Hidden battles: Keeping cancer secret

A portion of the two million Americans diagnosed with cancer each year choose to keep the news private or tell only a select few people. These patients may wish to avoid extra attention, sympathy, or different treatment; bypass burdening or alarming others; protect their job; feel in control of an uncertain situation; or sidestep judgment if their cancer is related to lifestyle choices. But opting for secrecy can pose several disadvantages, depriving patients of practical and emotional support and aggravating stress, anxiety, and depression.