repeating the process with new board members. Who were these people, what skills did they have, who would do which job, and how would we learn to work together? Five board members have left and been replaced during the four years since that initial meeting. Despite the turnover, the board has accomplished quite a bit of its own “busy work” – things that don’t get much attention but are necessary nonetheless: • We rewrote the bylaws of the foundation to reflect what we learned as we grew and changed. • We wrote formal policies related to finance, conducting board business, conflict of interest, and other topics as they arose. • We developed an annual budget and associated procedures, including holding a formal annual meeting. • We had the foundation’s financial records and processes audited by a CPA. • We participated in a facilitatorled retreat where we redefined and recommitted to our mission and vision for the foundation. • We recruited new board members along the way to replace those who had to leave. • We established formal terms of office and Officer positions for the board. • We acquired part-time staffers (Amanda Kik and Holly Priebe) who helped us accomplish all this. A Changing Board P lease join us in welcoming the talent of Leora Lowenthal to the Cutaneous Lymphoma Foundation Board of Directors and wishing Frank Strobl all the best as he retires from his years of service for the Board. Leora is a Senior Social Worker at the NYU Cancer Institute in New York City. Her role there includes the provision of counseling, case management, and the development of educational events and materials. In addition, Leora runs an online support group for CancerCare and is currently a state representative for the Association of Oncology Another outcome of the board’s work has been to relieve Judy Jones, the Cutaneous Lymphoma Foundation founder and executive director, of many administrative duties she has been performing as a volunteer (that’s right, UNPAID). Looking to its future, the board would like to expand its role in foundation activities, learn more about the people we represent in the foundation, find a way to put eager volunteers to work, and continue to relieve Judy Jones of administrative work so she can focus on what she enjoys and does best: supporting people with cutaneous lymphoma. We’ll do all that while we continue and expand the work we do for the people served by the Cutaneous Lymphoma Foundation. The Board of Directors meets two or three times a year face-to-face and conducts conference-call meetings each month between face-to-face meetings. To get information about meetings please contact Amanda Kik at [email protected]. To learn more about the people on your Board of Directors, please take a look at the Cutaneous Lymphoma Foundation website: www.clfoundation.org and click on “Who we are.” Social Work. She received a BS from Cornell University, an MSW from Boston University and completed a post-graduate certificate in the study of bioethics. In the fall of 2007 she intends to begin working toward her Master’s in Public Administration with a focus on Leora Lowenthal Health Policy and Management. Frank Strobl left the Board at the end of 2006, and we will miss his insight and humor as he moves on to other projects. Thank you, Leora and Frank, for your service! ✹ 3 Cutaneous Lymphoma Foundation Giving made easy with the Pension Protection Act of 2006 Clinical Trial Evaluates the Protective Effects of SoyBased Ointment The Mount Sinai School of Medicine Department of Dermatology is conducting a clinical trial to evaluate the protective effects of a soy-based ointment (genistein) on PUVA-treated Mycosis-Fungoides patients. The ointment is not FDA approved, but previous research indicates that it may offer protection against skin-damage caused by PUVA therapy. You may qualify for the study if you have Mycosis Fungoides, are 18 years or older, and your physician believes that you are a candidate for PUVA therapy. The study will be a 12-week study for subjects receiving PUVA therapy 2-3 times a week. A total of two 2 mm punch biopsies at the beginning and four 2 mm punch biopsies at the end of the study will need to be collected during the study period. Skin examination and photographs of lesions will also be taken at week 1, week 4, week 8, and week 12. Subjects will be asked to apply genistein ointment at the time of psoralen injection before every UVA-therapy session (approximately 90 minutes prior to UVA exposure). IRB approved under the GCO # 060929 from 10/11/2006 until 9/18/2007. For more information, please contact Paru at (212) 241-6033 or e-mail paru. [email protected]. The Pension Protection Act of 2006 has provided a unique opportunity for individuals to donate to their favorite qualified charity from their Traditional or Roth IRA. You may qualify to contribute funds from the IRA if: 1. you are 70 1/2 or older during 2006 or 2007 2. the gift is made on or before December 31, 2007 3. the gifts do not total more than $100,000 per year 4. the funds must be transferred directly from the IRA to the qualified charity We encourage you to consult with your tax advisor to determine if taking advantage of opportunities in this legislation is in your best interest. What a great way to see your desire to help these qualified charities come