Madeleine C. Strach is an oncologist based in Sydney, NSW, Australia. She looks after people who are dealing with cancer, including less common types as well as more familiar cancers. In many cases, cancer care can feel overwhelming at first, and the aim is to make each step clearer and more manageable.
Madeleine’s clinical work includes adult soft tissue sarcomas, angiosarcoma, and chondrosarcoma. She also treats breast cancer, and cancer that starts in the appendix. At times, care involves handling problems that can come up during treatment, such as febrile neutropenia, which is an urgent condition that needs quick attention. She also treats people with glucose-6-phosphate dehydrogenase (G6PD) deficiency when it matters for medication choices and safety.
Cancer treatment is rarely one-size-fits-all. Over time, treatment plans may need to be adjusted based on scan results, symptoms, blood tests, and how a person is coping. Madeleine focuses on working out the best next step with the person and their wider care team. That can include talking through treatment goals, discussing common side effects, and planning follow-up care. She understands that people want practical answers, not guesswork.
For people with rarer cancers like angiosarcoma or adult soft tissue sarcomas, the details matter. Things like tumour type, location, and the person’s overall health can change what options are likely to help. Madeleine helps people understand what to expect, why certain tests are needed, and how decisions get made. She also keeps a close eye on safety when treatments affect blood counts, immunity, or medication tolerance.
In Sydney, she works with adult patients across a range of situations, from diagnosis and treatment planning through to ongoing management. If someone is dealing with a sudden complication like febrile neutropenia, timely assessment is important, and good communication helps take the edge off a scary moment.
Outside of the medical basics, Madeleine’s approach stays grounded. She aims to listen carefully, explain things in plain language, and support people through the ups and downs that can come with oncology. People’s needs change as treatment goes on, so care is reviewed regularly and adjusted when it needs to be.
