The Center Senology company USL 2 Lucca remains firmly in place and, indeed, continues to provide increasingly stronger in terms of skills and new technology acquisitions. He stated this morning (May 18) the director general of ASL 2 Joseph Polimeni, who spoke with the medical director at the head of the company Lorenzo Roti path breast Aroldo Marconi, the head of epidemiology and screening Daniela Giorgi and other directors interested in path, the doctors Daniela Giorgi, Edith Baldini, Marco Pellegrini, Enrica Ercolini, Marcello Mignogna, Claudio Sabò, Ivano and Maci Patrizia Scarsini and plastic surgeon Andrea Morelli.
“We want to reassure all women, Lucca and not – said Polimeni – because there will be no dismantling of the center. The latter includes a series of high profile professional and continues to adopt advanced technologies: we nominate to be a point of reference in optical wide area, that is, when the three local health authorities will be unified. ” It ‘just that, indeed, the fear that has tarnished the certainties of many patients: “The fact that a company will be born only – continues the director general – does not mean that the services will be moved. The clinical coordinator of the three facilities will collect data it needs, will not come to dictate a line “.
The experts recall how the breast center has embarked on a path that moves from a distance: this is the second structure in Tuscany to have adopted the technique of sentinel node and one of the first centers in Italy as regards micro histology of the breast, with a level of reliability of the test that is placed on encouraging result of 98.7 percent. Not only that the center is among the top positions in Europe on the actions of radiotherapy focused and, unlike the other USL, has an organic plastic surgeon.
The gradual establishment of a Breast Unit (now over-company in the future the company) also allows you to network with hospitals of Massa and Viareggio. The stage of prevention to that of rehabilitation, through the diagnosis and not only, the path is as complete as possible, provide the doctors present. “It is a perfect car – explained Dr. Aroldo Marconi, head of the path of the Breast – who needed a greater number of users to open and operate stably. Also here is the need for the meeting of the USL. If there We expect more access? For now it is enough that women who have come to us are satisfied that we do not get anywhere. But yes, I believe in showing that our numbers will increase. ” In 2014, to get an idea, were 169 new cases treated by the Centre (150 cases represent the minimum threshold for certification): this number must be added the interventions made on patients repeat offenders and those for benign disease. Other data: Dr. Andrea Morelli (plastic surgeon) recalls that the postoperative complications have been filed in the order of 1-2 percent and unexpected waiting time for an operation, thanks to the brilliant work of all departments, beginning with the screening, have been drastically reduced.
“The situation does not change – says Roti – indeed evolves, improves. Lucca will become probably the operational headquarters for the basin of Viareggio and continue to carry out its tasks . This kind of communication is important: no unfounded alarmism, in short. “
training, computerization, purchase of advanced technology: these are the main ingredients of a recipe, Polimeni and his say it covertly, will represent the ‘ as also for the surrounding areas.
With the end of April 2015 concluded a complex training program that allowed you to connect the machine to the tomotherapy – the first case in Europe – the network system of radiotherapy Mosaiq , for which this device is inserted in the network system of the reference structure, with the advantage of being able to manage this way a whole range of information, starting from those registries to the administrative and statistical reports, but especially increases the reliability in terms of clinical risk. In addition, the staff has been trained in the use of radiation therapy for further technological support particularly innovative.
Thanks to the progressive establishment of the Breast Unit area northwest professionals arise also aims to provide a method that was of great importance It has been launched in recent years at an experimental level just within the company USL 2: APBI (interstitial perioperative radiotherapy after conservative therapy of breast cancer). This method, which sees close cooperation between radiotherapists, oncologists and surgeons, allows radiotherapy focused on the operating table in the days following allintervento, with important benefits for patients.
These important changes, related to a phase of further implementation technological, confirm that the path of the breast and the areas that are part of it are in constant development and will be valued Nellambito of the new organization that provides a single management among health agencies of Lucca, Viareggio and Massa Carrara, with shifts of clinical coordinators ( the first year Dr. Duilio Francesconi of Viareggio, the second Dr. Aroldo Marconi di Lucca).
The Region of Tuscany has also initiated a process of training regional breast centers to accompany the Breast Unit certification Eusoma . This process is coordinated by Professor Cataliotti, who will perform together with the regional group a site visit to the Health Services 2 breast imaging center on May 28.
Meanwhile, the association Sciortino, having funded a scholarship concerning strategies Support group (preferable to the classic individual aid), has granted to another 14 thousand euro, to address another facet of the topic.
Other details that make the difference: the center for breast imaging diagnostic images, which once welcomed only women between 50 and 60 years, now includes all age groups. In Lucca are all activities of the course, which includes several functions, which necessarily involve a multidisciplinary and multi-professional integration and registered a case study among the best nationally. Are present here all the professionalism and expertise gained in breast imaging to follow adequately from prevention (screening) to the rehabilitation, women with breast disease.
The path – he coordinated by the Medical Director the structure of general surgery of Lucca Aroldo Marconi – was recently approved in Lucca as Breast Unit, that is as multidisciplinary breast center totally dedicated to the diagnosis and treatment of breast cancer, in order to manage in an increasingly integrated the problems associated with this cancer among the most popular.
In the past month of October the company health Lucca – on the basis of regional resolution 272 of 2014 for the reorganization of the Surgical Oncology Network Tuscany (where addresses are provided to health districts for the constitution Network of breast centers) – it found it appropriate to recognize the Breast Center, whose objectives precisely the improvement of operational procedures and ladozione shared and interventions based on scientific evidence, the promotion of information and communication initiatives aimed at patients and citizenship, the promotion of training activities aimed at all professionals involved.
The company USL 2 Lucca shows the excellent results achieved in recent years thanks to the work of the team and especially the future prospects of this care pathway which necessarily involve a multidisciplinary and multi-professional integration.
Thanks to this path a woman suffering from the disease will be continuously monitored by specialists companys health, ranging from screening to the study of risk factors, the preoperative diagnosis quote -microistologia the minimally invasive treatment under local anesthesia ( day surgery ), the technique of sentinel lymph node to intraoperative radiotherapy, the possibility of plastic reconstruction alleventuale therapy and cancer control, to the physiotherapy and psychological care. In recent years we were also acquired the latest technology for the treatment of cancers such as tomotherapy and pet-tac, not to mention the linear accelerator installed at the San Luca, one of the most innovative nationwide. Lucca is also one of the first European centers for the needle aspiration of lymph nodes clinically free.
The many experts who contribute to the path integrated diagnostic and treatment, which can then be further developed and enhanced, are also constantly present inside the ‘company USL 2. This important activity is supported by voluntary associations that deal with these issues, in particular by the Silvana Sciortino, which plays a vital role in supporting and promoting prevention activities and relationship with people.
Paul Lazzari
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