to life. If you suffer from mycosis fungoides, there may be a new treatment available to you in a clinical trial. Genmab is currently conducting a study throughout the United States with zanolimumab (HuMax CD4) to treat patients with mycosis fungoides. The study consists of 12 weekly IV infusions and a followup period. During the study all patients will be assessed on a routine basis for safety and efficacy. If you qualify for the study, you will receive all evaluations and procedures related to the study at no cost. You may qualify for the study if you have had a biopsy taken that shows that you have mycosis fungoides, you have received at least 2 other therapies, one of which has been Targretin®, but you have not had any benefit of the treatment or you have experienced side effects, are at least 18 years of age, and signed informed consent. If you are interested in hearing more about this study and finding the nearest study center please contact Reynold Daniel at 1-866-887-1291 or email [email protected] . QOL continued from front page Although 85% felt that their treatment made their disease more manageable, 61% reported feeling financially burdened by their disease. Dr. Demierre and her team also performed a special analysis of all the questions and of their relevance. A key finding was that 5 important themes stood out, those of role functioning, health distress, treatment satisfaction, symptoms of disease, and emotional well-being. Furthermore, these 5 themes could differentiate those members with early stage disease as opposed to those members with later stage disease. In other words, while all participants reported a significant impact of CTCL on their health-related quality 4 of life, those identifying themselves as having more advanced disease had an even more significant impact on their healthrelated quality of life. “This study was humbling. I was shocked to see how for almost all responding members, CTCL had a major impact on their quality of life. We physicians need to do a better job when we care for our patients. We need to acknowledge the emotional aspect and social impact of the disease on our patients. We should strive to improve their functioning,” said Dr. Demierre. She further added that physicians may not fully appreciate the financial burden that the disease is placing on patients. QOL continued on next page Forum, Winter/Spring 2007 Ask the Expert “Ask the Expert” is a regular feature in Forum, where you can have your questions answered by an expert. This issue, questions are answered by Dr. Thomas Anderson, Associate Professor and Director of Photo Medicine for the Department of Dermatology at the University of Michigan Medical Center in Ann Arbor, Michigan. He is the CoDirector of the Multidisciplinary Cutaneous Lymphoma Program. D ear Expert, How does PUVA work? What’s the difference between the effects of UVA and UVB? When I do PUVA with Psoralen is this considered chemotherapy? PUVA chemotherapy is one of the most effective treatments for cutaneous T-cell lymphoma limited to the skin (Stage 1A and 1B). PUVA is an acronym for psoralen plus UVA photo radiation. It is sometimes called photo-chemo therapy because it is the combination of ultra violet light plus chemical medication that is not active without the light. This has no relationship to cytotoxic chemotherapy, often used for systemic lymphoma or late stages of cutaneous T-cell lymphoma. Most dermatologists treating patients with cutaneous T-cell lymphoma wish to avoid using cytotoxic chemotherapy, as one of the major side effects is systemic immunosuppression which can render a patient more susceptible to serious infection. Serious infection can be the cause of death in patients with end stage progressive lymphoma. A therapeutic goal is to avoid treatments that produce systemic immunosuppression. Although PUVA may cause limited cutaneous immunosuppression, it does not affect the entire immune system and is very effective in killing lymphoma cells in the skin. In addition, there is evidence which supports a theory that PUVA may also stimulate the patients’ immune system to fight the cutaneous lymphoma. This is one of the major theories of how extra-corporal photopheresis (or PUVA of the blood) Sézary Syndrome works. There are three major forms of phototherapy used to treat cutaneous disease. Most dermatologists have experience using this form of therapy in the treatment of psoriasis but they work for stage 1 cutaneous lymphoma equally well. The oldest form of phototherapy, Broadband UVB, is very effective for psoriasis but not as effective for cutaneous T-cell lymphoma. A newer form of UVB therapy, called Narrow Band UVB, appears to be very effective for psoriasis as well as patch stage or thin (early) cutaneous T-cell lymphoma. Thicker plaque stage disease responds best to PUVA therapy. It may also respond to Narrow Band UVB therapy when combined with a systemic retinoid (acetretin or bexarotine). In general, most patients with Stage 1 disease can do quite well on a course of Narrow Band UVB phototherapy or PUVA photo-therapy often obtaining clinical remissions that can last from months to years after a course of treatment. The difference between UVA and UVB is mainly the depth of penetration of this form of ultra-violet light phototherapy. Broadband UVB penetrates