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Upaya pencegahan kanker serviks melalui deteksi dini dengan USG ginekologi dan pap smear Zakiyah, Rima; Kusumawati, Shinta; Rosidah, Aris; Anisa, Rizki; Aulia, Nihara
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 10, No 1 (2026): February (In Progress)
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v10i1.37744

Abstract

Abstrak Kanker serviks masih menjadi penyebab utama morbiditas pada perempuan, terutama akibat rendahnya pengetahuan dan minimnya keterlibatan dalam deteksi dini. Kegiatan pengabdian ini bertujuan meningkatkan pemahaman dan mendorong perilaku preventif melalui edukasi dan skrining. Sasaran kegiatan adalah  dosen dan karyawan perempuan di lingkungan Universitas Islam Malang usia 20-74 tahun. Metode pelaksanaan meliputi skrining resiko kanker serviks, pre dan post test penyuluhan mengenai pencegahan kanker serviks, serta pemeriksaan Pap smear dan USG. Dari 17 peserta didapatkan skrining resiko tinggi sebanyak 76,5%, resiko sedang 11,8%, dan resiko rendah 11,8%. Pre dan post test penyuluhan tidak menunjukkan perubahan. Sementara hasil Pemeriksaan USG mengidentifikasi hasil normal 88,2% dan abnormal 11,8%, sedangkan hasil pap smear menunjukkan hasil abnormal (76,2%) yang meliputi adanya inflamasi, atropic smera dan ASCUS. Hasil abnormal pada peserta disarankan dirujuk untuk evaluasi lanjutan. Secara keseluruhan, kegiatan ini membuktikan bahwa edukasi terstruktur dan skrining terintegrasi efektif dalam meningkatkan kesadaran serta partisipasi perempuan produktif  terhadap pencegahan kanker serviks. Kata kunci: deteksi dini; edukasi kesehatan; kanker serviks; pap smear; pengabdian masyarakat. Abstract Cervical cancer remains a leading cause of morbidity in women, primarily due to low knowledge and minimal involvement in early detection. This community service activity aims to increase understanding and encourage preventive behavior through education and screening. The target group is female lecturers and staff at the Islamic University of Malang aged 20-74 years. The implementation method included cervical cancer risk screening, pre- and post-test counseling on cervical cancer prevention, as well as Pap smear and ultrasound examinations. Of the 17 participants, 76.5% were high-risk, 11.8% were moderate-risk, and 11.8% were low-risk. The pre- and post-test counseling showed no change. Meanwhile, the ultrasound examination results identified normal results in 88.2% and abnormal results in 11.8%. Meanwhile, Pap smear results showed abnormal results (76.2%), including inflammation, atrophic smears, and ASCUS. Participants with abnormal results were referred for further evaluation. Overall, this activity demonstrates the effectiveness of structured education and integrated screening in increasing awareness and participation of productive women in cervical cancer prevention. Keywords: early detection; health education; cervical cancer; pap smear; community service.
Mimicking Breast Carcinoma: Radiologic-Pathologic Correlation in a Rare Case of High-Grade B-Cell Lymphoma Zakiyah, Rima; Hanum, Aulia; Rosidah, Aris; Putri, Berlian Anggraeni
Scientific Journal Vol. 5 No. 1 (2026): SCIENA Volume V No 1, January 2026
Publisher : CV. AKBAR PUTRA MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56260/sciena.v5i1.293

Abstract

Background: Primary breast lymphoma is a rare category of extranodal non-Hodgkin's lymphoma accounting for less than 1% of all non-Hodgkin's lymphoma and less than 0.5% of all breast cancer. It often presents radiologically and clinically as breast cancer leading to delayed diagnosis and inappropriate management. It remains a rare diagnosis that continues to challenge radiologists and clinicians. Case Presentation: A 45-year-old woman presented with a rapidly enlarging mass in her right breast over the past two months. She reported no skin changes, nipple discharge, or associated pain. There was no noteworthy family history or comorbidities. A large, firm, solid mass with skin deformity and attachment to the chest wall was discovered during physical examination. A large, irregular, solid, hypoechoic mass with hypervascularity was discovered by breast ultrasonography. A CT scan of the chest showed several right rib destruction and a soft tissue mass infiltrating the pectoralis muscle. A solid intradural extramedullary lesion from the C4 to L4 vertebrae showing canal stenosis and myeloid edema on a spinal MRI suggested either lymphoma infiltration or dural metastasis. Large lymphoid cells in diffuse proliferation, positive expression of CD45, CD20, and a Ki-67 proliferation index greater than 90% were found in FNAC, histopathology and immunohistochemical examination.  The right breast, axilla, vertebrae, and spinal dura mater all showed high FDG uptake on PET-CT.  The patient was diagnosed with high-grade B-cell non-Hodgkin lymphoma in the right breast, which had already spread to the bone and spinal cord.  The R-CHOP regimen was used to start systemic therapy. Conclusion: Diagnostic vigilance needed in rare cases such as breast non-Hodgkin lymphoma has been emphasized. Clinically, it supports a systematic approach from a deep history and physical examination to reach a correct diagnosis. Radiologically, a homogeneous extensive mass lesion of soft tissue occupying and destroying bone without the common features associated with carcinoma such as skin in-drawing or calcification bears importance for it is not a primary source of epithelial origin. Apart from that, Initial biopsy on atypical breast masses before an operative intervention, and interprofessional collaboration for attaining an appropriate diagnosis and therapy, are crucial. Besides that, it is further expected that radiological awareness of breast lymphoma would eventually lead to better evaluation, diagnosis, management, and unnecessary procedures avoided among the clinicians and radiologists.