Unit SYSTEMIC PATHOLOGY V

Course
Medicine and surgery
Study-unit Code
GP004561
Location
PERUGIA
Curriculum
In all curricula
CFU
12
Course Regulation
Coorte 2022
Offered
2025/26
Type of study-unit
Obbligatorio (Required)
Type of learning activities
Attività formativa integrata

BLOOD DISEASES - MOD. 1

Code GP004621
Location PERUGIA
CFU 2
Learning activities Caratterizzante
Area Fisiopatologia, metodologia clinica, propedeutica clinica e sistematica medico-chirurgica
Sector MED/15
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
2
Teacher
Maria Paola Martelli
Teachers
  • Maria Paola Martelli
Hours
  • 25 ore - Maria Paola Martelli
Language of instruction
Italian
Contents
The myeloproliferative syndromes: - Chronic myeloid leukemia - Idiopathic myelofibrosis - Polycythemia Vera - Essential thrombocythemia The myelodysplastic syndromes The acute leukemias - Acute myeloid and lymphoid leukemias - Classification and clinical presentation. - Key molecular alterations associated - Examples of 'target' therapy Chronic lymphoproliferative disorders: - Chronic lymphocytic leukemia - The hairy cell leukemia The malignant lymphomas - Hodgkin's disease - Non-Hodgkin's Lymphoma The monoclonal gammopathy - MGUS - Multiple Myeloma - Waldenstrom's Macroglobulinemia
Reference texts
Harrison's - Principles of Internal Medicine Hoffbrand/Moss - Essential Haematology Bosi, De Stefano, Di Raimondo, La Nasa – Manuale di Malattie del Sangue Avvisati – Ematologia di Mandelli Hoffman - Hematology basic principles and practice
Educational objectives
The learning outcomes are compliant with the provisions in the didactic published at: http: //www.med.unipg.it/ccl (http://www.med.unipg.it/ccl) In detail, the general objective of education is to provide students with the foundation to address the study of blood diseases (either malignant or not).
Prerequisites
In order to understand and know how to tackle the course, students must have the basic understanding on: - Physiology of blood, features and functions of the elements of blood (leukocytes, erythrocytes and platelets) - Anatomy, organization and functions of the lymphatic system - Cellular and humoral immunity - Structure of the bone marrow and hematopoiesis - The blood count - Principles of Serum protein electrophoresis - The monoclonal antibodies
Teaching methods
Face to face lessons. Clinical cases discussion.
Learning verification modality
METHOD OF CONDUCTING THE EXAM: oral test (lasting about 15-20 minutes) will be assessed the acquired knowledge and the student's ability to communicate and reason confronted with a specific question. The oral exam consists of a discussion-interview on the topics covered during the course or at least in the program and in-depth texts Recommended. For Blood Diseases Teaching a topic of oncohematology and non malignant disease will be addressed. TESTING OF CLINICAL SKILLS: interpretation of a blood count, discussion of a clinical case. METHOD OF ALLOCATION OF THE FINAL MARK: arithmetic average of the marks obtained in the individual disciplines
Extended program
The myeloproliferative syndromes: - Chronic myeloid leukemia - Idiopathic myelofibrosis - Polycythemia Vera - Essential thrombocythemia The myelodysplastic syndromes The acute leukemias - Acute myeloid and lymphoid leukemias - Classification and clinical presentation. - Key molecular alterations associated - Examples of 'target' therapy Chronic lymphoproliferative disorders: - Chronic lymphocytic leukemia - The hairy cell leukemia The malignant lymphomas - Hodgkin's disease - Non-Hodgkin's Lymphoma The monoclonal gammopathy - MGUS - Multiple Myeloma - Waldenstrom's Macroglobulinemia

