Veidlapa Nr. M-3 (8)
Study Course Description
Vertebral Surgery I. Oncological Diseases of the Spine. Diagnostics, Multidisciplinary Treatment
Course Code
RMK_009
Branch of Science
Clinical medicine
ECTS
3.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Jānis Osītis
Residency Speciality
Speciality
Vertebral surgeon
Supervisor of Medical Speciality
Jānis Osītis
Contacts
-
About Study Course
Objective
In-depth acquisition of knowledge about the most frequent metastases in the spine, tactics in cases where the primary oncological process is known and treated and in cases when a pathological process in the spine is the primary finding. Learning about primary tumors of the spine and their treatment options.
Learning Outcomes
Knowledge
1.Sufficient knowledge is acquired so that the decisions made regarding operative or interventional tumor treatment do not conflict with the treatment plan and options of oncologists, hematologists and radiation therapists.
Skills
1.Able to order examinations for the diagnosis of tumors and metastases, to specify the stage of spread of the pathological process in the spine, to assess the feasibility and validity of a biopsy.
Competences
1.Diagnose a pathological process in the spine, prescribe full-spectrum differential diagnostic examinations to clarify the diagnosis, including invasive ones (DSA, biopsy). Participation in a multidisciplinary council regarding the treatment plan for an oncology patient's MTS spinal complex. Decision-making about indications for operative treatment or refusal of operative treatment. Competence to evaluate radiological findings of a patient with an oncological process in the spine, to classify the spread and degree of the process. Argue the purposefulness of applying different treatment methods, evaluate the results of the treatment and diagnostics performed on the patient.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
A concise report in PPT format on one of the topics covered in the course.
|
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
Assessment of practical skills in a 10-point system at the end of the course, conducted by the lecturer from whom the resident received practical training.
Assessment of theoretical knowledge in a 10-point system for the written review presented within the seminar.
|
||
Study Course Theme Plan
FULL-TIME
Part 1
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Clinical manifestation of oncological processes in the spine, diagnostic algorithms for a patient with a primary diagnosed pathological process in the spine. Decision-making. Chemotherapy and radiation therapy options were the most common in the case of MTS. Drawing up a treatment plan if radical spinal MTS surgery is not possible. Proton therapy.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Primary spinal tumors, their non-surgical treatment options. Osteoma, osteoblastoma, Aneurysmal vertebral cyst and giant cell tumor, Chordoma, chondrosarcoma, osteosarcoma and Evening's sarcoma of the spine.
|
Total ECTS (Creditpoints):
3.00
Number of Residency Seminars:
2
Length (weeks):
2
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
AO spine, Primary Spinal Tumors Thieme 2015. 1-59 Lpp.
2.
AO spine, Metastatic Spinal Tumors Thieme 2015. 1-45 lpp.
3.
Spinal Metastasis Treatment Guidelines
Additional Reading
1.
European Journal of Cancer