Cancer Care

Ross Memorial Hospital (RMH) plays a vital role in delivering high-quality cancer screening, diagnostic services, and cancer care. As part of the regional cancer system, the Ross is helping improve access to timely screening, diagnosis, and follow-up, allowing patients to receive the care they need without having to travel far from their families and support networks.

RMH’s vision “to be the best for our patients, people, and community” reflects our commitment to collaborating with partners across the health system, including Community Care City of Kawartha Lakes (CCCKL) and their Palliative Care Community Team (PCCT), Peterborough Regional Health Centre (PRHC), and the Durham Regional Cancer Centre (DRCC) situated at Lakeridge Health Oshawa.  

RMH offers a broad range of services delivered close to home. These services support timely detection, accurate diagnosis, and coordinated care, helping patients receive the right test, at the right time, as part of their cancer journey.  

Table of contents:

1. Ontario Breast Screening Program (OBSP) and Mammography

2. High-Risk Breast MRI

3. Ontario Lung Screening Program

4. Endoscopy and Colonoscopy 

5. Breast and Bowel Surgery 

6. Surgical Pathology

7. Cancer Surgery

8. Limited Consultation and Therapeutic Care

9. Palliative Care and Symptom Management

10. Laboratory Testing 

 

1. Ontario Breast Screening Program (OBSP) and Mammography

Early detection is key to improving breast cancer outcomes. At Ross Memorial Hospital, we provide comprehensive breast imaging and coordinated follow‑up care through the Ontario Breast Screening Program (OBSP) and our broader Diagnostic Imaging services. Our expert team uses advanced technology to support screening, diagnosis, and treatment planning, providing patients with timely, accurate results and clear next steps in their care.

OBSP Breast Assessment Clinic

Our OBSP Breast Assessment Clinic offers coordinated follow‑up care for individuals who require additional testing after an abnormal mammogram. Our goal is to provide timely assessments, clear communication, and seamless access to all recommended diagnostic procedures. RMH also supports Haliburton Highlands Health Services and Haliburton County.

Follow‑Up Imaging After an Abnormal Screening

Patients with suspicious findings on a screening mammogram receive follow‑up mammography at intervals recommended by the radiologist and in alignment with OBSP wait‑time standards. 

Monitoring Cysts or Benign Masses

For individuals with cysts or benign breast findings, ongoing surveillance, such as ultrasound or MRI, is performed at radiologist‑determined intervals to monitor for changes over time. 

Image‑Guided Localization

For patients requiring surgical removal of a breast lesion, our imaging team performs image‑guided localization. A needle or marker is placed in the breast under imaging guidance, helping surgeons accurately identify and remove the targeted tissue.

Monitoring Treatment Effectiveness

Patients undergoing cancer treatment may require MRI, CT, or other imaging to evaluate how well their treatment is working. These follow‑up studies are scheduled according to the oncologist’s treatment plan.

 

2. High-Risk Breast MRI

A High-Risk Breast MRI is an advanced breast imaging test designed for individuals who have an increased chance of developing breast cancer. This specialized screening uses magnetic resonance imaging (MRI) to create highly detailed images of breast tissue, allowing radiologists to detect abnormalities that may not be visible on a mammogram or ultrasound. 

At RMH, High-Risk Breast MRI is offered as part of a coordinated breast screening pathway to support earlier detection and personalized care for patients at elevated risk. 

Who Is Considered High-Risk?

A High-Risk‑ Breast MRI may be recommended for individuals who have: 

• A known genetic mutation (such as BRCA1, BRCA2, or other hereditary cancer syndromes) 
• A strong family history of breast cancer 
• A personal history of chest radiation therapy before age 30 
• A calculated lifetime breast cancer risk of 25% or greater, based on an approved risk assessment model 

Eligibility is determined by your physician or specialist based on provincial breast screening guidelines. Genetic counselling and testing for patients is often referred to Peterborough Regional Health Centre.

Why High-Risk Breast MRI is Important

MRI is one of the most sensitive imaging tools available for breast screening. It can detect cancers earlier than mammography alone, particularly in individuals with: 

• Dense breast tissue 
• Genetic or inherited risks 
• Previous breast cancer treatments 
• Strong family histories 

By identifying breast cancer at an early stage, patients have access to a wider range of treatment options and improved outcomes. 

What to Expect During the Exam

A High-Risk‑ Breast MRI is: 

• Non‑invasive 
• Radiation free 
• Performed with contrast to highlight breast tissue structures 

During the scan, patients lie face down on a specially designed table while the MRI machine captures detailed images. The exam typically takes 30-45 minutes and is interpreted by radiologists with expertise in breast imaging. 