Cognomi M-Z

CFU
2
Teacher
Maria Paola Martelli
Teachers
  • Maria Paola Martelli
Hours
  • 25 ore - Maria Paola Martelli
Language of instruction
Italian
Contents
The myeloproliferative syndromes: - Chronic myeloid leukemia - Idiopathic myelofibrosis - Polycythemia Vera - Essential thrombocythemia The myelodysplastic syndromes The acute leukemias - Acute myeloid and lymphoid leukemias - Classification and clinical presentation. - Key molecular alterations associated - Examples of 'target' therapy Chronic lymphoproliferative disorders: - Chronic lymphocytic leukemia - The hairy cell leukemia The malignant lymphomas - Hodgkin's disease - Non-Hodgkin's Lymphoma The monoclonal gammopathy - MGUS - Multiple Myeloma - Waldenstrom's Macroglobulinemia
Reference texts
Harrison's - Principles of Internal Medicine Hoffbrand/Moss - Essential Haematology Bosi, De Stefano, Di Raimondo, La Nasa – Manuale di Malattie del Sangue Avvisati – Ematologia di Mandelli Hoffman - Hematology basic principles and practice
Educational objectives
The learning outcomes are compliant with the provisions in the didactic published at: http: //www.med.unipg.it/ccl (http://www.med.unipg.it/ccl) In detail, the general objective of education is to provide students with the foundation to address the study of blood diseases (either malignant or not).
Prerequisites
In order to understand and know how to tackle the course, students must have the basic understanding on: - Physiology of blood, features and functions of the elements of blood (leukocytes, erythrocytes and platelets) - Anatomy, organization and functions of the lymphatic system - Cellular and humoral immunity - Structure of the bone marrow and hematopoiesis - The blood count - Principles of Serum protein electrophoresis - The monoclonal antibodies
Teaching methods
Face to face lessons. Clinical cases discussion.
Learning verification modality
METHOD OF CONDUCTING THE EXAM: oral test (lasting about 15-20 minutes) will be assessed the acquired knowledge and the student's ability to communicate and reason confronted with a specific question. The oral exam consists of a discussion-interview on the topics covered during the course or at least in the program and in-depth texts Recommended. For Blood Diseases Teaching a topic of oncohematology and non malignant disease will be addressed. TESTING OF CLINICAL SKILLS: interpretation of a blood count, discussion of a clinical case. METHOD OF ALLOCATION OF THE FINAL MARK: arithmetic average of the marks obtained in the individual disciplines
Extended program
The myeloproliferative syndromes: - Chronic myeloid leukemia - Idiopathic myelofibrosis - Polycythemia Vera - Essential thrombocythemia The myelodysplastic syndromes The acute leukemias - Acute myeloid and lymphoid leukemias - Classification and clinical presentation. - Key molecular alterations associated - Examples of 'target' therapy Chronic lymphoproliferative disorders: - Chronic lymphocytic leukemia - The hairy cell leukemia The malignant lymphomas - Hodgkin's disease - Non-Hodgkin's Lymphoma The monoclonal gammopathy - MGUS - Multiple Myeloma - Waldenstrom's Macroglobulinemia

BLOOD DISEASES - MOD. 2

Code GP004622
Location PERUGIA
CFU 1
Learning activities Caratterizzante
Area Fisiopatologia, metodologia clinica, propedeutica clinica e sistematica medico-chirurgica
Sector MED/15
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Antonio Pierini
Teachers
  • Antonio Pierini
Hours
  • 12.5 ore - Antonio Pierini

Cognomi M-Z

CFU
1
Teacher
Antonio Pierini
Teachers
  • Antonio Pierini
Hours
  • 12.5 ore - Antonio Pierini

DISEASES OF THE IMMUNE SYSTEM

Code GP005656
Location PERUGIA
CFU 2
Learning activities Caratterizzante
Area Medicina delle attività motorie e del benessere
Sector MED/09
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
2
Teacher
Antonio Pierini
Teachers
  • Antonio Pierini
Hours
  • 25 ore - Antonio Pierini

