scholarly journals Profil Karsinoma Kolorektal di Laboratorium Patologi Anatomi Fakultas Kedokteran Universitas Andalas Priode Januari 2009 sampai Desember 2011

2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Muflikal Hamdi ◽  
Asril Zahari ◽  
Aswiyanti Asri

AbstrakPada stadium awal carcinoma colorectal tidak menunjukan gejala klinis yang khas, sehingga sebagian besar penderita datang pada stadium lanjut. Tujuan penelitian ini adalah untuk melihat profil carcinoma colorectal di laboratorium Patologi Anatomi Fakultas Kedokteran Universitas Andalas. Penelitian ini dilakukan pada periode Januari 2009 sampai Desember 2011 dengan metode deskriptif retrospektif . Data penelitian diambil dari rekam medis penderita carcinoma colorectal dalam penelitian yang telah dilakukan pada bulan Juni 2012 sampai bulan Oktober 2012. Pada penelitian ini di temukan 260 kasus carcinoma colorectal dengan histopatologi terbanyak yaitu adenokarsinoma 217 kasus (83,47%) dan grading/diferensiasi II sebanyak 93 kasus (42,85%). Insiden carcinoma colorectal ditemukan pada perempuan lebih tinggi daripada laki-laki dengan perbandingan 1,18 : 1. Kelompok umur terbanyak adalah 51-60 tahun (28,08%) dengan usia termuda 16 tahun dan tertua 86 tahun. Lokasi carcinoma colorectal tersering ditemukan di rektum 131 kasus (50,39%) disusul rektosigmoid 37 kasus (14,23%) dan sigmoid 27 kasus (10,39%) dengan gejala klinis terbanyak BAB berdarah dan berlendir. Pada saat skrining dengan melakukan rektal toucher masa carcinoma colorectal akan dapat teraba, sehingga kasus ini dapat ditemukan pada stadium dini dan angka morbiditas dan mortalitas akibat penyakit ini dapat diturunkan.Kata kunci: profil, carcinoma colorectal, patologi anatomi AbstractIn the early stages of colorectal carcinoma does not show typical clinical symptoms, so most people come at an advanced stage. The objective of this study was to determine the profile of colorectal carcinoma in the anatomic pathology laboratory Andalas University Faculty of Medicine.The research was conducted during the period January 2009 until December 2011 with retrospective descriptive method and the data were taken from the medical records of patients with colorectal carcinoma in the research that has been conducted in June 2012 until October of 2012. Found in this study in 260 cases of colorectal carcinoma with the highest histopathology adenocarcinoma 217 cases (83.47%) and grading/differentiation II as many as 93 cases (42.85%). Colorectal carcinoma incidence found in women is higher than men with a ratio of 1.18: 1. Largest age group was 51-60 years (28.08%) with the youngest aged 16 and the oldest 86 years. Most common location of colorectal carcinoma was found in the rectum 131 cases (50.39%) followed rektosigmoid 37 cases (14.23%) and sigmoid 27 cases (10.39%) with clinical symptoms defecate most bloody and slimy. The screening by rectal toucher will be seen colorectal carcinoma clearly, so this case can be found at an early stage and morbidity and mortality from this disease can be reduced.Keywords: profile,colorectal carcinoma, anatomic pathology

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Rina D.S. Andisi ◽  
Pieter L. Suling ◽  
Marlyn G. Kapantow

