Address: Department of Clinical Oncology, Alexandria University Hospitals, Alexandria, Egypt. Current Job: Associate Professor, Department of Clinical Oncology, Alexandria University School of
Medicine, Alexandria, Egypt. Previous Job: Fellow, Department of Radiation Oncology, Stanford University Medical Center,
Stanford, CA, USA. Medical Career: Medical School Alexandria University, Egypt Date of entry October 1979
Date of qualification November 1985 with general grade very good with honors. Medical Student Electives: 1) Summer 1981 Universsitia di Pisa, Dipartimento di Radioterapia, Italy 2) Summer 1983 Buffalo General hospital, Department of Clinical Cardiology, Buffalo, NY, USA HONORS AND AWARDS : Received a Merit Award from the UICC (International Union Against Cancer) Ý (UICC) Ýon September 1999. The awarded project dealing with the frameless cyberknife stereotactic irradiation in primary and metastatic brain tumor. I select to do this project in Stanford University at the department of Radiation Oncology . Received a Merit Award for the best presentation in, ICRO'97, June 5 -7, 1997, Beijing, China. "Radiation Response Modifier in Bilharzial Bladder Cancer" . Received a Merit Award from the American Society of Clinical Oncology (ASCO) at the 1996 Annual Meeting (Philadelphia).
Alexandria University Scholarship Award, 1993 Outstanding Histology Student, 1982 QUALIFICATIONS:
1) MB .ch. B, Alexandria University, Egypt 1985, with general grade very good with honors. 2) Masters Degree in Clinical Oncology (Alexandria University) after 3 years residency program and a thesis. The subject of the Master Degree Thesis was ( Indication of Bone scan and X-ray densitometer in Breast cancer) 1987-1990. 3) Fellowship in Stanford University , Department of Radiation Oncology 1994-1996. The Doctorate degree thesis done at Stanford under the supervision of professor Dr. J. Martin Brown, dealing with Radiation response modifier in cancer. 4) Doctorate Thesis in Radiotherapy/ Oncology from Alexandria University in June 1997. 5) Complete Doctorate degree in Radiotherapy/ Oncology from Alexandria University in 1998. Registration with General Medical Council: Date of full registration March 3, 1987 Hospital Appointments Prior to Clinical Oncology Training: March 1986-March 1987: House Officer, Alexandria University Hospitals, Egypt.
March 1987-October 1987 General Practitioner, Damanhour Educational Hospital. Training in Clinical Oncology to the Master Degree: Resident in Clinical Oncology commencing October 1987, Alexandria University Hospitals, Egypt. The center with the 2 private centers affiliated to it are equipped with 2 linear accelerators with a variety of photon and electron energies, 3 telecobalt units, 2 simulators, low dose rate afterloading and a mold room with one operating room inside the department.
MDR and HDR remote afterloading systems are ready to work soon. There is a dedicated chemotherapy clinic with specialist nursing and pharmacy support. The department is staffed by 26 full-time academic clinical oncologist , 6 residents and 3 fellows. It is organized in tumour site groups which are responsible for the development and audit of treatment policies , education and research programs with the cooperation of pathological and surgical oncologists. Each year, over 4000 new patients and 10,000 follow up patients are seen in consultation by members of the department. The department has 59 in-patient beds and a large out-patient clinic area .
The residency program (3-years) in Clinical Oncology Department (Alexandria
University) covers all aspects of medical oncology, radiation oncology, radiation physics, radiobiology & nuclear medicine. Training emphasizes a multidisciplinary approach to the management of cancer. The formal teaching program includes 10 weekly hours of teaching sessions and departmental conferences.
During the three years residency program, I was assigned to a series of approximately 3-month rotations whereby I worked one-to-one with one of the attending physician. In addition I participated in teaching courses and departmental conferences; These include:
* Clinical Radiation Oncology lecture: bimonthly * Radiation Physics course: weekly * Radiobiology lecture course: weekly * Brachytherapy conferences: monthly * New patient presentation: daily * Treatment options conferences: weekly * Problem case presentation: weekly * Medical Oncology lecture course: bimonthly * Journal club: monthly
As part of the master's degree, I completed a 3-year project in the management of bone metastasis in collaboration with three of the attending staff. In December 1990, I started a post position as an Assistant Lecturer which has both teaching and research responsibility.
