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Gultom, Fajar Lamhot
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Pediatric skull bone defect due to epidermoid cyst Sinurat, Robert; Gultom, Fajar Lamhot
Universa Medicina Vol. 40 No. 1 (2021)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2021.v40.52-56

Abstract

BackgroundTumors of the skull usually affect adult patients and less than twenty percent of pediatric patients. As the tumors grow, the surrounding bone may undergo destruction and erosion. When the tumors are located in the fontanel, the timely closure of the fontanel may be inhibited. Epidermoid cysts are benign tumors that are intracranially located and very rarely in the midline of the cranium. Meanwhile about 32% of stratified-squamous epithelial epidermoid cysts affect the head and neck region and only 6.7% occur in the scalp. We report an unusual epidermoid cyst located and growing in the anterior fontanel of a pediatric patient and inhibiting fontanel closure.Case Description A 21-month-old boy and his parents visited our polyclinic because there was a lump on his anterior fontanel since four months before they came to the hospital. The lump was initially the size of a peanut and had grown to become as large as a quail’s egg. The physical examination was normal and the brain CT-scan showed bone destruction without any intracranial lesion. The tumor was excised on the preoperative diagnosis of dermoid cyst. Histopathology examination showed the characteristics of an epidermoid cyst. The cyst had a wall and was full of keratin flakes without hair follicles or sebaceous glands. Follow-up one year after complete excision did not reveal any recurrence. ConclusionEpidermoid cysts in the skull of pediatric patients must be completely excised as soon as possible because their growth can damage the bone and inhibit the closure of the sutures.
Pap Smear Examination as a Strategy for Prevention and Early Detection of Cervical Cancer at the HKBP Jatisampurna Church, Bekasi Nurprilinda, Marliana; Batubara, Frisca Ronauli; Gultom, Fajar Lamhot; Gultom, Abitmer
International Journal of Community Service (IJCS) Vol. 5 No. 1 (2026): January-June
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijcs.v5i1.1775

Abstract

Cervical cancer remains one of the leading causes of morbidity and mortality among women, particularly in developing countries, largely due to late diagnosis and low participation in early screening programs. Limited knowledge and awareness regarding cervical cancer and Pap smear examinations contribute significantly to delayed detection. This community service activity aimed to increase the knowledge and awareness of the congregation of HKBP Jatisampurna Church, Bekasi, regarding the importance of early detection of cervical cancer through Pap smear examinations. The activity was conducted using interactive educational counseling followed by free Pap smear examination services. Educational sessions covered cervical cancer risk factors, prevention strategies, and the procedures and benefits of Pap smear screening. A total of 50 female congregation members participated in the activity and voluntarily underwent Pap smear examinations. The results demonstrated an improvement in participants’ knowledge and understanding of cervical cancer and the importance of early detection through Pap smear screening. In addition, there was an increased willingness and participation of congregation members in undergoing Pap smear examinations, indicating positive behavioral changes toward preventive health practices. In conclusion, educational counseling combined with direct Pap smear services effectively increased awareness and participation in cervical cancer screening among the HKBP Jatisampurna Church congregation. This community service activity represents a strategic approach to cervical cancer prevention and early detection and highlights the importance of community-based interventions in promoting women’s reproductive health
Co-Authors Batubara, Frisca Ronauli Gultom, Abitmer Nurprilinda, Marliana Sinurat, Robert