Oncology and Endoscopy

Unity Health Toronto’s Oncology and Endoscopy program provides comprehensive outpatient cancer care. Patients seen are treated for a range of cancers, including:

  • Breast cancer
  • Colorectal and stomach cancers
  • Pancreatic and hepatobiliary cancers
  • Lung cancer
  • Prostate cancer
  • Gastrointestinal Stromal Tumours (GIST)
  • Hematologic malignancies such as lymphoma, multiple myeloma
  • Hepato-Pancreatico-Biliary (HPB)

The Oncology and Endoscopy program at Unity Health is led by Senior Clinical Program Director Joyce Fenuta and Medical Director Dr. Yoo-Joung Ko.

As part of the program, we provide and conduct:

  • Tests and screening
  • Treatment and supportive care including immunotherapy, chemotherapy and targeted therapies
  • Cancer treatment research including clinical trials
  • Surgery
  • Endoscopic Procedures
  • Genetic testing and radiation therapy through our partner organizations
  • Palliative consult and services

If you are an Indigenous patient or family at Unity Health Toronto or in the Toronto Region and require support during your cancer journey, the Toronto Central Indigenous Cancer Navigator is available to you:

Leonard Benoit
Email:  leonard.benoit2@uhn.ca
Mobile: 647-309-1794

Oncology and Endoscopy at St. Joseph's Health Centre

This unit is a 26-bed surgical unit which supports hospitalized general surgery patients and their families and loved ones. Specialists provide a wide range of cancer surgeries including lung, liver, pancreas, stomach and colorectal surgeries. The multidisciplinary team supports patients through the entire process of undergoing surgery.

2th Floor Our Lady of Mercy Wing
416-530-6000 ext. 4026

Visiting hours: 11 a.m. to 8 p.m.

6M is an inpatient General Internal Medicine, Oncology, Hematology and Palliative Care Unit, comprised of 31 beds. At this unit, a multidisciplinary team provides a range of medical services to support the needs of our patients who require in-hospital care as well as their families and loved ones.

6th Floor Morrow Wing
416-530-6000 ext. 6696

Visiting hours: 11 a.m. to 8 p.m.

The Anticoagulation and Thrombosis Clinic at St. Joseph’s Health Centre helps to educate and monitor patients with confirmed conditions requiring anticoagulation, including Venous Thromboembolism and Atrial Fibrillation. All patients need to be referred to this clinic by their family physician or St. Joseph’s specialist. Patients will then be contacted by the registration office to book an appointment.

We provide the following services:

  • Patient assessments
  • Ongoing patient education
  • Monitoring of laboratory results
  • Dosage adjustments as necessary
  • Communication with family physician and/or specialist

Ground Floor Gilgan Family Wing
Monday to Friday, 8 to 11:30 a.m.

Our specialized cancer care unit provides treatment from expert staff including chemotherapy, one of the most common types of cancer therapies. You will receive information on the specific drugs prescribed for you, as well as how to manage any side effects associated with treatment.

A specialized team dedicated to quality cancer care will follow you through diagnosis, treatment, and follow-up visits. Our team includes medical oncologists, hematologists, registered nurses, social workers, pharmacy, drug access navigator and others.

6th Floor East Wing Legacy Building
416-530-4300
Fax: 416-530-6656
Monday to Friday, 8 a.m. to 3:30 p.m.

We know that these are unprecedented times and you may have a lot of questions. Here are some resources provided by Cancer Care Ontario:

8 Peter Gilgan Tower
416-864-5222
Fax: 416-864-5273
7:30 a.m. to 5 p.m.

The Endoscopy Unit at St. Joseph’s is an ambulatory service that provides outpatient and inpatient Gastrointestinal (GI) Assessment Clinics, Diagnostic Services and Therapeutic Interventions. Our Endoscopy Medical Team consists of three gastroenterologists and eight surgeons rotating through the two procedure rooms and the GI Assessment Clinic, which consist of three examination rooms. The unit is also supported by Registered Nurses, clerical staff working in partnership with our Medical Device Reprocessing Department staff daily.