Abstract: Keloid is an abnormal scar that appears as an impact of wound healing process. Trauma, skin tension, hormone, and genetics are the risk factors of keloid. This study was aimed to obtain the profile of keloid patients at Polyclinic of Dermatology and Venereology Prof. Dr. R. D. Kandou Hospital in the period 2011-2015. This was a retrospective descriptive study using data of registration book and medical records. The results showed that the incidence of keloid in the period 2011-2015 was 93 cases (1.68%). Based on gender, females were the most (52.69%). The age group that had the highest in number was 15-24 years old (36.56%). Based on occupation, most were students (25 cases; 26,88%). The most common location of lesion was on the chest, which accounted for 48 cases (51.61%). Eighty-nine cases (90.70%) used intralesion steroid injection as the therapy. Conclusion: Keloid was more common in females, age group 15-24 years old, and occupation as students. The most common location of the lesion was on the chest, and the intraleson steroid injection was the most used therapy for keloid.Keywords: keloids, scar, profile Abstrak: Keloid adalah parut abnormal yang timbul sebagai akibat dari proses penyembuhan luka. Trauma, ketegangan kulit, hormon, dan genetik merupakan faktor penyebab terbentuknya keloid. Penelitian ini bertujuan untuk mengetahui profil penderita keloid yang berobat di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode tahun 2011-2015. Jenis penelitian ialah deskriptif retrospektif menggunakan data dari buku register dan catatan rekam medik. Hasil penelitian menunjukkan insidensi penderita keloid periode 2011-2015 sebanyak 93 kasus (1,68%). Distribusi kasus terbanyak pada perempuan (52,69%), kelompok umur 15-24 tahun (36,56%), pekerjaan sebagai pelajar dengan 25 kasus (26,88%). Lokasi lesi paling sering pada daerah dada yaitu sebanyak 48 kasus (51,61%). Sebanyak 89 kasus (90,70%) menggunakan terapi injeksi steroid intralesi. Simpulan: Berdasarkan hasil penelitian ini keloid lebih sering pada perempuan, kelompok umur 15-24 tahun, pekerjaan sebagai pelajar, dengan lokasi lesi paling sering pada daerah dada dan injeksi steroid intralesi merupakan terapi keloid yang paling banyak digunakan. Kata kunci: keloid, bekas luka, profil


e-CliniC ◽  
2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Yanuar E. Tubagus ◽  
Ramli Haji Ali ◽  
Alfa G. Rondo

Abstract: Urinary tract stone is the third most common disease after urinary tract infection and prostate cancer. Symptoms of urinary tract stones such as pain, hematuria, infection, fever, nausea, and vomiting appear when an obstruction occurs. To confirm the diagnosis of urinary tract stone, further examination can be performed such as radiology examination using CT-Scan which can provide a much better imaging compared to plain photo and ultrasonography. CT-scan is usually performed without contrast because the imaging of stone is clearly visible. This study was aimed to obtain the CT-scan imaging without contrast of patients with urinary tract stones in the Radiology Department of Faculty of Medicine Sam Ratulangi University/ SMF Radiology Prof. Dr. R. D. Kandou Hospital Manado in the period of July 2016 - June 2017. This was a descriptive retrospective study using patients’ medical records at the Radiology Department. The results showed that there were 190 patients suffering from urinary tract stones. The majority of cases were males (66.32%), age group of 48-57 years (30%), and had stones located in the renal region (67.38%). Conclusion: Based on the CT-Scan examination without contrast performed on patients with urinary tract stones, the prevalence of urinary tract stone was higher in males and the age group of 48-57 years with the most common location of the stones in the renal region.Keywords: urinary tract stones, CT-Scan without contrast Abstrak: Batu saluran kemih merupakan penyakit tersering ketiga setelah infeksi saluran kemih dan kanker prostat. Gejala batu saluran kemih muncul ketika terjadi obstruksi berupa rasa nyeri, hematuria, infeksi, demam, mual dan muntah. Untuk menegakkan diagnosis dapat dilakukan pemeriksaan lanjutan seperti pemeriksaan radiologi dengan menggunakan CT-Scan yang dapat memberikan hasil pencitraan yang lebih baik dibandingkan foto konvensional dan ultrasonografi. Pemeriksaan CT-Scan biasanya tanpa menggunakan kontras karena gambaran batu sudah tampak dengan jelas. Penelitian ini bertujuan untuk mengetahui gambaran CT-Scan tanpa kontras pada pasien dengan batu saluran kemih di Bagian Radiologi FK Unsrat/SMF Radiologi RSUP Prof. Dr. R. D. Kandou Manado pada periode Juli 2016 - Juni 2017. Jenis penelitan ialah deskriptif retrospektif menggunakan data sekunder dari rekam medis pasien di Bagian Radiologi. Hasil penelitian mendapatkan sebanyak 190 pasien yang menderita batu saluran kemih dengan proporsi paling banyak pada laki-laki (66,32%), kelompok usia 48-57 tahun (30%), dan lokasi tersering pada daerah ginjal (67,38%). Simpulan: Berdasarkan hasil pemeriksaan CT-Scan tanpa kontras pada pasien batu saluran kemih didapatkan angka kejadian batu saluran kemih paling banyak pada laki-laki dan kelompok usia 48-57 tahun dengan lokasi tersering di daerah ginjal.Kata kunci: Batu saluran kemih, CT-Scan tanpa kontras.