From December 1990 -October 1994, I started a research project for my Doctorate Degree which dealing with the radiation enhancement of Nicotinamide and Carbogen breathing in locally advanced cancer bladder patients. During the same period, in addition to my main project, I collaborated in other studies as:
*The role of Navelbin and 5FU in locally advanced cancer breast. *Preoperative Epirubcin in locally advanced cancer bladder. *The role of consolidation hemibody irradiation in Multiple Myeloma.
* Carboplatin as a radiosensitiser in hyper fractionated irradiation of
Membership of Professional & Social organization:
* American Society of Radiation Oncology (Active member)
* American Society of Clinical Oncology (Active member) * Egyptian Society of Radiology * Egyptian Cancer Society * Egyptian Society of Pediatric Oncology * Meditranian Rotary.
Description of Stanford Fellowship From October 24th 1994 to November 1, 1996; Fellow, Department of Radiation Oncology, Stanford University, California.
This was a full time position of fellowship status which was divided between basic and clinical research. It also has a strong educational component with frequent lectures, seminars and journal clubs. The center has a well-deserved reputation for excellence in the treatment of lymphomas and prostate carcinoma and I received a considerable amount of teaching in these areas. In addition I received training in techniques not available in many Egyptian centers, including stereotactic radiotherapy, intraoperative radiotherapy, interstitial & intracavitary implantation, HDR treatment and the use of mulileaf collimators, dynamic wedges and 3- D treatment planning. Besides attending the weekly stereotactic clinic with Dr. Adler, I received one-month training for the new frameless stereotactic Cyberknife (Neurtron 1000) in both Stanford and Accuray company. In Stanford, there is a strong emphasis in multidisciplinary treatment, particularly in the treatment of lymphomas, head & neck cancers , breast and lung carcinoma. In many cases treatment strategies are determined at "tumor boards" where surgeons, pathologists, radiologists, radiation oncologist and medical oncologist discuss cases at length. I collaborated in most of these tumor boards especially the head & neck tumor board in which I was selecting the candidate patient for my study of measuring the pO2 inside the metastatic lymph node with the pO2 eppendorf histograph and correlate the data with the radiation and / or chemotherapy response. From May 1996, I collaborated with Dr. Pinto (medical oncology) and Dr. Terris (Head & neck surgery) in a randomized phase II trial of Tirapazamine (hypoxic cell killer) and radiotherapy or radio-chemotherapy in advanced squamous head and neck cancer. During the same period I did many basic researches dealing with the radiation enhancement of Tirapazamine on FaDu tumor (hypopharyngeal carcinoma) and HT29 (colon carcinoma). In addition I did a comparison of the radiation enhancement of Tirapazamine and Nicotinamide with Carbogen in terms of regrowth delay and cell survival assay. I did also a study on the effect of tirapazamine as a modifier of the antitumor activity of DTIC in human melanoma. As my interest is not only in radiation oncology but also in medical oncology, I colaborated in many medical oncology tumor boards and I attended many chemoembolization procedure for both primary and metastatic liver disease with the intervention radiologists. Publications and abstracts: 1)
Elsaid, A.; Gouda, Y.; Noman, M. Role of bone scan in the diagnosis and
management of bone metastasis. Alexandria medical bulletin, 34: 46-50, 1991. 2) Poster, S.O.M.P.S., Paris, France February 6th-9th, 1996. Abstract # 79. A. Elsaid, J.M.Brown. Tirapazamine as a hypoxic cell Killer. 3) Poster, Radiation Research Society (RRS), 44 Annual meeting, April 14-17, 1996, Chicago. Abstract #P06-108. Amr Elsaid; D. Menke; M.J.Dorie; J.M.Brown. Carbogen and Nicotinamide with fractionated irradiation of human tumor xenografts.
