Several urgent problems in oncology and hematology may require that primary
care physicians start therapy without waiting for subspecialist interventi
on. Most of these problems are related to chemotherapy, which often consist
s of multidrug immunosuppressive regimens, or to the effects of the cancer
itself, such as hypercalcemia from bone metastasis or spinal cord compressi
on from tumor extension. In this article, Dr Brigden reviews 11 such emerge
ncies and the most efficient steps to take to manage them.