Tumori Journal Abstract Book - October 2020 - 96

96	

Tumori Journal 106(2S)

implementation of new functional approaches from a personal, relational and social point of view. Now it's time to
a new challenge: go back to normality. Without psychooncology treatments through the remote use of tablets, PCs
and smartphones this would not have been possible, this
method will remain a valid alternative over time.

N° Cancer Patients
Under treatment or
follow up
28

N° Caregivers
9

N° Family components
with complicated
mourning diagnosis
7

Psychological treatment requests based on most
relevant distress cases
Anxiety symptoms (sleep and food difficulties, lower
level of attention, worry about the future, etc.)
Depression symptoms (psychomotor movement,
lack of interest, hypersomnia, etc.)
Worry to contact COVID-19
Worry to no be able to get cancer treatments or
follow ups
Worry to go to the hospital for cancer treatments

Number
patients
21
11
6
2
4

D59
Immune Chechpoint Inhibitors (ICIs)
in the era of COVID-19
Deligiannis P.1, Pastorini A.1, Cubeddu A.1, Maiolani M.1, Caponigro
G.1, Fusco O.1, Menatti E.1, Cantini S.1, Bertolini A.1
1

ASST della Valtellina e Alto Lario-Oncologia Medica, Sondrio

Background: The coronavirus pandemic resulted in
nearly 400,000 victims. Cancer patients under active treatment with chemotherapy, target therapy, or immunotherapy (ICIs) are considered to be at high risk of SARS-cov-2
infection and of a severe form of Covid 19. In this case
(patients on active treatment), it seems appropriate that the
possible postponement of access to treatment should be
assessed and discussed on a case by case basis, based on
the relationship between the risks (for the individual and
for the community) related to hospital access and expected
benefits from the treatment itself.
Material (patients) Method: Here we assessed the impact
that the pandemic had as well as the advice of scientific
societies on the administration of immunotherapy in
patients who refer to the Day Hospital of Medical Oncology
of the Sondrio hospital. Data from the medical records of
all patients who were treated with ICIs from the 1st of
March until the 06 th of July 2020 were collected. Patients
were contacted by telephone the day before the infusion of
therapy and on the day of administration they accessed the
DH only with a face mask and after measurement of the
body temperature.

Results: 29 patients, 15 women, with an age range between
46 and 85 years were identified. There are 14 patients treated
with Nivo and 15 patients treated with Pembro (4 of whom
have had combination immunotherapy with chemotherapy )
The treated tumors were NSCLC, Melanomas, Renal Cancer,
Bladder Cancer, Head and Neck cancer. A total of 74
biweekly doses of Nivo and 53 threeweekly doses of Pembro
were administered. There was no postponement of therapy.
In 3 patients who underwent restaging with TC Chest/
Abbdomen there was a suspicious radiological immaging
that was not confirmed as SARS-cov 2 infection.
Conclusions: In the current context of the COVID-19 pandemic clinical decisions about cancer patients deserving
immunotherapy should be characterized by separated
reflections, avoiding generalizations. A careful collection
of clinical data in all cancer patients and multicenter retrospective studies will be required to provide more definitive
guidance for clinicians.

D60
MANAGEMENT OF A BREAST UNIT AT THE
TIME OF COVID 19 (ASST VALTELLINA e
ALTO LARIO EXPERIENCE)
Fusco O.1, Pastorini A.1, Cantini S.1, Caponigro G.1, Deligiannis P.1,
Maiolani M.1, Cubeddu A.1, Menatti E.1, Fregoni V.2, Grechi A.3,
Poletti P.3, Prada M.4, Declich P.4, Barbonetti C.5, Stiglich F.5, Franzini
P.3, Sosio D.6, Raponi A.6, Bertolini A.1
1
ASST della Valtellina e Alto Lario-Oncologia Medica, Sondrio; 2ASST della
Valtellina e Alto Lario-Breast Unit, Sondrio; 3ASST della Valtellina e Alto LarioSenologia, Sondrio; 4ASST della Valtellina e Alto Lario-Anatomia Patologica,
Sondrio; 5ASST della Valtellina e Alto Lario-Radioterapia, Sondrio; 6ASST della
Valtellina e Alto Lario-Radiologia, Sondrio

Background: Revision of the therapeutic diagnostic path
of breast cancer during the COVID-19 pandemic.
Material (patients) and methods: The COVID-19 emergency has made appropriate changes in breast cancer treatment in Italy. The Lombardy region organized itself
through first level structures connected to several more
specialized centers (spoke), this model was sometimes difficult to apply for mileage distances and fear of infection;
so the local organization was the best solution.
What we changed in our organization in agreement with
recommendations by National and International Oncology
Societies (AIOM /ESMO):
** First level screening and surgical activity concerning benign tumor pathology and reconstructive surgery have been suspended.
** Access to the breast surgery visit was guaranteed
once a week.
** The surgery was performed according to the priority classes considering the biological characteristics
of the tumor.



Tumori Journal Abstract Book - October 2020

Table of Contents for the Digital Edition of Tumori Journal Abstract Book - October 2020

Contents
Tumori Journal Abstract Book - October 2020 - Cover1
Tumori Journal Abstract Book - October 2020 - Cover2
Tumori Journal Abstract Book - October 2020 - I
Tumori Journal Abstract Book - October 2020 - II
Tumori Journal Abstract Book - October 2020 - Contents
Tumori Journal Abstract Book - October 2020 - IV
Tumori Journal Abstract Book - October 2020 - V
Tumori Journal Abstract Book - October 2020 - 1
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Tumori Journal Abstract Book - October 2020 - Cover3
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