Dr. Alexandra Waters – Oncologist / Hematologist | Laval, QC

Dr. Alexandra Waters, a Radiation Oncologist, utilizes advanced radiation therapies to treat various forms of cancer, working as part of a multidisciplinary team. Practicing at the Centre intégré de cancérologie de Laval in Laval, QC, she is part of a dedicated healthcare team committed to providing comprehensive cancer care. Her role involves the precise planning and delivery of radiation therapy tailored to individual patient needs, focusing on adults with suspected or diagnosed cancer or blood disorders. Access to state-of-the-art diagnostic and treatment facilities ensures that patients receive high-quality, evidence-based care in a supportive environment.

Dr. Waters graduated with a Medical Degree in 2017 and has been practicing as a Radiation Oncologist for over 7 years. She has completed extensive post-graduate medical training and holds certification in Radiation Oncology (Cancer Treatment with Radiation), ensuring her expertise aligns with the highest standards of the Collège des médecins du Québec (CMQ). Her ongoing professional development reflects her commitment to staying current with advancements in cancer treatment and radiation techniques.

Dedicated to providing patient-centered care, Dr. Waters emphasizes a multidisciplinary approach, integrating the latest evidence-based treatments with compassionate support for her patients and their families. She speaks French fluently and is committed to clear communication and personalized treatment planning. Her philosophy centers on advancing research, optimizing treatment outcomes, and supporting her patients through their cancer journey with empathy and professionalism.

Dr. Alexandra Waters has expertise in managing a wide range of conditions, including:

Common Cancers (Solid Tumors) Treated

• Gastrointestinal Cancers (Esophageal, Stomach, Pancreatic, Liver, Biliary): A group of cancers affecting the digestive system organs, each requiring specific diagnostic and multidisciplinary treatment approaches including systemic therapies.
• Breast Cancer (Early Stage, Locally Advanced, Metastatic): Malignant tumors developing in the cells of the breast, managed with various therapies including hormonal, chemo, targeted agents, and immunotherapy.
• Sarcomas (Bone & Soft Tissue - Systemic Therapy): Rare cancers arising from connective tissues, where medical oncologists administer chemotherapy or targeted therapies for advanced or metastatic disease.

Hematologic Malignancies (Blood Cancers) Treated

• Non-Hodgkin Lymphoma (NHL) (e.g., Diffuse Large B-Cell, Follicular, Mantle Cell): A diverse group of blood cancers that develop from lymphocytes, with many different subtypes requiring tailored treatments.
• Acute Lymphoblastic Leukemia (ALL): A type of cancer of the blood and bone marrow that affects white blood cells called lymphocytes, common in children but also occurs in adults.
• Multiple Myeloma: A cancer of plasma cells, a type of white blood cell in the bone marrow that produces antibodies, leading to bone damage and other complications.

Common Areas/Cancers Treated with Radiation Oncology

• Genitourinary Cancers (e.g., Prostate, Bladder, Testicular): Using radiation therapy, including brachytherapy for prostate cancer, to treat cancers of the male and female urinary and reproductive systems.
• Sarcomas (Bone & Soft Tissue - Radiation Aspects): Role of radiation therapy in the multidisciplinary management of sarcomas, often used before or after surgery.
• Head & Neck Cancers (e.g., Laryngeal, Pharyngeal, Oral Cavity): Utilizing radiation therapy as a primary treatment, or in conjunction with surgery and/or chemotherapy for cancers of the head and neck region.

This list provides examples of common conditions treated and is not exhaustive. Cancer and blood disorders are complex, and treatment is highly individualized. For personalized advice, please discuss your specific situation with Dr. Alexandra Waters or your referring physician.

• Comprehensive Oncologic & Hematologic Consultation: In-depth evaluation of medical history, review of diagnostic imaging and pathology, cancer staging (if applicable), and development of personalized treatment plans for various cancers and blood disorders.
• Genetic Counseling & Testing Referrals for Hereditary Cancer Syndromes: Assessment of family history and risk factors, and coordination of referrals for genetic counseling and testing for inherited predispositions to cancer (e.g., BRCA).
• Prophylactic Cranial Irradiation (PCI): Preventative radiation treatment to the brain for certain cancers at high risk of brain metastases.
• Total Body Irradiation (TBI) - Component of Stem Cell Transplant Regimens: Radiation therapy delivered to the entire body, often used as part of the conditioning regimen before a bone marrow or stem cell transplant.
• Performance Status Assessment & Treatment Eligibility Evaluation: Evaluating a patient's overall fitness and ability to tolerate specific anti-cancer treatments.
• External Beam Radiation Therapy (EBRT) - 3D Conformal, IMRT, VMAT: Developing precise, individualized plans for delivering radiation using external machines (e.g., linear accelerators) with techniques like Intensity-Modulated Radiation Therapy (IMRT) and Volumetric Modulated Arc Therapy (VMAT).
• Brachytherapy (Internal Radiation - LDR/HDR) for Specific Cancers: Planning and performing procedures where radioactive sources are placed directly into or near a tumor (e.g., for prostate, cervical, breast cancer).

