Editing Novel Therapies and Diagnostic Methods (Mediterranean Institute of Oncology)

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[[Glossary|Click here for a Glossary of terms used in this page]]

=== Screening: Cancer prevention and screening ===

'''Primary purpose:''' Provides specialized services for cancer prevention, screening, and diagnosis, among others. They outline available screening programs (lung, gynecologic, skin, and breast), with clear contact points for booking and information.

'''Contact information:''' [https://www.grupposamed.com/it/pillole-di-salute/50-il-tumore-al-seno Click here to access breast screening], [https://www.grupposamed.com/it/unita-operativa/160-dermatologia Click here to access skin screening], [https://www.grupposamed.com/it/unita-operativa/188-ginecologia-oncologica Click here to access gynecologyc screening] and [https://www.grupposamed.com/it/unita-operativa/243-pneumologia-oncologica Click here to access lung screening].

=== Diagnostics ===

{| class="wikitable"
! Radiology !!  !!  !! 
|-
| '''Type''' || '''Name''' || '''Availability''' || '''Uses per year'''
|-
| Machine || CT scanners || yes || 
|-
| Machine || slices per machine (CT) || yes || 
|-
| Machine || MRI (specify the strength and field of the techniques) || yes || 1.5 Tesla to high field
|-
| Machine || Mammography (please specify analogic mammography or digital) || yes/digital || 
|-
| Machine || Digitalised imaging (PACS) || yes || 
|-
| Machine || Digitalised imaging (RIS) || yes || 
|-
| Machine || Ultrasound || yes || 
|-
| Machine || Gamma Camera || yes || 
|-
| Technique || Stereostatic biopsy || yes || 
|-
| Technique || Ultrasound guided biopsy || yes || 
|-
| Technique || CT guided biopsis || yes || 
|-
| Technique || E/S Fine-needle biopsy || yes || 
|-
| Technique || Vacuum-assisted breast biopsy (VABB) || yes || 
|-
| Technique || Angiography || yes || 
|-
! Nuclear Medicine !!  !!  !! 
|-
| '''Type''' || '''Name''' || '''Availability''' || '''Uses per year'''
|-
| Machine || Pet Scan || yes || 
|-
| Machine || PET CT || yes || 
|-
| Facility || Radionuclide treatment facilities || yes || 
|-
| Machine || SPECT || yes || 
|-
| Machine || SPECT CT || yes || 
|-
| Technique || Sentinel node scintigraphy || yes || 
|-
| Technique || Bone scintigraphy || yes || 
|-
! Pathology !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availability''' || '''Uses per year'''
|-
| Facility || Cytology laboratory || yes || 
|-
| Facility || Histopathology laboratory || yes || 
|-
| Technique || FISH (Fluorescence In Situ Hybridization) || yes || 
|-
| Technique || PCR (Polymerase Chain Reaction) || yes || 
|-
| Technique || Cytometry || yes || 
|-
| Technique || Liquid biopsy || yes || 
|-
| Technique || Immunofluorescence techniques || yes || 
|-
| Technique || Histochemistry || yes || 
|-
| Technique || Techniques for molecular pathology || yes || 
|-
| Technique || Cytogenetics || yes || 
|-
! Pathology: Molecular Tests !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availability''' || '''Uses per year'''
|-
| Technique || KI-67 || yes || 
|-
| Technique || PDL1 || yes || 
|-
| Technique || PI3KCA || yes || 
|-
| Technique || KRAS || yes || 
|-
| Technique || BRAF || yes || 
|-
| Technique || RET || yes || 
|-
| Technique || MET || yes || 
|-
| Technique || EGFR || yes || 
|-
| Technique || ALK || yes || 
|-
| Technique || ROS || yes || 
|-
| Technique || HER2 status || yes || 
|-
| Technique || COMPREHENSIVE MOLECULAR PANELS || yes || 
|-
! Others !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availability''' || '''Uses per year'''
|-
| Technique || Bronchoscopy || yes || 
|-
| Technique || Colposcopy || yes || 
|-
| Technique || Colonoscopy || yes || 
|-
| Technique || Vulvoscopy || yes || 
|-
| Technique || Hysteroscopy || yes || 
|-
| Technique || Video dermatoscopy || yes || 
|}

