GYNECOLOGICAL ONCOLOGY
- Overview
- Assessment methods
- Learning objectives
- Contents
- Full programme
- Bibliography
- Delivery method
- Teaching methods
- Contacts/Info
Knowledge related to the preparatory courses according with the institutuional schedules. Specifically, knowledge of the human anatomy of the female pelvis as well as the physiology of female reproductive organs is considered mandatory.
An oral exam will be scheduled at the end of the course.
The exam includes a minimum of two open questions related to the topics covered during the course. Maximum duration of the test: 30 minutes.
-To explore and understand the life cycle of women, including the effects of growth, development and aging on the cancer development.
-To determine the main risk factors influencing the onset of malignant gynecological diseases.
-To learn the characteristics, the mechanisms of action and the indications of use of drugs; to become confident with the main non-pharmacological therapeutic interventions (behavioral, surgical) for the treatment of the gynecological cancers, as well as the main instrumental diagnostic interventions necessary to a correct classification of the various pathologies.
- Knowing how to discuss the totality of clinical problems and address the therapeutic diagnostic process considering the centrality of the patient, according with the most recent evidence-based literature.
- To understand the proper method of medical history collection, including the various aspects of lifestyles affecting the development of gynecological cancers.
To acquire the knowledge for a first-level clinical assessment in gynecological oncology.
- To learn how to communicate with patients wit advanced h advanced oncological diseases and / or with poor prognosis.
- To recognize the conditions and pathologies representing a potentially life-threating events for patients with a gynecological cancer.
- To discuss the various gynecological oncologogical problems in a multidisciplinary framework, involving medical and surgical specialties.
- Knowledge and promotion of the strategies for the prevention of sexually transmitted diseases, implementing screening and early diagnosis interventions.
-To use and correctly interpret epidemiological and demographic data from national or international surveillance registers. Moreover, to demonstrate knowledge of the methodological foundations for a correct approach to scientific research in the medical field.
- To become confident with new technological equipment to improve the clinical and surgical practice related to the most common gynecological diseases.
- Epidemiology of gynecological neoplasms.
- Anti papilloma virus screening and vaccination methods
- Cervical cancer: natural history; aetiology; risk factors; cervical preneoplastic lesions; screening methods. Staging and treatment of invasive forms.
- Endometrial cancer: risk factors; endometrial hyperplasia; clinical history; diagnostic methods; staging and treatment.
- Ovarian cancers: risk factors; clinical history; diagnosis; validity and limits of ultrasound screening; staging and treatment.
- Malignant tumors of the vagina and vulva: clinical history; precancerous lesions, diagnosis. Staging and treatment of invasive forms.
- Basic knowledge of chemotherapy and radiotherapy
-Epidemiology of gynecological neoplasms (sources, data analysis)
- Anti papilloma virus screening and vaccination methods (Subtypes, mechanism of action)
- Cervical cancer: natural history; aetiology; risk factors; cervical preneoplastic lesions; screening methods. Staging (ultrasound and magnetic resonance) and treatment of invasive forms (Different types of radical hysterectomy, classification of the different surgeries, surgical approaches, sentinel node biopsy). Fertility sparing approaches and effects on future pregnancies. Chemoterapy and radiotherapy.
- Endometrial cancer: risk factors; endometrial hyperplasia; histological types; clinical history; diagnostic methods (Ultrasound, CT scan, Magnetic Resonance, Hysteroscopy); staging (FIGO and TNM) and treatment (Hysterectomy, pelvic and para-aortic lymphadenectomy, Sentinel Lymph node biopsy). Fertility sparing treatment; medical treatment and chemotherapy
- Ovarian cancers: risk factors; clinical history; histological diagnosis; validity and limits of ultrasound screening; staging (Ultrasound, TC Scan, PET TC, laparoscopy) and treatment (Hysterectomy, Salpingo-ophorectomy, omentectomy, appendectomy, pelvic and para-aortic lymphadenectomy, debulking), sentinel lymph node biopsy. Chemoteraphy for epithelial and non epithelial cancers
-Malignant tumors of the vagina and vulva: clinical history; precancerous lesions, diagnosis (colposcopy, vulvoscopy, biopsies). Staging (FIGO and TNM) and treatment of invasive forms (Vulvectomy, inguinal lymphadenectomy, reconstructive surgery).
- Indications, limits and complications of chemotherapy and radiotherapy treatment
Pescetto - De Cecco - Pecorari – Ragni (V Edizione)
The course will be held through lectures, with presentation of slides and videos. Different experts will participate to the lessons to cover some specific topics.
It will be possible to attend the gynecologic oncologic department and the operative theatre (subject to a formal request from the student via email addressed to the Director of the Gynecology and Obstetrics departmentl) to explore specific diagnostic and surgical aspects in obstetrics and gynecology.