Articles Posted in Misdiagnosing Cancer

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Gerald Culhane went to his primary care physician at Buffalo Veterans Administration Medical Center, complaining of a lump in his neck over a three-month period. A CT scan was reviewed by a radiologist as being unremarkable. Culhane was told that he did not require a follow-up.

About a year and a half later, he called the Veteran’s Administration and reported that his neck lump was continuing to grow. Another CT scan led to a diagnosis of squamous cell carcinoma in the left tonsil, which required 40 rounds of radiation and 7 cycles of chemotherapy. The cancer recurred. Culhane later underwent a radical tonsillectomy and neck dissection.

Culhane and his wife sued the United States under the Federal Torts Claims Act (FTCA), alleging that the Veteran’s Administration Hospital chose not to timely diagnose squamous cell carcinoma. The Culhane family also alleged that a mass was obviously present when the first CT scan was done and that the scan was wrongly interpreted as negative.
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Doe, age 63, went to Dr. Roe, his primary care physician, for a physical examination. Dr. Roe ordered a prostate-specific antigen (PSA) test, which showed an abnormal result of 17.6 ng/mL.

The results prompted Dr. Roe to repeat the test that day, the second test, which resulted in a higher reading of 18.46 ng/mL.

Dr. Roe allegedly attributed the abnormal PSA values to Mr. Doe’s having to hold his urine for long periods of time while he was at work. At a follow-up appointment six months later, Dr. Roe ordered another PSA test; it showed a result of 43.15 ng/mL.
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Akimbee Burns, who was in her late 30s, underwent a pap smear at a federally operated health care center. The health center’s pap smear showed atypical squamous cells. Unfortunately, Burns’s treating physician did not tell her of the results. When Burns returned to the same health center to follow up on an unrelated issue, the doctor allegedly told her that her pap smear result was normal.

Approximately eight months later, Burns was diagnosed as having Stage IIB cervical cancer, which had spread to her lymph nodes.

Although Burns underwent radiation, chemotherapy and other treatments, she died within two years.
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Daniel Scavetta, who had a history of intravenous drug abuse, began seeing internist Dr. James Agresti. Dr. Agresti prescribed Suboxone. After a colonoscopy revealed multiple polyps, including one that was too large to remove, Scavetta was referred to a colorectal surgeon, Dr. Joel Nizen.

A CT scan showed a 1.9 cm lesion in Scavetta’s liver and an enlarged spleen. This prompted the interpreting radiologist to recommend that Scavetta undergo an MRI of his abdomen. Although Dr. Nizen performed surgery approximately two weeks later, he did not investigate the lesion.

Approximately 13 months later, Scavetta saw blood in his urine. The CT scan and MRI revealed a 4.2 cm liver mass. Scavetta was subsequently diagnosed with having Stage IV hepatocellular carcinoma.
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Doe, age 35, was hospitalized for treatment of pneumonia. Doe’s pneumonia cleared, but follow-up X-rays taken one month later and seven months after that showed a suspicious lesion on her lung. The radiologist interpreting the X-rays chose not to note or record the lesion.

Almost three years later, Ms. Doe underwent a CT scan, which formed the basis of a diagnosis of Stage IV inoperable non-small cell lung cancer.

The lawsuit alleged that the delayed diagnosis of lung cancer reduced Ms. Doe’s chances of survival from 85% to 10% in that the lesion measured 1 cm when first seen but had grown to 3.5 cm by the time she received the diagnosis.
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Thomas Lapsley went to a nearby hospital emergency room where doctors ordered a CT scan of his abdomen and pelvis. The scan revealed a lesion on his liver. A follow-up liver CT scan was ordered to rule out metastatic disease. There was nothing in the report as to the symptoms Lapsley might have experienced that prompted him to go to the emergency room.

After the CT scan, a surgeon, Dr. Ben Davis, did an exploratory laparotomy and repaired Lapsley’s gastric ulcer.

Over the next week, as Lapsley was admitted to the hospital, he did not undergo further evaluation of the liver mass and allegedly was not informed of the mass at his discharge. Eighteen months later, another doctor referred him for yet another CT scan. That scan led to a diagnosis of Stage IV metastatic cancer. Sadly, Lapsley died just one month later.
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The Nebraska Supreme Court held that the limitations period for a patient’s medical malpractice claim began when this patient received the prostate cancer diagnosis.

Richard Bonness had a family history of prostate cancer. He underwent Prostate‑Specific Antigen (PSA) tests multiple times after his father’s death from the same disease.

In late 2010, he became the patient of physician Dr. Joel Armitage and the two allegedly discussed Bonness’s desire to be screened for prostate cancer.
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Mr. Doe suffered a fall at work and underwent a chest X-ray and a CT scan. He was diagnosed as having multiple rib fractures and a small pulmonary nodule in his right upper lung. Several weeks later, a PET scan revealed mild hypermetabolic activity in the right upper lobe of his lung, which prompted a CT-guided core biopsy.

The biopsy specimen was sent to pathology but was too small. Mr. Doe did not undergo a repeat biopsy.

Approximately eight years later, Mr. Doe suffered another fall and underwent a chest X-ray. This revealed 2.9-cm lung density. Mr. Doe was later diagnosed as having Stage III adenocarcinoma of the lung. Adenocarcinoma is a type of cancer that starts in the mucous glands inside of organs, including the lungs.
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David Riese, 60, went to his primary care physician complaining of a lump in his neck. He underwent an MRI and was referred to ENT Dr. Matthew Jerles, who aspirated the lump.

Riese returned to Dr. Jerles several times and underwent the surgical removal of the lump, which had ruptured during the aspiration procedure.

Testing later revealed that there was a diagnosis of squamous cell carcinoma. Dr. Jerles then examined the back of Reise’s throat and diagnosed a tumor at the base of his tongue. It was later revealed that the tumor had been present on the MRI, which had been faxed to Dr. Jerles at the start of Reise’s treatment. Dr. Jerles obviously missed observing and noting that tumor.
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Robert Klein went to a hospital emergency room complaining of right flank pain, urinary burning, and blood in his urine. He was 48 years old at the time. A third-year resident, Dr. Lien Nguyen, ordered a CT scan. The CT scan results revealed kidney stones and a bladder mass.

Dr. Nguyen discharged Klein with instructions to see a urologist.

Over a year later, after Klein’s symptoms progressed, he underwent an ultrasound, which again showed a mass on his bladder. He was diagnosed with Stage III bladder cancer and underwent an unsuccessful procedure to remove the cancer. He later required removal of his entire bladder.
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