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Oncology Center

Highly Specialized Clinical Oncologists

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​ The Oncology Center is one of the Oncology arms of the Hospital Nove de Julho, and provides consultations with specialists in the most diverse types of cancer and exams by appointment, in addition to an exclusive building for outpatient consultations at the Centro de Medicina Especializada (CME) [Specialized Medicine Center.
For patients undergoing treatment, the hospital provides the Infusion Center, with 20 boxes and two suites, with hours from Monday to Friday, from 8:00 am to 7:00 pm and, on Saturdays, from 8:00 am to 2:00 pm.  

Hospital Nove de Julho offers a complete structure dedicated to the effective treatment and recovery of oncologic patients. Provides:  

  • Oncology ICU equipped with rooms with controlled atmospheric pressure, positive or negative, HEPA filter, and bacterial filter for water;  

  • Onco-hematology inpatient units, with a specialized interdisciplinary team, including social work and psychology;  

  • Surgical Center with technology for highly complex interventions, including the application of intraoperative chemotherapy and oncological robotic surgery; 

  • Pathological anatomy and clinical analysis laboratory, including tumor markers, immunophenotyping, and cytogenetics; 

  • Diagnostic Center: exams with and without sedation, including PET CT, Angio-resonance, CT angiography, Scintigraphy, Myelogram, outpatient and inpatient bone marrow biopsy, ultrasound with image fusion, and radio-ablation; 

  • Family rooms in support sectors. ​


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 ​Cancer: diagnosis, treatment, and early detection 

Cancer is a pathological process in which tissue in the body begins to grow wildly and out of control. This growth has the consequence of affecting the place where it is found. It can cause pain or malfunction in the internal organ where it is born. 
It can also spread to other parts of the body, a process termed metastases. Therefore, we call it primary cancer (the place where it arises and spreads from there) and metastatic cancer (presence of distant dissemination of the primary cancer).  


​Most prevalent types of cancer 

The most frequent cancers in the world population, and also in Brazil, are malignant tumors of the breast, prostate, lung, intestine, and skin. 



The role of each doctor  

The oncologist is the medical specialist responsible for the diagnosis, staging (determining the extent of the disease through radiological imaging), and clinical treatment of cancer.   
The surgeon, responsible for the physical removal of the primary cancer, can participate in the treatment of cancer, when this is possible and desired. And, also, we have the radio-oncologist, a doctor specialized in treating cancer through radiotherapy. 


Hematologic cancers  


Hematologic cancers are treated by onco-hematologists. 

They are specialists in hematology (blood diseases) and are also dedicated to treating cancers that start from hematological cells. 
 

Diagnosis  

The cancer is diagnosed through a biopsy of the tumor that is identified by some imaging test (called solid tumors) or by changes in blood cells when it comes to hematologic cancers (also sometimes called liquid tumors). 


Early cancer detection: more chances of cure  

Tumors don’t appear already disseminated. That is, they appear somewhere in the body and, before they spread, they must reach a certain size. Early diagnosis can find them before they spread, many times offering better chances of cure. 

 
Tests needed to detect cancer 
  • These are the routine exams when the asymptomatic person is undergoing check-ups:  
  • Or else, any of these exams targeted when a patient has a symptom that should be investigated. 
  • annual chest CT scans for the diagnosis of lung cancer in smokers. 
  • gynecological or urinary tract exams; 
  • abdominal ultrasound exams; 
  • laboratory examination of PSA in men; 
  • mammography and Pap smear in women; 
  • Or else, any of these exams targeted when a patient has a symptom that should be investigated. 
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​Treatments

​Chemotherapy 

Chemotherapy is the most traditional classic treatment in the arsenal of clinical cancer treatment. It is indicated for almost all types of cancer, in combination or not with other forms of infusion treatment, such as hormonal treatment and immunotherapy. ​

Immunotherapy

Immunotherapy is the newest modality of cancer treatment. It is indicated in several types of cancer when they have their own characteristics that make them susceptible.  
Immunotherapy strengthens the body to fight cancer itself. It can mean the cure of certain tumors that are traditionally resistant to traditional chemotherapy, such as lung tumors, kidney tumors, and melanoma. ​

​​​​​​Hormonioterapia ​

Certain tumors have hormone receptors that make them susceptible to hormone treatments. Typical cases are tumors that arise in organs that normally receive the action of normal hormones in the body. These are breast, gynecological, and prostate cancers. 

Meet the team of the Oncology Center at Hospital Nove de Julho 

Multiprofessional team - In addition to the collaboration of radio-oncologists and oncologic surgeons, Palliative Medicine doctors play a very important role in cancer treatment, as they widely help patients with advanced and disseminated disease to better control their symptoms.  
Psychologists, nutritionists, and physiotherapists comprise the team, forming a true multidisciplinary team in the treatment of cancer.  

Oncogenetic Medicine - In this team, we also have an Oncogenetic Medicine service, responsible for assessing the risk of hereditary tumors in patients and their families. The clinical oncologist becomes the protagonist of the treatment of cancer patients, within a multidisciplinary treatment model, together with all professionals.

