ALESSIA LEGGIO

Dr. ALESSIA LEGGIO

Department of Interdisciplinary Medicine, Section of Legal Medicine, Bari Policlinico Hospital, University of Bari, Italy.
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Research Focus & Metrics

Academic Career Length

31Years (1996-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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17 February 2025 in Cancers
Verified
Journal Article
Open access
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CSCecilia Salzillo
Cecilia Salzillo
SLStefano Lucà
Stefano Lucà
ARandrea ronchi
andrea ronchi
RFRenato Franco
Renato Franco
GIGiulia Iacobellis
Giulia Iacobellis
AMAndrea Marzullo
Andrea Marzullo
Cardiac tumors (CTs), although rare, can be a significant cause of sudden cardiac death (SCD), particularly when not diagnosed early. The tumors most associated with SCD include myxomas, fibromas, rhabdomyomas, and sarcomas, which can cause fatal arrhythmias, blood flow obstruction, or embolization. Myxomas, which often develop in the left atrium, can cause valvular obstruction or cerebral emboli, while malignant tumors, such as sarcomas, can infiltrate the myocardium or conduction system, causing serious arrhythmias. Rhabdomyomas, which are common in children and associated with tuberous sclerosis, can lead to ventricular tachyarrhythmias. Early diagnosis using advanced imaging techniques such as echocardiography and magnetic resonance imaging is crucial for preventing SCD. Timely diagnosis and precise characterization of lesions can help reduce the risk of SCD, thus improving the clinical management of patients, with the aim of supporting personalized treatment and improving life prospects. In this state-of-the-art review, we analyze the association between CTs and SCD, with particular attention to the histological features of benign and malignant neoplasms. Through an updated overview of the pathological aspects, we aim to improve the understanding of these tumors and promote a more effective multidisciplinary diagnostic and therapeutic approach to prevent fatal events.

28 January 2025 in Cancers
Verified
Journal Article
Open access
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GIGiulia Iacobellis
Giulia Iacobellis
ALALESSIA LEGGIO
ALESSIA LEGGIO
CSCecilia Salzillo
Cecilia Salzillo
SLStefano Lucà
Stefano Lucà
RORicardo Ortega-Ruiz
Ricardo Ortega-Ruiz
AMAndrea Marzullo
Andrea Marzullo
Even though children’s malignant bone tumours are rare, it is crucial to understand how to identify and stage them accurately to develop an appropriate treatment plan. Ewing’s sarcoma and osteosarcoma are the two main paediatric bone malignancies and require multidisciplinary treatment involving radiologists, orthopaedists, oncologists, pathologists, and paediatricians. These neoplasms may be associated with genetic syndromes but typically occur in patients with no known germline abnormalities. With a frequency of 4.4 per million, osteosarcoma is the most common malignant bone tumour in children. Ewing’s sarcoma has an incidence of 2.5 to 3 per million, making it the second most prevalent. Clinically, these neoplasms present with pain and inflammation in the bones and joints, nocturnal pain unresponsive to drug therapy, systemic symptoms such as fever or weight loss, and persistent symptoms—all of which should prompt clinicians to initiate further diagnostic investigations. The gold standard for diagnosis includes X-ray examination and MRI, which provide an accurate assessment of tumour extension into the medullary canal and surrounding soft tissues. Fluorine-18-labelled FDG-PET scans or fluoro-deoxyglucose positron emission tomography are valuable for evaluating tumour aggressiveness and excluding metastases. A biopsy is mandatory once all other diagnostic tests have been completed. Accurate diagnosis and timely referral to an experienced clinic are essential for ensuring prompt access to treatment and improving patient outcomes.

1 February 1996 in Urological Research
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Journal Article
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FBFabio Bartoli
Fabio Bartoli
GPG. Paradies
G. Paradies
ALALESSIA LEGGIO
ALESSIA LEGGIO
DVDaniela Virgintino
Daniela Virgintino
MBM. Bertossi
M. Bertossi
LRL. Roncali
L. Roncali

