• Distance as a Barrier to Melanoma Care

      McCarthy, S; Feeley, K; Murphy, M; Bourke, J F (2019-08-01)
      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.
    • Eccrine porocarcinoma arising within an area of Bowen disease.

      Lowney, A C; Mc Aleer, M A; O'Connor, K; Fitzgibbon, J F; Bourke, J F; Department of Dermatology, South Infirmary Victoria University Hospital, Cork, Ireland. aoifelowney@gmail.com (2012-03)
      Summary Very little is known about the aetiology of eccrine porocarcinoma (EP), a rare malignant sweat-gland tumour. Most reported cases have arisen de novo, or from a benign eccrine poroma. We report an unusual case, in which eccrine porocarcinoma arose at the exact site of pre-existing Bowen disease (BD).
    • An unusual rash in a neonate. X-linked dominant ichthyosis (XLDI).

      Moriarty, B; Bourke, J F; Fitzgibbon, J; Irvine, A D; Department of Dermatology, South Infirmary, Victoria Hospital, Cork, Ireland., blaithinl@hotmail.com (2012-02-01)
    • An unusual rash in a neonate. X-linked dominant ichthyosis (XLDI).

      Moriarty, B; Bourke, J F; Fitzgibbon, J; Irvine, A D; Department of Dermatology, South Infirmary, Victoria Hospital, Cork, Ireland. blaithinl@hotmail.com (2010-04)