Dr. Andrew John Attwell – Oncologist / Hematologist | Victoria, BC

Dr. Andrew John Attwell, a Medical Oncologist, specializes in using chemotherapy, immunotherapy, and targeted agents to treat a wide range of cancers. Practicing at a specialized cancer centre within a hospital department in Victoria, BC, he is an integral part of a dedicated healthcare team committed to providing comprehensive cancer care. The practice centers on the use of cutting-edge systemic therapies for adult solid tumors, aiming to deliver personalized and hopeful treatment options. Patients with suspected or diagnosed cancer or blood disorders can access advanced diagnostic and treatment facilities through his practice, ensuring they receive the most current and effective therapies available.

He graduated with a MD CM from McGill University in 1998 and has completed extensive post-graduate training in Medical Oncology, focusing on cancer treatment with systemic therapies. Dr. Attwell holds certifications including those from the Royal College of Physicians and Surgeons of Canada, reflecting his commitment to maintaining high standards of medical excellence and ongoing professional development.

Guided by a philosophy of multidisciplinary collaboration, evidence-based practice, and patient-centered care, Dr. Attwell is dedicated to supporting his patients and their families throughout their cancer journey. He emphasizes clear communication, compassion, and the integration of latest research findings to optimize outcomes. Fluent in English, he is committed to fostering a hopeful and empowering environment for all his patients in Victoria.

Dr. Andrew Attwell has expertise in managing a wide range of conditions, including:

Common Cancers (Solid Tumors) Treated

• Prostate Cancer: Cancer developing in the prostate gland in men, with treatment options including hormone therapy, chemotherapy, radiation, or active surveillance.
• Colorectal Cancer (Colon & Rectal Cancer): Cancer that starts in the colon or rectum, often managed with surgery, chemotherapy, radiation (for rectal), and targeted therapies.
• Ovarian, Uterine (Endometrial), & Cervical Cancers (Gynecologic Oncology - Medical Aspects): Systemic treatment aspects for cancers of the female reproductive system, often in collaboration with gynecologic oncologists or surgeons.

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. Andrew Attwell or your referring physician.

• Integration with Palliative & Supportive Oncology Services: Collaborative care focusing on optimal symptom management, pain control, and psychosocial support throughout the cancer journey.
• Second Opinion Consultations for Cancer & Blood Disorders: Providing expert second opinions on complex diagnoses and proposed treatment plans to ensure informed decision-making.
• Management of Treatment-Related Side Effects & Toxicities: Proactive and reactive strategies to manage side effects of cancer therapies, including nausea, fatigue, myelosuppression, and neuropathy.
• Performance Status Assessment & Treatment Eligibility Evaluation: Evaluating a patient's overall fitness and ability to tolerate specific anti-cancer treatments.
• Adjuvant, Neoadjuvant, & Metastatic/Palliative Systemic Therapy: Developing treatment plans given before (neoadjuvant) or after (adjuvant) primary local treatment (like surgery or radiation) to improve outcomes, or for managing advanced/metastatic cancer to control disease and improve quality of life.
• Treatment of Various Solid Tumors: Specialized care for a wide range of cancers such as breast, lung (NSCLC, SCLC), colorectal, prostate, melanoma, ovarian, uterine, cervical, bladder, kidney, pancreatic, stomach, esophageal, head & neck (non-surgical aspects), brain tumors (non-surgical aspects), and sarcomas.
• 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).

Note: This list provides a general overview of services offered in Medical Oncology (Cancer Treatment with Systemic Therapies). Treatment plans are highly individualized. Dr. Attwell provides a wide array of diagnostic, therapeutic, and supportive care options tailored to each patient's specific condition and needs. Please discuss with Dr. Attwell 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 College of Physicians and Surgeons of British Columbia (CPSBC) and relevant cancer care guidelines. A referral is required.

Dr. Attwell practices at a specialized cancer centre located in the Fairfield East, Oaklands neighborhood of Victoria, BC. The facility is situated within a short distance from the BC Transit Hub, making it easily accessible via the Victoria Regional Transit System (BC Transit). The centre is wheelchair accessible, ensuring ease of access for all patients. Paid parking options are available nearby, providing convenient parking for visitors and patients attending appointments. The location offers a welcoming environment dedicated to comprehensive cancer care, with modern facilities and supportive services designed to meet the needs of the community.