The services provided at this unit include:

  • Screening (including Fecal Immunochemical Test or FIT Test)
  • Colonoscopy
  • Gastroscopy
  • Biopsies
  • Polypectomies
  • Endoscopic retrograde cholangiopancreatography (ERCP)
  • Esophageal Dilatation
  • Endoscopic Stent Insertion
  • Paracentesis

Ground Floor Gilgan Family Wing, left side of the Tranquility Entrance
416-530-6000 ext. 3584
Monday to Friday, 8 a.m. to 4:30 p.m.
Holidays, closed.

At this clinic, services are provided by a team of hematologists who treat a wide spectrum of blood diseases. Some of these conditions are benign, meaning they are not considered cancerous. Some of them are chronic and may be lifelong, which include anemia due to chronic disease, iron deficiency anemia, idiopathic thrombocytopenia (ITP) low blood counts, hemophilia and blood clots.

Ground Floor Gilgan Family Wing
416-530-6043
Tuesday, 12:30 to 3:30 p.m.
Thursday, 8:30 to 11:30 a.m.

St. Joseph’s is a designated site for the Ontario Breast Screening Program. Women between the ages of 50 and 74 can call us to book mammograms without a referral, meaning patients are guaranteed a mammogram appointment within seven business days.

Women between the ages of 50 and 74 are at the highest risk of being diagnosed with breast cancer. Our Ontario Breast Screening Program designation is helping women in this age group get screened faster and detect breast cancer earlier. Women outside of this age group can also have a mammogram, however they would require a physician referral.

If a patient’s mammogram reveals an abnormality, treatment is offered at St. Joseph’s or St. Michael’s, which ensures a smooth continuum of care.

Ground Floor Barnicke Wing, Room GB
416-530-6169 ext. 7
Monday, 8 a.m. to 11:30 a.m.
Tuesday, 8 a.m. to 3:30 p.m.
Wednesday, 8 a.m. to 8 p.m.
Thursday and Friday, 8 a.m. to 3:30 p.m.

Oncology and Endoscopy at St. Michael's Hospital

This 42-bed inpatient unit provides hospitalized care in the areas of gastroenterology, general surgery, acute care surgery, plastic surgery and bariatric surgery. Taking a patient-centred approach, our multidisciplinary team of providers is committed to providing excellence in care.

16 Cardinal Carter North
416-864-5233
Fax: 416-864-5975

In partnership with CAREchart@home and Cancer Care Ontario, St. Michael’s has developed an after-hours telephone service to support you in managing your cancer-related treatment symptoms. The service can also be used by patients at St. Joseph’s Health Centre.

The goal of the after-hours symptom management phone line is to help you better manage your symptoms at home, preventing you from needing to visit the emergency room. The CAREchart@home team will inform your doctor about the telephone service provided to you.

The CAREchart@home symptom management phone line is intended for use only after clinic hours and not during regular clinic hours. During the weekdays you should contact the Medical Daycare Unit that is providing your care.

Contact

If it is 5 p.m. and the clinic is closed:

  • Call 1-877-681-3057
  • An operator will answer your call and forward your call to a specialized oncology nurse will assist you
  • If the nurse is not immediately available a nurse will call you back within 15 minutes

The Centre for Advanced Therapeutic Endoscopy and Endoscopy Oncology at St Michael’s Hospital is one of the largest teaching and research facilities in Canada. With eight procedure rooms complete with state-of-the-art endoscopic equipment, we diagnose and treat complex digestive conditions, diagnose, stage, and treat cancers of the esophagus, stomach, pancreas, gall bladder and colon. Our team includes 11 endoscopy physicians, three colorectal surgeons, 30 registered nurses with enhanced endoscopic certifications, five reprocessing specialists and four receptionists.

The Therapeutic Endoscopy unit has twice been designated a Centre of Excellence for outstanding contributions to International Education in the field of endoscopy by the World Endoscopy Organization. Our inpatient clinical teaching unit, the largest in the University of Toronto teaching hospitals, has 12 beds for patients with complex digestive diseases and over 600 patients are admitted every year.

