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Hubungan antara Ekspresi VEGF dan Karakteristik Kliniko-patologis pada Karsinoma Sel Skuamosa Serviks Linda Fatrisia; Jusuf Fantoni; Ika Kartika; Erial Bahar
Majalah Patologi Indonesia Vol. 22 No. 3, September 2013
Publisher : Perhimpunan Dokter Spesialis Patologi Anatomik Indonesia (PDSPA)

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Abstract

ABSTRAK Latar belakang Kanker serviks masih menjadi masalah yang signifikan di seluruh dunia. Angiogenesis sangat berperan dalam hal progresivitas, invasi dan metastasis.Vascular endothelial growth factor (VEGF) sebagai faktor angiogenik primer merupakan salah satu faktor prognostik karsinoma sel skuamosa serviks bila ekspresinya meningkat. Penelitian ini bertujuan untuk mengetahui hubungan antara ekspresi VEGF dan karakteristik klinikopatologis pada karsinoma sel skuamosa serviks. Metode Penelitian ini adalah penelitian cross sectional. Lima puluh tiga sampel terdiri atas 40 jaringan hasil biopsi dan 13 histerektomi diambil dari arsip di bagian Patologi Anatomi RSMH, dilakukan pulasan dengan antibodi VEGF, diidentifikasi dan dianalisis hubungannya dengan stadium klinis, derajat keganasan histologi, invasi limfovaskular, status limfonodus, kedalaman invasi dan keterlibatan parametrium. Hasil Ekspresi VEGF positif pada karsinoma sel skuamosa serviks lebih banyak dijumpai pada kelompok usia >50 tahun, stadium IIIB dan IVA, derajat keganasan semakin buruk, invasi limfovaskular dan status limfonodus positif serta kedalaman invasi stroma hingga 2/3 bagian luar dan tanpa keterlibatan parametrium. Terdapat hubungan yang bermakna antara ekspresi VEGF dengan kategori usia (p=0,038) dan korelasi yang kuat antara persentase positif ekspresi VEGF dengan usia (r=0,709) dan derajat keganasan (r=0,897). Namun, tidak ada hubungan yang bermakna antara ekspresi VEGF dengan karakteristik klinikopatologis (p>0,05). Kesimpulan VEGF belum dapat digunakan sebagai faktor prediktor progresivitas pada karsinoma sel skuamosa serviks Kata kunci : Karsinoma sel skuamosa serviks, VEGF, karakteristik klinikopatologis. ABSTRACT Background Cervical cancer remains a significant problem worldwide. The angiogenesis has an important role in the progression, invasion and metastasis. VEGF is a primary angiogenic factor that is one of the prognostic factor of cervical squamous cell carcinoma if the expression of VEGF increases. This study aimed to determine the relationship between the expression of VEGF and clinicopatological characteristics of the cervical squamous cell carcinoma. Methods It was a cross-sectional study. Fifty-three samples of biopsy and hysterectomy tissue were from the archives of the Anatomical Pathology Department of RSMH, stained with VEGF antibody, identified and analyzed the relation to clinical stage, histological grade, lymphovascular invasion, lymph node status, depth of invasion and parametrial involvement. Results The positive expression of VEGF in cervical squamous cell carcinoma was more common in the age group > 50 years, stage IIIB and IVA, the worse histological grade, the positive invasion lymphovascular and lymph nodes status, deep of stromal invasion up to the outside 2/3 and without parametrial involvement. There was a significant correlation between the expression of VEGF and the age category (p=0.038) and a strong correlation between the percentage of positive expression of VEGF andthe age range (r=0.709) and the histological grade (r=0.897). There was no significant correlation between the expression of VEGF and clinicopatologic characteristics (p>0.05). Conclusion VEGF can not be used as a progression predictor factorof thesquamous cell carcinoma. Key words : cervical squamous cell carcinoma, VEGF, clinicopathologic characteristics
Kepadatan CD8 di Lingkungan Mikrotumor pada Subtipe Diffuse Large B Cell Lymphoma Indah Yunalda; Krisna Murt; Aida Farida; Ika Kartika; Erial Bahar
Majalah Patologi Indonesia Vol. 30 No. 2, Mei 2021
Publisher : Perhimpunan Dokter Spesialis Patologi Anatomik Indonesia (PDSPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55816/mpi.v30i2.466