Are consultations and treatments with Dr. Attwell, an Medical Oncologist, covered by Medical Services Plan (MSP) in BC?

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 Medical Oncologist such as Dr. Attwell are generally covered by Medical Services Plan (MSP) in BC 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 Medical Services Plan (MSP), Dr. Attwell'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. Attwell, an Medical Oncologist?

Yes, a referral from your family physician or another specialist is almost always required to see an Medical Oncologist like Dr. Attwell 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.

Does a Hematologist only treat blood cancers?

No, Hematologists treat a wide range of blood disorders, not just cancers. This includes benign (non-cancerous) conditions such as various types of anemia (e.g., iron deficiency anemia, vitamin B12 deficiency, sickle cell anemia, thalassemia), bleeding disorders (like hemophilia or von Willebrand disease), clotting disorders (thrombophilia, deep vein thrombosis, pulmonary embolism), and issues with white blood cells (like neutropenia) or platelets (like ITP). Dr. Attwell, if focused on hematology, can diagnose and manage these conditions.

Does Dr. Attwell participate in or offer access to clinical trials?

Many oncologists and hematologists are involved in clinical research to advance cancer treatment and care for blood disorders, as participation in clinical trials can offer access to new and investigational treatments. Dr. Attwell is actively involved in clinical trials and may discuss relevant trial options with you if you are eligible and it is appropriate for your condition. You can ask Dr. Attwell if there are any suitable clinical trials available for your condition, either at Dr. Attwell's institution or through collaborative research networks. He can provide information or refer you for consideration.

What are common side effects of chemotherapy, and how does Dr. Attwell help manage them?

Chemotherapy can cause various side effects, which differ depending on the specific drugs used, the dose, and individual patient factors. Common ones include fatigue, nausea, vomiting, hair loss, mouth sores, changes in appetite, diarrhea or constipation, and increased risk of infection due to low blood counts. Dr. Attwell and the oncology nursing team will discuss potential side effects of your specific treatment plan in detail and will actively work to prevent and manage them with medications (e.g., anti-nausea drugs, growth factors to boost blood counts), supportive care advice (nutrition, hydration, rest), and regular monitoring. Open communication about any side effects you experience is very important for effective management.

How will treatment decisions be made for my condition by Dr. Attwell?

Treatment decisions in oncology and hematology are highly personalized and made collaboratively. Dr. Attwell will consider many factors, including the type and stage of your cancer or blood disorder, your overall health, genetic markers of the disease (if applicable), current treatment guidelines, and importantly, your personal preferences and values. Often, cases are discussed in multidisciplinary team meetings (tumor boards) with other specialists to ensure a comprehensive approach. You will be an active participant in this decision-making process.

What is immunotherapy and how does it work for cancer?

Immunotherapy is a type of cancer treatment that helps your own immune system fight cancer. It works by boosting or changing how the immune system works so it can find and attack cancer cells more effectively. There are different types of immunotherapy, including checkpoint inhibitors, CAR T-cell therapy, and cancer vaccines. Dr. Attwell may recommend immunotherapy if it's an appropriate option for your type of cancer and will explain how it works and what to expect.

What does an Oncologist and/or Hematologist like Dr. Attwell specialize in?

An Oncologist specializes in the diagnosis and treatment of cancer. This can include Medical Oncologists who use systemic treatments like chemotherapy and immunotherapy, Radiation Oncologists who use radiation therapy, and Surgical Oncologists who perform surgery to remove tumors. A Hematologist specializes in diagnosing and treating disorders of the blood, bone marrow, spleen, and lymph glands; this includes benign conditions like anemia and bleeding disorders, as well as malignant conditions (blood cancers) like leukemia, lymphoma, and myeloma. Dr. Attwell has expertise in both Medical Oncology, focusing on systemic treatments for solid tumors, and Hematology, treating a wide range of blood disorders including anemias and leukemias. He provides comprehensive care for various cancers and blood conditions, ensuring patients receive tailored, hopeful treatment plans.

2410 Lee Ave, Vancouver Island Cancer Centre
Victoria, BC V8R 6V5

Phone: (250) 519-5570 | Fax: (250) 519-2017

The facility is wheelchair accessible.

Dr. Attwell is a licensed Medical Oncologist regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. 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 College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/323852/Attwell%2CAndrew