Manuel Katsaros, aged 54, died from metastatic small cell lung cancer while in custody at Prince of Wales Hospital Annex receiving palliative care. The coroner found no systemic deficiencies or clinical errors. The patient had advanced cancer diagnosed in 2018 while imprisoned, received appropriate chemotherapy and radiotherapy, and made an informed decision to cease active treatment in favour of palliative care. His family expressed no concerns about the care provided. Resuscitation was appropriately withheld per his documented wishes. This case highlights the importance of continuing appropriate cancer care for incarcerated individuals and ensuring advance care planning is respected.
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Specialties
oncologypalliative carecorrectional healthrespiratory medicine
Clinical conditions
small cell lung cancermetastatic cancerasthmachronic obstructive pulmonary disease
Contributing factors
progression of small cell lung cancer to bones and brain
disease progression despite chemotherapy and radiotherapy
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