2020 ◽  
Vol 13 (4) ◽  
pp. 383-387
Author(s):  
Sherly Birawati ◽  
Ennesta Asri

Keloid is an abnormal scar that appears as an impact of the wound healing process. Trauma, skin tension, hormone, and genetics are the risk factors of keloid. This study was aimed to obtain the profile of keloid patients at Polyclinic of Dermatovenereology RSUP. Dr. M. Djamil Padang in the period 2014-2018. This was a retrospective descriptive study using data of medical records. The results showed that the incidence of keloid in the period 2014-2018 was 157 cases. Based on gender, females were the most (51.60%). The age group that had the highest in number was 15-24 years old (27.39%). Based on occupation, most were students (33 cases; 20,49%). The most common location of the lesion was on the chest, which accounted for 57 cases (36.31%). Seventy-six cases (48.41%) with interpretation big effect on patient life. Conclusion :Keloid was more common in females, age group 15-24 years old, and occupation as students. The most common location of the lesion was on the chest and a big effect on patient life.


2022 ◽  
Vol 6 (2) ◽  
pp. 1405-1410
Author(s):  
Muhammad Reza Azriyantha ◽  
Ambiar Manjas

Background. Cholelithiasis is a condition where there are stones in the gallbladder or the common bile duct or both. This study aims to describe the characteristics of cholelithiasis patients in RSUD Dr. Achmad Mochtar Bukittinggi. Methods. This research is a descriptive observational study on the incidence of cholelithiasis in hospitals. Dr. Achmad Mochtar Bukittinggi period January 2019 – December 2020. A total of 224 research subjects participated in this study. Secondary data was collected from medical records of research subjects, including data on age, gender, body mass index, clinical symptoms, and type of surgery. Data analysis was carried out with the help of SPSS 25 software. Results. Cholelithiasis was most commonly found in the age group over 50 years (47.8%), normal BMI (46%) cases. The most complained symptom in cholelithiasis patients in this study was abdominal pain (61.6%). All cholelithiasis patients (100%) in this study underwent laparoscopic cholecystectomy surgery. Conclusion. Cholelithiasis patients who underwent surgery in hospitals. Dr. Achmad Mochtar Bukittinggi for the period January 2019 – December 2020 were 224 patients. The majority of patients over 50 years of age, women, had a normal BMI. The patient frequently complained of abdominal pain and all had undergone laparoscopic cholecystectomy.


