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Medicine and Public Policy |

Ethical Decisions in the Care of a Patient Terminally III with Metastatic Cancer: An Ethics Case-Analysis from the Health Policy Program, University of California, San Francisco

LO BERNARD, M.D.; and ALBERT R. JONSEN, Ph.D.
[+] Article and Author Information

This work is supported in part by the Robert Wood Johnson Foundation. The views expressed in this paper are solely those of the authors. The case was adapted for this discussion.

▸Requests for reprints should be addressed to Bernard Lo, M.D.; Clinical Scholar Program, Room S-102-C, Stanford University Medical Center; Stanford, CA 94305.


Stanford and San Francisco, California


©1980 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1980;92(1):107-111. doi:10.7326/0003-4819-92-1-107
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A case of a patient with metastatic cancer raises the issues of patient refusal of treatment, euthanasia, and unintended side effects of therapy. For each management dilemma, there are relevant ethical and legal considerations, justifications, and conclusions. In addition, psychological and social influences on the decision process tend to limit deliberation.

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