BREAST CANCER SURGERY

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1 MASTERCLASS Imperia of Constance ESO-ESSO MASTERCLASS IN BREAST CANCER SURGERY 4-7 October 2014 Ermatingen (Lake Constance) Switzerland Chairs: A. Costa, IT - - Scientific Co-ordinator:

2 AIMS AND OBJECTIVES The Masterclass in Breast Cancer Surgery offers participants a qualified, comprehensive training to improve their knowledge and skills in the management, treatment and care in the field of breast cancer management. Within the concept of a multidisciplinary approach attendees will improve their skills in the totality of treatment of breast cancer and increase their confidence in the management of complex cases. Participants will better understand current best clinical practice and state of the art in breast cancer care. The Masterclass will enable participants to implement evidence-based concepts and guidelines on the surgical treatment of breast cancer to individualize the care of their patients. TEACHING FORMAT The Masterclass in Breast Cancer Surgery is at the cutting edge of current concepts of surgical treatment of breast cancer. The focus of the Masterclass is on evidencebased clinical practice and technical aspects of breast cancer surgery, within a multidisciplinary approach. The programme offers plenary lectures regarding stateof-the-art clinical evaluation, treatments with reference to clinical guidelines which will conclude in take-home messages. The Clinical sessions will be complemented by Tumour Board discussions. Furthermore, participants will deliver case presentations within small groups and discuss these with the chairmen and the faculty aiming at facilitating the interaction between participants and teachers. All participants will reside at the course venue and participation is compulsory throughout the course. The Masterclass will be entirely in English and fluency in English is mandatory for admission THE MASTERCLASS IS: 3-days residential educational event Full immersion in breast cancer surgery Clinically-oriented training Multidisciplinary International faculty of top experts delivering lectures Meet the expert workshops and case discussions IDEAL PROFILE OF THE MASTERCLASS CANDIDATE Age between 30 and 45 years At least 2-3 years experience in surgical oncology / breast cancer surgery Involvement in scientific activities Fluency in English ACCREDITATION All participants will be issued a certificate of attendance at the close of the Masterclass. Application for CME recognition will be submitted to the Accreditation Council of Oncology in Europe (ACOE) and to the European Accreditation Council for Continuing Medical Education (EACCME), an institution of the European Union of Medical Specialists (UEMS). EACCME credits are recognised by the American Medical Association towards the Physician s Recognition Award (PRA). Information on the status of the applications can be obtained from the organising secretariat.

3 FACULTY (as of February 2014) F. Cardoso Breast Unit, Champalimaud Cancer Center, Lisbon, PT A. Costa European School of Oncology, Milan, IT W. Gatzemeier Breast Unit, Humanitas Cancer Center, Rozzano/Milan, IT T. Kovacs Breast Unit, Guy's and St. Thomas' NHS Foundation Trust, London, UK M. Leidenius Breast Surgery Unit, Helsinki University Central Hospital, FI E.C. Moser Breast Unit and Department of Radiation Oncology, Champalimaud Cancer Center, Lisbon, PT P. Panizza Department of Diagnostic Radiology 1, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, IT G. Pruneri Division of Pathology and Laboratory Medicine, European Institute of Oncology, Milan, IT D. Rainsbury Oncoplastic Breast Surgery, Royal Hampshire County Hospital, Winchester, UK S. Suominen Department of Plastic Surgery, Helsinki University Central Hospital, Helsinki, FI M. Thill Department of Gynecology and Obstetrics, Certified Breast Cancer Center, Agaplesion Markus, Frankfurt, DE L. Wyld Academic Unit of Surgical Oncology, University of Sheffield Medical School, Sheffield, UK

4 SATURDAY, 4 OCTOBER PRELIMINARY PROGRAMME Morning: Participants' arrival, airport transfers, registration 14:15 Warm-up session (3 groups with Chairs) 14:45 Opening Multidisciplinary team of breast cancer: Why is it crucial? F. Cardoso, PT SESSION 1: SCREENING - PREVENTION - MULTIDISCIPLINARY MANAGEMENT OF DCIS AND OTHER HIGH RISK LESIONS 15:05 The role of the radiologist P. Panizza, IT 15:25 Classification and prognostic markers G. Pruneri, IT 15:45 Surgical management of DCIS 16:05 Radiation treatment of DCIS E.C. Moser, PT 16:25 Coffee break SESSION 2: MICROINVASIVE BREAST CANCER AND BORDERLINE LESIONS 16:55 Microinvasive breast cancer 17:15 Pathology G. Pruneri, IT 17:35 Tumour board: Sessions :30 End of daily programme 19:30 Dinner SUNDAY, 5 OCTOBER SESSION 3: BREAST CONSERVATIVE TREATMENT (BCT) 8:30 Margins: What does really matter? M. Thill, DE

