Gynecologic Oncology and Hereditary Tumors.

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Description

The Division of Gynecologic Oncology and Hereditary Tumors specializes in the diagnosis and treatment of gynecologic cancers and works in close synergy with the Breast Surgery and with the Center for Ovarian Tumors of the Institute.

The team also has specific expertise in the management of hereditary female cancers, which can affect the breast and pelvis(ovaries, cervix, endometrium, vagina and vulva).

For women who have a high genetic risk of developing gynecologic cancers, the Division offers dedicated pathways that include oncogenetic counseling visits, conducted in collaboration with genetic specialists, aimed at assessing cancer risk and possibly prescribing genetic testing for mutations. Customized surveillance and prevention programs and possible prophylactic surgery are also provided.

Clinical-instrumental diagnostic services

Level II transvaginal ultrasound
Colposcopy, vulvoscopy
PAP test and HPV test
Targeted biopsies

Outpatient services

Examinations for patients with suspected or established oncological pathology of the female breast and pelvis
Oncogenetic counseling visits, including:
- Cancer risk assessment and possible direct prescription of genetic testing for BRCA1/2 mutations;
- Genetic counseling for patients with other suspected heredo-familial disorders (e.g. Lynch Syndrome).
Intake visits of healthy women or patients with hereditary breast or ovarian cancer syndrome and Lynch syndrome, with provision of the following services:
- breast examination;
- gynecological examination;
- Transvaginal ultrasonography;
- counseling on reproduction, surveillance, prevention, chemoprevention, and prophylactic surgery, with provision and scheduling of prophylactic breast and gynecologic surgery;
- scheduling of instrumental examinations (mammography, bilateral breast ultrasound, breast MRI with contrast medium), psychological counseling and consultations with other specialists (urologist, gastroenterologist, dermatologist, etc.).

Surgical services

Oncologic senology: oncoplastic conservative surgery; mastectomy with reconstruction for breast cancer;
Preventive senology: prophylactic mastectomy with reconstruction for high genetic risk;
Gynecologic oncology: open, laparoscopic, and robotic surgery for gynecologic cancers;
Preventive gynecology: excision of lower vaginal tract lesions, resectoscopic excision of endouterine lesions, adnexiectomy and/or prophylactic hysterectomy for high genetic risk.