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Friday, March 12, 2010                 Français

Surgical Oncology
What is surgical oncology?
Surgical oncology is the branch of surgery that focuses on the removal of cancerous tumours or tissues. Surgery is the oldest approach to treating cancer and the most common. It can also be the most successful way to treat the disease. 
 
Surgery is often the first step in cancer treatment because it can be used to both diagnose and/or treat cancer. Surgeons perform biopsies (cells or tissues are removed from the body and then examined) to help diagnose your condition. More than half of the people diagnosed with cancer will have some type of surgery or operation at some point.
  • Surgical oncology involves the full range of cancer care:
  • Detection – screening patients to find out if they have cancer
  • Diagnosis – determining what kind of cancer is present
  • Staging – determining the extent of a cancer and where it has spread
  • Treatment – to cure or relieve symptoms of a cancer
     
Although some types of cancer can be cured through surgery, many others may still require other cancer treatment which is why surgery is part of a multidisciplinary treatment approach. Your team could include any/all of the: surgical oncologists, medical oncologists, radiation oncologists, pathologists, nurses, prosthetics experts, physical therapists, occupational therapists, speech pathologists, social workers, nutritionists and dietitians.
What are the steps that I will follow?

After visiting your family doctor you will usually be referred to a surgeon specializing in your particular problem.

  •  Breast 
  •  Endocrine (affecting the system of glands that produce secretions in the body)
  • Gastro-Intestinal (affecting the stomach and/or intestines)
  • Gynecology (affecting the female reproductive system)
  • Head and Neck
  • Neuro-Oncology (affecting the brain and/or nervous system)
  • Ophthalmology Oncology (affecting the eye)
  • Sarcoma (affecting tissue, bone, cartilage, or muscle)
  • Skin
  • Thoracics (affecting the heart and/or lungs)
  • Urology (affecting the urinary or urogenital tract)
During that consultation, you and the surgeon will determine if and when surgery or other treatments are required. If required, surgery most often takes place in a hospital. Patients may have day surgery or require an overnight stay in the hospital. There are several different types of cancer surgery that patients may undergo and which approach is used depends on many factors such as the type of cancer each patient has, the complexity of disease and individual choice. 
 
After your surgery, your surgeon may refer you to another member of the treatment team. 
How long will I have to wait for my cancer surgery?
The Surgical Oncology Program works to continually improve the quality and accessibility of cancer surgery and is a partner in the Ontario government’s Wait Time Strategy. As part of the Ontario plan to reduce the time someone waits for their cancer surgery, the Ministry of Health and Long Term Care posts wait time information to its website for all participating Ontario hospitals. For further information on public wait times and the Provincial Wait Time Strategy, please visit:
 
www.ontariowaittimes.com.
Questions?

Sample questions to ask your doctors or health care team:

  • When will I get the test results after surgery to know if I have cancer?
  • Is the cancer in one place?
  • Can the cancer be removed without damaging vital organs or causing major functioning problems?
  • How long will I have to wait for surgery?
  • How long will I be in the hospital?
  • Will I need chemotherapy or radiation after my surgery?
  • Can my cancer come back?
  • What if I decide I don’t want to have surgery are there other options?
  • Can I get another surgical opinion before deciding on surgery?
Surgical Oncology Team & Role

Tel: 705-522-6237, ext.2550 
Email:  mdenault@hrsrh.on.ca 

• Medical Director – Dr. Bish Bora
• Administrative Secretary – Meghan Denault
• Surgical Access & Quality Improvement Coordinator – Ann Moro

The Surgical Oncology Program works with local surgeons as well as other surgical leads across the province to continually improve the quality and accessibility of cancer surgery across Northeastern Ontario. The team oversees the development and implementation of the various strategies, led by Cancer Care Ontario. 

The Team also hosts Multidisciplinary Cancer Conferences (MCC) for a number of disease sites (Thoracic, Head & Neck, Breast, Gastrointestinal, Genitourinary, Gynecology). The MCCs are regularly scheduled meetings where health care providers discuss the diagnosis and treatment of individual cancer patients. Participants are primarily representatives from medical oncology, radiation oncology, surgical oncology, pathology, diagnostic radiology and nursing. People involved at various levels of a patient's care also attend, such as dietitians, rehabilitation specialists and more.

 

 
 
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