4) Poster, ASCO, 32 Annual meeting, May 18-21, 1996, Philadelphia. Abstract #1662. A. Elsaid; J.M.Brown. Study comparing the effect of fractionated irradiation and TPZ with and without CBG and NAM on human tumor. 5) Poster, ASTRO, 38 Annual meeting, in Los Angeles, October 27-30, 1996. Amr El-said; D. Menke; MJ. Dorie; J.M.Brown. Optimum time of giving Tirapazamine during the course of irradiation. 6) Abstract 1814, ASCO, 33 Annual meeting, May 17-20, 1997, Denver, Colorado. Anti-melanoma activity of Tirapazamine in combination with Dacarbazine (DTIC). Amr Elsaid, D. Menke, MJ. Dorie; J.M.Brown. 7) Poster, ICRO'97, June 5-7, 1997, Beijing, China. Radiation Response Modifier in Bilharzial Bladder Cancer. Amr Elsaid, Hussien Eid, Anwar Mikhail, Laila M. Mahmoud. 8) Poster, the 101st meeting of the American Academy of Otolaryngology, September 7-10, 1997 in San Francisco, CA. Amr El-Said, M. Adam, EC Gabalski and DJ Terris. 'Oxygen tenison measurements of head and neck cancers'. 9) Yasser Elbana, Samir Assaad, Shaban Elassal and Amr Elsaid. Endocrine dysfunction after multimodal treatment of brain tumors. E.J.N.S Vol 13, No. 1: 119-124. 1998. 10) Poster, ASTRO, 40ÝAnnual meeting, of the American Society for Therapeutic Radiology and Oncology in Arizona (October 25-29/98). Sucralfate with pelvic radiotherapy: Sense or nonsense? Amr Elsaid, MD. Shaban Elassal, MD. 11) Markus Adam, Edward Gabalaski, Daniel Bloch, John Oehlert, J. Martin Brown, Amr Elsaid, Harlan Pinto, David Terris. Tissue oxygen distribution in head and neck cancer patients. Head and neck March 1999. 146-153. 12) Amr Elsaid, Douglas Menke, Mary Jo Dorie, J. Martin Brown. Comparison of the effectiveness of Tirapazamine and Carbogen with Nicotinamide in Enhancing the Response of a human Tumor Xenograft to Fractionated Irradiation. Radiation Oncology Investigations 7: 163-169 (1999). 13) Oral presentation. European School of Oncology (ESO) & Third Alexandria Oncology Conference (ACOD). Alexandria (10/13-15/1999). Immediate breast reconstruction after mastectomy; Freind or Foe? Amr Elsaid, Abass Omar. 14) Bulletin of high Institute of public Health Vol. 29 No 4, 1999 Level Of Basic Fibroblast Growth Factor In Breast Cancer Patients 15) Poster presentation. ASCO-PANARAB conference on Malignant Lymphoma. Cairo
(11/9-11/1999). BONE MARROW ANGIOGENESIS IN PATIENTS WITH HAEMATOLOGICAL
MALIGNANCIES: ROLE OF VEGF. Manal Elsorady, Mohamed Abdelrahman,
Ashraf Elghandour. Magdy M. Elbodini, Akram Deghidi, and Amr A. Elsaid. 16) Oral presentation. Second Joint conference between NCI (Cairo) and MD. Anderson (USA). Cairo (11/17-18/1999). Update in role of Sucralfate with pelvic radiotherapy. Amr Elsaid, Shaban Elassal. 17) Abstract 1422, ASCO, 36 Annual meeting, May 20-23, 2000, New Orleans, LA. Cytotoxicity profile of Gemcitabine in Elderly Patients. Amr A. Elsaid, H. Khled, R. Gaafar, H.Abdelazim. 18) Adjuvant therapy in breast cancer. Fact or fiction? Educational lecture in the 36
international meeting of plastic surgery, September 12-15, 2000, Alexandria, Egypt. 19)25th European Society For Medical Oncology (ESMO) Congress, Hamburg,
Germany, 13-17 October 2000, Annals Of Oncology Vol. 11, Supplement 4, 2000 .
