Dr. Sasha Robert Smiljanic – Oncologist / Hematologist | North Vancouver, BC

Dr. Sasha Robert Smiljanic, a Medical Oncologist, specializes in using chemotherapy, immunotherapy, and targeted agents to treat a wide range of cancers. Practicing at a specialized cancer centre in North Vancouver, BC, he is part of a dedicated healthcare team committed to providing compassionate and advanced cancer care. The practice centers on the use of cutting-edge systemic therapies for adult solid tumors, ensuring patients receive the most effective and personalized treatments available. Dr. Smiljanic’s approach emphasizes patient-centered care, hope, and collaboration to help each individual navigate their cancer journey with confidence.

He graduated with a Medical Degree from the University of British Columbia in 2002 and has completed extensive postgraduate training in Medical Oncology, focusing on systemic therapies for cancer treatment. Dr. Smiljanic holds certifications including those from the Royal College of Physicians and Surgeons of Canada, ensuring adherence to the highest standards of medical practice and patient safety.

Dedicated to a multidisciplinary approach, Dr. Smiljanic is committed to evidence-based treatments, ongoing research, and supporting patients and their families throughout their care. Fluent in English, he strives to foster clear communication and trust with his patients in North Vancouver, providing comprehensive, compassionate, and hopeful cancer care aligned with the standards set by the College of Physicians and Surgeons of British Columbia (CPSBC).

Dr. Sasha Smiljanic 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.
• Prostate Cancer: Cancer developing in the prostate gland in men, with treatment options including hormone therapy, chemotherapy, radiation, or active surveillance.
• Lung Cancer (Non-Small Cell & Small Cell): Cancers originating in the lungs, treated with chemotherapy, targeted therapy, immunotherapy, and/or radiation based on type and stage.

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. Sasha Smiljanic or your referring physician.

• Performance Status Assessment & Treatment Eligibility Evaluation: Evaluating a patient's overall fitness and ability to tolerate specific anti-cancer treatments.
• Second Opinion Consultations for Cancer & Blood Disorders: Providing expert second opinions on complex diagnoses and proposed treatment plans to ensure informed decision-making.
• Integration with Palliative & Supportive Oncology Services: Collaborative care focusing on optimal symptom management, pain control, and psychosocial support throughout the cancer journey.
• Cancer Survivorship Care & Long-Term Follow-Up: Developing individualized follow-up care plans for cancer survivors, focusing on surveillance for recurrence, management of late effects of treatment, and promoting wellness.
• Management of Treatment-Related Side Effects & Toxicities: Proactive and reactive strategies to manage side effects of cancer therapies, including nausea, fatigue, myelosuppression, and neuropathy.
• Systemic Anti-Cancer Therapies Administration & Management: Expert administration and ongoing management of treatments including intravenous and oral chemotherapy, immunotherapy (e.g., checkpoint inhibitors, CAR T-cell therapy coordination), targeted molecular therapy, and hormone therapy.
• 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. Smiljanic provides a wide array of diagnostic, therapeutic, and supportive care options tailored to each patient's specific condition and needs. Please discuss with Dr. Smiljanic 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. Smiljanic practices at a specialized cancer centre located within a hospital department in North Vancouver, BC. The facility is situated in an accessible area near central North Vancouver, making it convenient for patients from surrounding neighborhoods. It is well-connected by local public transit options, allowing easy access for patients. The facility is wheelchair accessible, ensuring comfort and ease of movement for all visitors. Paid parking options are close by, providing additional convenience for those traveling by car. The practice is situated in an area surrounded by local points of interest, making it easy for patients to combine their visits with other appointments or errands.

Are consultations and treatments with Dr. Smiljanic, 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. Smiljanic 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. Smiljanic'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. Smiljanic, an Medical Oncologist?

Yes, a referral from your family physician or another specialist is almost always required to see an Medical Oncologist like Dr. Smiljanic 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 does an Oncologist and/or Hematologist like Dr. Smiljanic 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. Smiljanic has expertise in Medical Oncology, focusing on systemic treatments for solid tumors, and can also address a wide range of blood disorders when relevant.

What is palliative care, and when might Dr. Smiljanic 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. Smiljanic 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 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. Smiljanic may recommend immunotherapy if it's an appropriate option for your type of cancer and will explain how it works and what to expect.

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. Smiljanic, if focused on hematology, can diagnose and manage these conditions.

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. Smiljanic can explain if targeted therapy is an option for your cancer.

How is cancer care typically coordinated when seeing Dr. Smiljanic?

Cancer care and complex hematology care often involve a multidisciplinary team (MDT) of specialists working together. This team may include medical oncologists like Dr. Smiljanic, surgeons, radiation oncologists, pathologists, radiologists, specialized oncology nurses, pharmacists, social workers, dietitians, genetic counselors, and palliative care specialists. Regular team meetings (often called tumor boards or MDT meetings) usually occur to discuss individual patient cases and develop comprehensive, coordinated treatment plans. Dr. Smiljanic works collaboratively within this team to ensure you receive holistic and well-managed care.

231 15 St E, Lion's Gate Hospital
North Vancouver, BC V7L 2L7

Phone: (604) 988-4899

The facility is wheelchair accessible.

Dr. Smiljanic 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/326545/Smiljanic%2CSasha