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NSWhospital2026-03-10

Inquest into the death of Mustafa Kayirici

31y · Male·metastatic alveolar soft part sarcoma

31-year-old man serving a custodial sentence died of metastatic alveolar soft part sarcoma on 25 January 2022. Diagnosed April 2020, the ultra-rare cancer (1 in 10 million incidence) had already metastasised at discovery…

oncologypalliative caredelaypazopanib
WA2026-03-09

Inquest into the Death of Russell Graham PENNY

56y · Male·complications of viral hepatitis related advanced-chronic liver disease

Russell Graham Penny, 56, a Noongar man, died from advanced liver disease with hepatocellular carcinoma while in prison custody. With chronic hepatitis C from intravenous drug use, Russell had developed cirrhosis and was…

correctional healthgeneral medicinesystemcommunication
VIChospital2026-03-03

Finding into death of Nicole Buckley

53y · Female·Metastatic breast cancer

Nicole Buckley, a 53-year-old Wurundjeri woman with complex medical needs including Dandy-Walker syndrome, intellectual disability, and metastatic breast cancer, died of her malignancy at Sunshine Hospital. She was admit…

palliative caregeneral medicine
TAShospital2026-02-24

Coroner's Finding: Bradley, Steven Basil

65y · Male·Acute on chronic subdural haematoma caused by accidental falls

Steven Basil Bradley, 65, died from acute on chronic subdural haematoma following an unwitnessed fall in hospital. He had metastatic prostate cancer, ischaemic heart disease, and diabetes. On admission for chest sepsis, …

oncologygeneral medicinesystemdelay
VICaged care2026-02-19

Finding into death of Joel Charles Buckley

50y · Male·Metastatic carcinoma of unknown primary

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 2…

general practiceoncology
NSWhospital2026-02-19

Inquest into the death of Taulima Parker

75y · Male·metastatic pancreatic cancer

A 75-year-old man died from metastatic pancreatic cancer while in lawful custody. He was diagnosed in February 2025 and underwent palliative chemotherapy at Prince of Wales Hospital from March-April 2025. He developed an…

oncologypalliative caregemcitabine
VIChospital2026-02-10

Finding into death of David Ronald Thompson

64y · Male·Complications of advanced rectal carcinoma

David Ronald Thompson, a 64-year-old man with severe intellectual disability and complex medical needs, died from complications of advanced rectal carcinoma. He resided in specialist disability accommodation and had been…

colorectal surgeryoncology
VIC2026-01-06

Finding into death of Si Ro Vo

61y · Male·Metastatic lung cancer (palliated)

Si Ro Vo, a 61-year-old male imprisoned since April 2025, died from metastatic lung cancer with brain involvement while in palliative care at the prison inpatient unit. He had an Acute Resuscitation Plan documenting comf…

palliative careoncology
VIChospital2025-12-11

Finding into death of YIL

54y · Female·Complications of metastatic cholangiocarcinoma

YIL was a 54-year-old woman with Down syndrome who died from complications of metastatic cholangiocarcinoma. She had been appropriately transitioned to palliative care in 2024 after her cancer progressed despite chemothe…

palliative careoncologymorphine
VIChospital2025-12-02

Finding into death of Benjamin Goossens

54y · Male·Glioblastoma

Benjamin Goossens, a 54-year-old man in custodial supervision for a prior forensic mental health matter, died from glioblastoma at Austin Hospital following palliative care. He had a Grade 2 glioma identified in 2010 tha…

oncologyneurosurgery
WAhospital2025-11-27

Inquest into the Death of Stephen Joseph SCHIPP

58y · Male·complications of oesophageal cancer, with terminal palliative care

Stephen Joseph Schipp, a 58-year-old sentenced prisoner, died from complications of oesophageal cancer with terminal palliative care at Bunbury Regional Hospital. He had been diagnosed with oesophageal carcinoma in Janua…

oncologypalliative caresystemdelaychemotherapy
VIChome2025-11-24

Finding into death of Suk Ching Annie Ng

64y · Female·Blunt Force Trauma to the Head in the Setting of Prolonged Lie; Metastatic Breas…

Annie Ng, aged 64, died from blunt force head trauma sustained in her home on 27 February 2024, with death occurring 9 March 2024 at Royal Melbourne Hospital. Her husband Chai, experiencing severe financial and psycholog…

oncologygeneral practicesystem
SAhospital2025-11-14

Coroner's Finding: Wallace, Peter John

67y · Male·hypoxic respiratory failure in the setting of pneumonia, pulmonary embolism and …

Peter John Wallace, aged 67, died in custody at Lyell McEwin Hospital from hypoxic respiratory failure complicating pneumonia, pulmonary embolism, and advanced hepatocellular carcinoma. He had been imprisoned at Yatala L…

hepatologyoncologyenoxaparin
SA2025-11-14

Coroner's Finding: Porter, Peter Raymond

65y · Male·metastatic prostate cancer complicated by deep vein thromboses

Peter Raymond Porter, aged 65, died in prison from metastatic prostate cancer complicated by deep vein thromboses in January 2022, eight and a half years after diagnosis. He had presented with urinary symptoms in Decembe…

oncologyurologyduodart
VIChospital2025-10-09

Finding into death of Christopher Francis O'Riley

57y · Male·Aspiration pneumonia complicating locally advanced non-small cell carcinoma of l…

Christopher O'Riley, age 57, a specialist disability accommodation resident with complex medical needs including lung cancer, schizophrenia, epilepsy, and dysphagia, died from aspiration pneumonia complicating locally ad…

palliative careoncology
VIChome2025-10-06

Finding into death of Sarah Anne Swallow

36y · Female·Peripheral T-cell lymphoma not otherwise specified

Sarah Anne Swallow, a 36-year-old woman with Down syndrome (Trisomy 21), died from peripheral T-cell lymphoma in September 2024. She was diagnosed with this aggressive cancer in April 2024 and commenced on chemotherapy, …

oncologypalliative care
SA2025-08-28

Coroner's Finding: RJR

65y · Male·metastatic rectal cancer with extensive lung metastases

A 65-year-old man died from metastatic rectal cancer with extensive lung metastases while serving a prison sentence. He had presented with rectal bleeding symptoms since 2011 and returned a positive faecal occult blood t…

colorectal surgeryoncologyapixaban
NSWhospital2025-07-21

Inquest into the death of Colin Whaley

62y · Male·Complications of metastatic malignancy (likely lung primary)

Colin James Whaley, aged 62, died from complications of metastatic lung cancer while in custody at Junee Correctional Centre. He was a heavy smoker admitted to prison in June 2023. Significant weight loss (40kg) during i…

oncologypalliative care
VIChospital2025-07-17

Finding into death of John Conway McKenzie

65y · Male·Adenocarcinoma with unknown primary

John Conway McKenzie, a 65-year-old prisoner with gall bladder cancer, died from adenocarcinoma with unknown primary on 30 May 2025 at St Vincent's Hospital Melbourne. He was admitted on 11 May 2025 with sepsis, at which…

oncologyinfectious diseaseschemotherapy
SA2025-06-03

Coroner's Finding: Sears, James Frank

53y · Male·disseminated malignant melanoma

A 53-year-old man died of disseminated malignant melanoma while incarcerated at Yatala Labour Prison. Initial excision of a large arm mole in November 2019 revealed Stage III melanoma. A January 2020 multi-disciplinary t…

dermatologyoncologycommunicationsystemdabrafenib

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