Your results will be shared with your referring physician, who will discuss next steps or follow-up recommendations. 

How to Access High-Risk Breast MRI

A referral is required from: 

• A family physician 
• Nurse practitioner 
• Oncologist 
• Genetics specialist 

Your provider will determine whether you meet the criteria for high-risk screening and will coordinate the booking process.

All requisitions:

https://rmh.org/programs-and-services/diagnostic-imaging

Ocean eReferrals:

https://ocean.cognisantmd.com/login.do#/patients

High-Risk Breast MRI is part of RMH’s commitment to early detection and comprehensive breast health care. Our imaging team works closely with the OBSP Breast Assessment Clinic, oncologists, surgeons, and primary care providers to ensure patients receive clear guidance and timely follow‑up. 

 

3. Ontario Lung Screening Program

The Ontario Lung Screening Program (OLSP) is a province-wide initiative designed to detect lung cancer at an early stage in individuals who are at high risk. Early detection through screening can significantly improve treatment outcomes and save lives. 

Benefits of Screening

• Detects lung cancer earlier, when it is more treatable 
• Improves survival rates 
• Provides structured follow-up and expert review 

Program Structure

Ross Memorial Hospital participates in the Ontario Lung Screening Program as a spoke site. Through our partnership with Lakeridge Health, RMH is committed to delivering high-quality, coordinated care. This collaboration allows patients to benefit from both local access and specialized expertise. 

As a spoke site, RMH provides local access to imaging services, ensuring patients can receive care closer to home. Lakeridge Health, as the hub, supports the program through centralized coordination and follow-up. 

Who is Eligible?

The program is intended for people who: 

• Are between the ages of 55 and 80 
• Have a history of smoking commercial tobacco (cigarettes, pipes or cigars) for a total of 20 years or more 

What to Expect

Eligible participants will undergo a low-dose CT (computed tomography) scan, which is a quick and non-invasive imaging test that uses a small amount of radiation to create detailed images of the lungs. 

If any abnormalities are identified, the care team will coordinate appropriate follow-up to allow for timely assessment and management. 

Learn More 

To find out if you are eligible, please call 1-866-338-1778 ext. 34449. 

For more information about lung cancer screening, visit www.CheckForLungCancer.ca

 

4. Endoscopy and Colonoscopy 

Ross Memorial Hospital provides endoscopy services to support the diagnosis, monitoring, and treatment of conditions affecting the digestive system. These minimally-invasive procedures allow physicians to examine the gastrointestinal (GI) tract using a thin, flexible tube equipped with a light and camera, helping to detect abnormalities at an early and treatable stage. 

Endoscopy (Gastroscopy)

A gastroscopy is used to examine the upper GI tract, including the esophagus, stomach, and the first part of the small intestine. This procedure helps identify symptoms such as swallowing difficulties, bleeding, persistent heartburn, or abdominal pain. It is also used to detect conditions such as: 

• Esophageal or stomach cancers 
• Ulcers or inflammation 
• Polyps or abnormal tissue 
• Celiac disease and other digestive disorders 

During a gastroscopy, physicians can take tissue samples (biopsies) or perform therapeutic treatments, such as removing polyps or stopping bleeding. 

Colonoscopy

A colonoscopy is performed to examine the colon (large intestine) and rectum. It is one of the most effective tools for preventing and detecting colorectal cancer. Colonoscopies are recommended for individuals with symptoms such as changes in bowel habits, rectal bleeding, or abdominal discomfort, as well as those with a personal or family history of colon polyps or cancer. 

Colonoscopy allows physicians to: 

• Detect and remove polyps before they become cancerous 
• Diagnose colorectal cancer at an early stage 
• Investigate symptoms affecting the lower digestive tract 
• Monitor patients with known GI conditions 

Most colorectal cancers begin as polyps and removing them during the colonoscopy significantly reduces cancer risk. 

Advanced Diagnostic and Therapeutic Capabilities

Both endoscopy and colonoscopy offer more than visualization. When needed, our medical team can perform additional procedures during the exam, such as: 

• Biopsy collection for pathology analysis 
• Polyp removal 
• Treatment of bleeding 
• Dilation of narrowed areas in the GI tract 

These therapeutic capabilities help reduce the need for more invasive surgeries. 

