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SCIENTIFIC REPORT 2010 - 2011 - IOV

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Peritoneal Carcinomatosis Melanoma and Soft Tissue Tumors Unit, Clinical Oncology1, Radiotherapy and Nuclear Medicine, Radiology - <strong>IOV</strong><br />

Clinical Surgery II - University Hospital of Padua<br />

Tumors of the Urinary<br />

System and Male genital<br />

organs<br />

Family Cancer Clinics<br />

Medical Oncology I, Radiotherapy and Nuclear Medicine, Radiology - <strong>IOV</strong><br />

Urology, Pathology, Cryopreservation of Male Gametes - Department of Medical and Surgical Sciences - University<br />

Hospital of Padua<br />

Pancreatic tumors Clinical Oncology 1, Radiology - <strong>IOV</strong><br />

Clinical Surgery I & II - University Hospital of Padua<br />

Pediatric Soft tissue<br />

sarcomas and Pediatric<br />

brain tumors<br />

Radiotherapy and Nuclear Medicine, Clinical Oncology 1, Anesthesiology - <strong>IOV</strong><br />

Pediatric Hematology-Oncology Unit - University Hospital of Padua<br />

The interest in heredo-familial tumors originated in the late<br />

’90s, much before the birth of <strong>IOV</strong>, thanks to the illuminated<br />

idea of a group of researchers of the Department of Oncology and<br />

Surgical Sciences of the University of Padua (Emma D’Andrea,<br />

Marco Montagna, Chiara Menin), who subsequently joined the<br />

<strong>IOV</strong>. At the beginning, the interest was centered on breast and<br />

ovary tumors, where inheritable alterations of the BRCA1-2<br />

genes had been first documented. Later on, the attention was<br />

extended to heredo-familial melanoma, and a further drive was<br />

given when an academic endocrinologist (Giuseppe Opocher)<br />

with a strong interest and expertise in inheritable neuroendocrine<br />

tumors joined the <strong>IOV</strong>. At that time (2009) an operative Unit<br />

was founded, denominated “Family Cancer Clinics”. This Unit,<br />

coordinated by Professor Opocher, collects the entire expertise on<br />

the field of heredo-familial tumors expressed within the Institute<br />

(and partly outside, as we shall see later). The Family Cancer<br />

Clinics structure has the responsibility for managing the afflux<br />

of patients to the structures where specific genetic testing and<br />

counseling is performed, organizing blood sampling for genetic<br />

CLINICAL ACTIVITY ORGANIZATION - CHIEF MEDICAL OFFICER <strong>REPORT</strong><br />

30<br />

tests, distributing these samples to the concerned laboratories,<br />

and collecting results for further contacts with the patients. Even<br />

though the interest in heredo-familial cancers is widespread<br />

among Italian IRCCS, the <strong>IOV</strong> Family Cancer Clinics is the sole<br />

structure collecting in a single operating unit the management of<br />

these conditions, thus contributing to increase the critical mass<br />

in the field. In addition, the Family Cancer Clinics works in<br />

strict contact and collaboration with a research group dedicated<br />

to the study of heredo-familial colorectal cancer. This surgical<br />

group, wich operates at the University of Padova-Padova General<br />

Hospital under the direction of Professor Donato Nitti, over<br />

the last 10 years has focused his interest on these neoplasms; its<br />

activity entails counseling, genetic testing, and most importantly a<br />

certified tissue bank which has collected over the years more than<br />

20,000 biological samples from about 2,000 patients. It is a firm<br />

auspice and hope of the Scientific Direction of the <strong>IOV</strong> that these<br />

structures could soon converge into a single inter-institutional<br />

Unit, where the critical mass, the mechanistic knowledge, and the<br />

quality of assistance could undergo a terrific growth.

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