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VIChospitalNew2026-08-25

Finding into death of Ashley John Bryant

47y · Male·Metastatic adenocarcinoma of the gastroesophageal junction

Ashley John Bryant was a 47-year-old man subject to a post-sentence supervision order for serious sex offences, residing in a state-managed residential facility. In April 2024, he was diagnosed with metastatic adenocarci…

oncologypalliative care
VIChospitalNew2026-08-21

Finding into death of Adam Barry

52y · Male·perforation of a hollow viscus complicating oesophageal cancer in a man with cer…

Adam Barry, a 52-year-old man with cerebral palsy, dysphagia, and epilepsy, was diagnosed with metastatic oesophageal cancer in February 2024 after presenting to hospital with vomiting. Living in Specialist Disability Ac…

oncologygastroenterology
SAhospital2026-08-06

Coroner's Finding: Burg, Claus Hartmuth

70y · Male·metastatic gastric adenocarcinoma

A 70-year-old man with prior bladder cancer was undergoing routine CT surveillance. Stomach cancer signs were clearly visible on February 2017 and February 2018 CT scans but failed to be detected by consulting radiologis…

radiologyoncologydiagnosticcommunication
VIChospital2026-07-27

Finding into death of Alan Gordon Wolstenholme

72y · Male·Complications of suspected upper gastrointestinal tract haemorrhage, hospital ac…

A 72-year-old man with metastatic squamous cell lung cancer and multiple serious comorbidities was admitted to Ballarat Hospital in July 2024 with lethargy, fatigue, and rapid atrial fibrillation. Due to medication chart…

cardiologyemergency medicinemedicationsystembuprenorphine
TAShospital2026-07-15

Coroner's Finding: Investigation into the death of Kenneth Plumstead - Ruling

Male·stage 4 lung cancer with pleural metastases

Kenneth Plumstead died of stage 4 lung cancer with pleural metastases at Launceston General Hospital on 18 October 2014, receiving appropriate palliative care including morphine pain relief. Eleven years later, his widow…

oncologypalliative caremorphine
NSWhospital2026-07-13

Inquest into the death of Wen Liang Zhang

57y · Male·Metastatic lung adenocarcinoma

Wen Liang Zhang was a 57-year-old remand prisoner diagnosed with metastatic lung adenocarcinoma shortly after arrest on 26 September 2025. He declined chemotherapy and radiotherapy, choosing palliative pain management in…

oncologypalliative careoxycodone
QLDhospital2026-07-08

Inquest into the death of Phillip Graeme Abell

51y · Male·Complications of stage 4 hepatocellular carcinoma

Phillip Graeme Abell, aged 51, died from stage 4 hepatocellular carcinoma (HCC) with underlying cirrhosis and hepatitis C infection. Imprisoned at Woodford Correctional Centre, Mr Abell was diagnosed with infiltrative HC…

hepatologygastroenterologycommunicationoxycodone
QLDhospital2026-07-07

Inquest into the death of Maxwell John Beever

83y · Male·Metastatic melanoma

Maxwell John Beever, aged 83, died from metastatic melanoma on 8 July 2022 while in custody at Robina Hospital. A suspicious skin lesion was documented on 26 February 2021 but not investigated until 26 June 2021, delayin…

emergency medicinegeneral medicinedelaydiagnosticoxycodone
QLDhospital2026-07-02

Inquest into the death of Jeffrey Stewart Olsen

64y · Male·Colonic adenocarcinoma and its treatment

Jeffrey Olsen, 64, died from acute capecitabine toxicity during adjuvant chemotherapy for Stage 3b colorectal cancer. Within three days of commencing treatment in September 2020, severe side effects including diarrhea, r…

oncologygeneral surgerycapecitabine
SAhospital2026-06-19

Coroner's Finding: Clancy, Carmen Jayne

37y · Female·sepsis secondary to rectosigmoid perforation on a background of metastatic squam…