Endoscopy services include:

  • Colonoscopy
  • Gastroscopy
  • Polypectomies
  • Endoscopic Submucosal Dissection (ESD)
  • Endoscopic Ultra Sound (EUS)
  • Endoscopic Retrograde Cholangiopancreatography (ERCP)
  • Barrett’s esophageal treatments (EMR)
  • Peroral Endoscopic Myotomy (POEM)

4th and 16th Floors Cardinal Carter Wing
Phone: 416-864-6060
Fax: 416-864-5749

Referrals

Resources

The CIBC Breast Centre is a premier facility within St. Michael’s offering a complete range of assessment, diagnostic and treatment services for women of all ages.

Our centre is dedicated to treatment and research, but we are also focused on advancing breast cancer care and prevention. We ensure that each patient is cared for in a comprehensive manner, addressing physical and psychosocial needs, including support from a breast navigator and the high risk screening program staff, connecting patients to ensure seamless transitions in care. In addition to performing mammograms as an Ontario Breast Cancer Screening Program site, we provide procedures, surgeries and treatments including:

  • Special views
  • Breast ultrasound
  • Ductogram
  • Biopsies
  • Fine Needle Aspiration (FNA)
  • Needle localization
  • Surgical Treatment of Ductal Carcinoma in Situ (DCIS)
  • Lumpectomy
  • Wire localized lumpectomy
  • Mastectomy (simple or total mastectomy; modified radical mastectomy; radical mastectomy; and mastectomy and immediate reconstruction)
  • Axillary dissection
  • Sentinel lymph node biopsy
  • Lobular carcinoma
  • Breast reconstruction
  • Genetic testing through Princess Margaret Cancer Centre

3rd Floor Donnelly Wing
416-864-6040
Fax: 416-864-5788

Monday, 8 a.m. to 5 p.m.
Tuesday to Friday, 8 a.m. to 4 p.m.

Referrals

At St. Michael’s we provide medical care for patients with non-cancerous blood disorders. Our hematologists provide specialized expert care for patients with thromboembolism, thrombotic microangiopathy, and immune cytopenias, among many others. It is our mission to provide best-in-class patient blood management care as we prepare patients for surgery as well as labour and delivery to decrease preventable blood transfusion. We also have a hematology program that provides care for pediatric patients as they transition to young adulthood.

4th Floor Cardinal Carter North

Founded in 1983, the Hemophilia Comprehensive Care Program at St. Michael’s is the largest hemophilia program in Canada. Our program takes a multidisciplinary approach to the diagnosis and management of patients with congenital and acquired coagulation disorders. As the designated Hemophilia Treatment Centre (HTC) for Central Ontario and the largest HTC in Canada, we care for patients with hemophilia as well as a variety of inherited and acquired bleeding disorders, taking a multidisciplinary approach to women’s health.

Our core team includes hematologists, nurses, a physiotherapist, a data manager and clerical assistants. We work closely with the Special Coagulation and Blood Transfusion Laboratories and with our many medical, surgical and dental consultants. We also provide dedicated care for women through a Multidisciplinary Clinic for Women with Bleeding Disorders (MCWBD).This clinical program is an important resource for the University of Toronto training programs in adult and pediatric Hematology, Hematological Pathology, and Transfusion Medicine. We are an International Hemophilia Training Centre Fellowship site (a program of World Federation of Hemophilia).

Clinician Resources for Urgent Treatment of Bleeding in Hemophilia

The Hemophilia Comprehensive Care Program at St. Michael’s has developed a video and infographic as brief guides to assist family doctors, emergency physicians or any other clinicians who might be called on to provide urgent care for a hemophilia patient with an acute bleeding event.

The Bott-Harrington Nursing Fellowship in Bleeding Disorders Tool Kit

The Bott-Harrington Nursing Fellowship in Bleeding Disorders Learning Tool Kit is designed to assist nurses and allied health care professionals to acquire specialized knowledge about caring for patients with inherited bleeding disorders. All modules aim to provide valuable knowledge that can be incorporated into daily practice.

Bleeding disorders curriculum

This bleeding disorders curriculum has been created to provide an introduction to bleeding disorders for frontline health-care professionals in the hospital setting and is made up of three short parts.

Note: Non-Unity Health users can use the student/guest access to view these modules.

