Breast Cancer

​​​​​​The Breast Cancer Pathway Map provides a flow chart of an evidence-based high level overview of the care breast cancer patients should receive in Ontario.

Several different hospitals in Toronto provide diagnostic, treatment and follow-up services for breast cancer. For example, women may require a breast biopsy after an abnormal mammogram. Check the list below for details on the services available at each hospital.  Where available, referral forms are provided on the respective websites.

Diagnostic Assessment Programs (DAPs)

Diagnostic Assessment Programs (DAPs), also known as Diagnostic Assessment Units (DAUs) and Rapid Diagnostic Units (RDUs), focus on providing a rapid assessment and diagnosis for patients with suspicious symptoms or abnormalities. Patients receive a comprehensive assessment, examination and care plan. 

Diagnosis

• Michael Garron Hospital (Toronto East Health Network)
• Services available: Breast Diagnostic Clinic
• Referral form
• Sinai Health System
• Services available: Marvelle Koffler Breast Centre
• Referral form not available online
• Odette Cancer Centre (Sunnybrook Health Sciences Centre)
• Services available: Breast Rapid Diagnostic Unit and Breast Diagnostics Clinic
• Referral information
• Princess Margaret Cancer Centre (University Health Network)
• Services available: Gattuso Rapid Diagnostic Centre and Breast Imaging Department
• Referral forms
• St. Joseph's Health Centre (Unity Health)
  
• Referral form not available online
• St. Michael’s Hospital (Unity Health)
  
• Services available: CIBC Breast Centre
• Referral form
• Women’s College Hospital
• Services available: Henrietta Banting Breast Centre
• Referral form

Treatment

• Cancer Care Ontario - All About Breast Cancer

• Cancer Care Ontario Breast Cancer Guidelines and Documents (Clinical guidance on prevention, screening, diagnosis, treatment, follow-up and end-of-life care)

• Michael Garron Hospital (Toronto East Health Network)
• Surgery
• Oncology & Haematology Clinic
• Breast Reconstruction Surgery
• Sinai Health System
• Breast Surgical Services
• Medical Oncology Services
• Odette Cancer Centre (Sunnybrook Health Sciences Centre)
• Odette Cancer Centre Medical, Radiation and Surgical Oncology Referrals
• Breast Reconstruction Program
• Princess Margaret Cancer Centre (University Health Network)
• Breast Clinic
• Breast Reconstruction Centre
• St. Joseph's Health Centre (Unity Health)
  
• Diagnostic Imaging
• Breast and Plastic Surgery
• Oncology
• St. Michael's Hospital (Unity Health)​
  
• Breast Cancer Care (Surgery, Oncology, Reconstruction)
• Women's College Hospital
• Diagnostic and Surgery Clinics
• Breast Reconstruction

Clinical Trials

• Ontario Cancer Trials (Ontario Institute for Cancer Research)
• Canadian Cancer Trials (Canadian Partnership Against Cancer)

Follow-Up

The evidence supports the fact that care for most breast cancer patients requiring well follow-up care can be safely provided by primary care physicians. Therefore, Ontario Health (Cancer Care Ontario)​ endorses the recommendations from Canada’s Steering Committee on Clinical Practice Guidelines for the Care and Treatment of Breast Cancer.

• Cancer Care Ontario’s Position on Guidelines for Breast Cancer Well Follow-up Care
• Breast Cancer Survivorship Care Guideline (American Cancer Society & American Society of Clinical Oncology)
• Pink Notes (South West Regional Cancer Program)