Multiple Comorbidities Has Widespread in Medicine / Internal Medicine — 90yo Man | Oncology | SMLE Q#1366

SMLE Question #1366

Medicine / Internal Medicine Oncology

Objective: OBJ-191

Last updated: February 2026
A 90-year-old man with multiple comorbidities has widespread metastatic malignancy involving the stomach, lung, and colon. The primary site remains unconfirmed despite an appropriate initial evaluation. He is dependent for most activities of daily living and becomes breathless with minimal exertion. He and his family request a plan focused on symptom relief and avoiding burdensome hospital-based interventions. What is the most appropriate management at this stage?

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