Dr. Elaine Sze-Sze Wai

Dr. Elaine Wai has expertise in managing a wide range of conditions, including:

Common Cancers (Solid Tumors) Treated

• Neuroendocrine Tumors (NETs): A diverse group of tumors that arise from cells of the endocrine (hormonal) and nervous systems, treated with various systemic 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.
• Brain & Central Nervous System (CNS) Tumors (Primary & Metastatic - Medical Oncology aspects): Malignant tumors of the brain and spinal cord, where medical oncologists may manage chemotherapy or targeted therapies as part of a multidisciplinary team.

Hematologic Malignancies (Blood Cancers) Treated

• Waldenström's Macroglobulinemia: A rare type of non-Hodgkin lymphoma characterized by an overproduction of a protein called macroglobulin.
• Acute Myeloid Leukemia (AML): A rapidly progressing cancer of the blood and bone marrow affecting myeloid cells.
• Chronic Lymphocytic Leukemia (CLL) / Small Lymphocytic Lymphoma (SLL): A type of cancer that starts from white blood cells (lymphocytes) in the bone marrow, typically slow-growing.

Common Areas/Cancers Treated with Radiation Oncology

• Sarcomas (Bone & Soft Tissue - Radiation Aspects): Role of radiation therapy in the multidisciplinary management of sarcomas, often used before or after surgery.
• Lymphomas & Hematologic Malignancies (Radiation Role): Utilizing radiation therapy in specific situations for Hodgkin and Non-Hodgkin lymphomas, or for conditioning before stem cell transplant.
• Gastrointestinal Cancers (e.g., Rectal, Anal, Pancreatic, Stomach): Role of radiation therapy in managing various cancers of the digestive system, often as part of combined modality treatment.

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. Elaine Wai or your referring physician.

• Performance Status Assessment & Treatment Eligibility Evaluation: Evaluating a patient's overall fitness and ability to tolerate specific anti-cancer treatments.
• 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.
• 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).
• 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).
• Image-Guided Radiation Therapy (IGRT): Utilizing advanced imaging during treatment delivery to precisely target tumors and adapt to changes, while minimizing exposure to healthy tissues.
• Palliative Radiation Therapy for Symptom Control: Using radiation to alleviate pain, bleeding, or obstruction caused by cancer.
• Radiation Therapy Consultation & Treatment Planning: Comprehensive assessment to determine if radiation therapy is an appropriate treatment modality, followed by meticulous 3D/4D simulation and treatment planning.

Note: This list provides a general overview of services offered in Radiation Oncology (Cancer Treatment with Radiation). Treatment plans are highly individualized. Dr. Wai provides a wide array of diagnostic, therapeutic, and supportive care options tailored to each patient's specific condition and needs. Please discuss with Dr. Wai 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. Wai practices at a specialized cancer centre located within a hospital department in Vancouver's vibrant Fairview neighbourhood. The facility is conveniently situated near the Mount Pleasant area, offering easy access via public transit options including TransLink (SkyTrain Expo/Millennium/Canada Lines, Bus, SeaBus, West Coast Express - Waterfront). The centre is fully wheelchair accessible, ensuring equitable access for all patients. Metered street parking is available nearby, making it convenient for patients and visitors to attend appointments comfortably.

Are consultations and treatments with Dr. Wai, an Radiation 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 Radiation Oncologist such as Dr. Wai 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. Wai'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. Wai, an Radiation Oncologist?

Yes, a referral from your family physician or another specialist is almost always required to see an Radiation Oncologist like Dr. Wai 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 kind of supportive care is available during cancer or hematology treatment with Dr. Wai?

Supportive care is a crucial part of treatment, aiming to manage symptoms, reduce side effects, improve quality of life, and address emotional and practical needs. This can include effective pain and symptom management, nutritional support and counseling, psychological support (counseling, therapy), social work services for practical and emotional support, physiotherapy or occupational therapy, access to patient support groups, and spiritual care. Dr. Wai and the healthcare team at affiliated hospitals or cancer centres can connect you with these valuable resources.

What happens after cancer treatment is completed with Dr. Wai?

After active cancer treatment finishes, Dr. Wai will develop a survivorship care plan with you. This plan typically includes a schedule for follow-up appointments and tests to monitor for any signs of recurrence, management of any long-term side effects from treatment, recommendations for healthy lifestyle choices (diet, exercise), and coordination with your family doctor for ongoing general health care. The goal is to support your long-term health and well-being.

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

Treatment decisions in oncology and hematology are highly personalized and made collaboratively. Dr. Wai 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 palliative care, and when might Dr. Wai 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. Wai 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.

600 10TH Ave W, BC Cancer - Vancouver
Vancouver, BC V5Z 4E6

Phone: (604) 877-6000 | Fax: (604) 877-0505

The facility is wheelchair accessible.

Dr. Wai is a licensed Radiation 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/312262/Wai%2CElaine