2021 ◽  
Vol 2 (2) ◽  
pp. 36-42
Author(s):  
Retno Oktavia ◽  
Arif Effendi ◽  
Eka Silvia

Scabies is a skin disease caused by infestation and sensitization to Sarcoptes scabiei var hominis. Scabies characterized by night itching, affecting a group of people, with a predilection spot in the skin folds that are thin, warm, and moist. Clinical symptoms can be seen polymorphy spread throughout the body. Scabies disease can be prevented by educating patients about scabies which are: disease course, transmission, how to eradicate scabies mites, maintaining personal hygiene, and procedures for applying drugs. Objective: To determine the prevalence of the incidence of scabies and the factors that influence the incidence of scabies based on age and sex at Pertamina Bintang Amin Hospital for January 2, 2016 - December 31, 2018. The type of research used in this research is a descriptive retrospective study by looking at the medical records of scabies patients at the Polyclinic of Skin and Venereal Diseases at Pertamina Bintang Amin Hospital, Bandar Lampung, 2 January 2016-31 December 2018. In this study, the results of the prevalence of scabies were 261 cases (9%) of 2924 patients with skin and venereal diseases for the period of January 2, 2016-31 December 2018 with the highest prevalence, namely in 2018 as many as 108 cases (11%) of 963 patients with skin and venereal diseases. Scabies can occur in women or men and children or adults. The results of this study indicate that most people who suffer from scabies are in the age group of 20-59 years as many as 128 cases (49%), and the most sexes suffer from scabies. Scabies, namely male, as many as 163 cases (62.5%).


2020 ◽  
Vol 33 (1) ◽  
pp. 35-40
Author(s):  
Monira Parveen ◽  
Shah Md Badruddoza ◽  
SM Asafudullah ◽  
Khadiza Khanom ◽  
Arefa Sultana ◽  
...  

This cross-sectional, descriptive observational study was carried out for a period of 24 months from January 2014 to December 2015 in the Department of Pathology and Department of Surgery, Rajshahi Medical College, Rajshahi for estimation of serum 19-9 level in total fifty four patients. Histopathological Staging was correlated with the preoperative values of serum CA 19-9 level. Data were collected by face to face interview, clinical examination and findings of laboratory investigations. Preoperative serum CA 19-9 levels were estimated by Enzyme Linked Immunosorbent Assay (ELISA) Method. The study revealed that the colorectal carcinoma was highest in the 5th and 6th decade and rectal area (46.3%) and male predominance was observed with male to female ratio being 3:2. A higher incidence of abnormal CA 19-9 level was found in Dukes’ D (100%) and Dukes’ C (84%) diseases than in Dukes’ B (76%) and Dukes’ A (75%) stages. The sensitivity of CA 19-9 in correctly detecting advanced stage CRC carcinoma from those who had early stage of the disease is (36/44) × 100 = 81.8% and its specificity in correctly excluding those who did not have advanced disease is (2/10) × 100 = 20%. The overall diagnostic accuracy is calculated to be (36 + 2)/54 = 70.37%. Regarding diagnostic values for colorectal carcinoma elevated level of serum CA 19-9 can be considered as an important diagnostic tool for differentiating advanced stage of colorectal carcinoma from its early stage TAJ 2020; 33(1): 35-40


e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Rina D.S. Andisi ◽  
Pieter L. Suling ◽  
Marlyn G. Kapantow

