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Illness and deathOn April 5, 1991, Landon was diagnosed with adenocarcinoma in the pancreas, an inoperable form of cancer that had also spread into his liver and lymph nodes. On May 9, 1991, he appeared on The Tonight Show Starring Johnny Carson to speak of his cancer and to publicly condemn the tabloid press for their sensational headlines and inaccurate stories, including the claim that he and his wife were trying to have another child. During Landon's appearance, he pledged to fight the cancer and asked fans to pray for him. In June 1991, Landon made the cover of Life Magazine, after granting the periodical an exclusive private interview about his life, his family, and his struggle to live. However, nearly 2 months later on July 1, 1991, Landon died in Malibu, California. He was 54 years-old.

Landon was interred in Culver City's Hillside Memorial Park Cemetery and his family was joined by 500 other mourners including former President Ronald Reagan (with whom Michael had once chopped wood) and his wife Nancy. Also among the mourners were actors Merlin Olsen, Ernest Borgnine, Brian Keithand many more of Landon's co-stars, including Little House on the Prairie child-actors Melissa Gilbertand Melissa Sue Anderson.

Although Landon's first wife, Dodie Fraser, accompanied her two sons to the funeral, his second wife, Lynn Landon, was noticeably absent. When asked why she didn't attend the funeral of her ex-husband, Lynn Landon replied that she grieved Michael's death years before, when they were divorced.

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