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Here’s a practical, rankings-informed shortlist of top cancer programs on the U.S. West Coast (CA–OR–WA), plus Hawaii for completeness. I’m highlighting centers that are (a) nationally ranked for cancer this year and/or (b) NCI-designated (the federal gold standard). Quick “best of the best” UCSF Health — Helen Diller Family Comprehensive Cancer Center (San Francisco, CA): Ranked top-10 nationally for cancer in U.S. News 2025–26 and #1 for cancer in California; NCI Comprehensive. UCSF Cancer Center +1 City of Hope (Duarte, CA): Top-10 nationally for cancer in U.S. News 2025–26; NCI Comprehensive. City of Hope Fred Hutch/University of Washington/Seattle Children’s Cancer Consortium (Seattle, WA): Nationally recognized; top-ranked in the Pacific Northwest; NCI Comprehensive. Fred Hutch +1 Other excellent West Coast options (all NCI-designated): UCLA Jonsson Comprehensive Cancer Center (Los Angeles, CA) — NCI Comprehensive. Cancer.gov Stanford Cancer Institute (Stanford, CA) — NCI Comprehensive. Cancer.gov UC San Diego Moores Cancer Center (La Jolla, CA) — NCI Comprehensive. Cancer.gov UCSF (San Francisco, CA) — listed above; NCI Comprehensive. Cancer.gov USC Norris (Los Angeles, CA) — NCI Comprehensive. Cancer.gov UC Davis (Sacramento, CA) — NCI Comprehensive. Cancer.gov UC Irvine Chao Family (Orange, CA) — NCI Comprehensive. Cancer.gov OHSU Knight Cancer Institute (Portland, OR) — NCI Comprehensive. Cancer.gov Hawaiʻi (not mainland “west coast,” but Pacific region): University of Hawaiʻi Cancer Center (Honolulu) — NCI-designated Clinical Cancer Center. Cancer.gov Why these? Current national rankings: U.S. News 2025–26 places UCSF and City of Hope among the top cancer programs nationwide. UCSF Cancer Center +1 Federal designation: Every program listed (except where noted as “Clinical” vs “Comprehensive”) holds NCI designation, which signals robust research, trials access, and multidisciplinary care. Cancer.gov Cross-checks: Newsweek/Statista’s 2025 specialty rankings also feature many of these centers among America’s best for cancer. Newsweek Rankings If you share the cancer type and where you’d prefer to be treated, I can narrow this to the 2–3 best-fit centers (some are especially strong in, say, hematologic malignancies vs. solid tumors, or in specific surgeries).