Mott, Melvin Thomas

71y · Male·Invasive bladder cancer (urothelial carcinoma)

A 71-year-old male prisoner presented with lower abdominal pain and was found to have invasive bladder cancer (urothelial carcinoma). Diagnosis occurred within 12 days of symptom onset through CT imaging and biopsy. Radiation therapy was planned but became impossible when the patient deteriorated rapidly with acute kidney injury, bilateral pyelonephritis, severe prostatitis, and progression of malignancy. The coroner found the medical care provided by Princess Alexandra Hospital and Wolston Correctional Centre met appropriate standards. The 5-week interval from initial diagnosis to planned radiotherapy was deemed appropriate given diagnostic complexity, staging requirements, and multidisciplinary team review. No issues were identified in clinical management, and the death was deemed non-preventable from natural causes.