Carlo Ratto
Carlo Ratto

Date: Tuesday 24 September 2019
Times: 08:30 - 17:00
Venue: Austria Center, Vienna
Cost: €300 ESCP Member / €400 Non-Member

Course director: Carlo Ratto (Italy)

Faculty: Carmela Cappello (UK), Manuel Cavazzoni (Italy), Tamzin Cuming (UK), Veronica De Simone (Italy), Daniel Dindo (Switzerland), Carlo Ratto (Italy, Loris Trenti (Spain)

Please note: If you wish to have a coffee before the course starts, there is a café on the ground level.

This course is an introduction to High Resolution Anoscopy and anal neoplasia specifically geared toward surgeons. It is not a certification course.

Course content

Attendees will learn about the incidence of benign, pre-malignant and malignant anal lesions and the required diffuse practice in diagnosis and treatment of these conditions, consequent to human papilloma virus (HPV) infection and anal cancer. Some populations are at a higher risk of HPV infection than anal cancer.
For these reasons, colorectal surgeons need to be trained to accurately perform screening tests and, in particular, high-resolution anoscopy (HRA) leading the identification of anal intraepithelial neoplasia (AIN) and, when indicated, either targeted ambulatory or operative treatment of the anal cancer precursors.

Learning objectives

This course is meant as an introduction to AIN diagnosis and treatment procedures and upon completion of the course the participant should:

  • Describe the epidemiology and pathology of anal HPV infection, Anal Intraepithelial Neoplasia (AIN), and anal cancer.
  • Identify patients who may benefit from anal cancer screening.
  • Have an understanding of the diagnostic procedures used in the evaluation of AIN and anal cancer including anal cytology, high resolution anoscopy, and anal biopsy.
  • Have an understanding of the appropriate treatment and management options for AIN and anal cancer.‒ Have an understanding of prevention options for AIN and anal cancer.


Please note: If you wish to have a coffee before the course starts, there is a café on the ground level.

08:30 - 08:35 Welcome - Carlo Ratto
08:35 - 08:50 Introduction to HPV: scope of the problem - Carmela Cappello
08:50 - 09:10 How to diagnose AIN: the LAST criteria, screening - Veronica De Simone
09:10 - 09:30 Diagnostics and fundamentals of HRA - Carlo Ratto
09:30 - 10:00 Pros and contras of available technologies - Manuel Cavazzoni, Tamzin Cuming
10:00 - 10.20 HRA findings of AIN and biopsy - Manuel Cavazzoni
10.20 - 10.40 Treatment options I - Daniel Dindo
10.40 - 11.00 Treatment options II - Tamzin Cuming
11.00 - 11.20 Management algorithms - Carmela Cappello
11.20 - 12.00 Discussion on clinical cases - Tamzin Cuming, faculty and attendees
12:00 - 12:30 Break
12:30 - 14:00

Morning rotation

Attendees will be separated in 3 groups:

  • Lesion identification - Loris Trenti
  • Hands-on workshop: HRA Technique - Manuel Cavazzoni
  • Hands-on workshop: HRA and Biopsy Technique - Veronica De Simone
14:00 - 15:00 Lunch break
15:00 - 16:30

Afternoon rotation

Attendees will be separated in 3 groups:

  • Hands-on workshop: HRA and treatment techniques - Carlo Ratto
  • Cases: where to biopsy and where to treat - Carmela Cappello
  • Cases: when and how to follow up - Daniel Dindo
16:30 Course ends


ESCP Affiliates