Dolly Parton’s family said she died on Tuesday after a brief, previously undisclosed battle with cancer, surrounded by loved ones at Vanderbilt-Ingram Cancer Center. The article uses her decision to keep the illness private to explore why people with cancer may delay sharing a diagnosis, including the emotional shock of adapting to it and concern that it could overshadow their identity or achievements.

A cancer specialist quoted in the article said stigma and self-blame can also discourage disclosure, particularly for tobacco-related cancers. She argued that sharing a diagnosis can bring practical and emotional support, awareness of treatment options and clinical trials, and encouragement for others; she added that about 70% of people diagnosed with cancer survive at least five years.