title: Ethical decisions in the care of a patient terminally ill with metastatic cancer.
abstract: 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.
mesh_terms: D003657:Decision Making; D004358:Drug Therapy; D004992:Ethics, Medical; D005065:Euthanasia; D028601:Euthanasia, Active; D033101:Euthanasia, Active, Voluntary; D005066:Euthanasia, Passive; D006801:Humans; D033182:Intention; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000628:therapy*; D010166:Palliative Care; D010349:Patient Compliance; D013727:Terminal Care; D028761:Withholding Treatment