Oncology and Malignant Haematology

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  Emergency

  If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or follow local emergency care protocols or seek emergent medical advice if in a remote region.

  Emergency treatment required - needs discussion with on call specialist and/or emergency department.

  • Symptoms of airway obstruction, SVC obstruction
  • Severe gastrointestinal (GI) bleeding
  • Bowel obstruction
  • Febrile neutropenia
  • Symptomatic hypercalcaemia
  • Other organ failure/dysfunction
  • Uncontrolled and disabling pain
  • Massive haemoptysis and/or stridor
  • Neurological signs suggestive of brain metastases or cord compression
  • Very high calcium (3.0mmol/L)
  • Severe dysphagia with dehydration
  • Biopsy proven small cell lung cancer
    
    • patients with symptoms of shortness of breath, deteriorating organ function
  • Metastatic germ cell tumour (GCT) confirmed (biopsy) or suspected (tumour markers)
  • Patients with severe symptoms, organ failure or life threatening complications
  • Highly aggressive lymphoma
    
    • Burkitt's lymphoma
    • lymphoblastic lymphoma
  • Acute leukaemia
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  CPC in scope Not an exhaustive list

  Please note this is not an exhaustive list of all conditions for outpatient services and does not exclude consideration for referral unless specifically stipulated in the CPC out of scope section.

  • Biopsy proven new diagnosis of lymphoma ADULT
  • Breast cancer ADULT
  • Colorectal cancer ADULT
  • Head and neck cancer ADULT
  • Lung cancer (Oncology) ADULT
  • Lymphadenopathy for investigation ADULT
  • Multiple myeloma ADULT
  • Testicular cancer ADULT
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  CPC out of scope

  The following are not routinely provided in a public Oncology and Malignant Haematology service.

  • No out of scope conditions