Note: This list provides a general overview of services offered in Radiation Oncology (Cancer Treatment with Radiation). Treatment plans are highly individualized. Dr. Waters provides a wide array of diagnostic, therapeutic, and supportive care options tailored to each patient's specific condition and needs. Please discuss with Dr. Waters or your healthcare team for details relevant to your care.

All medical services and treatments are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ) and relevant cancer care guidelines. A referral is required.

The Centre intégré de cancérologie de Laval is situated in the vibrant Chomedey North neighborhood of Laval, QC. It serves as a central hub for advanced cancer diagnostics and treatments, conveniently accessible via the Major East-West Commercial Corridor and Autoroute 15. Public transit options are readily available through the Société de transport de Laval (STL), making it accessible for patients from various parts of the region. The facility is wheelchair accessible to ensure ease of access for all patients. Parking is available at the facility, providing convenient options for those arriving by car.

Are consultations and treatments with Dr. Waters, an Radiation Oncologist, covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations, diagnostic tests (like biopsies, imaging reviews), chemotherapy, immunotherapy, targeted therapies, radiation therapy planning and delivery, and management of blood disorders by a licensed Radiation Oncologist such as Dr. Waters are generally covered by Régie de l'assurance maladie du Québec (RAMQ) in QC when a referral from a family doctor or another specialist is in place. Specific drug coverage for newer therapies can vary by provincial formularies and may require special authorization. It's always recommended to discuss coverage specifics with Régie de l'assurance maladie du Québec (RAMQ), Dr. Waters's office, the hospital's patient financial services, or the cancer care navigation services at the treatment facility.

Do I need a referral to see Dr. Waters, an Radiation Oncologist?

Yes, a referral from your family physician or another specialist is almost always required to see an Radiation Oncologist like Dr. Waters for assessment or treatment of cancer or significant hematological conditions. This ensures that your primary care provider is involved in your care continuum and that you are directed to the most appropriate specialist for your specific situation. Cancer care programs often have centralized intake systems that manage referrals to ensure timely access.

What is targeted therapy in cancer treatment?

Targeted therapy uses drugs or other substances to identify and attack specific types of cancer cells with less harm to normal cells. These therapies work by targeting specific genes or proteins found in cancer cells or cells related to cancer growth, like blood vessel cells. Genetic testing of the tumor is often done to see if a targeted therapy is likely to be effective. Dr. Waters can explain if targeted therapy is an option for your cancer.

What is palliative care, and when might Dr. Waters discuss it?

Palliative care is specialized medical care focused on providing relief from the symptoms and stress of a serious illness, like cancer or advanced blood disorders. The goal is to improve quality of life for both the patient and the family. It can be provided at any stage of illness, alongside curative treatments, not just at the end of life. Dr. Waters may discuss palliative care if you are experiencing significant symptoms, to help manage pain, fatigue, nausea, anxiety, or other issues, and to provide an extra layer of support.

What can I expect at my first appointment with an Oncologist/Hematologist?

Your first appointment with Dr. Waters will be comprehensive and may last an hour or more. It will involve a detailed review of your medical history, family history of cancer, current symptoms, medications, and any previous tests, imaging results (CT, MRI, PET scans), and biopsy reports related to your diagnosis. She will likely perform a thorough physical examination. The main goals are to confirm your diagnosis, discuss the type and stage of your condition (if applicable), and outline potential treatment options. This is a crucial time to ask questions, and you are encouraged to bring a family member or friend for support and to help take notes. Dr. Waters will explain the proposed treatment plan, including goals, benefits, potential side effects, duration, and what to expect moving forward. Further tests may be ordered.

Centre intégré de cancérologie de Laval
1755 boul René-Laennec, Bloc G
Laval, QC H7M 3L9

Phone: (450) 975-5359

The facility is wheelchair accessible.

Dr. Waters is a licensed Radiation Oncologist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from a family physician or other specialist is required for most consultations and treatments under the provincial health plan.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=17363