Volume 54, Number 4, October-December 2019
|Page(s)||303 - 307|
|Published online||22 October 2019|
The fitness to work certificate in a worker exposed to ionizing radiation with an oncological disease: criteria and assessment process
Istituti Scientifici Maugeri IRCCS, Hospital Occupational Medicine Unit (UOOML), Institute of Pavia,
2 Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy
3 University Hospital, Modena, Italy
* Corresponding author: firstname.lastname@example.org
Accepted: 12 September 2019
To assess the fitness to work certificate in employees both affected by neoplasia and exposed to ionizing radiation always represents a clinical and professional issue, as well as human and social. The aim of our study is to analyze the case of a 40-year-old clinician (woman, endoscopist, gastroenterologist) who underwent left mastectomy and breast reconstruction with a tissue expander, professionally exposed to ionizing radiation. Due to the presence of the BRCA1 gene mutation and the presence of breast and ovarian cancer familiarity, the patient also underwent a prophylactic right mastectomy and bilateral oophorectomy. According to Italian legislation and international guidelines, several elements and criteria have been taken into account to release the fitness to work certificate in this peculiar case of a female worker exposed to ionizing radiation, resulting in a final positive indication.
Key words: fitness to work / occupational exposure / cancer / radiation protection
© SFRP, 2019
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