Article

[Forensic analysis of 74 tumor related medical malpractice cases].

Department of Forensic Medicine, School of Basic Medical Science, Central South University, Changsha 410013, China.
Fa yi xue za zhi 06/2010; 26(3):192-5. DOI: 10.3969/j.issn.1004-5619.2010.03.009
Source: PubMed

ABSTRACT

To analyze the causes of medical malpractice in patients with tumor, to determine the medical responsibility, and to recommend the related preventions.
Seventy four medical malpractice cases, which were involved in tumor and collected from 2000 to 2009 in medicolegal expertise center of west China, were analyzed retrospectively.
The medical malpractice cases in the patients with tumor showed an increasing tendency in recent years. The main causes are missed diagnosis, misdiagnosis, improper chemotherapy and neglect of complications. The causes of medical malpractice were different in the different levels of medical services. The occurrence of medical malpractice in surgery and OB-GYN showed more frequent than the others.
Forensic pathology autopsy is important to resolve medical malpractice of tumor patients by finding out the cause of death and clarifying the medical responsibility. The occurrence of medical malpractice could be reduced by the clinical doctors through improving serve consciousness, obtaining the patients' trust, improving the medical treatment, following related laws and rules, fulfiling duty of medical careness.

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    ABSTRACT: We describe the case of a malignant fibrous histiocytoma (MFH) of the heart, presenting with an obstinate cough and clinically misdiagnosed as adult respiratory distress syndrome, in a 52-year-old man. He was diagnosed as pulmonary tuberculosis four years ago. Although his tuberculosis was believed to have cured, he often went to hospital for cough and palpitation. Echocardiogram was conducted only once on the patient four years ago but no abnormalities were found. During the day his condition deteriorated. He went to the emergency department, where he was given intravenous drugs against cough and was sent home. On the way back, his condition deteriorated dramatically so that his son drove back to the emergency room, where he collapsed and sustained cardiac arrest; resuscitation efforts were unsuccessful. Autopsy revealed a large tumor located in the left atrium. Histological and immunohistochemical investigations of the mass established the diagnosis of primary cardiac MFH. Sudden cardiac death, caused by the MFH was ascertained as the cause of death. The morphological and pathological findings are presented, the difficulty to diagnose primary cardiac MFH and the medico-legal implications are discussed.
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