FRIDAY 26 APRIL 2019 | 08:30-17:30

  • Course directors: N. Gambacorta (IT) and A. Appelt (UK)
     

Course aim
To provide an overview of alternatives to radical surgery in the management in early rectal cancer, including patient selection, imaging, pathology and radiotherapy techniques.
 

Learning objectives

  • To be able to identify patients who might benefit from non-surgical management of early rectal cancer. 
  • To understand the role of different imaging modalities in selection, assessment and follow-up of patients with early rectal cancer treated without radical surgery 
  • To understand the pathology risk factors to identify different risk classes of early tumour 
  • To understand the potentials of treatment intensification. 
  • To gain knowledge of the characteristics and limitations of different radiotherapy treatment modalities, including external beam treatment, brachytherapy and contact X-ray.
     

Who should attend?

Radiation oncologists and senior residents; lower GI radiologists who support a radiotherapy service; medical physicists who are involved in rectal cancer radiotherapy.
 

Programme

 

Time slot

Title

Teacher

08:30

Pre-meeting starts

 

08:30-08:45

Clinical rationale for conservative management of early cancer

David Sebag-Montefiore (UK)

08:45-09:00

Patient selection – clinical factors and biomarkers

Karin Haustermans (BE)

09:00-09:40

Imaging for staging, patient selection, response assessment and follow-up

Regina Beets-Tan (NL)

09:40-10:00

Surgical alternatives to TME

Geerard Beets (NL)

10:00-10:30

Discussion

 

10:30-11:00

COFFEE BREAK

11:00-11:20

Pathology assessment of the specimen after local excision

Nigel Scott (UK)

11:20-11:40

Intensification strategies: the role of concomitant chemotherapy

Emmanouil Fokas  (DE)

11:40-12:00

External beam radiotherapy – treatment targets and organs at risk

Femke Peters (NL)

12:00-12:20

Dose escalation – rationale and techniques

Ane Appelt (UK)

12:20-12:30

Discussion

 

12:30-14:00

LUNCH

14:00-14:20

Image guidance and adaptive strategies for external beam radiotherapy

Rianne de Jong (NL)

14:20-14:40

Brachytherapy

Femke Peters (NL)

14:40-15:00

Contact X-ray treatment / Papillon

Arthur Sun Myint (UK)

15:00-15:20

Regrowth or recurrence: assessment and salvage management

Geerard Beets (NL)

15:20-15:30

Discussion

 

15:30-16:00

COFFEE BREAK

16:00-16:20

Quality of life and functional outcome after conservative management

Geerard Beets (NL)

16:20-16:40

Published studies of conservative treatment

Netta Gambacorta  (IT)

16:40-17:00

Ongoing and planned clinical trials

David Sebag-Montefiore (UK)

17:00-17:20

New horizons – emerging modalities

Netta Gambacorta (IT)

17:20-17:30

Discussion and close of pre-meeting