Cognomi M-Z

CFU
2
Teacher
Antonio Pierini
Teachers
  • Antonio Pierini
Hours
  • 25 ore - Antonio Pierini

MOLECULAR MEDICINE

Code GP004623
Location PERUGIA
CFU 1
Learning activities Caratterizzante
Area Fisiopatologia, metodologia clinica, propedeutica clinica e sistematica medico-chirurgica
Sector MED/15
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Roberta La Starza
Teachers
  • Roberta La Starza
Hours
  • 12.5 ore - Roberta La Starza
Language of instruction
Italian
Contents
Technological approaches for genome study: cytogenetics, molecular cytogenetics, microarrays, NGS, WET assay. Leukemic and cancer stem cells, multistep process of oncogenesis; mechanisms of deregulation of oncogenes, oncosuppressors, repair genes and check-point genes. Basic principles of epigenetic regulation in DNA transcription and gene expression
Hematopietic clonality, clonal hematopoiesis and human diseases, and pathogenesis of leukemias. Pathogenesis models of congenital and acquired bone marrow failures. Patterns of pathogenesis of acute leukemias. Function of tyrosine kinases. Models of pathogenesis of lymphoproliferative disorders. Models of pathogenesis of myeloma. Patterns of pathogenesis of solid tumors (central nervous system).
Reference texts
The material will be provided by professor.
Educational objectives
Learning study approaches for genetic and epigenetic characterization of blood diseases. Fundamental basis for understanding the processes of oncogenesis of major hematologic cancers.
Prerequisites
Basic concepts of molecular biology.
Teaching methods
Frontal lessons;
Seminars.
Other information
None.
Learning verification modality
Multiple choice quiz or oral exam.
Extended program
Technological approaches for genome study: conventional cytogenetics, fluorescence in situ hybridization (interphase, metaphase, on tissue), multi-FISH, arrays on DNA and RNA, NGS targets.
Characteristics of leukemic and cancer stem cell
Study of the multistep process of oncogenesis, mechanisms of alteration of oncogenes, oncosuppressors, repair genes and check-point genes.
Intratumoral heterogeneity, clonality, and subclonality of genomic alterations.
Oncogenes and oncosuppressors: role and type of deregulation.
Principles of epigenetic regulation, both at the transcriptional and post-transcriptional levels.
Patterns of pathogenesis of congenital and acquired bone marrow failure.
Patterns of pathogenesis of Acute and chronic Leukemias. Function and involvement of tyrosine kinases in human neoplasms.
Pathogenesis models of Multiple Myeloma and Lymphomas.
Patterns of pathogenesis of solid tumors (central nervous system).
Obiettivi Agenda 2030 per lo sviluppo sostenibile
3 - Health

Cognomi M-Z

CFU
1
Teacher
Roberta La Starza
Teachers
  • Roberta La Starza
Hours
  • 12.5 ore - Roberta La Starza
Language of instruction
Italian
Contents
Technological approaches for genome study: cytogenetics, molecular cytogenetics, microarrays, NGS, WET assay. Leukemic and cancer stem cells, multistep process of oncogenesis; mechanisms of deregulation of oncogenes, oncosuppressors, repair genes and check-point genes. Basic principles of epigenetic regulation in DNA transcription and gene expression
Hematopietic clonality, clonal hematopoiesis and human diseases, and pathogenesis of leukemias. Pathogenesis models of congenital and acquired bone marrow failures. Patterns of pathogenesis of acute leukemias. Function of tyrosine kinases. Models of pathogenesis of lymphoproliferative disorders. Models of pathogenesis of myeloma. Patterns of pathogenesis of solid tumors (central nervous system).
Reference texts
The material will be provided by professor.
Educational objectives
Learning study approaches for genetic and epigenetic characterization of blood diseases. Fundamental basis for understanding the processes of oncogenesis of major hematologic cancers.
Prerequisites
Basic concepts of molecular biology.
Teaching methods
Frontal lessons;
Seminars.
Other information
None.
Learning verification modality
Multiple choice quiz or oral exam.
Extended program
Technological approaches for genome study: conventional cytogenetics, fluorescence in situ hybridization (interphase, metaphase, on tissue), multi-FISH, arrays on DNA and RNA, NGS targets.
Characteristics of leukemic and cancer stem cell
Study of the multistep process of oncogenesis, mechanisms of alteration of oncogenes, oncosuppressors, repair genes and check-point genes.
Intratumoral heterogeneity, clonality, and subclonality of genomic alterations.
Oncogenes and oncosuppressors: role and type of deregulation.
Principles of epigenetic regulation, both at the transcriptional and post-transcriptional levels.
Patterns of pathogenesis of congenital and acquired bone marrow failure.
Patterns of pathogenesis of Acute and chronic Leukemias. Function and involvement of tyrosine kinases in human neoplasms.
Pathogenesis models of Multiple Myeloma and Lymphomas.
Patterns of pathogenesis of solid tumors (central nervous system).
Obiettivi Agenda 2030 per lo sviluppo sostenibile
3 - Health

