Universitat Internacional de Catalunya - BarcelonaClinical Oncology
Main language of instruction: Catalan
Head instructor
Lc. Xavier GONZÁLEZ - xgonzalez@uic.es
Office hours
Dr. Jorid Remon, CIOCC-Barcelona – HM Delfos (jremon@hmhospitales.com)
The subject Medical Oncology aims to acquire the theoretical knowledge and attitudes necessary for the diagnosis and management of oncological diseases.
There are 3'5 ECTS assigned, with the following distribution:
Master Class: 6pm
Case method: 14 h
ABP: 4 h
LH: 4h
A. Virtual: 2h
Previous competence is recommended in subjects of previous courses such as:
- Cell biology
- Molecular biology
- Pathology
- Semiology and physiopathogeny
- Surgical Physiopathology
The general educational objectives will be:
Indicate and interpret the complementary tests for diagnosis and extension workout of the different tumors
Indicate the procedure for early detection and screening
Indicate the diagnosis procedures of the tumors in front of the symptoms and signs of alarm
Management of the most frequent symptoms of oncological disease
Knowledge of the mechanisms of oncogenesis and cancer progression
Knowledge of tumor extension and staging
Knowledgeof the available strategies for the treatment of the main tumors
Knowledge of the complications of treatment
Detection of emergency situations in oncological patients and immediate therapeutic orientation.
LECTURES
Topic 1. General concepts / Biological characteristics of tumors. Dr. Jordi Remon
• Concept of Medical Oncology
• Epidemiological considerations about the disease:
- Etiological factors
- Risk factors
• Conceptualization of neoplastic as a systemic disease
Memory of the cell cycle and its regulatory mechanisms:
• Dysregulation of the cell cycle in cancer
• Cell kinetics and tumor growth
• Contribution of the processes of angiogenesis
• Biology of metastases
• Factors that stimulate and limit tumor growth
• Mechanisms of the hormonal response
Topics 2 and 3. Fundamentals of cancer treatment. Dr. Jordi Remon
• General principles of treatment: surgery, systemic treatment and radiotherapy
• Drugs used in Oncology: Cytostatics, Hormone Therapy, Biological Therapies and Immunotherapy
Topic 4. Neoplasm of Unknown Origin.
• Diagnostic approach
• Tests to be performed
• Type of treatment
Topic 5: Lung Cancer Dr. Jordi Remon
• Non-small cell lung cancer
· Stratification
· Therapeutic indications
· Treatment of locally advanced disease
· Treatment of disseminated disease
• Small cell lung cancer
Topic 6. Digestive Tumors.
- Esophageal cancer
- Stomach cancer
- Pancreatic cancer
- Colon and rectal cancer
Topic 7. Gynecological tumors.
- Ovarian cancer
- Cervical cancer
- Uterine cancer
Topic 8. Head and neck tumors.
Topic 9: Genetic counseling and hereditary cancer. Dra. Judith Balmaña
Topic 10. Urological tumors
- Testicular cancer
- Prostate cancer
- Bladder cancer
- Kidney cancer
Topic 11. Breast cancer. Dr. Xavier Gonzàlez
- Adjuvant and neoadjuvant
- Disseminated disease
Topic 12: Melanoma. Dr. Xavier Gonzàlez
CASE METHODS
Case Method 1: Clinical Trial as a Therapeutic and Advancement Tool in Oncology. Evaluation of response to different treatments. Dr. Jordi Remon
Case method 2: Oncology emergencies
Case Method 3: Paraneoplastic syndromes and brain tumors. Dr. Xavier Gonzàlez
Case Method 4: Diagnostic Imaging in Oncology. Dra. Paloma Puyalto
Case Method 5: Decision making in oncology. Dr. Jordi Remon
Case method 6: Diagnostic aspects and prevention.
Case Method 7: Genetic Counseling in Oncology. Dra. Judith Balmaña
PROBLEM-BASED LEARNING
ABP.- Case of lung cancer. Dr. Jordi Remon
ABP.- Case of colon cancer.
SKILLS LABORATORY
A two-hour seminar will be held on "The development of diagnostic guidelines for the semiology of suspicion." It will be developed in 5 groups of 25 students each group.
Objectives:
• Recognize through physical examination the existence of major tumors and their complications, oriented to their natural history
• Decide which physical examinations, laboratory tests, and imaging tests are necessary to rule out or confirm the diagnostic suspicion.
• Establish the gradation of tests to be performed depending on their positive or negative result.
• Consider the discomfort and risks that each diagnostic test may produce to patients.
• Learn to obtain informed consent from those tests that require it.
• Learn to properly inform the patient and family
Abilities:
• Learn the physical examination of a Breast Neoplasm
• Learn the physical examination of a Prostate Neoplasm
• Learn to properly inform the patient and family
• Role-Playing on the information process
Evaluation
• Attendance is MANDATORY
The practical contents will constitute 5% of the final mark.
Virtual teaching
• Interesting article on one of the most common tumors (breast, lung, colorectal and prostate) and will be assessed in the form of questions in the final exam