Online Resources

4 Cardinal Carter North, Room #4-169
416-864-5245/416-864-6060 ext. 2024
Fax: 416-864-5127

Monday to Friday, 8:30 a.m. to 4 p.m.

In 1995, an allied health team was approved to support Dr. Khursheed Jeejeebhoy to provide care for Home Total Parenteral Nutrition (HTPN) patients. Our team consists of a dedicated gastroenterologist, TPN nurses, dietitians and pharmacists who specialize in nutritional care, central line management and intestinal rehabilitation. Our team has mainstreamed several innovations by conducting clinical drug trials and clinical research that has led to original publications. We are proud to say that we have one of the first academic health centers to have a Home TPN Clinic where the patient can be seen with the multidisciplinary team in St. Michael’s, while the specialist is in another city using urban Telemedicine. Internal referrals for Home TPN can be made by contacting the TPN Nurse.

16 Cardinal Carter North, Room 141
416-864-6092
Fax: 416-864-5882
Monday to Friday, 8 a.m. to 4 p.m.

The inpatient unit at St. Michael’s is located on the 8th Floor of the Peter Gilgan Tower, a state-of-the-art unit with 16 private rooms designed with patient and family comfort in mind. Some features of the space include individual patient rooms with their own bathrooms and family zones, three airborne isolation rooms, new clinical equipment such as ceiling-mounted patient lifts as well as conference rooms and smart TVs to increase collaboration and education for the unit’s interprofessional team.

8th Floor Peter Gilgan Tower (8PGT)
416-864-5222
Fax: 416-864-5273

The Medical Daycare Unit at St. Michael’s provides comprehensive outpatient care for a wide range of cancers including breast, colon and lung cancer, non-acute hematological cancers, Hepato-Pancreatico-Biliary as well as disorders of the blood. We offer many different types of treatment and supportive therapies depending on the patient’s needs including chemotherapy, iron infusions, transfusions and others.

Care is provided by an interprofessional team of cancer specialists, nurses, social workers, pharmacists, a drug access navigator, physiotherapists and dietitians, who are all experienced in providing care to cancer patients. We also arrange palliative and psychiatric consults for patients through the Medical Daycare Unit.

Referrals

Referrals can be faxed to 416-864-3055. We will triage and direct the referral to the appropriate hematologist or oncologist in our practice within one to two business days of receipt. We aim to see medically urgent referrals within two weeks. Please include patient demographics and all relevant lab results, pathology reports, consult notes and imaging with the referral to allow us to assess urgency. For patients who have not had their imaging done at St. Michael’s, please ensure patients bring a copy of the CD with all of the imaging to their appointment.

Resources

Guides for managing your symptoms

The guides are filled with easy to understand, practical tips for what you can do and when to get help from your healthcare team. Please note that information in the guides is not medical advice. Please discuss your side effects and symptoms with your health care team.

There are several language translations of the Symptom Management Guides on the Cancer Care Ontario website. To access these guides visit the Cancer Care Ontario website. Also visit the Your Symptoms Matter tool on the Cancer Care Ontario (CCO) website.

COVID-19 and Cancer

We know that these are unprecedented times and you may have a lot of questions. Here are some resources provided by Cancer Care Ontario:

8 Peter Gilgan Tower
416-864-5222
Fax: 416-864-5273
7:30 a.m. to 5 p.m.

Medical staff at the St. Michael’s Thromboembolism / VTE Clinic specialize in the diagnosis and treatment of thromboembolic disorders, the management of thrombophilic conditions and issues related to the use of antithrombotic therapy. Patients referred to the VTE Clinic will be triaged and assessed by a staff physician.

4th Floor Cardinal Carter Wing
416-864-6060 ext. 3180
Fax: 416-864-6089
VTE@smh.ca

Referrals

This is a specialized clinic for patients with thrombotic thrombocytopenic purpura (TTP) and complement mediated hemolytic uremic syndrome (CM-HUS). The clinic is administered in-person and virtually. We are actively involved in research and clinical studies.

8th Floor Cardinal Carter Wing North, Room 8-119
416-864-5614
Please fax referrals to Dr. Katerina Pavenski at 416-864-3060.
Monday to Friday, 7:30 a.m. to 3.30 p.m.

Last updated August 04, 2021