REUMATHOLOGY

Code GP005657
Location PERUGIA
CFU 2
Learning activities Caratterizzante
Area Clinica delle specialità medico-chirurgiche
Sector MED/16
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
2
Teacher
Elena Bartoloni Bocci
Teachers
  • Elena Bartoloni Bocci
Hours
  • 25 ore - Elena Bartoloni Bocci

Cognomi M-Z

CFU
2
Teacher
Elena Bartoloni Bocci
Teachers
  • Elena Bartoloni Bocci
Hours
  • 25 ore - Elena Bartoloni Bocci

PROFESSIONALISING TRAINING IN BLOOD DISEASES

Code GP004624
Location PERUGIA
CFU 1
Learning activities Altro
Area Tirocini formativi e di orientamento
Sector MED/15
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Maria Paola Martelli
Teachers
  • Maria Paola Martelli
Hours
  • 25 ore - Maria Paola Martelli

Cognomi M-Z

CFU
1
Teacher
Maria Paola Martelli
Teachers
  • Maria Paola Martelli
Hours
  • 25 ore - Maria Paola Martelli
Language of instruction
Italian
Contents
Activities in the outpatient and clinic department with the specialist: General approach to the patient with alteration of CBC Discussion of normal and abnormal blood counts: anemia and erythrocytosis leucopenie and leukocytosis thrombocytopenia and thrombocytosis pancytopenia General approach to the patient with lymphadenopathy General approach to the patient with splenomegaly - Execution, staining and reading the smear of peripheral venous blood (SVP) - Vision and participation in the examination of the bone marrow: bone marrow aspiration and biopsy procedures
Reference texts
Harrison's - Principles of Internal Medicine Hoffbrand/Moss - Essential Haematology Bosi, De Stefano, Di Raimondo, La Nasa – Manuale di Malattie del Sangue Avvisati – Ematologia di Mandelli Hoffman - Hematology basic principles and practice
Educational objectives
The learning outcomes are compliant with the provisions in the didactic published at: http: //www.med.unipg.it/ccl (http://www.med.unipg.it/ccl) In detail, the general objective of education is to provide students with the foundation to address the study of blood diseases (either malignant or not). Prerequisiti Avvenuta frequenza corso Malattie del Sangue Metodi didattici Esercitazioni in reparto/Ambulatorio e laboratorio Altre informazioni Sede: Reparto/Day Hospital Ematologia - Ospedale Santa Maria della Misericordia-Perugia Modalità di verifica dell'apprendimento Discussione caso clinico. Prova pratica in reparto. Discussione su percorsi di diagnosi differenziale Programma esteso - Attività clinica in ambulatorio/reparto con lo specialista: Approccio generale al paziente con alterazione dell’emocromo Discussione di esami emocromocitometrici normali e alterati: anemie e eritrocitosi leucopenie e leucocitosi piastrinopenie e piastrinosi pancitopenie Approccio generale al paziente con linfoadenomegalia Approccio generale al paziente con splenomegalia - Esecuzione, colorazione e lettura dello striscio di sangue venoso periferico (SVP) - Visione e partecipazione all’esame del midollo osseo: aspirato midollare e biopsia osteomidollare Obiettivi per lo sviluppo sostenibile Codice Descrizione The main skills that will be acquired: - Analyze a CBC - Identify the diagnostic procedure for alterations in the numbers of blood elements - Identify the diagnostic procedure in case of lymphadenopathy - Identify the diagnostic procedure in case of splenomegaly
Prerequisites
Blood Diseases course attendance
Teaching methods
Clinic department and laboratory attendance
Other information
Hematology Department / Day Hospital - Santa Maria della Misericordia Hospital –Perugia
Learning verification modality
Clinical case discussion. Practice test in the department. Discussion on differential diagnosis paths
Extended program
Activities in the outpatient and clinic department with the specialist: General approach to the patient with alteration of CBC Discussion of normal and abnormal blood counts: anemia and erythrocytosis leucopenie and leukocytosis thrombocytopenia and thrombocytosis pancytopenia General approach to the patient with lymphadenopathy General approach to the patient with splenomegaly - Execution, staining and reading the smear of peripheral venous blood (SVP) - Vision and participation in the examination of the bone marrow: bone marrow aspiration and biopsy procedures

