54y · Female·malignant melanoma with brain metastases
…at the Royal Adelaide Hospital. She had undergone surgery and radiotherapy for melanoma that had spread to lymph nodes. During radiotherapy, she developed confusion and agitation due to intracranial metastases. She was …
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…
53y · Male·disseminated malignant melanoma
…led Stage III melanoma. A January 2020 multi-disciplinary team meeting recommended wide local excision and lymph node dissection, but this critical surgery was never performed due to communication breakdown between derm…
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…
63y · Male·cancer in the left lung metastatic to the heart, right lung, liver, pancreas and…
…le that was later found to be metastatic adenocarcinoma of the lung with widespread spread to ribs, spine, lymph nodes, liver, pancreas and adrenal glands. He received appropriate investigation, oncology assessment incl…
73y · Female·Metastatic oesophageal cancer
…lity. She was admitted to hospital in March 2023 where oesophageal cancer was diagnosed on gastroscopy and biopsy. Oncology deemed the condition incurable and palliative care was initiated. An oesophageal stent was place…
75y · Male·cerebral metastatic malignancy (lung cancer with brain metastases)
…, aged 75, died in prison custody from cerebral metastatic lung cancer. He had been diagnosed with chronic lymphocytic lymphoma in 2012 and managed at Mount Gambier Prison. In late 2014, Mr Ballard refused travel to Ade…
41y · Male·Acute liver failure with contributing Castleman's disease
A 41-year-old Aboriginal man with HIV and Castleman's disease died from acute liver failure while on home detention. He had variable compliance with antiretroviral therapy, exacerbated by amphetamine use disorder and men…
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…
71y · Male·Complications of metastatic squamous cell carcinoma (terminal palliation)
Leslie Shortte, a 71-year-old life prisoner, died from metastatic squamous cell carcinoma with complications. Critical failures in his prison medical care included: failure to complete annual health assessments after 201…
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