Less attention has been focused on determining the relationship between unmet needs and psychological and symptom distress during the period of terminal care. Although both dimensions are important aspects of quality-of life evaluation in cancer research, their assessment becomes extremely remarkable during the terminal phase of disease. Moreover, knowledge of the extent to which unmet needs affect patients’ quality of life could be useful to identify the goals in terminal care.The aim of the present study was to identify terminal cancer patients’ needs and the factors associated with unmet needs. Moreover, the association of both psychological and symptom distress with unsolved needs was evaluated.