Chen, Sen Hung
Deceased
Sen Hung Chen
Demographics
65y, male
Date of death
2010-12-06
Finding date
2012-10-26
Cause of death
Metastatic adenocarcinoma of unknown primary origin
AI-generated summary
Sen Hung Chen, a 65-year-old prisoner with hepatitis C cirrhosis, diabetes and hypertension, died from metastatic adenocarcinoma of unknown primary origin while in custody at Princess Alexandra Hospital Secure Unit. He presented with flank pain and anorexia in June 2010; a CT scan ordered 10 August was not performed until 31 August, with results reported three days later, revealing pulmonary nodes and pleural effusion. Subsequent imaging identified hepatic lesion and metastatic disease. Care after diagnosis was of high standard including palliative management. The coroner found no deficiency in treatment, noting diagnostic delays were not unusual and would not have altered outcome. However, the three-week delay in CT imaging and three-day delay in result reporting, while not contributing to death, prompted hospital review of radiology reporting systems.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Error types
Clinical conditions
Procedures
Contributing factors
- Hepatitis C cirrhosis
- Type II diabetes mellitus
- Hypertension
- Advanced metastatic cancer
Coroner's recommendations
- Princess Alexandra Hospital to continue implementation of electronic radiology reporting system to improve access to results by treating clinicians
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