A medical specialist tells a coronial inquest he would have recommended regular observation instead of wrongly diagnosing lung cancer and recommending surgery for a patient who later died — if a pathology sample had not been contaminated.
abc.net.au/news/contaminated-pathology-sample-led-to-misdiagnosis-inquest-hears/101947134A medical specialist has told a coronial inquest he would have recommended regular observation instead of wrongly diagnosing lung cancer and recommending surgery for a patient who later died — if a pathology sample had not been contaminated.
Royal Adelaide Hospital thoracic medicine consultant Phan Tien Nguyen told the inquest that, if the pathology report had been accurate and concluded granuloma — an inflamed cell — rather than carcinoma, he would not have recommended surgery to remove part of Mr Jackson's left lung. "Let's say there was no contamination, I would have recommended a CT scan in three months to assess the growth [of the nodule]," he said.Professor Nguyen told the inquest he would have wanted to monitor Mr Jackson for two years as he was at a high risk of developing lung cancer.
He said the pathology report was consistent with Mr Jackson's medical history and symptoms, including his occupational exposure to dust and asbestos, history of smoking, location of the nodule in his upper left lobe and the 12-millimetre size of the nodule.The doctor said no-one at a multi-disciplinary team meeting of RAH specialists held to discuss Mr Jackson's case raised any concern about the accuracy of the pathology report.
Professor Nguyen said he remembered Mr Jackson "quite well" and told the inquest his "unfortunate outcome" had prompted some change to practices at the hospital."Because the case has had a negative impact on all of us clinically … when we have seen they comment we have discussed the option of doing DNA on a sample to ensure.
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