the shallowest and PUVA or UVA penetrates the deepest, with Narrow Band UVB being intermediate. One of the major side effects of ultra-violet photo-therapy is the risk of development of skin cancer. We know that excessive natural sunlight over a lifetime increases the chances for skin cancer. We also know that greater than 200 PUVA treatments add to that risk. There is medical evidence to suggest that UVB phototherapy does not significantly add to the risk of skin cancer over natural exposure to sunlight over a lifetime. In all cases, the types of skin cancer that develop in patients who have been treated with phototherapy are easily cured if caught early. Therefore, it is important for patients who receive photo-therapy to be followed closely by a dermatologist and have any unusual skin growths removed. We also recommend avoiding sun exposure while getting phototherapy treatment. ✹ QOL continued from previous page “I am personally indebted to all the CTCL members who took the time to complete the survey. Their responses and input were so important and they will shape the future care of our patients,” she concluded. Her dream is that physicians will routinely ask healthrelated quality of life questions of their patients about their functioning, and that clinical trials will begin to consistently address what may be the most important to patients, their quality of life. She is already working on these next challenges. ✹ For Physicians: 1st Annual Symposium on Cutaneous Lymphomas Held at Moffitt Cancer Center in Tampa, Florida, this Symposium will review the most recent data on diagnosing cutaneous lymphoma based on the WHO/EORTC consensus classification along with providing the most common subtypes of cutaneous lymphomas. The conference is a forum for experts to discuss the approved and investigational agents and modalities used to treat patients with this disease. The conference is structured to provide the opportunity to interact with the faculty and each other. For more information, visit: www.moffittcancercenter.org and click on Events Calendar . 5 Cutaneous Lymphoma Foundation International Spotlight for T-Cell Lymphomas Reported by Dr. Steven Horwitz, Memorial Sloan-Kettering Cancer Center T his past October an exciting and unprecedented meeting took place in Bologna, Italy. As part of an ongoing series of academic meetings, the Societa Italiana di Ematologia (Italian Institute of Hematology and Oncology) organized this year’s meeting around addressing the issues of understanding and treating T-cell lymphomas. Entitled “It’s Time to take Care of T-cell Lymphomas,” the conference brought together over 50 faculty members and several hundred attendees from around the world to discuss, teach, learn, and share their emerging data and new approaches to this group of uncommon diseases. Investigators from eleven countries in North America, Europe, and Asia presented their findings. While there have been important small conferences designed as think tanks to approach the problems of T-cell lymphoma, this conference is the largest and most comprehensive to date. The conference took place over three days and was divided into sections: State of the Art on T-cell Lymphomas, Peripheral T-cell Lymphomas (PTCL) Morphology and Biology, PTCL Innovative Treatments, CTCL Morphology and Biology, CTCL Innovative Treatments, From Mouse Models to Prognostic Markers, When and Which Aggressive Treatment? Excellent lectures by Dr. Raymond Liang from Hong Kong and Dr. Elaine Jaffe reviewed the epidemiology and pathogenesis of T-cell lymphomas respectively. This was followed by representatives from the US, Europe, and Asia reviewing their experiences and “standard” approaches to these diseases. Suprisingly similar approaches are used throughout the world. This was fol- 6 lowed by new data and insights on the molecular features of T-cell lymphomas. Similarly excellent updates on histology, as well as new data on the molecular biology and gene expression profiling was provided for the specific types of CTCL. New Therapies The largest portion of the conference was dedicated to the development of new or improved therapies both for systemic and cutaneous T-cell lymphomas. An entire session was devoted to the emerging role of histone deacetylase inhibitors including lectures by Dr. Owen O’Connor on SAHA (vorinostat), Dr. Susan Bates on depsipeptide, and Dr. Pierluigi Porcu on MS-275. These drugs all appear to have important therapeutic activity in both CTCL and PTCL. Among the highlights specifically for CTCL, data were presented on the optimal use of currently available therapies including chemotherapies such as gemcitabine and liposomal doxorubicin as well as the biologic therapies denileukin diftitox, interferon, bexarotene, lenalidomide, and alemtuzumab. New data were presented by Dr. d’Amore from ongoing studies on the activity of HuMax-CD4, an antibody used to direct the immune system against the Tcells of CTCL. One of the hosts for the conference, Dr. Pierluigi Zinzani, presented early results form his study using bortezomib (a proteosome inhibitor currently used for multiple myeloma and mantle cell lymphoma) in cutaneous Tcell lymphoma. Dr. Francine Foss from Yale University reviewed forodosine as well as other new drugs for CTCL. Other new drugs in development for