=== Treatment ===

{| class="wikitable"
! Surgical Oncology !!  !!  !! 
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Specialist || Breast surgery || yes || 
|-
| Specialist || Urological surgery || yes || 
|-
| Specialist || Thoracic surgery || yes || 
|-
| Specialist || Digestive surgery || yes || 
|-
| Specialist || Neurosurgery || yes || 
|-
| Specialist || Gynaecological surgery || yes || 
|-
| Specialist || Head and neck surgery || yes || 
|-
| Specialist || Soft tissue surgery || yes || 
|-
| Specialist || Orthopaedic surgery || yes || 
|-
| Specialist || Oncoplastic surgery || yes || 
|-
| Specialist || ENT surgery || yes || 
|-
| Specialist || Sarcoma surgery || yes || 
|-
| Technique || Robotic surgery || yes || 
|-
| Technique || spinal decompression surgery for vertebral metastases || yes || 
|-
! Radiotherapy !!  !!  !! 
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Machine || Linear accelerators || yes || 
|-
| Machine || Linear accelerators with IMRT/VMAT || yes || 
|-
| Machine || Linear accelerators with IGRT || yes || 
|-
| Machine || Linear accelerators with SBRT/SRS || yes || 
|-
| Machine || Dedicated SRS units || yes || 
|-
| Technique || Stereotactic radiotherapy || yes || 
|-
| Technique || Thermal ablation (with radiofrequency or microwave) || yes || radiofrequency
|-
| Technique || 3D conformal radiotherapy || yes || 
|-
| Technique || Radiosurgery || yes || 
|-
| Technique || Adaptive radiotherapy || yes || 
|-
| Technique || Conventional simulation || yes || 
|-
| Technique || Virtual simulation for treatment planning || yes || 
|-
| Technique || CT planning || yes || 
|-
| Technique || PET CT treatment planning || yes || 
|-
! Hemato-Oncology / Bone Marrow Transplants !!  !!  !! 
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Transfusion Unit || yes || 
|-
| Facility || Bone marrow / stem cell bank || yes || 
|-
| Facility || Cellular therapy unit with GMP (Good Manufacturing Practice) || yes || 
|-
| Machine || Cytopheresis machine || yes || 
|-
| Technique || Quality Vigilance System || yes || 
|-
| Technique || Autologous bone marrow transplants || yes || 
|-
| Technique || Autologous stem cell transplants || yes || 
|-
! Specialists !!  !!  !! 
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Specialist || Physician with a specialisation in palliative care || yes || 
|-
| Specialist || Medical oncologist || yes || 
|-
| Specialist || Physician specialised in pain treatment || yes || 
|-
| Specialist || Neurologist || 1 || 
|-
| Specialist || Lung physician || 1 || 
|-
| Specialist || Radiotherapist || yes || 
|-
| Specialist || Psychologist or Psychotherapist || 2 || 
|-
| Specialist || Pharmacist || yes || 
|-
| Specialist || Social worker || yes || 
|-
| Specialist || Spiritual care || yes || 
|-
| Specialist || Physiotherapist || yes || 
|-
! Others !!  !!  !! 
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Technique || Rigid Bronchoscopy || yes || 
|-
| Facility || Clinical Trial Center || yes || 
|}

=== Prevention ===

{| class="wikitable"
! Quality of Life !!  !!  !! 
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Lung cancer screening program || yes || 
|-
| Facility || Breast cancer screening program || yes || 
|-
| Facility || Cervical cancer screening program || yes || 
|-
| Facility || Colorectal cancer screening program || yes || 
|}

=== Quality of Life ===

{| class="wikitable"
! Quality of Life !!  !!  !! 
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Supportive care unit || yes || 
|}
<span style="display:none">hasCancerType::C00-D48: All neoplasms</span>
<span style="display:none">hasCancerType::C00-C97: All cancer types</span>
<span style="display:none">hasCancerType::C00-C14: Mouth/throat cancers</span>
<span style="display:none">hasCancerType::C15-C26: Digestive system cancers</span>
<span style="display:none">hasCancerType::C30-C39: Lung/chest cancers</span>
<span style="display:none">hasCancerType::C40-C41: Bone cancers</span>
<span style="display:none">hasCancerType::C43-C44: Skin cancers/melanoma</span>
<span style="display:none">hasCancerType::C45-C49: Soft tissue cancer</span>
<span style="display:none">hasCancerType::C50: Breast cancer</span>
<span style="display:none">hasCancerType::C51-C58: Female genitalia cancers</span>
<span style="display:none">hasCancerType::C60-C63: Male genitalia cancer</span>
<span style="display:none">hasCancerType::C64-C68: Urinary system cancers</span>
<span style="display:none">hasCancerType::C69-C72: Eye and brain cancer</span>
<span style="display:none">hasCancerType::C73-C75: Thyroid and other gland cancers</span>
<span style="display:none">hasCancerType::C76-C80: Cancers of unknown or unspecified areas</span>
<span style="display:none">hasCancerType::C81-C96: Cancers of the blood and immune system</span>
<span style="display:none">hasCancerType::C97-C97: Cancers in multiple locations from the start</span>
<span style="display:none">hasCancerType::D00-D09: Early-stage cancers not yet spread</span>
<span style="display:none">hasCancerType::D10-D36: Benign tumour</span>
<span style="display:none">hasCancerType::D37-D48: Growths of uncertain nature</span>
<span style="display:none">hasCancerType::unknown</span>
<span style="display:none">isScreening</span>