Carmen Jayne Clancy, aged 37, died on 27 September 2022 from sepsis secondary to rectosigmoid perforation caused by metastatic cervical cancer. Incarcerated on home detention following a cancer diagnosis in 2021, she und…

oncologycolorectal surgerypsyllium
ACTcommunity2026-05-26

Inquest into the death of Donald Morley

93y · Male·Complications of invasive squamous cell carcinoma of the scalp

Donald Morley, aged 93, died at Claire Holland House hospice on 12 July 2024 while serving a nine-year sentence for murder. He was under 24/7 custodial supervision. The cause of death was complications of invasive squamo…

palliative carepsychiatry
NSW2026-05-20

Inquest into the death of Mr Edward Curic aka Grahovac

49y · Male·Diabetes Mellitus and the Consequences thereof

Mr Edward Curic (49) died at Long Bay Correctional Complex on 21 May 2022 from diabetes mellitus and complications. He had poorly controlled Type 2 diabetes for 30 years with severe complications including bilateral ampu…

correctional healthgeneral medicinemethadone
NSWhospital2026-05-15

Inquest into the death of Robert Bell-Williams

71y · Male·metastatic papillary renal cell carcinoma

Robert Bell-Williams, aged 71, died from metastatic papillary renal cell carcinoma while in lawful custody at Long Bay Hospital on 1 February 2024. Imprisoned since 2012, he was diagnosed with renal cell carcinoma in 202…

oncologypalliative carecabozantinib
WA2026-04-14

Inquest into the Death of Wayne HARRIS

56y · Male·complications of advanced metastatic sigmoid adenocarcinoma in an adult man with…

A 56-year-old Aboriginal man died of advanced metastatic sigmoid adenocarcinoma while serving an 11-year sentence for child sex offences. He had been diagnosed with Stage 4 colorectal cancer in 2018 with an expected life…

oncologypalliative carecommunicationsystemchemotherapy
QLDhospital2026-04-14

Inquest into the death of Francis Michael Fahey

70y · Male·Metastatic melanoma with ischaemic heart disease as a contributing condition

Francis Michael Fahey, a 70-year-old prisoner, died from metastatic melanoma with contributing ischaemic heart disease. He presented with a rapidly enlarging axillary mass in February 2023, confirmed as metastatic melano…

oncologygeneral medicinesystemdelayimmunotherapy
VIChospital2026-04-07

Finding into death of Ronald Nieuwenhuis

65y · Male·Metastatic disease with gastrointestinal primary (adenocarcinoma)

Ronald Nieuwenhuis, a 65-year-old man with intellectual disability residing in supported accommodation, presented to hospital in January 2025 with abdominal pain and was found to have metastatic adenocarcinoma of gastroi…

emergency medicineradiology
NSWhospital2026-03-25

Inquest into the death of Lifa Faafete

69y · Male·advanced cholangiocarcinoma

Mr Lifa Faafete, aged 69, died from advanced cholangiocarcinoma while in remand custody at Metropolitan Special Programs Centre. He was appropriately transferred to Prince of Wales Hospital on 22 March 2025 for symptom m…

palliative careoncologycommunication
NT2026-03-19

Inquest into the death of Bradley Murdoch

66y · Male·metastatic adenocarcinoma (palliated) from an unidentified primary tumour

Bradley John Murdoch, a 66-year-old prisoner serving a life sentence for murder, died in the palliative care unit of Alice Springs Hospital from metastatic adenocarcinoma on 15 July 2025. He had presented to the correcti…

oncologypalliative carecarboplatin
VIChospital2026-03-19

Finding into death of George Scott Boyens

66y · Male·Complications of multiple sclerosis and left tongue squamous cell carcinoma

George Scott Boyens, a 66-year-old with multiple sclerosis and newly diagnosed left tongue squamous cell carcinoma, died from complications of these conditions following a brief palliative care admission. He was admitted…

oncologypalliative care
SAhospital2026-03-13

Coroner's Finding: Schlaefer, Norbert

69y · Male·disseminated urothelial carcinoma of the bladder (palliated), bilateral lung ade…

A 69-year-old man died in prison custody from disseminated urothelial carcinoma of the bladder, bilateral lung adenocarcinoma, and severe emphysema. He had a significant smoking history and prior asbestos exposure. His l…

oncologyrespiratory medicine
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