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NSWaged care2021-11-17

Inquest into the death of Jack KING

77y · Male·Complications of metastatic squamous cell carcinoma, likely urothelial origin

Jack King, aged 77, died of metastatic squamous cell carcinoma (likely urothelial origin) while in custody at Long Bay Correctional Centre Hospital's Aged Care Rehabilitation Unit on 20 September 2020. He had been diagno…

palliative careoncology
WA2021-11-03

Inquest into the Suspected Death of Peter JOHNSON

71y · Male·undetermined - likely injuries sustained from fall at The Gap, but cannot exclud…

Peter Johnson, a 71-year-old man with metastatic prostate cancer, disappeared on 17 October 2019 from The Gap in Torndirrup National Park, Albany. He had previously told family and friends he would end his life rather th…

oncologygeneral practicecommunication
VIChospital2021-10-26

Finding into death of John Francis Flynn

69y · Male·Hypoxic ischaemic brain injury secondary to right facial artery pseudoaneurysm r…

69-year-old male with tonsillar squamous cell carcinoma presenting with throat pain and trismus 12 days after completing chemoradiotherapy. On presentation to emergency department with bleeding, airway risk was under-rec…

emergency medicineENT surgerydiagnosticcommunicationparacetamol/codeine
NSWhospital2021-10-22

Inquest into the death of Ivan Goolagong

68y · Male·Metastatic Pancreatic Adenocarcinoma

Ivan Leo Goolagong, a 68-year-old Wiradjuri man, died of metastatic pancreatic adenocarcinoma while in Long Bay Prison Hospital Medical Subacute Unit in July 2017, five months after undergoing a Whipple procedure. The co…

oncologypalliative caresystemcommunicationamylase
NSW2021-10-12

Inquest into the death of Donald GREENAWAY

88y · Male·Metastatic prostate carcinoma

Donald Victor Greenaway, an 88-year-old man serving a 21-year prison sentence, died from metastatic prostate carcinoma in the Aged Care Ward at Long Bay Correctional Centre. He had been diagnosed with stage IV prostate c…

oncologyradiation oncologyandrogen deprivation therapy
NSWhospital2021-10-05

Inquest into the death of Timothy MOFFATT

72y · Male·metastatic prostate carcinoma

Timothy Moffatt, a 72-year-old man in prison custody, died from metastatic prostate cancer. He had declined cancer treatment from 2014-2018 but agreed to chemotherapy after metastatic disease was identified. He also had …

oncologynephrologychemotherapy
WAhospital2021-09-29

Inquest into the Death of Robert Charles CRAIG

73y · Male·Disseminated malignancy (advanced lung carcinoma and mouth carcinoma) in a man w…

Robert Craig, aged 73, died from disseminated malignancy (advanced lung and mouth carcinoma) while in prison custody. He received suboptimal cancer treatment at Fiona Stanley Hospital due to communication failures betwee…

oncologyradiation oncologydiagnosticcommunicationcetuximab
WAhospital2021-09-10

Inquest into the Death of James David HECTOR

47y · Male·bronchopneumonia and upper airway obstruction in a man with end-stage oral cance…

James David Hector, a 47-year-old Aboriginal man, died of bronchopneumonia and upper airway obstruction related to end-stage oral cancer. He had a 13-year history of squamous cell carcinoma of the mouth with multiple rec…

palliative careoncologyoxycodone
WAhome2021-08-26

Inquest into the Death of Baby E (Name Subject to Suppression Order)

0y · Male·Complications of VATER syndrome and sacrococcygeal teratoma

Baby E was a 7-month-old neonate with VATER syndrome and sacrococcygeal teratoma who died from complications of these conditions. He was born prematurely at 30 weeks, requiring intubation and ventilation, and remained in…

neonatologynephrology
VIChospital2021-08-16

Finding into death of XA

39y · Male·Complications arising from widely disseminated primary pulmonary small cell carc…