Abstract

BackgroundDiffuse Large B Cell Lymphomas (DLBCL) is divided into two subtypes, GCB and non-GCB, which are determined based on Hans'salgorithm. The GCB subtype has a better prognosis than non-GCB. Some studies indicate that the tumor progression wasinfluenced by tumor microenvironment, including CD8+ TILs located both surrounding tumor cells and peripheral. This study aims todetermine the density of CD8+ TILs in the tumor microenvironment of DLBCL subtypes.MethodsA Cross sectional study of 40 samples of DLBCL registered to Department of Anatomical Pathology Faculty of Medicine UniversitasSriwijaya/Dr. Mohammad Hoesin Palembang Hospital from 1st October 2017 to 31st December 2018. All samples were stained usinganti-CD8 antibody, afterward, lymphocytes express CD8 were assessed both in surrounding tumor cells and peripheral. The densityof CD8 in each DLBCL subtype was analyzed statistically using Mann Whitney U Test.ResultsIn this study, non-GCB subtype was found higher in comparison to GCB subtype (72.5%) and the samples was dominated by youngages (75%). Significantly, peripheral CD8 density was higher than that of surrounding tumor cells, both in the GCB (p=0.003) andnon-GCB subtypes (p=0.000).ConclusionIn both subtypes, CD8 density is higher in peripheral than surrounding tumor cells and a high density in surrounding tumor cells willbe followed by an increase in peripheral CD8 density.
Correlation between Poly ADP Ribose Polymerase (PARP) expression with Chemotherapy Response in Ovarian Carcinoma Ria Yuniarti; Wresnindyatsih Wresnindyatsih; Suly Auline Rusminan; Erial Bahar
Majalah Patologi Indonesia Vol. 35 No. 1, Januari 2026
Publisher : Perhimpunan Dokter Spesialis Patologi Anatomik Indonesia (PDSPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55816/mpi.v35i1.661

Abstract

Background Germline mutations in BRCA1 and BRCA2 are high risk factors for ovarian and breast cancer. The risk of ovarian cancer in BRCA1 mutation carriers is 16-68% and 11-30% in BRCA2 mutation carriers.1,2 The enzyme poly ADP ribose polymerase (PARP) plays an important role in DNA damage repair and genome stability and cancer cells change its regulation as a way for tumor cells to survive cell death due to chemotherapeutic agents.3,4 Positive PARP expression is associated with high-grade tumors. advanced stage and is an indicator of aggressive disease. The aim of this study was to examine the relationship between PARP expression and the response to chemotherapy in ovarian carcinoma. Methods A cross sectional study was conducted using 34 samples of paraffin blocks and slides of ovarian carcinoma from oophorectomy and biopsy of patients registered at the Anatomical Pathology Department Faculty of Medicine Sriwijaya University/Dr. Mohammad Hoesin Hospital Palembang for the period January 2019 to December 2021. Each sample was stained by PARP monoclonal antibody. Qualitative interpretation by assessing semi-quantitatively, namely assessing the area/proportion (P) and intensity (I) of the polished, the score is obtained by multiplying the area by the intensity, the results are grouped into 2, score 0-4 was a weak expression, score 6 was a strong expression. Analysis of the relationship between PARP expression and response to chemotherapy was performed using Chi-square test and Spearmann correlation. Results Chi-square test showed that there was a significant relation PARP expression with chemotherapy response, age, CA 125 levels post chemotherapy and stage with p values were 0.008, 0.005, 0.020 dan 0.006 respectively. There was no relation between PARP expression with histopathology subtype with p values was 0.053. Conclusion There is a significant correlation between PARP expression with chemotherapy response, age, CA 125 levels post chemotherapy and stage in ovarian carcinoma