Multidisciplinary Management of Breast Cancer

Budapest, Hungary

[ Early deadline: 26 July 2019 ]
[ Breast conserving therapy ]

The course is primarily intended for specialists and trainees in the field of radiation and clinical oncology, including doctors, physicists, radiation therapists and other, who are interested in extending their knowledge of the management of breast cancer. Other specialists active in the field of breast cancer and interested in an updated view of the possibilities of modern radiation oncology are very much invited to participate as well.

Course director 

  • Philip Poortmans, Radiation Oncologist, Institut Curie (FR)


  • Tibor Major, Physicist, National Institute of Oncology, Budapest (HU)  

  • Liesbeth Boersma, Radiation Oncologist,  MAASTRO clinic, Maastricht (NL)   

  • David Dodwell, Clinical Oncologist, CTSU, Oxford (UK)  

  • Youlia Kirova, Radiation Oncologist, Institut Curie, Paris (FR)  

  • Thorsten Kühn, Gynaecologist, Interdisciplinary Breast Center, Klinikum Esslingen, Esslingen (DE)  

  • Birgitte Offersen, Clinical Oncologist, Aarhus University Hospital (DK)  

  • Birgit Vriens, Medical Oncologist, Catharina Hospital, Eindhoven (NL)  

  • Lynda Wyld, Surgeon, Sheffield University, Sheffield (UK) 

  • Sandra Hol, Radiation TherapisT, Institute Verbeeten, Tilburg (NL)

Local organisers  

  • Tibor Major, Physicist, National Institute of Oncology, Budapest (HU)

This multidisciplinary course aims to promote an integrated approach to the management of breast cancer. The goal is to individualise treatment based on clinical presentation, prognostic (tumour) factors and patient-related factors respecting the need for shared decision-making

Learning outcomes

By the end of this course participants should be able to:  

  • Appreciate the position of breast cancer as part of oncological epidemiology as a whole

  • Understand the clinical and biological aspects of the natural behaviour of breast cancer

  • Have a firm knowledge of the different prognostic factors and tumour types

  • Interpret the literature on the results of multimodality treatments for breast cancer

  • Discuss with (multidisciplinary) colleagues the balance between benefits and side effects of various treatment options for breast cancer, depending on prognostic factors and patient-related characteristics

  • Apply the guidelines for volume delineation of all target volumes for breast cancer

  • Know how to select and use the possible technical solutions for optimal radiation therapy for breast cancer

  • Recognise the fields of uncertainty and where further research is required.

Course content

  • Epidemiology: lessons from the past

  • The clinically relevant aspects of the biology of breast cancer

  • Primary surgery: choices and techniques (including oncoplastic)

  • Axillary surgery including limitations of the SN concept

  • Modern radiation therapy techniques from treatment planning to image guidance

  • Fractionation schedules

  • Systemic treatment: interactions with radiotherapy, primary versus adjuvant

  • Treatment of DCIS

  • Treatment possibilities for locally advanced disease

  • Summary on accelerated partial breast irradiation

  • Role of advanced treatment techniques including IMRT and breathing control

  • Lessons from meta-analyses of clinical trials

  • Cosmetic outcome after BCT

  • Long-term side-effects

  • Reconstructive surgery

  • Current clinical trials

  • Target volume delineation including homework and workshops

  • Patient management workshops.


Before commencing this course participants should:

  • Have at least basic experience with all aspect of radiation therapy for breast cancer patients.

  • If you are not a radiation/clinical oncologist (in training) you should be involved in the interdisciplinary and/or multidisciplinary case discussions and work related to treating breast cancer patients

  • Read through the short selection of the literature (“essential reading”) that will be sent mid 2019, after your registration

  • Have completed an exercise beforehand on target volume delineation in breast cancer.

Teaching methods

  • Lectures

  • Debates

  • Contouring homework using FALCON

  • Clinical case discussions

  • Practical workshops

The course will be very interactive through the integration of lectures, target volume delineation, guidance in treatment planning and patient management workshops. Focused on multidisciplinary approach, the programme will outline the different treatments for breast cancer from evidence based medicine to ongoing research.

Methods assessment

  • MCQ  

  • Evaluation form.





Draft programme here

Key words

  • Breast cancer
  • radiation therapy
  • multidisciplinary
  • breast conserving therapy
  • APBI
  • clinical trials
  • volume delineation
  • side effects
  • quality of life

Further reading / web resources

To be provided if available


Application for CME recognition will be submitted 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 ESTRO office.


Mercure Budapest Buda 
Krisztina Korut 41-43 


Booking form for rooms at the venue can be downloaded here 


ESTRO members can order products at substantially reduced prices. Please note that in order to benefit from the member price, you must renew your membership for 2019 before registering to the course.To benefit from these member rates, please visit the membership page to become a member or renew your membership BEFORE proceeding with your order.



Early rate

Late rate

In-training members* 450 EUR 625 EUR
Members 600 EUR 725 EUR
Non Members 750 EUR 850 EUR

* Members with specialty RadiationTherapist (RTT) may register at the In Training fee

Early rates are applied up to three months before the starting date of the course. 
Late rates are applied three months before the starting date of the course.

The fee includes the course material, coffees, lunches, and the social event.

Advance registration & payment are required.

On-site registration will not be available.

Since the number of participants is limited, late registrants are advised to contact the ESTRO office before payment, to inquire about availability of places. Access to homework and/or course material will become available upon receipt of full payment.


Insurance and cancellation

The organiser does not accept liability for individual medical, travel or personal insurance. Participants are strongly advised to take out their own personal insurance policies.   
In case an unforeseen event would force ESTRO to cancel the meeting, the Society will reimburse the participants fully the registration fees. ESTRO will not be responsible for the refund of travel and accommodation costs.

In case of cancellation, full refund of the registration fee minus 15% for administrative costs may be obtained up to three months before the course and 50% of the fee up to one month before the course. No refund will be made if the cancellation request is postmarked less than one month before the start of the course.

Reduced fees

ESTRO members from economically challenged countries may register at a preferential rate of 350 Euro if three conditions are met:

  1. Only ESTRO members for 2019 are eligible (please make sure your 2019 membership is in order before you apply for the reduced fees)
  2. Only one course per person per year can be subsidized by ESTRO
  3. Sponsored candidates are not entitled to reduced fees (the invoicing address has to be the one of the participant)  

Please note: 

  • We can only guarantee a certain number of reduced fees per course
  • Application deadlines are the same as early registration fees (3 months before the course date

List of Economically challenged countries and eligible courses 


Many of our course participants are able to find full or partial funding from sources available locally. 

For more please go to: GRANTS

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