Abstract: Keloid is an abnormal scar that appears as an impact of wound healing process. Trauma, skin tension, hormone, and genetics are the risk factors of keloid. This study was aimed to obtain the profile of keloid patients at Polyclinic of Dermatology and Venereology Prof. Dr. R. D. Kandou Hospital in the period 2011-2015. This was a retrospective descriptive study using data of registration book and medical records. The results showed that the incidence of keloid in the period 2011-2015 was 93 cases (1.68%). Based on gender, females were the most (52.69%). The age group that had the highest in number was 15-24 years old (36.56%). Based on occupation, most were students (25 cases; 26,88%). The most common location of lesion was on the chest, which accounted for 48 cases (51.61%). Eighty-nine cases (90.70%) used intralesion steroid injection as the therapy. Conclusion: Keloid was more common in females, age group 15-24 years old, and occupation as students. The most common location of the lesion was on the chest, and the intraleson steroid injection was the most used therapy for keloid.Keywords: keloids, scar, profile  Abstrak: Keloid adalah parut abnormal yang timbul sebagai akibat dari proses penyembuhan luka. Trauma, ketegangan kulit, hormon, dan genetik merupakan faktor penyebab terbentuknya keloid. Penelitian ini bertujuan untuk mengetahui profil penderita keloid yang berobat di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode tahun 2011-2015. Jenis penelitian ialah deskriptif retrospektif menggunakan data dari buku register dan catatan rekam medik. Hasil penelitian menunjukkan insidensi penderita keloid periode 2011-2015 sebanyak 93 kasus (1,68%). Distribusi kasus terbanyak pada perempuan (52,69%), kelompok umur 15-24 tahun (36,56%), pekerjaan sebagai pelajar dengan 25 kasus (26,88%). Lokasi lesi paling sering pada daerah dada yaitu sebanyak 48 kasus (51,61%). Sebanyak 89 kasus (90,70%) menggunakan terapi injeksi steroid intralesi. Simpulan: Berdasarkan hasil penelitian ini keloid lebih sering pada perempuan, kelompok umur 15-24 tahun, pekerjaan sebagai pelajar, dengan lokasi lesi paling sering pada daerah dada dan injeksi steroid intralesi merupakan terapi keloid yang paling banyak digunakan.Kata kunci: keloid, bekas luka, profil


2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e13620-e13620
Author(s):  
Rakesh Shankar Goud ◽  
Amit Kumar Jotwani ◽  
Thirtha Poovaiah ◽  
Rejil Rajan ◽  
Rama Waghmare ◽  
...  

e13620 Background: As we see rising cancer incidence in India, there is a parallelly increasing trend in patient-driven second medical opinions (SMO) in oncology. We analysed different attributes of patients seeking online second opinions through onco.com to help us understand the driving factors for patients. Here we present the patient and disease attributes to understand the reasons and perceived value of SMOs in oncology through an online platform. Methods: We did a retrospective analysis of 1,142 patients who availed online tumor board opinion through Onco.com between August 2018 & December 2020. Patient characteristics like age, gender, city of residence (metro or non-metro) & disease characteristics like cancer type and stage were recorded. Tumors included both solid and hematological malignancies. Results: Of the 1,142 patients, 87% (991) cases were solid tumors and the rest 13% (151) were hematological malignancies. Top 6 cancer types for which patients sought SMOs- Breast- 13%, Head & neck- 8.7%, Lung- 7.5%, Leukaemia- 5.8%, Lymphoma- 5.4%, & Ovarian- 5% cancers. Of the 991 solid tumour cases, 13% had early (stage I & II) disease, 24% had locally advanced (stage III) disease, 52% had metastatic disease & and 11% had recurrent disease. The mean age of patients was 50 years with equivalent gender distribution. 23% of patients seeking SMOs were young adults (17-44 years), 59% were older adults (45-70 years), and 9% patients were from elderly (>70 years) age group. City of residence- 39% patients were residents of metro (tier 1) cities and 61% were residents of non-metro (tier 2/3) cities. Conclusions: Advanced stage of disease (metastatic + recurrent) and non-metro city of residence were found to be the commonest attributes for majority of patients. Desperate nature of the situation in advanced stage of disease and lack of access to specialised oncology care in non-metro cities respectively appear to be the reasons for higher SMOs in these groups. Higher number of SMOs for younger age patients was disproportionate to the incidence of cancer in this age-group. A larger analysis of the contrarian opinions, compliance and clinical impact of second opinions in terms of better survival outcomes is warranted to see if patients get true value out of this exercise.


