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In this episode, we discuss a complex ethical dilemma concerning a pregnant woman diagnosed with advanced ovarian cancer who refuses recommended termination and chemotherapy due to prior fertility struggles. Several experts in medicine, ethics, law, spiritual care, and social work provide differing perspectives on the case. The medical oncology perspective discusses the individualized management of cancer during pregnancy, while the ethics perspective grapples with patient autonomy versus the potential harm to both mother and fetus. The legal and social work perspectives emphasize the patient's right to self-determination. Ultimately, the article advocates for a multidisciplinary approach that respects the patient's wishes while providing comprehensive support and information. It highlights the need for healthcare providers to navigate these difficult situations with compassion and discernment.
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