Jade is a 27-year old Asian female admitted to the hospital 6 months ago with pancreatitis. IT was determined during that admission that Jade had a pancreatic cancer as well. Jade was scheduled for radiation therapy and chemotherapy. Jade also has pain in her hip for which biopsy tests are being run to check for metastasis. Jade is single, employed full time, and has her own apartment. Jade describes her family as being very close, with good relationships along all family members. These family members spend a lot of time at the hospital and have been involved in the decisions thus far. While Jade was recovering, the doctor came out and told the family that although he had to wait for pathology results to be sure, the biopsy looked cancerous to him. The issue centers on Jade's parents requesting that Jade not be told that her biopsy was malignant. Their rationale is that Jade told them that she would not want to know if the test revealed a malignancy. Her parents feel that they are respecting her wishes. The oncologist believes that Jade is an adult and has the right to know and make their own decisions on her healthcare.

1. What are the ethical dilemmas that surround this scenario?
2. Are there any cultural considerations in this scenario? If so, what are they?
3. Should Jade be told? Why or why not