18 October 2021 in Forensic Sciences
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ALALESSIA LEGGIO
ALESSIA LEGGIO
PTPIETRO TARZIA
PIETRO TARZIA
FIFrancesco Introna
Francesco Introna
Forensic anthropological investigations often encounter cases that are difficult to interpret, especially when dealing with skeletal remains found in a marine context. Determining the immersion time in the sea of skeletal remains is a challenge for forensic investigations and answering this would solve many cases in the shortest time possible. The physical and chemical properties of bones change during their time in water and these changes cause difficulties and delays in identifying and reconstructing the biological profile of an unknown subject. In this paper, two forensic cases found at sea were analysed, the case of a disarticulated and extensively skeletonised corpse found on the coast of Reggio Calabria (Italy) and the case of an isolated foot, intact of soft tissues, found only 9 km away, on the coast of Vibo Valentia (Italy). The resolution hypothesis of the two cases was based on three search options because the disappearance of three known individuals was being investigated simultaneously. The investigations were conducted through a multidisciplinary work applying different analyses, including anthropometric, radiological, digital and, finally, genetic analyses. The results made it possible to determine the reconstruction of two biological profiles, both of Case A, the skeletal remain, and Case B, the subject to whom the foot belonged. The almost compatible anthropometric results of the two biological profiles, the presence of two very indicative partial tattoos and a genetic correlation led to the solution of a single court case.

12 September 2025 in Cancers
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Journal Article
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GIGiulia Iacobellis
Giulia Iacobellis
ALALESSIA LEGGIO
ALESSIA LEGGIO
CSCecilia Salzillo
Cecilia Salzillo
AIAmalia Imparato
Amalia Imparato
AMAndrea Marzullo
Andrea Marzullo
Primary Fallopian tube carcinomas (PFTCs) are rare malignancies that are often misclassified as ovarian cancers due to overlapping clinical and pathological features. This frequent misdiagnosis contributes to the under-recognition of PFTCs, which account for a larger proportion of pelvic malignancies than historically reported. The central aim of this literature review is to highlight the critical importance of and methods for achieving an early diagnosis of Fallopian tube cancer, to improve patient outcomes. We classify benign and malignant fallopian tube neoplasms and evaluate the essential role of clinical evaluation and advanced imaging techniques, considering especially ultrasound, MRI, and PET-CT, in achieving an accurate and timely diagnosis. While histopathology remains the gold standard, imaging is pivotal for differentiating benign from malignant tubal lesions. This review details clinical manifestations, diagnostic pitfalls, and the necessity of a multidisciplinary approach to management. We conclude that advancing early detection through refined diagnostic criteria is essential to guiding effective, patient-specific therapeutic interventions.

5 February 2026 in Forensic Sciences
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Journal Article
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ALALESSIA LEGGIO
ALESSIA LEGGIO
RORicardo Ortega-Ruiz
Ricardo Ortega-Ruiz
GIGiulia Iacobellis
Giulia Iacobellis
The application of advanced imaging techniques, particularly computed tomography (CT), photogrammetric scanning, and three-dimensional reconstructions of body surfaces and skeletal remains, is becoming a crucial component of Forensic Anthropology. These tools enable a non-invasive and highly standardized analysis of both intact cadavers and human remains recovered from terrestrial or aquatic environments, providing reliable support in identification processes, traumatological reconstruction, and the assessment of taphonomic processes. In the context of estimating the Post-Mortem Interval (PMI) and the Post-Mortem Submersion Interval (PMSI), digital imaging allows for the objective and reproducible documentation of morphological changes associated with decomposition, saponification, skeletonization, and taphonomic patterns specific to the recovery environment. Specifically, CT enables the precise assessment of gas accumulation, transformations in residual soft tissues, and structural bone modifications, while photogrammetry and 3D reconstructions facilitate the longitudinal monitoring of transformative processes in both terrestrial and underwater contexts. These observations enhance the reliability of PMI/PMSI estimates through integrated models that combine morphometric, taphonomic, and environmental data. Beyond PMI/PMSI estimation, imaging techniques play a central role in anthropological bioprofiling, facilitating the estimation of age, sex, and stature, the analysis of dental characteristics, and the evaluation of antemortem or perimortem trauma, including damage caused by terrestrial or fauna. Three-dimensional documentation also provides a permanent, shareable archive suitable for comparative analyses, ensuring transparency and reproducibility in investigations. Although not a complete substitute for traditional autopsy or anthropological examination, imaging serves as an essential complement, particularly in cases where the integrity of remains must be preserved or where environmental conditions hinder the direct handling of osteological material. Future directions include the development of AI-based predictive models for PMI/PMSI estimation using automated analysis of post-mortem changes, greater standardization of imaging protocols for aquatic remains, and the use of digital sensors and multimodal techniques to characterize microstructural alterations not detectable by the naked eye. The integration of high-resolution imaging and advanced analytical algorithms promises to further enhance the reconstructive accuracy and interpretative capacity of Forensic Anthropology.