59 results
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…
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…
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…
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…
53y · Male·Metastatic pancreatic carcinoma
Michael Sanderson, a 53-year-old Gamilaroi man, died from metastatic pancreatic cancer while in custody. Critical clinical lessons emerge: (1) failure to review pathology results within required 14-day timeframe delayed …
67y · Male·Liver abscess and complications thereof on the background of pancreatic adenocar…
Stephen Paul Bourke, aged 67, died in custody at Prince of Wales Hospital from a liver abscess complicated by pancreatic adenocarcinoma. He had multiple comorbidities including coronary artery disease, diabetes, and prio…
72y · Male·The available evidence does not allow for any finding to be made as to the cause…
Bruce Robinson, a 72-year-old man with a history of non-Hodgkin's lymphoma, schizophrenia, psychosis, and dementia, died on 27 October 2022 after jumping from a ferry into Sydney Harbour. He had been non-compliant with h…
64y · Male·Metastatic Non-Small Cell Lung Cancer
Philip Nguyen, aged 64, died from metastatic non-small cell lung cancer whilst in lawful custody in Long Bay Hospital on 10 May 2020. He had been diagnosed with advanced lung cancer in February 2019 after presenting with…
76y · Male·small bowel obstruction in the setting of terminal metastatic neuro-endocrine tu…
A 76-year-old Aboriginal man died of small bowel obstruction from metastatic neuro-endocrine tumour after spending nearly two years requesting medical help in prison without receiving a doctor's review. Between October 2…
73y · Male·Complications of metastatic neuroendocrine lung carcinoma
John O'Donnell, aged 73, died in custody from complications of metastatic neuroendocrine lung cancer while hospitalised at Westmead Hospital. The coroner identified two systemic issues during his brief incarceration at S…
54y · Male·metastatic small cell lung cancer
Manuel Katsaros, aged 54, died from metastatic small cell lung cancer while in custody at Prince of Wales Hospital Annex receiving palliative care. The coroner found no systemic deficiencies or clinical errors. The patie…
57y · Male·hepatocellular carcinoma and its complications
Anthony Sampieri, 57-year-old inmate with end-stage hepatocellular carcinoma secondary to hepatitis C and cirrhosis, died at Prince of Wales Hospital Correctional Annex after 10 days of palliative care. He had received a…
53y · Male·Metastatic Basaloid non-keratinising squamous cell carcinoma
David Winner, aged 53, died in Long Bay Correctional Centre from metastatic squamous cell carcinoma. He was on remand for domestic violence charges when diagnosed with terminal oropharyngeal cancer with extensive metasta…
47y · Male·Follicular lymphoma with transformation to acute lymphoblastic leukaemia and the…
Matthew Geoffrey Smith, a 47-year-old man imprisoned for sexual offences, died in the ICU of Prince of Wales Hospital on 5 May 2022 from follicular lymphoma that had transformed to acute lymphoblastic leukaemia with comp…
61y · Male·Complications of metastatic adenocarcinoma
JM, a 61-year-old man incarcerated at Long Bay Correctional Centre, died from complications of metastatic adenocarcinoma (stage 4 lung cancer with liver lesions). He was diagnosed in February 2022 after presenting to Wag…
60y · Male·metastatic atrial sarcomatoid tumour
Steve Fesus, aged 60, died in custody at Prince of Wales Hospital from metastatic atrial sarcomatoid tumour. He had been diagnosed with cardiac cancer in 2016, underwent surgery, and was in remission until metastases wer…
77y · Male·Complications of Metastatic Colorectal Carcinoma
Robert Fennell, a 77-year-old man serving an 18-year prison sentence, died of complications from metastatic colorectal carcinoma in Long Bay Correctional Hospital's Medical Sub-Acute Unit on 27 October 2020. He had an ex…
76y · Male·Pleuropulmonary Malignancy on the background of End-Stage Obstructive Pulmonary …
John Little, a 76-year-old man in custody, died from pleuropulmonary malignancy on a background of end-stage COPD. He had significant long-standing health problems including COPD related to smoking and asbestos exposure,…
55y · Male·Consequences of urothelial cancer
David Hall, aged 55, died in custody at Long Bay Correctional Facility from metastatic urothelial cancer. He had multiple comorbidities including multiple sclerosis, epilepsy, and history of bladder cancer treated with c…
64y · Male·Consequences of metastatic oesophageal carcinoma with Stanford B dissection thor…
Jose Manuel Xavier, a 64-year-old prisoner, died from metastatic oesophageal carcinoma with a contributing Stanford B thoracic aortic dissection. He was diagnosed with oesophageal cancer in July 2019 after presenting wit…
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