T-cell lymphomas included pralatrexate, clofarabine, nelarabine, and anti CTLA4. There was an excellent review of our most aggressive therapies by Dr. Onida of Milan on the state of the art of stem cell transplantation, both autologous (self) and allogeneic (donor) for CTCL. In the mouse model session, basic science approaches as paradigms for increasing our understanding of these diseases in people were presented including an outstanding lecture by Dr. William Plunkett on approaches to developing new therapies for T-cell lymphomas. Overall, the meeting brought together a international community of physicians and scientists with both a wide range of expertise and deep interest in studying T-cell lymphomas. The number of new therapies on the horizon and array of new approaches certainly bodes well that we will continue to gain a greater range of tools to treat these diseases and improve the lives of people with them.✹ Lymphoma Coalition Worldwide Network of Lymphoma Groups The Cutaneous Lymphoma is proud to be a member of the Lymphoma Coalition that shares the similar mission for lymphoma as we do specifically for cutaneous lymphomas. We have increased our membership to 30 members from 25 countries with the addition of Linfomas Argentina, Grupo Linfoma Uruquay and the Polish Lymphoma Association. The steering committee is comprised of members from Lymphoa Association, UK, Lymphoma Research Foundation, USA, Leukaemia and Blood Foundation of New Zealand, Lymphoma Support Ireland, Lymphoma Foundation Canada and ABRALE, Brazil. Plans are underway for World Lymphoma Awareness Day 2007, on September 17th. There will be events held around the world to bring awareness about lymphoma and the needs and rights of lymphoma patients. Forum, Winter/Spring 2007 Cutaneous Lymphoma Patient Educational Forums Hundreds of people with cutaneous lymphoma and their caregivers have benefitted from Cutaneous Lymphoma Patient Educational Forums. Above left, an audience takes notes in Toronto. Above right, Amanda Kik moderates a panel of cutaneous lymphoma specialists at the Forum in New York City. The Cutaneous Lymphoma Foundation Patient Education Forums are the Foundation’s signature events and mechanism by which it carries out its mission. Patient Educational Forums provide exceptional opportunities for people with cutaneous lymphoma to receive accurate information about treatment options, access experts in the field and connect with other people with similar experiences. Cutaneous Lymphoma Foundation Patient Education Forums key features: Half-day to day-long event Held in cities throughout North America Upcoming Patient Education Opportunities Philadelphia, PA, June 30, 2007 Cutaneous Lymphoma Patient Educational Forum San Francisco, CA, September 15, 2007 Lymphoma Workshop, presented with the Lymphoma Research Foundation Brooklyn, NY, October 12 – 14, 2007 North American Educational Forum on Lymphoma Minneapolis, MN, November 3, 2007 Lymphoma Workshop, presented with the Lymphoma Research Foundation Boston, MA, Date TBA, 2007 Lymphoma Workshop, presented with the Lymphoma Research Foundation Professional and lay speakers Los Angeles, CA, Date TBA, 2007 Cutaneous Lymphoma Patient Educational Forum Format includes lectures, Q&A sessions and small-group discussions Pittsburgh, PA, Date TBA, 2007 10th Annual Jegasoth Support Group for CTCL Objectives: • Develop a better understanding of diagnostic tests. • Learn about treatments available for different stages. • Identify resources for treatment and support. For more information, please visit www.clfoundation.org, email [email protected], or call 248-644-9014. Chicago, IL, Date TBA, 2007 Cutaneous Lymphoma Patient Educational Forum Bottom left: Dr. Francine Foss talks about how photopheresis works • Bottom middle: Presenters from the Philadelphia Forum, including (from left to right) Dr. Stuart Lessin, Dr. Ellen Kim, Dr. Frank Strobl, and Judy Jones • Bottom right: Presenters from the New York City Forum, including (from left to right) Dr. Lynn Wilson, Dr. David Ramsay, Dr. JoAnn Latkowski, Dr. Kenneth Hymes, Judy Jones, Dr. Francine Foss, Dr. Steven Horwitz, and Dr. David Straus 7 PO Box 374 Birmingham, MI 48012 NON-PROFIT US POSTAGE PAID BIRMINGHAM MI PERMIT NO 265 Mark Your Calendar Chicago, IL Cutaneous Lymphoma Patient Educational Forum Date TBA, 2007 Minneapolis, MN Lymphoma Workshop, presented with the Lymphoma Research Foundation November 3, 2007 Pittsburgh, PA 10th Annual Jegasoth Support Group for CTCL Date TBA, 2007 Brooklyn, NY North American Educational Forum on Lymphoma October 12 – 14, 2007 Los Angeles, CA Cutaneous Lymphoma Patient Educational Forum Date TBA, 2007 San Francisco, CA Lymphoma Workshop, presented with the Lymphoma Research Foundation September 15, 2007 Boston, MA Lymphoma Workshop, presented with the Lymphoma Research Foundation Date TBA, 2007 Philadelphia, PA Cutaneous Lymphoma Patient Educational Forum June 30, 2007 These educational opportunities are made possible by generous unrestricted educational grants from: Platinum Sponsor: Ovation Gold Sponsor: Therakos Silver Sponsor: Gloucester For more information about these free events, please visit our website, www.clfoundation.org, or email us at [email protected], or call (248)644-9014
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