2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Yuyun Saputri ◽  
Ismet Muchtar Nur ◽  
Meta Maulida Damayanti

Nodul tiroid merupakan kasus yang dapat disebabkan oleh berbagai jenis gangguan kelenjar tiroid dan masih sering ditemukan. Sekitar 90% nodul tiroid bersifat jinak dan 10% bersifat ganas. Di Indonesia data statistik mengenai nodul tiroid masih sangat kurang. Penelitian ini bertujuan mengetahui karakteristik pasien dengan nodul tiroid. Penelitian ini menggunakan metode deskriptif observasional dengan pendekatan potong lintang. Teknik pengambilan sampel dalam penelitian ini adalah total sampling. Data didapatkan melalui rekam medis tahun 2018–2019 di Rumah Sakit Al-Ihsan Bandung dan didapatkan 72 rekam medis yang memenuhi kriteria inklusi yang dilakukan periode tahun 2018–2019. Hasil penelitian menunjukkan frekuensi tertinggi berdasar atas usia terdapat kelompok usia 40 - 49 tahun 32%. Frekuensi tertinggi berdasar atas jenis kelamin terdapat pada pasien perempuan 90%. Frekuensi tertinggi berdasar atas ukuran nodul tiroid terdapat pada kelompok >4 cm 72%. Frekuensi tertinggi berdasar atas gambaran histopatologi berupa adenomatoid goiter 74%. Simpulan penelitian ini menunjukkan frekuensi tertinggi terjadi nodul tiroid terdapat pada usia 40-49 tahun, perempuan, ukuran nodul tiroid >4 cm dan jenis adenomatoid goiter. Hal ini terjadi karena imunitas dan daya tahan tubuh seseorang menjadi menurun seiring dengan usia yang bertambah. Pada perempuan risiko penyakit nodul tiroid dapat meningkat dengan penggunaan hormon estrogen pada kontrasepsi oral, pada kehamilan, serta perubahan siklus menstruasi. Characteristics of  Patients with Thyroid Nodule at the Al-Ihsan Hospital BandungThyroid nodule is a disease that can be caused by various disorders. About 90% of thyroid nodules are benign and 10% are malignant. In Indonesian, statistical data for thyroid nodules are still limit. The porpose of this study was to collect the characteristics of patients with thyroid nodules at the Al-Ihsan Hospital Bandung. This study used a observational descriptive method using total sampling technique. Data were obtained through medical records for January 2018–December 2019 at Al-Ihsan Hospital and obtained 72 medical records that met the inclusion criteria the study was held during January 2018–December 2019. The results showed that the highest frequency based on age was found in the 40 - 49 years age group at 32%. The highest frequency based on gender was found in female patients by 90%. The highest frequency based on the size of thyroid nodules was found in the group >4 cm at 72%. The highest frequency based on histopathological features was found in adenomatoid goiter by 74%. The conclusions in this study indicate that the highest frequency of thyroid nodules occurs at the age of 40 - 49 years, women, thyroid nodule size >4 cm and adenomatoid goiter type. This happens because a person's immunity and body resistance decrease with age. In women, the risk of thyroid nodule disease can increase with the use of the hormone estrogen in oral contraceptives, in pregnancy and changes in the menstrual cycle.


2016 ◽  
Vol 1 (4) ◽  
Author(s):  
Achmad R. Permadi ◽  
Hana Ratnawati ◽  
Teresa L. Wargasetia

Liver cancer is the fifth most common cancer in Indonesia. This research is to find out the prevalence and characteristics of liver cancer patients in Immanuel Hospital Bandung within the January 2013 until December 2014 period based on age, gender, clinical symptoms and predilections. This study was a descriptive verificative research with data retrieval of patients medical records that have been diagnosed with liver cancer that were hospitalized in Immanuel Hospital Bandung within January 2013 until December 2014 period. The study showed that the liver cancer patient prevalence in Immanuel Hospital Bandung within the period of January 2013 until December 2014 was 46 people. Characteristics of liver cancer patients in Immanuel Hospital Bandung within January 2013 until December 2014 period showed that the most liver cancer patients were male, compare with female with ratio 4:1, the most common age group of 56-65 years old, the most common clinical symptoms were abdominal pain with or without reffered pain to the right scapular bone and the most common predilection was right lobe of the liver. Key words: liver cancer, patients' characteristics, prevalence 


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