Myles Bradbury, a paediatric haematologist at Addenbrooke's Hospital in Cambridge, committed sexual offences against boys aged 8 to 17 between 2009 and 2013, Cambridge Crown Court heard.
The 41-year-old from Herringswell, Suffolk, pleaded guilty to 25 offences including sexual assault and the making of more than 16,000 indecent images.
He was bailed and is due to be sentenced at a later date.
As he left court, Bradbury told reporters "I'm so sorry" and refused to answer further questions.
The offences involved 18 complainants, prosecutor John Farmer said.
The court heard the blood cancer specialist had worked at the hospital for five years.
The judge said the doctor could expect a "substantial" custodial sentence and would have to sign the sex offenders register.
Dr Myles Bradbury admitted a total of 25 offences
Addenbrooke's Hospital said it had contacted the families of the children it was aware of that Dr Bradbury saw. It has set up a helpline for anyone else affected by the case.
Dr Keith McNeil, its chief executive, said: "Our most abject and sincere apologies go out to any and all of our patients and their families who are affected by this in any way.
"There is a very ancient and sacred trust that exists between a doctor and his patients, and quite frankly, it sickens me to think that trust has been breached."
Chief nurse Ann-Marie Ingle, said: "His cold and calculating abuse of trust has deeply shocked us all, including staff who worked alongside him to care for these vulnerable and sick children.
"As soon as we were alerted, we took immediate action to suspend him from clinical practice."
Cambridgeshire Police said "there are likely to be more victims" and asked affected people to call the hospital's helpline.
Det Sgt Shane Fasey, said: "Bradbury's offences were an appalling breach of trust committed against vulnerable victims who had been placed in his care.
"The families believed the boys were in his safe hands but they were actually being abused by Bradbury, who carried out examinations purely for his own sexual gratification and with no medical justification whatsoever."
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