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Doctor Ioannis G. Papanikolaou is born in Athens. In 2009 he graduates in Medicine with Excellent votation - Medical Degree (MD). During his University studies he is distinguished with 6 University Scholarships from the ‘‘ADSU Foundation’’. Afterwards, he returns in Athens, being selected from the Faculty for a 2 years Postgraduate Programme, which confers the title of Master of Science in ‘‘Robotic Surgery, Minimally Invasive Surgery and Telesurgery’’, in the University of Athens, Medical School in Greece. . In 2011 he is distinguished again with Excellent votation and obtains the title of “Master of Science” in the Athens Medical School in “Robotic Surgery, Minimally Invasive Surgery and Telesurgery”. He has been also distinguished with the First Prize in the “Laparoscopic Simulation Cup”. He is a Da Vinci Si certified surgeon for Robotic Gynaecology (Intuitive cerification). He has been awarded by Allied Academies in United Kingdom – London, for his research activity. He has participated in more than 250 international and national congresses as Organizing Committee Member, Invited Speaker, Keynote Speaker or Speaker. He has organized the Gynaecology and Breast Cancer Congress in Milan, in 2019. He is author of many publications in international and national journals with more than 100 citations in international peer reviewed journals. He is also selected as reviewer for many prestigious international journals such as The British Medical Journal, Stem Cells International, Surgical Laparoscopy Endoscopy & Percutaneous Techniques, Journal of Medical Robotics & Computer Assisted Surgery, The European Journal of Obstetrics, Gynecology and Reproductive Biology. Currently, he works as an Obstetrics & Gyaecology specialist in the Humanitas Fertility Center in Humanitas University and Research Hospital in Milan. His academic and clinical enrollment regards mainly Reproductive Endocrinology, Infertility and Gynaecological Endoscopy. For the Subspecialty – Fellowship in Reproductive Medicine, Dr. Ioannis G. Papanikolaou has been classified in 1st position with the top votation after academic evaluation of all candidates from different countries of the world.
As the topic of the author’s lecture suggests, he will focus on certification criteria of breast units and breast surgeons across Europe, which are crucial issues for the appropriate therapeutic management of breast cancer. The last GLOBOCAN estimates for breast cancer, classify this carcinoma as the most common in the female. Treatment options have changed and modern breast surgery tends to have a more conservative and cosmesis- preserving face. Breast cancer treatment involves many medical specialties and requires deep knowledge, training, expertise, and dedication. The European Board for Surgical Qualification gives guidelines on eligibility criteria for involvement in breast surgery defining metrics for operations that a breast surgeon should have performed and defines with precise metrics the numbers of procedures in which a qualified breast surgeon should be involved. Different international societies are involved in education and certification of competency in breast surgery. Many authors highlight that treatment of breast cancer in high-volume centers is of crucial importance because it improves five-year survival up to 33%. Furthermore, the number of breast cancer surgeries that a breast surgeon performs per year seems to be an independent prognostic factor for the patient’s survival, recurrence, and general outcome. For all these reasons, the treatment of breast cancer in certified breast units by specialised breast surgeons is mandatory. New techniques of oncoplastic breast-conserving surgery challenge the current armamentarium of therapeutic options, proving excellent cosmetic results with the comparable oncological outcome to the standard breast-conserving surgery. Furthermore, oncoplastic techniques improve patient’s satisfaction and quality of life after breast cancer diagnosis. Genetic counseling, psychological support and multimodal treatment from a breast-dedicated team which involves many specialties are mandatory for qualitative standards of care. There is an urgent need for certified education in breast surgery not only for breast centers but also for breast surgeons. Dedication is a key principle in breast surgery because it improves outcomes. Considering high incidence and mortality rates in the global population, current care for breast cancer needs to be based on quality. Breast surgery is a field with which, Obstetricians and Gynecologists should deal with and begin to be involved in Europe, after an accurate and strict training process which provided final certification. The future of breast surgery is in less invasive and more cosmoses-preserving approaches surgery in the treatment of breast disease, including breast carcinoma. Patient-centered care is a key component and quality indicator in the treatment of breast carcinoma.