I don't love my long distance boyfriend anymore, how can I tell him?

hi I'm 17 and my boyfriend lives in another country.we have been together in a long distance relationship for almost 4 years. I feel like my love for him is fading and I want to break up.however, my boyfriend says I am the only one who keeps him out of trouble and he lives only for me.he tells me countless times how he would go crazy or and would want to die if we weren't together anymor.plus he has just been informed that he mite have cancer.i don't want to hurt him and stress him with this problem.should I tell him the truth or act as if I still love him?
I don't love my long distance boyfriend anymore, how can I tell him?
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