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Letters Saying no to chemotherapy

Best palliation in advanced cancer is often achieved by treating the cancer

BMJ 2013; 347 doi: (Published 23 July 2013) Cite this as: BMJ 2013;347:f4648
  1. Nick James, professor of clinical oncology1
  1. 1School of Cancer Sciences, University of Birmingham, Birmingham B15 2TT, UK
  1. n.d.james{at}

As a practising oncologist, I am of course well aware that chemotherapy causes side effects. I also see the effects of metastatic cancer such as severe bone pain. Often the best palliation is achieved by treating the cancer, with radiotherapy or drug treatment, including chemotherapy, …

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