Cancer Care

Helping teens & young adults survive cancer

The Ascension Michigan Adolescent and Young Adult (AYA) Oncology Program provides cancer care options to underserved communities.

Ascension St. John Hospital Adolescent and Young Adult (AYA) Oncology Program

At Ascension Michigan, we recognize the challenges faced by adolescents and young adults with cancer. In order to better serve them, the Ascension Michigan Adolescent and Young Adult Oncology program helps navigate the medical and personal challenges of their diagnosis. Patients under the age of 39 that have been diagnosed with cancer will experience a collaborative approach to their care. Common AYA cancers include: sarcoma, germ cell, thyroid cancers and central nervous system cancers. Our cancer care teams listen to your needs and provide a personalized care plan that you and your family are comfortable and confident in. The AYA program offers various tools and services to better navigate and understand your diagnosis, including:

  • Identifying eligibility for clinical trials specifically targeted to this age group
  • Providing a collaborative treatment approach with adult and pediatric oncologists as well as other oncology specialties
  • Providing psycho-social and emotional supportive care services tailored to younger adults, including:
    • Financial
    • Mental health coaching
    • Dietary Support
    • Sexual health and fertility
    • Career counseling
  • Physical therapy and fitness
  • On-going support and surveillance
  • Assisting patient with insurance
  • Addressing issues of toxicity and adherence to therapy
  • Providing long term follow up (survivor-ship)

The AYA Medical Team

The Ascension Michigan AYA medical team is led by pediatric oncologists Drs. Adonis Lorenzana and Danielle Ball. Their multi-disciplined team includes adult medical oncologists, surgical oncologists, social work, psychologists and physical therapy as well as experts in radiation oncology, genetics and fertility. They have the clinical and scientific knowledge as well as access to resources, which will help them create a detailed care plan to fit your needs.


Dr. Adonis Lorenzana is the Program Director of the Meade Pediatric Hematology/Oncology practice and Principal Investigator of the Adolescent Young Adult (AYA) Program at Ascension St. John Hospital. Dr. Lorenzana oversees the services provided by the Children’s Oncology Group (COG) and all research-related aspects in the care of children, adolescents and young adults diagnosed with cancer. He began caring for adolescents and young adults with Osteogenic sarcoma and other tumors early in his training. His extensive work at Ascension St. John Hospital includes improving the care for AYA with cancer by facilitating enrollment in clinical trials. His goal is to provide oncological care while addressing the specific needs of the specific population.

As a pediatric oncologist he provides customized care to children with cancer of all ages and tailors the care to the different age-specific-needs. Adolescent and young adults are no different and have their own developmental, emotional, and physiological needs that can only be addressed in a multidisciplinary setting. Find out more about Dr. Lorenzana here.


Dr. Danielle Bell is a board certified pediatric hematologist/oncologist who works at Ascension St. John Hospital and the Meade Pediatric Hematology/Oncology Center. She is an active member of the Children’s Oncology Group and serves as the Responsible Investigator for the Adolescent Young Adult (AYA) Program at Ascension St. John Hospital. Find out more about Dr. Bell here.


If you would like more information or would like to schedule a consultation, please call 313-647-3200 or complete this contact FORM to connect with our nurse navigator. Days, evenings and weekends are available.