5 8:50 Multifocal-multicentric disease and BCT 9:10 Molecular subtypes and surgical approach 9:30 Radiation treatment: Essentials in BCT E.C. Moser, PT 10:00 Coffee break SESSION 4: LOCALLY ADVANCED, RECURRENT AND ADVANCED BREAST CANCER 10:30 Primary systemic therapy F. Cardoso, PT 11:00 Surgical considerations and primary systemic therapy 11:20 Surgery in locally advanced and stage IV breast cancer 11:50 Surgical treatment after recurrent breast cancer 12:10 Tumour board: Sessions :00 Lunch SESSION 5A: BREAST CANCER IN YOUNG PATIENTS 14:00 Surgery in young women - What is different 14:20 Medical treatment in young women - What is different F. Cardoso, PT SESSION 5B: MANAGEMENT OF HIGH RISK WOMEN 14:40 High risk women 15:10 Tumour board: Session 5 16:00 Coffee break

6 SESSION 6: WORKSHOP - MEET THE EXPERT 1 (SMALL GROUPS) CASE PRESENTATION (CASES PROVIDED BY PARTICIPANTS) AND PRO/CONS DISCUSSION 18:30 End of daily programme 19:30 Dinner MONDAY, 6 OCTOBER SESSION 7: ONCOPLASTIC SURGERY 8:30 Oncoplastic breast conservation: Indications, techniques and outcomes D. Rainsbury, UK 9:00 Tumour board: Session 7 SESSION 8: MASTECTOMY 9:15 Skin sparing and non-skin sparing T. Kovacs, UK 9:35 Nipple sparing 10:00 Coffee break 10:30 Prophylactic - bilateral and contralateral SESSION 9: BREAST RECONSTRUCTION 10:50 Critical review of implant reconstruction D. Rainsbury, UK 11:10 Current practice for implant based breast reconstruction: The role of ADMS and dermal sling to improve outcomes and patient satisfaction T. Kovacs, UK 11:30 Flaps S. Suominen, FI 11:50 Postmastectomy radiotherapy and reconstruction E.C. Moser, PT 12:10 Tumor board: Sessions :00 Lunch

7 SESSION 10: AXILLARY MANAGEMENT 14:00 SLNB before and after NACT T. Kovacs, UK 14:30 IBCSG 23 - Z011 - AMAROS and beyond 15:00 Axillary radiation treatment E.C. Moser, PT 15:30 Nomograms 16:00 Coffee break 16:30 Tumour board: Session 10 SESSION 11: WORKSHOP - MEET THE EXPERT 2 (SMALL GROUPS) CASE PRESENTATION (CASES PROVIDED BY PARTICIPANTS) AND PRO/CONS DISCUSSION 18:30 End of daily programme 19:30 Dinner TUESDAY, 7 OCTOBER SESSION 12: SURVIVOR PROBLEMS 8:30 Surgical treatment of lymphedema S. Suominen, FI 8:50 Endocrine issues M. Thill, DE 9:10 Chronic pain 9:30 Late breaking news 10:00 Coffee break 10:30 Learning assessment test 12:00 Close Transfers and departure of participants

8 GENERAL INFORMATION ORGANISING SECRETARIAT Ana Galán Education Coordinator European Society of Surgical Oncology (ESSO) Avenue E. Mounier Brussels (Belgium) Rita De Martini European School of Oncology (ESO) Via Turati, Milan (Italy) rdemartini@eso.net ATTENDANCE TO THE MASTERCLASS IS BY APPLICATION ONLY APPLICATION DEADLINE: 1 ST JULY 2014 Detailed information and application form available at and PARTICIPATION Attendance is limited to 45 participants and admittance is by competitive application only. Successful applicants are granted free registration but a contribution to the costs of full board accommodation at the course venue (for arrival on Saturday, 4 October and departure on Tuesday, 7 October) is required. The contribution of EUR 250 for ESSO/ESO Club members and EUR 300 for nonmembers will be charged at the applicationn s acceptance. Travel costs are to be covered by the participants. Zurich airport (ZH) will be served with group transfers to the venue on the arrival day (4 October) and ending day (7 October) of the Masterclass. HOW TO APPLY Interested oncologists, residents in surgery and surgeons should fill in the application form (available at or at and provide the following documents by the deadline of 1st July 2014: Letter describing motivation for attending Short CV (max 2 pages) describing- recent clinical experience and list of recent publications Supporting letter from head of department or mentor Abstract of a clinical case of a breast cancer patient relating to one of the subjects of the Masterclass The abstract (max 1 page) should describe a clinical case in the form of a clinical grand-round with: Diagnostic considerations Treatment Outcome (follow up) At least three questions that the applicant proposed for discussion with the faculty and participants Participants will be asked to bring their personal lap-top (or tablet) with wireless connection at the Masterclass as an event-dedicated website will be created and all questionnaires and certificates will be accessible only from there. Difficulties on this request have to be communicated to ana.galan@essoweb.org.

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