PROFESSIONALISING TRAINING IN DISEASES OF THE IMMUNE SYSTEM

Code GP005658
Location PERUGIA
CFU 1
Learning activities Altro
Area Tirocini formativi e di orientamento
Sector MED/09
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Antonio Pierini
Teachers
  • Antonio Pierini
Hours
  • 25 ore - Antonio Pierini

Cognomi M-Z

CFU
1
Teacher
Antonio Pierini
Teachers
  • Antonio Pierini
Hours
  • 25 ore - Antonio Pierini

PROFESSIONALISING TRAINING IN MOLECULAR MEDICINE

Code GP004625
Location PERUGIA
CFU 1
Learning activities Altro
Area Tirocini formativi e di orientamento
Sector MED/15
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Roberta La Starza
Teachers
  • Roberta La Starza
Hours
  • 25 ore - Roberta La Starza
Language of instruction
Italian
Contents
Introduction to technologies used to study the genome, DNA methylation, and histone methylation. Protocols and their applications. Diagnostic algorithms aimed at classification of human malignancies and identification of diagnostic and predictive markers.
Reference texts
None.
Educational objectives
Ability to address diagnostic investigations and optimize procedures.
Prerequisites
Knowledge of the genetic basis of tumors.
Teaching methods
Tutor system in working groups.
Other information
None.
Learning verification modality
During the exam.
Extended program
Conventional cytogenetics. FISH, SNPa, RNA microarray, PCR, sequencing, sanger sequencing and NGS. Telomeres, Chromosomal instability test. Test on paraffin sections. Nucleic acids, separation. Microarrays.
Obiettivi Agenda 2030 per lo sviluppo sostenibile
3 - Health

Cognomi M-Z

CFU
1
Teacher
Roberta La Starza
Teachers
  • Roberta La Starza
Hours
  • 25 ore - Roberta La Starza

PROFESSIONALISING TRAINING IN REUMATHOLOGY

Code GP005659
Location PERUGIA
CFU 1
Learning activities Altro
Area Tirocini formativi e di orientamento
Sector MED/16
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Elena Bartoloni Bocci
Teachers
  • Elena Bartoloni Bocci
Hours
  • 25 ore - Elena Bartoloni Bocci

Cognomi M-Z

CFU
1
Teacher
Elena Bartoloni Bocci
Teachers
  • Elena Bartoloni Bocci
Hours
  • 25 ore - Elena Bartoloni Bocci