RADIATION ONCOLOGY II – MODERN APPLICATIONS OF RADIOTHERAPY

Course Code:

7221-7222

Semester:

7th Semester - Division – Sector “Radiology and Radiotherapy”

Specialization Category:

SC

Course Hours:

7

ECTS:

7


On completion of the course the student will be able to: 

  • know the basics of medical oncology
  • know the purpose of the applied radiotherapy treatment
  • know the routes of tumor spread and how to apply treatment for palliation or therapy
  • know in depth the particular issues relating to modern radiotherapy treatments in order to participate safely and effectively in treatment application and research

Hospital Placement

The aim is for the student to understand, familiarize and practice teletherapy treatment planning as well as to understand the extended role of the radiotherapy technologist, their responsibilities and duties.
The student familiarizes with Radiotherapy techniques which are evolving very fast recently offering new solutions and treatments for oncology patients, like, Proton therapy, Stereotactc Radiosurgery, Intensity Modulated Radiation Therapy, Cyberknife, VMAT and Tomotherapy

SYLLABUS

THEORY

  • 1. Modern Radiotherapy Techniques. Proton therapy, Stereotactc Radiosurgery, Intensity Modulated Radiation Therapy, Cyberknife, VMAT and Tomotherapy .
    2. Breast cancer: introduction, anatomy, epidemiology, etiopathogenesis, prevention,
    biology and spread, clinical presentation, staging, carcinomas with specific clinical picture. diagnosis, self-examination, medical examination, mammography, other medical diagnostic procedures
    3. Breast cancer: treatment, radiotherapy, radiotherapeutic techniques, treatment of metastasis, prognosis.
    4. Malignant tumors of the digestive system: introduction, pathology (oesophagus, stomach, small intestine, colon, rectal tube), oesophageal cancer (epidemiology, etiopathogenesis, natural history, symptoms, diagnosis, staging, treatment, radiotherapy techniques, side effects, brachytherapy, prediction).
    5. Gastric cancer (epidemiology, etiopathogenesis, clinical picture, diagnosis, staging, treatment, radiotherapy, prognosis)
    6. Colorectal cancer (epidemiology, etiopathogenesis, clinical presentation, diagnosis, staging, treatment, surgical radiotherapy, chemotherapy), treatment of rectal cancer (surgery, radiotherapy, combined treatments), prognosis of rectal cancer.
    7. Anal cancer (introduction, treatment, prognosis). Pancreatic cancer (epidemiology, etiopathogenesis, natural history, pathologoanatomy, symptoms, diagnosis, staging, treatment, prognosis), malignant neoplasms of the liver, malignant neoplasms of the gallbladder and extrahepatic bile ducts.
    8. Malignant neoplasms of the urinary system- kidney tumors: epidemiology, etiology, tumors in adults (regional lymph nodes, clinical symptoms-diagnosis, paraneoplastic syndromes, treatment, side effects, prognosis). Cancer of the ureter, cancer of the urethra, cancer of the urethra in female, radiotherapy.
    9. Bladder cancer: epidemiology, evolution, classification by clinical stage, symptoms, diagnosis, treatment methods (interstitial radiotherapy, intraoperative radiotherapy with electrons. External beam radiotherapy, bladder detection, radiotherapy planning. Preoperative radiotherapy, postoperative radiotherapy, salvation cystectomy following relapse after radiation therapy, long-term radiotherapy side effects, hyperfractionation protocols of dose, prognosis, conclusions).
    10. Malignant neoplasms of the female reproductive system: malignant neoplasm of
    vulva (preoperative radiotherapy, postoperative radiotherapy), cancer of the vagina (natural history of disease, clinical presentation, diagnosis and staging, histological grading, treatment, radiotherapeutic techniques, therapeutic results)
    11. Cervical cancer: epidemiology, histological classification, natural history of disease, local spread, vertical spread, horizontal spread, anteroposterior spread, lymphatic spread, metastatic spread, diagnosis, diagnosis of sub clinical cancers, diagnosis of clinical picture, diagnosis of advanced cancer, specific clinical picture, gynaecological exams, treatment (surgery, radiotherapy, external beam radiotherapy, brachytherapy, chemotherapy, general treatment recommendations), follow-up, results, complications.
    12. Cancer of the uterine body: introduction, epidemiology, histopathologoanatomy
    classification, natural history of disease, symptoms, physical examination, complementary tests, treatment (surgical, radiotherapeutic techniques), treatment complications, therapeutic suggestions.
    HOSPITAL PLACEMENT
    Treatment Planning in teleradiotherapy of malignant tumors of:
  • Urinary bladder
  • Malignant tumors of the female genital tract
  • Prostate cancer
  • Malignant neoplasms of the penis and testis
  • Malignant skin neoplasms
  • Childhood malignancies
  • Lymphomas Hodgkin and non-Hodgkin
  • Metastatic disease