Bcl-2, P53, S Phase Fraction, Cd95 And Drug Resistance In Refractory NHL 20) On Internet at Blood line -the online hematology resource - Bcl-2, P53, S Phase Fraction, Cd95 And Drug Resistance In Refractory NHL 21)25th European Society For Medical Oncology (ESMO) Congress, Hamburg, Germany, 13-17 October 2000, Annals Of Oncology Vol. 11, Supplement 4, 2000.
Comparison between MRI and CT scan for invasion of the thyroid cartilage. 22) IV International Conference, The Mediterranean Society of Tumor Markers Oncology, 22-24 July 2000, London, UK. Bone Marrow Angiogenesis In Patients With Hematological Malignancies: Role Of VEGF 23) American Society of Clinical Oncology (ASCO), 37 Meeting, May 12-15, 2001, San Francisco, California, USA. Femoral Magnetic Resonance in Detection of Bone Marrow Infiltration After Treatment in Patients with Non-Hodgkin's Lymphoma 24) 11th European Cancer Conference (ECCO 11), Lisbon, Portugal, 21-25 October 2001, European Journal Of Cancer, Vol. 37 Supplement 6 October 2001. Hypothalamic-pituitary dysfunction following external cranial irradiation Journal Of The Egyptian National Cancer Institute, Vol. 13, No 1, March 2001. 25) European Hematology Association, 6-9 June 2002, Florence, Italy and The Egyptian Journal of Hematology , Vol. (26) No (4) September, 2001 (Supplement) . The Effect Of Stimulation Of Natural Killer Cells On The Anaemia Of Cancer
26) 11th European Cancer Conference (ECCO 11), Lisbon, Portugal, 21-25 October 2001, European Journal Of Cancer, Vol. 37 Supplement 6 October 2001. Study of the role of hepatitis C virus in overt B-cell Non Hodgkin's Lymphoma Egyptian Journal of Medical Microbiology , April 2001 , Vol. 10 No 2 , 309.
27) American Society of Clinical Oncology (ASCO), 38 Meeting, May 17-21, 2002, Orlando, Florida, USA. Phase 3 study of Cisplatin-de-Gramont versus de-Gramont regimen in locally advanced and metastatic colon cancer.
28) American Society of Clinical Oncology (ASCO), 38 Meeting, May 17-21, 2002, Orlando, Florida, USA. Hyperbaric oxygen with cisplatin chemotherapy.
29) I am collaborating in an international study with Asta Zenica in patients with NSCLC named < A named patient program with ZD1839 (IRESSA)>
30) ASTRO, 44Annual meeting, of the American Society for Therapeutic Radiology and Oncology in San Fransisco, CA, ASTRO (October 25-29/02). Chemotherapy and conformal radiotherapy in locally advanced prostatic carcinoma. Amr Elsaid, MD.
31) Abstract 4014, ASCO, 41 Annual meeting, May 13-17, 2005, Orlando Florida. Final results of a randomized phase III trial of docetaxel, carboplatin and 5FU versus epirubcin, cisplatin and 5FU for locally advanced gastric cancer. Amr A. Elsaid, Yasser Elkerm.
32) Abstract ASCO 42 Annual meeting June 2-6, 2006, Atlanta, GA. Induction chemotherapy (ICT) followed by Pre-operative chemoradiotherapy in locally advanced rectal cancer. Amr Elsaid, Y. Elkerm, M. Elrewiny,Alexandria University with S. Al-Batran, A. J. Jage; Krankenhaus Nordwest, Frankfurt, Germany.
33) Abstract ASCO 42 Annual meeting June 2-6, 2006, Atlanta, GA. Pattern of progression and its impact in patients with gastrointestinal stromal tumor, after initial response to Imatinib Mesylate. A retrospective multi-center long-term follow up study. S.Elbatran, A. Elsaid, J.T.Hartmann, F.Heidel, J.Stoehlmacher, M.Duex, J.R.Izbicki, E.Wardelmann, T.Fischer, E.Jaegar.
34) A. A. Elsaid, Y. Elkerm, K. El-Shami , Trastuzumab plus gemcitabine and
cisplatin chemotherapy for HER2/neu-overexpressing breast cancer with visceral metastasis. Abstract 2008 ASCO Annual Meeting - J Clin Oncol 26: 2008 (May 20 suppl; abstr 1109).
