
Breast Cancer
The ESSO Training Pathway in Breast Cancer Surgery, developed in collaboration with the European Breast Surgical Oncology Certification (BRESO), is designed to equip surgeons with advanced, evidence-based competencies in breast cancer surgery. The Pathway offers participants the opportunity to further develop their expertise in oncoplastic techniques, robotic surgery, and localisation methods.
What's included
To complete the Pathway and be awarded the ESSO Certificate of Professional Training, candidates should complete the below steps in 24 months:
- Short-term (minimum 1 month) observership at an ESSO-approved training unit
- Mandatory breast-specific course
- At least 2 optional courses (breast-specific or transversal)
Candidates wishing to further extend their expertise may join the BRESO certification programme, which leads to the title of BRESO Fellow.
Related courses
Advanced Course on Breast Cancer Surgery
Level 2
Mandatory
Annual
In person
This advanced interactive workshop explores the latest evidence-based practices in breast cancer surgery, emphasising a multidisciplinary approach. Educational methods include hands-on training with synthetic models, video discussions, case studies, mock MDT sessions, and plenary lectures. Key topics cover advanced surgical techniques such as nipple- and skin-sparing mastectomy, axillary management, breast reconstruction, adjuvant and neoadjuvant therapies, breast conservation, DCIS, and treatment of young and special patient groups.
Advanced Course on Oncoplastic Breast Surgery
Level 2
Optional
Annual
In person
The ESSO Advanced Course on Oncoplastic Breast Surgery intends to address and explore a variety of topics, from principles, indications, surgical planning and decision making to operative techniques and complication management of oncoplastic breast conservation and reconstrcution.
The course will focus on safe delivery of oncoplastic procedures, avoidance and management of complications in an interactive stimulating environment. It will provide a practical, workshop-based approach for surgeons to achieve the best aesthetic results in breast cancer surgery without compromising oncological outcomes. It will include specific tips and advice on prevention and management of surgical pitfalls and complications.
USD and Localisation Techniques in Breast Cancer Surgery
Level 2
Optional
Annual
In person
Organised yearly, this course equips participants with both foundational and advanced knowledge of ultrasound techniques in breast cancer surgery, focusing on the use of intraoperative ultrasound (IOUS) in clinical and outpatient settings. Through a combination of theoretical lectures, hands-on training with phantom models, live demonstrations, and case-based discussions, participants will learn to perform ultrasound-guided procedures, apply alternative localisation techniques, and assess margins with greater precision. The course aims to build confidence and surgical accuracy, ultimately enhancing patient outcomes in breast surgery.
Minimally Invasive Breast Surgery (MIBS) Masterclass and Workshop
Level 2
Optional
Annual
In person
This masterclass is organised every year and it covers state-of-the-art minimally invasive breast surgery, focusing on robotic and endoscopic nipple-sparing mastectomies with immediate reconstruction. It addresses indications, patient selection, technical aspects - including live surgery, console techniques, and robotic setup - as well as complication prevention and management. The course also reviews research, outcomes, benefits, and cost efficiency through lectures, video presentations, live demonstrations, surgeries, and hands-on workshops.
Basics of Oncology for Surgeons
Level 1
Optional
Annual
In person
This interactive in-person programme equips young surgeons with core knowledge and skills in surgical oncology. Organised once per year, this course provides a solid foundation in cancer biology, prevention, surgical techniques, and the role of the surgical oncologist within a multidisciplinary team. Through plenary lectures and discussion sessions, participants will explore cancer progression, early diagnosis, multimodal treatment strategies, and ethical, patient-centred care. The course also emphasises cancer screening and prevention, with reference to the Europe's Beating Cancer Plan.
Artificial Intelligence in Healthcare
Level 1
Optional
Annual
In person
Artificial Intelligence (AI) is transforming healthcare, offering tools that enhance both clinical efficiency and patient care. In this hands-on workshop which is organised once per year, interested surgeons and radiologists will explore how AI works, learn to train models for real-world applications, and apply their medical expertise to develop practical solutions using clinical data, images, and reports.
This workshop offers a hands-on introduction to AI in medicine, covering model types, tasks, real-world use cases, and the role of clinical expertise. Participants will use Python tools to work with public datasets, analyse medical images, and create 3D organ models for surgical planning. The course includes plenary lectures and practical exercises.
Fluorescence-Guided Surgery
Level 1
Optional
Biennial
In person
Organised once every 2 years, this course offers essential and advanced insights into fluorescence-guided surgery. It is focusing on tumour and lymphatic imaging, sentinel lymph node detection, visualisation of vital structures (bile ducts, ureters, nerves), and tissue perfusion assessment. Participants will explore both standard and targeted imaging agents (e.g., antibody-, peptide-, nanobody-based) and gain practical experience in open, laparoscopic, and robotic settings.
Hands-on sessions using different fluorophores and imaging systems are complemented by plenary lectures on key topics, including lymphatic and tumour imaging, perfusion assessment, and intraoperative navigation of vital structures.
ESSO Congress - Breast Track
Level 2
Optional
Annual
In person
Bringing together more than 1,000 surgeons, oncologists, researchers, and healthcare professionals from over 70 countries, the UEMS/EACCME-accredited ESSO Annual Congress provides a global platform for education, collaboration, and innovation in Surgical Oncology. Each dedicated tumour site track delivers comprehensive, evidence-based updates on site-specific cancer management within a multidisciplinary context.
Related webinars
To complement your knowledge gained through the Training Pathway courses, ESSO recommends following optional webinars covering both specialty-specific and transversal topics. These webinars provide in-depth insights, may include interactive case discussions, and are designed to enhance clinical understanding and support continuous professional development.
Short-term observership
Participants in the ESSO Training Pathway in Breast Cancer Surgery are invited to independently arrange a BRESO short-term (1 month) observership at a BRESO-approved breast unit of their choice. Depending on the host unit, the observership may include access to operating theatres, outpatient clinics, MDT meetings, and research activities. Participants are encouraged to pursue tailored learning opportunities, such as role-play sessions and hands-on practice using phantoms. Direct clinical involvement is not anticipated.
ESSO Certificate
The ESSO Certificate of Professional Training is awarded upon successful completion of the full Training Pathway within 24 months. It recognises a surgeon’s advanced knowledge and skills in evidence-based oncological surgery within the relevant specialty.
Once you have attended 3 mandatory courses and completed your short-term observership, you may request your ESSO Certificate of Professional Training.
To facilitate the review process, please be prepared to provide:
• The courses attended, including dates and venues
• Details of your short-term observership, including the name of the host institution, the department, name and contact details of mentor and the dates of the observership.
EBSQ examination recommendation
Each year, the European Union of Medical Specialists (UEMS) organises the European Board of Surgery Qualification (EBSQ) Examination in Breast Surgery. This is an optional opportunity for those who feel prepared and wish to further assess and consolidate their knowledge.