Your Care Team

Our endoscopy team includes a gastroenterologist, general surgeons, registered nurses and registered practical nurses. They work together to ensure that each patient receives safe, compassionate, and timely care. 

Supporting Cancer Detection and Prevention 

Endoscopy and colonoscopy play a crucial role in early cancer detection and monitoring. Findings from these procedures are used to guide personalized treatment plans, ensure appropriate follow-up care, and support ongoing surveillance for patients at risk of GI cancers.

 

5. Breast and Bowel Surgery 

Surgeons perform a range of procedures to remove cancerous tissue while prioritizing safety, comfort, and cosmetic outcomes. These may include: 

• Lumpectomy (breast conserving surgery) 
• Mastectomy 
• Lymph node biopsy or dissection 

Image-Guided Localization

Before surgery, patients may undergo localization procedures, where a radiologist places a marker in the breast to help surgeons accurately locate and remove the targeted area. 

Benign Breast Conditions

Surgery may also be performed to remove benign lumps, cysts, or other non-cancerous changes that require further investigation or treatment. 

Our breast surgery program works closely with the OBSP Breast Assessment Clinic to facilitate smooth transitions from imaging, biopsy, and diagnosis to surgical consultation and treatment. 

Bowel Surgery

Our surgical team provides comprehensive care for patients with cancers or pre-cancerous conditions of the colon and rectum. 

Colorectal Cancer Surgery

Procedures may include: 

• Removal of cancerous segments of the colon or rectum 
• Minimally invasive laparoscopic techniques, when appropriate 
• Resection of polyps or growths not fully removable during colonoscopy 

Timely surgical care plays a vital role in treating colorectal cancer, often in coordination with chemotherapy, radiation therapy, or ongoing surveillance. 

Management of Pre-Cancerous Conditions 

Patients with conditions such as advanced polyps, inflammatory bowel disease, or hereditary colorectal syndromes may also require surgical intervention to reduce cancer risk. 

Collaborative Cancer Care 

Breast and bowel surgeries are part of a coordinated, multidisciplinary approach to cancer treatment. Our surgical team works closely with: 

• Diagnostic Imaging 

• Endoscopy 

• Oncology 

• Surgical Pathology 

• Nursing and Supportive Care Teams 

Pathology results from surgical specimens are reviewed by specialized pathologists to guide further treatment and follow-up. 

Our Commitment to Patients 

We are dedicated to every patient receiving compassionate and individualized care throughout their surgical experience. From diagnosis to recovery, our goal is to provide clear communication, coordinated support, and high-quality surgical treatment to help patients achieve the best possible outcomes. 

 

6. Surgical Pathology

Surgical Pathology plays a vital role in the diagnosis and treatment of cancer. After a biopsy or surgical procedure, tissue samples are examined by highly trained pathologists to determine whether disease is present and to help guide the next steps in a patient’s care. 

At Ross Memorial Hospital, our Surgical Pathology services provide accurate, timely interpretations that support clear and informed decision making for patients and their care teams. 

What Is Surgical Pathology?

Surgical Pathology involves the microscopic examination of tissue removed during: 

• Biopsies 
• Endoscopic procedures 
• Breast or bowel surgeries 
• Other surgical interventions 

Pathologists analyze these tissue samples to identify cancer, determine its characteristics, and assess whether it has spread. Their findings are essential for diagnosis, staging, and the development of personalized treatment plans. 

What Surgical Pathology Helps Determine 

Through detailed examination, Surgical Pathology provides information such as: 

• Presence or absence of cancer 
• Cancer type and grade 
• Tumor margins (whether all cancerous tissue was removed) 

• Lymph node involvement 

• Other disease related findings 

These results help surgeons, oncologists, and other specialists determine appropriate follow-up care, including surgery, chemotherapy, radiation therapy, or ongoing surveillance. 

Our Pathology Team 

Our pathology services are supported by RMH’s exceptional partnership with the Peterborough Regional Health Centre's (PRHC) pathology team. Their dedication and willingness to work together have truly strengthened our shared commitment to patient care. Together, this team ensures high quality analysis and reliable results that support patient safety and optimal care. 

A Critical Part of Cancer Care 

Surgical Pathology is a key component of the cancer diagnostic process. Fast, accurate pathology results help patients and their families understand their diagnosis and move forward with confidence in their care plan. 

Our commitment is to deliver timely, detailed, and compassionate pathology services as part of our comprehensive cancer program.

 

7. Cancer Surgery 

Ross Memorial Hospital offers a range of surgical services to support the diagnosis and treatment of cancer. Our skilled surgical team provides patient-centered care using safe, evidence-based practices, and works closely with specialists across the health system to facilitate coordinated treatment planning. 

