Joel Charles Buckley, a 50-year-old man with intellectual disability residing in specialist disability accommodation, died from metastatic carcinoma of unknown primary. He presented with back and shoulder pain in March 2024 attributed to osteoarthritis, but was diagnosed with extensive metastatic cancer in June 2024. He received palliative care and died as expected from disease progression. The finding identifies no clinical errors or preventable aspects. This case highlights the diagnostic challenge of identifying occult malignancy in patients with disability presenting with non-specific musculoskeletal symptoms, and the importance of appropriate escalation and palliative care planning when advanced cancer is diagnosed.
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Specialties
general practiceoncologypalliative careradiology
Clinical conditions
metastatic cancercancer of unknown primaryintellectual disabilityhypercholesterolaemiadepression
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