South Infirmary Victoria University Hospital
http://hdl.handle.net/10147/128324
2024-03-28T14:18:52ZIncreasing melanoma awareness among health and social care professionals in secondary care in an era of reduced skin cancer referrals due to COVID-19.
http://hdl.handle.net/10147/634907
Increasing melanoma awareness among health and social care professionals in secondary care in an era of reduced skin cancer referrals due to COVID-19.
Gill, R; Murphy, M; Quinlan, Catherine
The role of secondary care providers in detecting melanoma has been poorly explored. Our recent study identified that patients with thick melanomas were seen in secondary care in the year prior to their melanoma diagnosis. In this era of reduced skin cancer referrals and heightened public anxiety, it is more important than ever that health professionals are equipped with the knowledge to identify atypical skin lesions to facilitate earlier detection and treatment. The aim of this study was to evaluate the level of awareness of skin cancer among health and social care professionals in secondary care and to facilitate education sessions on skin cancer awareness.
2020-07-22T00:00:00ZBare necessities? The utility of full skin examination in the COVID-19 era.
http://hdl.handle.net/10147/631783
Bare necessities? The utility of full skin examination in the COVID-19 era.
O'Connor, C; Gallagher, C; O'Connell, M; Bourke, J; Murphy, M; Bennett, M
Full skin examination (FSE) may improve the detection of malignant melanoma (MM). The objective of this study was to assess the safety of targeted lesion examination (TLE) compared with FSE in our Pigmented Lesion Clinic (PLC). Patients attending the PLC were randomized in a 2 : 1 ratio to FSE (intervention) or TLE (standard care). Demographic details and risk factors were documented, and the time taken to perform FSE and TLE was noted. Of 763 participants, 520 were assigned to FSE and 243 were assigned to TLE. On average, FSE took 4.02 min and TLE took 30 s to perform. Of the 520 participants assigned to FSE, 37 (7.1%) had incidental findings, of whom 12 patients (2.3%) had additional lesions biopsied. No additional melanomas were detected that would have been missed by use of the standard protocol. This study suggests that in low-risk patients referred to a PLC with a lesion of concern, the possibility of missing incidental cutaneous malignancies using lesion-directed examination is low.
2021-03-18T00:00:00ZDistance as a Barrier to Melanoma Care
http://hdl.handle.net/10147/626929
Distance as a Barrier to Melanoma Care
McCarthy, S; Feeley, K; Murphy, M; Bourke, J F
Our aim was to review cases of melanoma diagnosed histologically in UHK in 2016 and to compare them to cases of melanoma nationally and in Kerry. Methods For each patient we recorded age, Breslow depth, and shortest distance to travel by car and travelling time (without traffic) to the South Infirmary Victoria University Hospital (SIVUH) from their primary residence (calculated using Google maps™ (2018)). Results 20 cases of invasive melanoma were diagnosed in UHK in 2016. Of the 20 cases, 9 (45%) presented at a very advanced stage with a Breslow depth of greater than 4mm. A further 7 (35%) cases had a depth of 1.5-4mm. These patients with invasive melanoma had a mean age of 72.5 (±15). The mean shortest distance to travel from the patient’s primary residence to the SIVUH was 114.8km (±15.5) taking an average of 102 minutes (±14.6) by car. Conclusion Cases of melanoma diagnosed locally in UHK presented at an advanced stage compared to the national average. We suspect that the long distances to travel to the SIVUH pigmented lesion clinic is a barrier for these patients.
2019-08-01T00:00:00ZSkin Cancer Awareness Amongst Irish Golfers
http://hdl.handle.net/10147/622576
Skin Cancer Awareness Amongst Irish Golfers
McCarthy, Siobhan; Paul, Lyndsey; O’Connell, Michael
The aim of this study was to assess skin cancer awareness and identify the UV protective measures used by golfers within the Munster region of Ireland.
2017-09-01T00:00:00ZCritical Airway Compromise due to a Massive Vagal Schwannoma
http://hdl.handle.net/10147/620856
Critical Airway Compromise due to a Massive Vagal Schwannoma
McDermott, AM; Sadadcharam, M; Manning, BJ; Sheahan, P
We describe the case of a 37-year-old man with a slowly enlarging neck lump and compressive symptoms. He presented to a separate institution 10 years prior where an observational approach was advocated. Following preoperative investigations and embolization, an 11cm vagal schwannoma was excised and vagus nerve was sacrificed. Although conservative management is appropriate for a select patient population, surgical excision is treatment of choice for cervical neurogenic tumours and paraganglionomas and must be considered in young patients or rapidly expanding tumours to avoid compressive symptoms, as in this case.
