Institute of Oncology Prof. Dr. Alexandru Trestioreanu

ESMO Designated Centre of Integrated Oncology and Palliative Care

Contact person Alexandru Calin Grigorescu
Address Soseaua Fundeni 252, sector2
Bucharest, Europe 022328


Contact +40 21 227 1400 -
Web Institute of Oncology Prof. Dr. Alexandru Trestioreanu
Bucharest Institutul Oncologic Prof. Dr. Al. Trestionreanu centre


The centre was founded over 60 years ago. Currently it comprises 4 surgical wards, 3 radiotherapy wards, 2 wards of medical oncology, 1 department of paediatric oncology. In total there are 650 beds. In 2010 our centre received designation as an ESMO Designated Centre of Integrated Oncology and Palliative Care (first centre in Romania). After three years we considered that the ESMO requirements were not covered properly by our centre and did not apply for re-accreditation in 2013. After making efforts and improving certain areas of care, in 2015 the Institute of Oncology Bucharest applied and was accepted again to be designated as an ESMO Designated Centre.
The department has 4 dedicated beds for palliative care, but will shortly increase to 12. The centre collaborates with 2 institutions who offer palliative care and support at home. Doctors and nurses working on our ward participate in clinical trials and courses regarding palliation.


The Medical Oncology and Palliative Care Department performs chemotherapy for solid tumours and hematologic malignancy it also provides palliative and supportive care for patients with early and advance stages of cancer.


The department provides chemotherapy for early stages of cancer and chemotherapy and bio-therapy for advanced cancer. There is a partnership with the departments of surgery and radiotherapy for determining the needs for palliative care.
We have a collaboration with the intensive care service for cases requiring resuscitation and to decide when the patient can no longer benefit from active treatment against cancer.

Supportive and Palliative Medicine

Bucharest Institute of Oncology Prof Dr Alexandru Trestioreanu staff

When need of palliative care is identified patients are referred to the doctors with competence in palliative care and supportive care. We use EDMONTON scale for symptom assessment and when a problem is signalled we use a checklist to appreciate the problem and prescribe the treatment. Patients are hospitalized for about 2 weeks for palliative care and after that patient are discharged back home with a plan of treatment provided by a home care team or transfer to a hospice.