Hyperspecialization at the service of neoplasies.

Anatomy of a phenomena

dr.ssa Aurora Mirabile
Article by Aurora Mirabile
Oncologist specialised in head and neck tumours
San Raffaele Hospital in Milano

The treatment of tumours increasingly requires  the in-depth involvement of various specialists  to optimise the effectiveness of the therapyalso through the use of innovative technologies and drugs.

However, not all doctors have the same preparation and experience to deal correctly with all neoplasms, even if they are aware of their causes and histological characteristics.

Multidisciplinary Team OncologyTo ensure the best management of pathologies that cancer patients face, especially with the rare ones, we must consider involving the help of ultraspecialists.

Hospitals that intend to propose high therapeutic standards must be able to rely on specialists dedicated solely or at least mainly to a single oncological pathology and provide them with the latest drugs and machinery, as well as the possibility of working in a multidisciplinary way to share and agree on the best therapy and assistance.

For this reason, specialists must also be actively participate in a national and international network, allowing them to compete globally whilst keeping themselves up do date at an in-dend to update themselves in a continuous and in-depth manner.

For this reason, the specialists must also actively participate in a national and international network, which allows them to compare themselves at a global level and to update themselves continuously and extensively.

Examples are the tumours of the head and neck (or cervico-facial) division, the management of which is among the most complex in the oncological world.

These rare neoplasms, because of their location and the limited available space for growth, often present early symptoms that can be confused, for those without extensive experience, with more frequent but less serious diseases whose different diagnosis results in a dramatic lengthening of the treatment irreparably compromising the prognosis and quality of life of the patient.

Therefore, to achieve the desired results without losing the opportunity to care for and even heal, it is essential to have prompt, attentive and conscious management by dedicated specialists, willing to work regularly in a team, in a close-knit and complementary way, as for example happens at the San Raffaele Hospital in Milan (Italy). Here, in fact, a multidisciplinary team made up of specialists dedicated to the pathology * works daily to optimise the management of cancer patients. The team is composed of otolaryngologist surgeons or ENT, oncologists, radiotherapists, radiologists, nuclear physicians and anatomopathologists dedicated to the pathology, as well as psychologists, nutritionists, immunologists, wound care, endocrinologists and pain therapists.

Thanks to the willingness of these ultraspecialist doctors to work together to take care of the patient and share his problems and real needs, it is possible to have a global vision of the patient’s case and implement a precise and careful management of the clinical, physiological and functional aspects in compliance with national and international guidelines and in compliance with the most updated protocols.

*Referred to tumours of the cervical-facial division

Dr. Aurora Mirabile

Oncologist at the San Raffaele Hospital in Milano

Oncologist at the Experimental Oncology Division of the San Raffaele Hospital in Milan. Doctor Mirabile performs clinical and research activities on Head-Neck Tumours with a focus in the study of new pharmaceutical drugs with a biological and immunotherapeutic effect. In addition, she is engaged in the study of support therapies that enable personalised management of side effects and cancer related symptoms, while safeguarding the patient’s quality of life as much as possible.