Medicine and Surgery

Colorectal Cancer Gastric Cancer Breast Cancer Lung Cancer Pancreatic and Biliary Tract Cancer Hepatocellular Carcinoma Prostate Cancer Bladder Cancer Kidney Cancer Supportive Care Integration of Surgery, Medical Therapy, and Radiotherapy: Multidisciplinary Patient Management Each Integrated Lesson will address the following aspects: 1. Risk factors that predispose to cancer, along with genetic factors associated with the development of solid and hematological malignancies 2. Clinical presentation of solid malignancies 3. Main diagnostic procedures and principles of screening for "big killers" 4. How to interpret radiological, biochemical, and pathological findings specific to individual solid and hematological malignancies 5. Main predictive and prognostic factors in oncology 6. Treatment principles and main guidelines for daily clinical practice 7. Approach principles integrated into neoplasms

Oncologia: COMU Collegio degli Oncologi Medici Italiani · Manuale di oncologia 2022; Cancer (Principles and Practice of Oncology) De Vita, Hellman and Roserberg’s (12th Edition). Slides of lectures and literature reviews or clinical studies related to the topics of the exam program will be uploaded.

Metodi e criteri di valutazione dell’apprendimento La prova orale consta in un colloquio orale basato sulla discussione di un caso clinico attraverso il quale lo studente potrà dimostrare di conoscere l’evoluzione della malattia e di essere in grado di saper individuare il corretto percorso diagnostico da attuare e le diverse strategie terapeutiche che concorrono alla gestione del paziente affetto da patologia oncologica ed ematologica.

Intervention areas of general palliative care, concept of early and integrated palliative care Evaluation and treatment of the prevailing symptoms and management of neoplastic cachexia Communication in complex situations Notions of pharmacology in palliative medicine and cancer patient support Implications in decision making in palliative care Role of supportive therapies in oncology.

Palliative care deals actively and globally (care) for patients affected by a disease that no longer responds to specific treatments (treatments) and whose direct consequence is death. The control of pain, other symptoms and psychological, social and spiritual aspects is of fundamental importance. The aim of palliative care is to achieve the best possible quality of life for patients and their families. Some palliative interventions are applicable even earlier in the course of the disease, in addition to cancer treatment. An extremely important turning point comes with Law no. 38 of March 15, 2010 "provisions to ensure access to palliative care and pain therapy". It is a law that clearly defines the cornerstones of palliative medicine by giving definitions on the meaning of: palliative care, pain therapy, sick, networks, residential care, home care, day hospice, specialist pain therapy assistance. WELL DIFFERENT is the concept of "supportive therapy" In fact, the objective of Supportive Care is to ensure that the antineoplastic therapies necessary for the active (curative and palliative) treatment of oncological diseases can be carried out with the best prevention and treatment of events adverse effects due to specific treatments, in order to ensure the psycho-physical well-being of the patient and greater adherence to treatment protocols both in terms of dose intensity and interval of administration. According to the Recommendations of the European Association for Palliative Care the term Supportive Care should not: be used as a synonym for Palliative Care since Supportive Care is part of Oncological Care, while Palliative Care is extending to all patients with poor prognosis and chronic. at the end of the course the student must: Integrate the approach to early palliative care into daily practice Recognize patient candidates for general and specialist palliative care Identify and treat the main symptoms of developmental diseases in the different phases (supportive therapies in oncology) Identify the complexity inherent in care situations, in order to interact effectively with specialists Discuss therapeutic strategies with industry experts.

A couple of texts will be provided during the course as reference

Mandatory

The student will be tasked by an oral exam with a minimum of 3 questions raised by the Professor