35) A. A. Elsaid, K. El-shami, Y. Elkerm. Neoadjuvant FOLFOX4 followed by
combined chemoradiotherapy in locally advanced mucinous adenocarcinoma of the rectum. Abstract 2008 ASCO Gastrointestinal Cancers Symposium.
36) A.A.Elsaid, N. Awad. Pegylated liposomal doxorubicin and vinorelbine in
metastatic breast cancer: Final results of a phase II trial. 2010 ASCO annual meeting.
37) El Sabaa B. M., A A.El .El Sayed ,CD133 Expression in Colorectal carcinoma An Immunohistochemnichal and clinicopathological study , Abstract Journal of the Medical Research Institute JMRI, 2010; Vol. 31 No.1 (40-8) .
38) Osama S. Abdelaziz, MD, Amro Abdelaziz, MD, Yosry Rostom, MD, Alaa Kandil, MD,Shaaban Al-Assaal, MD, and Yaser Rashed, PhD . LINAC Radiosurgery of Intracranial Arteriovenous ,Malformations: A Single-center Initial Experience. Abstract Neurosurgery Quarterly. 21(2):85-96, May 2011.
39) Osama S. Abdelaziz, MD, Bassma M. El Sabaa, MD, and Amro Abdelaziz, MD . Characterization of Cancer Stem Cells in Patients With Brain Astrocytomas: A Clinicopathologic and Immunohistochemical Study. Abstract Neurosurgery Quarterly. 21(3):219-225, August 2011.
40) Osama S. Abdelaziz & Alaa Kandil & Shaaban El-Assaal & Amro Abdelaziz & Yosry Rostom & Yaser Rashed. Linear accelerator-based stereotactic radiosurgery of intracranial meningiomas: results of the first 5 years of clinical practice . Abstract Neurosurgical Review Volume 34 Number 1, 2011
41) Amr Abdelaziz, MD; Azza Helal, MD. Voluntary inspiration breath-hold for left sided breast irradiation: Heart and lung doses; Dosimetric comparison with free respiration Three-Dimensional Conformal Radiotherapy , Abstract Pan Arab Journal of Oncology vol 4; issue 4 | December 2011 .
42) Amr Abdelaziz, MD; Azza Helal, MD. Isocentre shift during radiotherapy to the prostate in overweight and obese patients . Abstract Pan Arab Journal of Oncology vol 4; issue 4 | December 2011 . Career Plans:
I went to Stanford University to obtain clinical and research experience at an internationally recognized center of excellence and to experience a different approach to the management of cancer. After 1997, I used to visit Stanford University yearly for a month to keep myself on the cutting edge of all the oncologic management. Now, in Egypt, I started the ENT and Urology tumor board.
More over, I am working regularly to start the new LDR and HDR brachytherapy microselectron. I am responsible for the department of oncology in Alexandria Armed forces Hospital. We have Seimens Linac with Lantis soft ware. I am responsible for the conformal radiotherapy and starting the IMRT therapy.
Referees; 1) Dr. Youssry Gouda, Department of Clinical Oncology, Alexandria University
2) Dr. Assem Rostom, FRCR. Royal Marsden Hospital, London, UK. 3) Dr. Hamed Tawfik. Iowa Cancer Center, Iowa. USA 4) Dr. J. Martin Brown, Department of Radiation Oncology, Stanford University Medical Center, Stanford CA 94305 USA 5) Dr.Richard Hope, Department of Radiation Oncology, Stanford University medical Center, Stanford CA 94305 USA 6) Dr. Michael Mac Manus, Department of Radiation Oncology, Stanford University Medical Center, Stanford CA 94305 USA 7) Dr. D. Kapp, Department of Radiation Oncology, Stanford University Medical Center, Stanford CA 94305 USA 8) Dr. Ahmed Badib, Department of Clinical Oncology, Alexandria University School of Medicine, Alexandria, Egypt 10) Dr. Takehiro Inoue, Department of Radiation Oncology, Osaka University, Osaka, Japan.
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