Management of women at high risk of hereditary breast cancer in the Veneto Regional Program for Prevention.
BACKGROUND
Today it is well-known that high risk of genetic breast cancer concerns a very limited part of the population: no more than 2-3 women are affected every thousand and this condition as a whole accounts for no more than 3%-5% of all breast cancers.


OBJECTIVE
Following the directions contained in the 2014-2018 National Prevention Plan, Veneto's 2014-2018 Regional Program of Prevention (PRP), approved by Regional Council Resolution (DGR) No. 749 of 14.5.2015, consolidation of a pathway of diagnosis, observation, and prophylaxis for women at high risk of hereditary breast carcinoma is thus proposed. The principal activities of this policy will be the following: creation of a regional working group, survey of currently existing pathways for the identification of women at risk of hereditary breast cancer and adoption of the same, approval and consolidation of a structured regional pathway for women at high risk of hereditary breast and/or ovarian cancer, from paths of oncogenetic consultation and genetic testing to management of disease risk. Subsequent to the recognition of the pathway of diagnosis, observation, and prophylaxis for women at high risk of hereditary breast carcinoma, the Veneto region undertakes to develop a co-ordinated program of information and training on this pathway directed at the population and healthcare workers.


CONCLUSIONS
It is firmly hoped that with the inclusion of a program for the management of women at high risk of hereditary breast cancer within the Veneto PRP this topic may become more defined and structured in terms of sustainability, integration with the existing regional networks (mammography network, Breast Unit), contrasting inequality, monitoring and evaluation, in this way pursuing the objectives of a reduction of cause-specific mortality and improvement of quality of life.
Coordinamento regionale screnning oncologici, Regione Veneto, Italy. annamaria.delsole@ulssadria.it.
Annamaria
A
Del Sole
Coordinamento regionale screnning oncologici, Regione Veneto, Italy.
Sandro
S
Cinquetti
Coordinamento regionale screnning oncologici, Regione Veneto, Italy.
Chiara
C
Fedato
Istituto oncologico veneto, Padova, Italy.
Marco
M
Montagna
Servizio promozione e sviluppo igiene e sanità pubblica, Regione Veneto, Italy.
Francesca
F
Russo
ULSS 14, Italy.
Luca Gino
LG
Sbrogiò
Registro Tumori Veneto, Padova, Italy.
Manuel
M
Zorzi
D000328:Adult; D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000235:genetics / Q000517:prevention & control*; D016208:Databases, Factual; D055088:Early Detection of Cancer; D005260:Female; D052138:Genes, Neoplasm; D020022:Genetic Predisposition to Disease; D005820:Genetic Testing; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D033183:Interdisciplinary Communication; D007558:Italy; D008327:Mammography; D009386:Neoplastic Syndromes, Hereditary / Q000235:genetics*; D010051:Ovarian Neoplasms / Q000235:genetics / Q000517:prevention & control; D011322:Primary Prevention / Q000458:organization & administration*; D011788:Quality of Life