  • ​Dr. Carlos Dzik - Medical Director of Oncology: Medical School, Santa Casa de São Paulo. Medical Clinical Residency - UNIFESP. Fellow Oncology / Hematology at Univ of Pittsburgh. Specialist in genitourinary, sarcoma, and skin tumors.
  • Dra. Bruna Migliavacca Zucchettigraduated in Medicine and Internal Medicine at PUC de Porto Alegre and oncologist by the Hospital Sírio-libanês. Specialist in Breast and Gynecological Oncology by the European School of Oncology. Specialist in breast and gynecological tumors. 
  • Dra. Carolina​ Kawamura Haddadresidency in Clinical Oncology at the Sírio-Libanês. Sylvester Cancer Center, University of Miami. Dedicated to thoracic oncology, clinical research, and preceptor of the oncology medical residency. Specialist in lung, and head and neck tumors. 
  • Dra. Caroline Chaul: residency in Oncology at the Cancer Institute of the State of São Paulo – USP. Clinical Memorial Sloan Kettering Cancer Center, NY. Specialized in tumors of the brain and nervous system in general. 
  • Dr. Felipe Toledo Moraes:  graduated by the Escola Paulista de Medicina in Clinical Medicine Oncology by the ICESP. Specialist in digestive tract tumors. Specialist in the treatment of digestive tract tumors (esophagus, stomach, intestines, liver, and pancreas). 
  • Dra. ​Mariana Scaranti: graduation by the Medical School at FMRP - USP. Medical Clinic and Clinical Oncology by FMUSP. Clinical – The Royal Marsden Foundation Trust/ The Institute of Cancer Research – The United Kingdom. Physician certified by the Educational Commission for Foreign Medical Graduates (ECFMG) – USA. Specialist in gynecological tumors and coordinator of clinical research in oncology at DASA.
  • Dr. Guilherme Avanço: Graduated in Medicine by the Universidade Federal de São Carlos. Residency in Internal Medicine at the Hospital das Clínicas of the Faculdade de Medicina de Ribeirão Preto/USP. Residency in Oncology at the Instituto do Câncer do Estado de São Paulo [Cancer Institute of the State of São Paulo] (ICESP/USP). Specialist in head and neck tumors 
  • Dr. Ângelo Bezerra de Souza Fêde: graduation in Medicine – Faculdade de Medicina do ABC, FMABC, Santo André. Residency in Clinical Oncology at the Instituto do Câncer do Estado de São Paulo – ICESP – Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo – HCFMUSP. Specialist in Clinical Oncology by the Brazilian Society of Clinical Oncology. 

Serviço de Onco-hematologia​

  • Dr. Celso Arrais: hematologist - SP regional. Residency in Hematology and Hemotherapy at UNIFESP. Doctorate in Hematology by the UNIFESP. Post-Doctorate at the University of Paris VII. Assistant Teacher of the Discipline of Hematology at the UNIFESP 
  • Dra. Maria Cristina Martins de Almeida Macedo: PhD in Medicine (Hematology) by the University of São Paulo. Was the technician in charge of the Bone Marrow Transplant Unit at Hospital das Clínicas da Universidade de São Paulo HC-FMUSP.
  • Dr. Roberto Luiz da Silva: Medical Clinic and concentration in Hematology-Hemotherapy. Master of Sciences by the Medical School of the University of São Paulo (concentration in Hematology-2005). 
  • Dra. Carmen Laura Sejas Soliz: Onco-hemato-pediatrician by the USP. Residency in BMT performed in children and adolescents. Pediatric Oncology by the Federal University of Paraná. Instituto Português de Lisboa [Portuguese Institute of Lisbon]. Specialization - Medical residency. Onco - Pediatric Hematology. Universidade de São Paulo - HC FMUSP - ICR - ITACI. 
  • Dr. Lauro Augusto Caetano Leite: medical residency in Hematology and Hemotherapy by the Irmandade da Santa Casa de Misericórdia de São Paulo (2019). Medicine Graduate by the Faculdade Brasileira – Vitória ES (2013) and residency in Internal Medicine at Hospital César Leite – MG (2016). Specialist in Hematology and Hemotherapy by the Associação Brasileira de Hematologia, Hemoterapia e Terapia Celular [Brazilian Association of Hematology, Hemotherapy and Cell Therapy] (ABHH).
  • Dr. Pedro Amoedo Fernandes: medical residency in Hematology and Hemotherapy at Hospital das Clínicas da USP. Medicine Graduate by the Universidade Federal da Bahia and residency in Internal Medicine at the Universidade Federal de Minas Gerais. Specialist in Hematopoietic Stem Cell Transplantation by the Sociedade Brasileira de Transplante de Medula Óssea [Brazilian Society of Bone Marrow Transplantation] (ABHH/SBTMO). 
  • Dra. Roberta Shcolnik Szor:  Medicine Graduate by the Universidade Federal do Rio de Janeiro, Residency in Clinical Medicine at the Universidade Federal do Rio de Janeiro, Medical Residency in Hematology and Hemotherapy at the Universidade de São Paulo and Title of Specialist in Hematology and Hemotherapy from the Brazilian Association of Hematology, Hemotherapy and Cell Therapy and Brazilian Medical Association.
  • Dr. Pedro Henrique de Arruda Moraes​:  specialist in Clinical Medicine and Hematology by the USP-RP. Specialist in Oncohematology and Bone Marrow Transplantation at the Hospital Sírio Libanês. Bone Marrow Transplant Physician - UNIFESP/EP.
  • Dr. Vinicius Campos de Molla:  Residency in Hematology at USP-RP. Residency in Oncohematology and Bone Marrow Transplantation at Hospital Sírio Libanês. Bone Marrow Transplant Physician - UNIFESP/EP. Doctorate by the Federal Universidade de São Paulo . 

Important- When scheduling a new appointment, provide as much information as possible to the navigator operator so referral can be performed as accurately as possible.  

Scheduling: 

To schedule consultations and exams, call 11 3147-9430.