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血液及腫瘤科

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Referral Mechanism – General Principles

  • All newly diagnosed or suspected paediatric cancer cases can be referred to the Hong Kong Children's Hospital (HKCH)
  • All complicated newly diagnosed paediatric haematology cases can be referred to HKCH
  • For patients with unstable condition, they can be stabilized at regional hospital first before being referred to HKCH; HKCH specialists will provide on-site consultation if needed
  • Thalassemia and haemophilia patients on regular replacement therapy can receive their treatment at regional hospitals but attend specialist clinic at HKCH every 6 to 12 months for comprehensive review and assessment

Diseases for Referral from Primary Care Service to Regional HA Hospitals

Primary care service providers Family doctors, general practitioners, private paediatricians, Maternal and Child Health Centres, General Outpatient Clinics, Accident and Emergency Departments, Student Health Service, dental clinics
Referral categories Common haematology cases that can be managed in regional hospitals:
  • Acute or newly diagnosed diagnosed immune thrombocytopenic purpura
  • Mild von Willebrand's disease
  • Chronic benign neutropenia
  • Fe deficiency anemia
  • Non-transfusion dependent thalassemia
Chronic illnesses of other organ systems with associated haematological manifestations such as:
  • Metabolic disorders
  • Endocrine problems
  • Gastro-intestinal problems
  • Rheumatology illnesses
Neonatal haematological problems with known transient underlying causes

Diseases for Referral to Paediatric Haematology & Oncology Service at the HKCH

All suspected or confirmed cancers in children Including benign brain tumor such as craniopharyngioma, and Langerhans Cell Histiocytosis
Inherited or chronic blood diseases in children
  • Newly diagnosed thalassemia major and haemophilia can be initially managed at HKCH, and then managed at regional hospitals by share-care approach (case by case discussion)
    - Haemophilia with inhibitors managed at HKCH
    - Old cases will have annual surveillance follow-up at HKCH
  • Bone marrow failure syndromes (e.g. aplastic anemia, Fanconi anemia, PNH)
  • Hereditary thrombotic conditions (e.g. protein C, S def.)
Cancer predisposing syndromes requiring surveillance follow-up
  • Known patients or children with 1st degree family members who are screened positive to have germline cancer predisposing gene
Patients requiring bone marrow transplant (haematopoietic transplant) as definitive treatment
  • Either malignant or non-malignant conditions when such procedure is indicated

Referral Pathway

  • For urgent consultations, please contact the on-call doctor for “Haematology / Oncology” through the hospital operator (tel: 3513 3888), and fax the referral letter to the ward or as specified by the on-call doctor
  • For non-urgent consultations, the patient could send the referral letter to the HKCH Specialist Outpatient Clinic via HA Go app, email hkchsopcbooking@ha.org.hk, or fax (3512 7579).