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Page 18
April 15-16, 2019 | Milan, Italy
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
YEARS
GlobalWomen Health 2019 Research and Reports in Gynecology and Obstetrics | ISSN: 2591-7366 | Volume 3
BREAST CANCER,
GYNECOLOGY ANDWOMEN HEALTH
2nd World Congress on
HIGH RATE OF BREAST CANCER IN CATANIA: OUR EXPERIENCE
Marta Noemi Monari 1, C Belgiovine1,2, L Paravizzini3, L Gullotti3, G Falzone3 and F Zangrandi1
1 Humanitas Clinical and Research Center-IRCCS, Italy
2 Università degli Studi di Pavia, Italy
3 Humanitas Centro Catanese di Oncologia, Italy
B reast cancer is the most common tumor in female; only in 2017 about 52.300 women fell it in Italy. This is
a multifactorial pathology; it is a sporadic disease in the majority of the cases and it does not any kind of
hereditary genes transmission, but sometimes, around 10%it could be hereditary, in particular for BRCA1-2,
p53, PTEN, STK11, CDH1, PALB2, CHEK2, BARD1, BRIP1, NBN etc. Only in Sicily, 3.027 new cases every year are
registered for this tumor with an incidence of 117 cases on 100.000 women and the two cities with the high-
est rate of this illness are Catania and Caltanissetta. After diagnosis, performed by histological analysis, the
patients meet the Oncologic Genetic Counselling (OGC), where the oncologists end geneticist analyzed the
clinical history of the patients and, on the bases of literature guidelines, decide if do or not the next generation
sequencing (NGS) test, a second level test, before therapy. In 5 months the OGC of Hospital Centro Catanese
di Oncology (CCO), decided to performed 48 NGS test in men and women. The aim of this study is to verify the
accuracy of our enrolment, whether the percentage of the mutated gene in our samples is in line with the data
present in literature. Between 48 patients suspected for a hereditary breast cancer, 2 are men and 46 women
with a median age of 44, 08 (26-75 years). We have registered 75% of positive cases between men (37 years
old and 65 years old both BRCA2+) and 27% between women (30,5 median age for BRCA1+, 48,01 median
age for BRCA2+, 39 years old for family gene note mutation, and 34 years old for CHEK2). The total positivity
for the test is 29, 16% and is very high compared to the Italian and world incidence. These results supported
and confirmed the optimal skimming operated by physician and could help our EUSOMA (European Society of
Breast Cancer Specialist) unit to understand the genetic bases of high rate of breast cancer in Sicily to amelio-
rate direct screening and treatment. The application of quality indicators is essential to improve organization,
performance and outcome in breast care. Efficacy and compliance have to be constantly monitored to evaluate
the quality of patient care and to allow appropriate corrective actions leading to improvements in patient care.
Marta Noemi Monari et al., Res Rep Gynaecol Obstet 2019, Volume 3 | DOI: 10.4066/2591-7366-C2-005
Marta Noemi Monari is a Biologist specialized in microbiology and virology with a II level master in virology, and a Diploma en
Genética Médica. She is the contract professor in two different Italian Univeristies: Humanitas Milano and Insubra Varese. She had
worked as Director of clinical laboratory. Currently, she is the Clinical and Technical Coordinator of laboratories of Humanitas Hospi-
tal group since 2018; it is a group of 10 laboratories up 8 Medical Laboratories of exams, divided in all laboratory specialities.
BIOGRAPHY