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2012 EDUCATIONAL BOOK - American Society of Clinical Oncology

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The European <strong>Society</strong> <strong>of</strong> Gynaecological<br />

<strong>Oncology</strong>: Update on Objectives and<br />

Educational and Research Activities<br />

By Renata Brantnerova, Ranjit Manchanda, MD, and Nicoletta Colombo, MD<br />

Overview: The European <strong>Society</strong> <strong>of</strong> Gynaecological <strong>Oncology</strong><br />

(ESGO) is the principal European society contributing to the<br />

study, prevention, and treatment <strong>of</strong> gynecologic cancers.<br />

Founded in 1983, ESGO has more than 1,300 members in more<br />

than 40 European countries and worldwide who benefit from<br />

ESGO’s innovative education and research initiatives and<br />

networking opportunities. ESGO objectives have been recently<br />

identified through a strategic planning process and include<br />

education, care, research, collaboration, awareness, and sustainability.<br />

As a leading gynecologic oncology society, ESGO<br />

holds biennial meetings where experts meet to discuss latest<br />

advances in gynecologic treatment and care. The 17th International<br />

Meeting <strong>of</strong> ESGO (ESGO 17) proved to be a resounding<br />

success, with 2,700 delegates and speakers who gathered<br />

from around the world in the cultured city <strong>of</strong> Milan, Italy. The<br />

structure <strong>of</strong> the congress included keynote lectures, debates,<br />

FOUNDED IN 1983 in Italy as a forum for pr<strong>of</strong>essionals<br />

dedicated to the care <strong>of</strong> women with gynecologic cancers,<br />

the European <strong>Society</strong> <strong>of</strong> Gynaecological <strong>Oncology</strong><br />

(ESGO) will soon celebrate 30 years <strong>of</strong> existence.<br />

The mission <strong>of</strong> ESGO is to improve the health and wellbeing<br />

<strong>of</strong> European women with gynecologic (genital and<br />

breast) cancers through prevention, excellence in care, and<br />

high-quality research and education.<br />

Looking back over the last decade, our membership has<br />

increased rapidly from being an exclusive club <strong>of</strong> about 150<br />

members in 2002 into a truly pan-European and international<br />

community <strong>of</strong> multidisciplinary pr<strong>of</strong>essionals: ESGO<br />

had 1,330 members in 2011, with an additional 240 new<br />

members joining in the last quarter <strong>of</strong> the year. ESGO is a<br />

young society: In 2011, 37% <strong>of</strong> members declared to be<br />

younger than age 45 and 25% <strong>of</strong> all members were part <strong>of</strong><br />

the European Network <strong>of</strong> Young Gynaecologic Oncologists<br />

(ENYGO), which is the ESGO’s European platform for trainees<br />

and pr<strong>of</strong>essionals younger than age 40. ESGO cares about<br />

members from all regions <strong>of</strong> Europe: Members from lowerincome<br />

countries form 27% <strong>of</strong> ESGO active membership.<br />

European Challenges in Gynecologic <strong>Oncology</strong><br />

There are approximately 630,000 women diagnosed with<br />

gynecologic cancers in Europe every year (including breast<br />

cancer). Patterns <strong>of</strong> incidence and mortality are different<br />

from region to region, and there are continuing inequalities<br />

both among and within European countries in terms <strong>of</strong><br />

cancer risk, detection, and treatment. The estimated incidence<br />

for cervical cancer is 54,517 new cases/year with<br />

24,874 annual deaths related to this disease. 1 Cervical<br />

cancer is the seventh most common cancer among European<br />

women <strong>of</strong> all ages, and the second most common cancer in<br />

women ages 15 to 39 years. 2 Rates are highest among<br />

women in countries <strong>of</strong> the former Soviet Union, who have<br />

twice the risk <strong>of</strong> dying as a result <strong>of</strong> cervical cancer as<br />

Western European women. Women in Romania are 11 times<br />

more likely than Finnish women to die as a result <strong>of</strong> cervical<br />

cancer. 3<br />

Ovarian cancer is the fifth most common cancer among<br />

state-<strong>of</strong>-the art sessions, and focused sunrise sessions, together<br />

with oral and poster presentations and satellite symposia<br />

sponsored by pharmaceutical companies. For the first<br />

time, during ESGO 17 the <strong>Society</strong> organized a seminar for<br />

European patient groups with an interest in gynecologic<br />

cancers with the aim <strong>of</strong> facilitating different patientrelated<br />

activities across Europe. Moreover, The European Network <strong>of</strong><br />

Young Gynaecologic Oncologists (ENYGO), the European Network<br />

<strong>of</strong> Gynaecologic <strong>Oncology</strong> Trial Groups (ENGOT), and<br />

the European Network <strong>of</strong> Translational Research in Gynaecological<br />

<strong>Oncology</strong> (ENTRIGO) had their own section during<br />

ESGO 17. ESGO also holds numerous workshops throughout<br />

the calendar year and provides clinical and research grants,<br />

online educational materials, webcasts, and numerous networking<br />

opportunities<br />

women in Europe, with more than 65,000 new cases and<br />

41,000 deaths annually. Rates are highest in Eastern and<br />

Northern Europe and lowest in Southern Europe. 1<br />

Uterine cancer is the fourth most common female cancer<br />

in Europe, with 88,000 new cases/year and 22,000 deaths.<br />

The highest incidence is observed in Eastern and Northern<br />

Europe, and lowest in southern regions. 1<br />

Breast cancer is the most common cancer in women in<br />

Europe, with over 425,000 new cases/year. Breast cancer is<br />

responsible for more deaths among European women than<br />

any other cancer, but survival has improved thanks to<br />

screening and better treatments. However, survival is<br />

higher in Western than in Eastern Europe, with further<br />

differences within Western Europe: lower in the United<br />

Kingdom and Denmark than in Finland, Sweden, France,<br />

Italy, and the Netherlands. 2 These statistics outline how<br />

there are unacceptable inequities in access to information,<br />

prevention, screening, treatment and care across Europe.<br />

Patterns <strong>of</strong> incidence and mortality are different from region<br />

to region, <strong>of</strong>ten reflecting a lack <strong>of</strong> awareness and access to<br />

appropriate services. ESGO is committed to help women<br />

with gynecological cancer across Europe to obtain accurate,<br />

reliable and timely information about their disease, to understand<br />

treatment options and to have access to the best<br />

possible care.<br />

ESGO Objectives<br />

Considering the changing external and internal environment,<br />

as well as global and medical trends affecting the field<br />

<strong>of</strong> gynecologic oncology, ESGO conducted strategic planning<br />

From the European <strong>Society</strong> <strong>of</strong> Gynaecological <strong>Oncology</strong>, the UCL Elizabeth Garrett<br />

Anderson Institute for Women’s Health, and the University <strong>of</strong> Milan Bicocca, European<br />

Institute <strong>of</strong> <strong>Oncology</strong>.<br />

Authors’ disclosures <strong>of</strong> potential conflicts <strong>of</strong> interest are found at the end <strong>of</strong> this article.<br />

Address reprint requests to Nicoletta Colombo, MD, University <strong>of</strong> Milan Bicocca,<br />

European Institute <strong>of</strong> <strong>Oncology</strong>, Via Ripamonti 435, 20141 Milan, Italy; email:<br />

Nicoletta.colombo@ieo.it.<br />

© <strong>2012</strong> by <strong>American</strong> <strong>Society</strong> <strong>of</strong> <strong>Clinical</strong> <strong>Oncology</strong>.<br />

1092-9118/10/1-10<br />

335

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