
MD, Ph.D., Pancreatic Surgeon, Surgical Oncologist. Assistant Professor @UniPadova
Italy
Joined October 2009
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Can’t wait to see the #ASPEN results! 🙌 Big shoutout to @spartelli, @ENETS_ORG, and all the amazing centers involved in this great effort!
Excited to present at #ESMO2025 the results of the ASPEN study on 1,000 patients with pancreatic NETs <2 cm.
What do you think the data will support? Surgery 🔪 or observation 🔭
@myESMO
22%Always 🔭
2%Always 🔪
18%🔪 for 1-2 cm tumors
58%🔪 in ultra-selected cases
45 votes • Final results 5
963
Ale Pulvirenti retweeted
Excited to present at #ESMO2025 the results of the ASPEN study on 1,000 patients with pancreatic NETs <2 cm.
What do you think the data will support? Surgery 🔪 or observation 🔭
@myESMO
22%Always 🔭
2%Always 🔪
18%🔪 for 1-2 cm tumors
58%🔪 in ultra-selected cases
45 votes • Final results Ale Pulvirenti retweeted
Voices behind the mask: unveiling sexist verbal discrimination in surgery
➡️doi.org/10.1093/bjs/znaf110
Surgery remains a male-dominated field where women still face sexist verbal abuse—ranging from blatant remarks to subtle microaggressions that contribute to emotional distress and burnout
Voices Behind the Mask, an initiative by Women in Surgery Italia (WIS Italia), explored the prevalence and impact of this issue through an anonymous international survey
Conducted in May–June 2024, it gathered responses from 81 women surgeons (mostly general surgeons in Europe) and analyzed 150 sexist comments into 8 recurring themes
Work by Alessandra Pulvirenti , Daniela Rega , Giulia Capelli , Isabella Frigerio , Gaya Spolverato on behalf of Women In Surgery Italia 🇮🇹
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @des_winter @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology
#Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial #BreastCancerAwareness #BreastSurgery @villesallinen @Gio_Marchegiani @katydarvall @Mcfark @LauraLorenzonMD @samira_sadowski @wannabehawkeye @MA__Schneider
📢 New in @BJSurgery: "Voices Behind the Mask"
💬 150 real comments reveal 8 recurring forms of sexist verbal discrimination in Surgery
💥 Impact on surgeons:
🔹 ↓ confidence
🔹 emotional distress
🔹 changed behavior
🔹 questioned career
🔹 burnout
doi.org/10.1093/bjs/znaf110

ALT ‘Voices Behind the Mask’ is an initiative by Women in Surgery Italia (WIS Italia) sought to explore the prevalence, content, and impact of sexist verbal discrimination in the surgical workplace. An international, anonymous cross-sectional survey was conducted between May and June 2024 and disseminated via WIS Italia’s social media platforms
🙌Thanks to all who shared & participated. Your voices made this research possible.
@WISitalia @BJSurgery #WomenInSurgery @IHPBA @EAHPBA @ESSOnews #GenderBias @iisifrigerio @GayaSpolverato @HalletJulie @CAGS_ACCG @WimedicineOrg @beckybeckyfish @UniPadova
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🔬Simple Mucinous Cyst (SMC): a new precursor of pancreatic cancer! How does it differ from MCN? 💫Now on The Journal of Pathology @CLuchini10
pathsocjournals.onlinelibrar…
Ale Pulvirenti retweeted
Glucagnomas are rare functioning pancreatic neuroendocrine tumors with aggressive behavior, enriched in DAXX/ATRX mutation and ALT. Surprisingly, they show both alfa- and beta-cell features (co-expression of ARX and PDX1). An Italian-Dutch study
link.springer.com/article/10… – at Verona, Veneto
New study investigating the genomic progression of IPMN to PDAC using for the first time WGS 🧬
➡️Preprint data available now on BioRxiv📓
@PancreasVerona @peaantonio1 @dkfchang @IHPBA @AISP_Pancreas @Aicep4
New preprint from @dkfchang @nigeljamieson & colleagues
Clonal evolutionary analysis reveals patterns of malignant transformation in #PancreaticCancer from Intraductal Papillary Mucinous IPMN Neoplasms (IPMN)
biorxiv.org/content/10.1101/…
Phylogenetic analysis identifies two distinct evolutionary trajectories in the multistep progression of IPMNs to pancreatic cancer: one driven by a single ancestral clone, and another involving multiple independent ancestral clones.
Ale Pulvirenti retweeted
Excited to share our latest study @NatureMedicine, revealing for the first time the ramifications of the pre-metastatic niche (PMN) in HUMAN pancreatic cancer (PaC)!
rdcu.be/dMdLT
Here’s a summary and short tweetorial on how it all went down!
1/n
Ale Pulvirenti retweeted
Now in @ModernPathology our paper on intraductal oncocytic papillary neoplasm (IOPN) of the pancreas. It is a distinct entity among pancreatic neoplasms, with specific histological, IHC, and molecular features. And important clinical implications.
modernpathology.org/article/…
Ale Pulvirenti retweeted
Gender Equity is everyone's issue.
HPB surgical community is called📢to action to break down 🔨gender-based barriers.
What is your contribution?
thk 2 @gabriellapittau @PulviAle @BannoneElisa @martinaguerra @LauraAlaimo5 @RussolilloNadia @FraCorrado @msandini @FrancescaRatti3
This weekend in Bari representing UniPD to discuss training the new generation of surgeons and the role of fellowship.
Big thanks to @dr_memeor and @iisifrigerio for organizing such an amazing event in a beautiful location!
🔊 Attention to all women in surgery!
Help us uncover and address discrimination by sharing verbal micro-aggressions you've faced. Help us build a more inclusive and supportive OR environment for all
👇 Fill out the anonymous survey
docs.google.com/forms/d/e/1F…
He truly believed in the potential of his residents and young collaborators and revolutionized surgical training in Italy. We all will miss him
Introducing our latest research from PANDA group on
PanNET recurrence
📈 1402 patients studied
💡 Key findings
5 -yrs recurrence
13% distant
1.4% local disease
0.8% abdominal nodal
🚨 Recurrence linked to ~3x higher risk of mortality
🌟 5-yrs OS 75% after first recurrence
Recurring Pancreatic Neuroendocrine Tumor: Timing and... : Annals of Surgery journals.lww.com/annalsofsur…
Ale Pulvirenti retweeted
Study validates AJCC staging for IPMN-associated PDAC, supporting 8th ed:
✂️ Cutoffs need revisiting
🥑 Colloid tumors lose superiority in advanced stages
@Margonis_GA @PulviAle @chentemorales et al @AnnalsofSurgery
journals.lww.com/annalsofsur…
Ale Pulvirenti retweeted
🤩Strong Italian contribution at the @IHPBA 2022. Orals, posters, invited presentations. can’t squeeze all in 1 picture 🤣add your’s below👇 @Giammatwit @TorzilliGuido @RussolilloNadia @spartelli @iisifrigerio @dr_memeor @PancreasVerona @Gio_Marchegiani @PulviAle @FrancescaRatti3
Ale Pulvirenti retweeted
New in Annals‼️Something new for our surgical oncology colleagues - Ablative radiation vs. surgery for localized pancreatic cancer 🧐
journals.lww.com/annalsofsur…
@RadDocMReyngold @AnnaVarghese4 @W_Park_MD @EileenMOReilly @MichaelDAngeli2 @SurgeonsSOSPrez @haydencrane5 @wei_ac


