Surgical Sub-Specialties include:

Biopsy Procedures

Biopsies are an essential step in diagnosing cancer. Our surgeons perform tissue sampling procedures to help confirm or rule out cancer, guide treatment decisions, and support ongoing monitoring. 

General Surgery 

Our general surgeons provide care for a wide variety of cancers affecting the breast, bowel, skin, and other organs. Services include tumor removal, lymph node sampling, and cancer-related abdominal surgeries. 

Gynecology/Obstetrics 

Our Gynecology team provides compassionate, skilled care for people with cancers of the female reproductive system. We diagnose and treat conditions involving the uterus, cervix, ovaries, vagina, and vulva, always with a strong focus on safety, comfort, and continuity of care close to home. 

Early detection is an important part of cancer care. We offer screening for multiple gynecologic cancers, including uterine, cervical, ovarian (adnexal), vaginal, and vulvar cancers. 

To support accurate diagnosis, our team provides a range of tests and procedures, including: 

• Ultrasound and laboratory testing 
• Endometrial biopsy 
• Colposcopy 
• Laparoscopy 
• Dilatation and curettage (D&C) with hysteroscopy 
• Vulvar and vaginal biopsies 

These procedures help us understand what is happening and guide next steps in care. 

Many early stage and low‑grade gynecologic cancers can be treated right here at RMH. 

• Low‑grade uterine cancers and pre‑cancerous conditions are often treated with hysterectomy. Depending on the situation, these surgeries may be performed laparoscopically, with laparoscopic assistance, vaginally, or through an abdominal approach. 
• High‑grade cervical dysplasia (severe pre‑cancer changes of the cervix) is treated using procedures such as LEEP or cone biopsy. 

Patients with more complex or advanced gynecologic cancers are referred to specialized gynecologic oncology services. We work closely with these teams to coordinate smooth referrals and ongoing support. 

Our goal is to provide timely, respectful care while keeping patients well‑informed and supported throughout their journey. 

Urology 

Our urology team offers surgical care for cancers of the urinary tract and male reproductive system, such as prostate, bladder, and kidney cancers. Procedures range from diagnostic biopsies to cancer-related surgeries. 

Endoscopy 

Endoscopic procedures help diagnose, assess, and sometimes treat cancer-related conditions. 

Services include: 

• Gastroscopy – used to examine the esophagus, stomach, and upper digestive tract. 
• Colonoscopy – used to detect colon cancer and remove polyps that may become cancerous.

 

8. Limited Consultation and Therapeutic Care

FLATO Developments Ambulatory Care Centre (ACC)

The FLATO Developments Ambulatory Care Centre at Ross Memorial Hospital provides a range of specialized outpatient services that support cancer diagnosis, treatment, and ongoing care. 

Cervical Cancer HPV Screening  

The Ontario Cervical Screening Program (OCSP) is a province‑wide initiative led by Ontario Health (Cancer Care Ontario). The program’s goal is to reduce the risk of developing or dying from cervical cancer by encouraging regular cervical screening and appropriate follow‑up testing when abnormal results are found. 

The OCSP supports people with a cervix, including women, two‑spirit, transmasculine, and non‑binary people, to access timely, evidence‑based screening, even if they do not have symptoms. 

Ross Memorial Hospital offers preventative Human Papillomavirus (HPV) cervical screening through our Reproductive and Gynecological Health Clinic. This service is available through self-referral. HPV screening is also provided by RMH’s Obstetrician/Gynecologist for patients who have been referred for cervical assessment.  

You may be eligible for Cervical Screening if you: 

• Are 25 years of age or older 
• Are a woman, two-spirit, transmasculine, or non-binary person with a cervix 
• Have ever had sexual contact with another person 
• Do not have symptoms, such as unusual vaginal bleeding or abnormal vaginal discharge 
• Are due for screening based on the Ontario Cervical Screening Program’s recommendations 

Colposcopy Services 

Our Obstetrician/Gynecologists perform colposcopies for patients who require further assessment following abnormal cervical screening results. This procedure allows physicians to closely examine the cervix and obtain biopsies when needed to support accurate diagnosis and timely follow‑up. 

Radiation Oncology Consultations 

Visiting radiation oncologists offer consultation services for Kawartha Lakes residents undergoing radiation therapy. These clinics allow patients to receive pretreatment and follow‑up care closer to home, reducing travel and improving access to specialist support. 