2016-05-01T00:00:00ZChanging paradigms for oropharynx cancer: swinging of pendulum back towards surgery
http://hdl.handle.net/10147/575005
Changing paradigms for oropharynx cancer: swinging of pendulum back towards surgery
Sheahan, P
The oropharynx, extending from the soft palate to the level of the epiglottis, and containing the palatine tonsils and base of tongue (BOT), is a common site for Head and Neck cancer. Squamous cell carcinoma (SCC) comprises the overwhelming majority of cases. Traditional aetiological factors for oropharynx SCC (OPSCC) are smoking and alcohol consumption. In recent years, human papilloma virus (HPV) type 16 has emerged as the major cause of an ever increasing number of cases 1 . Over the last two decades, there has been a dramatic surge in the incidence of OPSCC. Figures obtained by the Irish National Cancer Registry show an increase from 50 cases per year in 1994 to over 100 cases per year in 2012. This recent rise in OPSCC incidence is almost exclusively related to an increase in HPV related cancers. In the United States, between 1988 and 2004, HPV related OPSCC showed a 225% increase, while HPV-negative OP SCC showed a 50% decline, attributed to decreased prevalence of smoking 1 .
2015-07-01T00:00:00ZIntussusception: a cause of right iliac fossa mass in a young adult.
http://hdl.handle.net/10147/302399
Intussusception: a cause of right iliac fossa mass in a young adult.
Khan, Ata; Rajendran, Simon; Baban, Chwanrow; Murphy, Micheal; O'Hanlon, Deirdre
2010-01-01T00:00:00ZSpontaneous cholecystocutaneous fistula.
http://hdl.handle.net/10147/302409
Spontaneous cholecystocutaneous fistula.
Khan, Ata; Rajendran, Simon; Baban, Chwanrow; Murphy, Micheal; O'Hanlon, Deirdre
2011-01-01T00:00:00ZHerpes zoster infection, vaccination and immunocompromised rheumatology patients.
http://hdl.handle.net/10147/296779
Herpes zoster infection, vaccination and immunocompromised rheumatology patients.
O'Connor, Mortimer B; Phelan, Mark J
Varicella is a self-limiting and relatively mild disease of childhood, although it is frequently more severe and complicated among the immunocompromised rheumatology patients on immunomodulator therapies. In addition, future reactivation of the dormant virus in dorsal root ganglia may cause herpes zoster infection, which can be very debilitating. In this manuscript, we discuss the nature of this infection along with its potential vaccine especially among rheumatology patients.
2013-01-01T00:00:00ZThe prevalence and genotype of human papillomavirus on cervical samples from an Irish female population with external genital warts.
http://hdl.handle.net/10147/275812
The prevalence and genotype of human papillomavirus on cervical samples from an Irish female population with external genital warts.
Cremin, Suzanne M; Menton, John F; Canier, Lydie; Horgan, Mary; Fanning, Liam J
The aim of this study was to determine the cervical genotype profile of females who presented to an STI Clinic with external genital warts (EGW); and to determine the potential vaccine coverage prior to the uptake of the HPV vaccines. Sixty-one cervical scrapings were taken from females aged 18-35 y who had external genital warts or a history of external genital warts. The resulting 50 samples that were positive for HPV-DNA were subjected to genotype identification. Forty-six of these samples had detectable genotypes by LIPA analysis and most (78%, 36/46) had multiple low risk (LR) and high risk (HR) genotypes on the cervix. Twenty-five of these samples (54%) had more than 1 HR genotype. Of the 36 patients who had any HR genotypes, 18 (50%) were identified to have the most oncogenic HPV genotypes, namely 16 and 18. Three of these samples had both 16 and 18 on the cervix. The presence of multiple HR genotypes on the majority of cervical samples from a self-referred population of females with EGW is presented. This study is of importance since persistent HR-HPV is the necessary risk factor in the development of precancerous and cancerous lesions of the cervix. Gardisil, the quadrivalent HPV vaccine would have been useful in the prevention of 28% (13/46) of these infections.
2012-07-01T00:00:00Z