A 39-year-old male inmate died from complications of widely disseminated small cell lung cancer with hepatitis C cirrhosis. He presented with acute psychosis and catatonia in December 2018, receiving appropriate psychiat…

psychiatryoncologyolanzapine
WAhospital2021-08-06

Inquest into the Death of Lajos SZABO

64y · Male·metastatic adenocarcinoma of the lung (palliated)

Lajos Szabo, a 64-year-old prisoner, died from metastatic adenocarcinoma of the lung with brain metastases. He presented to prison medical services in November 2018 with neck swelling and fever, was promptly investigated…

general practicerespiratory medicine
QLDhospital2021-06-11

Wust, Phillip John

56y · Male·Liver cancer (hepatocellular carcinoma)

Phillip John Wust, a 56-year-old prisoner with chronic hepatitis C and cirrhosis, died from hepatocellular carcinoma. Serial imaging from 2018-2019 showed cirrhosis but no evidence of cancer until December 2019 when he p…

hepatologyoncologyrivaroxaban
VIChospital2021-06-10

Finding into death of Carlene Margaret Salveson

80y · Female·pulmonary thromboembolism in the setting of deep leg vein thrombosis; squamous c…

An 80-year-old woman with treated squamous cell carcinoma of the pyriform fossa died from pulmonary thromboembolism secondary to bilateral deep vein thrombosis. She was admitted to hospital with poor oral intake, dehydra…

radiation oncologyoncologymedicationsystem
VIChospital2021-05-31

Finding into death of Darin Lyndon Wheeldon

44y · Male·Acute myeloid leukemia

A 44-year-old man with acute myeloid leukemia died in St Augustine's secure ward at St Vincent's Hospital on 18 February 2020. He had been under treatment for refractory AML since June 2019, with disease progression desp…

haematologyoncology
TASmental health2021-05-21

Coroner's Finding: Hanson, Sungwaan

64y · Female·stage IVB metastatic adenocarcinoma of the rectum

Sungwaan Hanson, a 64-year-old woman with a 35-year history of treatment-resistant schizophrenia, died from stage IVB metastatic adenocarcinoma of the rectum at the Roy Fagan Centre on 27 May 2020. She had been subject t…

psychiatrygeneral medicine
VIChospital2021-04-30

Finding into death of Valerie Margaret Fraser

94y · Female·Complications of metastatic lobular carcinoma of the breast in a woman with deme…

A 94-year-old woman with advanced dementia and metastatic breast cancer died from complications of her malignancy. She presented repeatedly with vomiting due to duodenal obstruction from metastatic tumour, but this was n…

general medicinegastroenterologycommunicationdiagnostictamoxifen
QLDhospital2021-02-24

Fullerton, Robert Martin

59y · Male·Disseminated carcinoma on a background of emphysema

Robert Fullerton, a 59-year-old Aboriginal man from Palm Island, died from disseminated carcinoma while remanded in custody at Townsville Correctional Centre. He presented with abdominal pain on 5 December 2018, was diag…

oncologycardiologyprazosin
QLDhospital2021-02-24

Petzler, Dennis Michael

59y · Male·Carcinomatosis due to adenocarcinoma of the pancreas

Dennis Petzler, a 59-year-old prisoner, died from carcinomatosis due to adenocarcinoma of the pancreas with extensive metastatic spread. He presented with abdominal pain and nausea in June 2018, initially managed as gast…

oncologygeneral medicinedexamethasone
NSW2021-02-16

Inquest into the death of Ivan MILAT

74y · Male·metastatic gastro-oesophageal adenocarcinoma

Ivan Milat, aged 74, died of metastatic gastro-oesophageal adenocarcinoma whilst in lawful custody at Long Bay Correctional Centre. He presented with gastrointestinal symptoms from October 2018, was initially treated for…

gastroenterologyoncologycommunication
VICaged care2021-02-09

Finding into death of Joyce Drummond

80y · Female·Complications of chronic lymphocytic lymphoma in the setting of multiple medical…

Joyce Drummond, an 80-year-old woman with chronic lymphocytic lymphoma, pancytopenia, and intellectual disability, died from complications of her lymphoma in a palliative care setting. She had lived in disability accommo…

oncologypalliative care
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