Outpatient Procedures and Treatments 

Our FLATO Developments Ambulatory Care Centre also provides additional outpatient services, including: 

• Blood transfusions for patients requiring cancer related or supportive treatments 
• Phlebotomy (blood draws) for monitoring blood counts, treatment response, and ongoing cancer care 
• Treatment for iron deficiency via infusion 

These services allow patients to receive essential treatments and monitoring in a safe, comfortable, and accessible clinic environment. 

 

9. Palliative Care and Symptom Management

• Physicians with specialized training in palliative care 
• Registered nurses 
• Social workers 
• Spiritual care providers 
• Pharmacists 
• Other supportive care specialists 

Together, they collaborate to create individualized care plans tailored to each patient’s needs and goals. 

A Focus on Quality of Life 

While palliative treatments are not intended to cure illness, they play a vital role in improving comfort, reducing suffering, and supporting meaningful experiences throughout an individual’s healthcare journey. Our team is committed to providing compassionate, patient-centred care that respects personal choices and enhances quality of life at every stage. 

Palliative Care is a specialized area of health care focused on improving the quality of life for patients living with a life limiting illness. At Ross Memorial Hospital, our palliative care team provides compassionate, holistic support that addresses not only physical symptoms, but also the emotional, spiritual, and social needs of patients and their families. 

Our Approach 

Palliative care is centred on comfort, dignity, and support. While treatments in this area are not intended to cure illness, they are essential in helping patients live as fully and comfortably as possible.  

Pain and Symptom Management 

We provide expert assessment and treatment to help relieve pain, nausea, shortness of breath, fatigue, and other symptoms associated with serious illness. 

Emotional, Psychological, and Social Support 

Patients and families receive guidance in coping with the emotional impact of illness, connecting with community resources, and navigating the challenges that come with advancing health needs. 

Spiritual Support 

We recognize that spiritual wellbeing can play an important role in patient comfort. Our team helps patients access spiritual care in ways that align with their personal beliefs and values. 

Support for the Whole Family 

Palliative care is not only for the patient, but it also supports the family as partners in the care journey. Our team works closely with loved ones to provide education, guidance, and comfort throughout the patient’s experience in the hospital. 

Our Commitment 

The goal of palliative care at Ross Memorial Hospital is to enhance quality of life at every stage of a patient’s illness. With a focus on compassion, respect, and individualized care, our team ensures that patients and families feel supported, informed, and cared for throughout their time with us.

 

10. Laboratory Testing 

Ross Memorial Hospital’s Laboratory is a provincially-accredited facility dedicated to delivering timely, accurate, and high-quality diagnostic services. Our Laboratory plays an essential role in patient care by supporting cancer diagnosis, treatment planning, and ongoing monitoring. 

Our Services 

The Laboratory provides a wide-range of diagnostic services, including: 

Specimen Collection 

Our team collects a variety of specimens including blood, urine, and other body fluids for comprehensive diagnostic testing. 

Electrocardiograms (ECGs) 

We perform ECGs to assess heart rhythm and electrical activity, often supporting broader diagnostic investigations. 

Analytical Testing 

We offer testing across several key disciplines: 

• Clinical Chemistry: Analysis of blood and body fluids to assess organ function, detect disease, and support treatment decisions. 
• Hematology: Testing related to blood cells to diagnose conditions such as anemia, infections, and blood cancers. 
• Transfusion Medicine: Blood typing and cross matching to support safe transfusions. 

Referred Testing 

Some specialized tests are performed in partnership with external accredited laboratories: 

• Microbiology (culture, sensitivity, infectious disease testing) 
• Anatomical Pathology (tissue examination, biopsies, cancer histology) 

These collaborations allow patients to receive comprehensive testing using the most specialized technology and expertise available. 

Our Team 

Our Laboratory Team is made up of highly-trained professionals committed to providing exceptional care, accuracy, and reliability in every test performed. 

Team members include: 

• Pathologist / Medical Director – Provides clinical oversight and expert interpretation of complex results. 
• Medical Laboratory Technologists (MLTs) – Regulated health professionals licensed by the College of Medical Laboratory Technologists of Ontario (CMLTO), responsible for performing and analyzing a wide variety of diagnostic tests. 
• Laboratory Technicians – Certified by the Ontario Society of Medical Technologists, supporting specimen collection and preparing samples for testing. 

Together, our team is dedicated to providing every patient with high-quality diagnostic support as part of their care journey. 

 

 

Page last updated: July 28, 2026