ONCOLOGICAL, SURGICAL AND GASTROENTERIC PATHOLOGIES

Module ONCOLOGIA MEDICA

LEARNING AIMS

Knowledge and Understanding:
The aim of the course is to provide students with the fundamental concepts of epidemiology and prevention of neoplastic diseases and to enable them to describe the main mechanisms of cancer pathogenesis and identify the most appropriate clinical pathway for the management of oncology patients.

Applying Knowledge and Understanding:
Students will also be expected to develop a sound understanding of the methods used to assess the nutritional status of oncology patients, in order to identify the onset of malnutrition or cancer-related cachexia.

Making Judgements:
Particular emphasis will be placed on defining the clinical pathways that distinguish patients who can continue enteral nutrition from those for whom parenteral nutrition should be considered. In addition, strategies for the management of chemotherapy-induced nausea and vomiting associated with conventional anticancer treatments will be discussed. Students should be able to collect and interpret clinical and nutritional data from oncology patients in order to contribute to the assessment of nutritional status and the identification of major risk factors for malnutrition and related complications.

Communication Skills:
Students should be able to communicate clearly and effectively information regarding the nutritional aspects of oncological diseases to patients, caregivers, and healthcare professionals, using language appropriate to the context.

CLASS ORGANIZATION

Epidemiology and Tumor Biology

·            Oncogenes, Tumor Suppressor Genes

·            Stochastic Cancerogenesis and basic Knowledge of Cancer Stem Cells

Diet and Cancer Prevention

·            Eating Risk Factors for the Most Common Forms of Cancer

·            Correct Diet and Cancer Prevention

Diet Management in Cancer Patients

·            Cancer Patients and Malnutrition Risk: physiopathology, metabolic alterations and chemotherapy effects

·            Nutritional Status Evaluation in Cancer Patients

Nutrition Principles During and After Cancer Treatments

·            Nausea and Vomiting Induced by Conventional Chemotherapeutic Drugs [CINV]

·            Enteral Nutrition

·            Parenteral Nutrition

·            Artificial Nutrition in Cancer Outpatients

SUGGESTED TEXTBOOKS

1.     Linee Guida AIOM-SINPE per la Nutrizione nel Paziente Oncologico - 2016 - AIOM-SINPE<,  Linee Guida European Society for Clinical Nutrition and Metabolism (ESPEN) 

2.     Linee d'Indirizzo Percorsi Nutrizionali nel Paziente Oncologico - 2017 - Ministero dello Salute

3.     Nutrition in Cancer Care - 2017 - National Cancer Institute

Indicate the drug, among those listed below, with the greatest emetizing power:

a] Adriamycin

b] Dacarbazine

c] Cisplatin

d] Paclitaxel