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All Journal Jurnal Klinik dan Riset Kesehatan Madani: Multidisciplinary Scientific Journal
Putri, Anggie
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Adenoid Cystic Carcinoma Nasal Sudarmanto, Yohanes; Soehartono; Angelina, Aina; Yudhanto, Hendy; Putri, Anggie
Jurnal Klinik dan Riset Kesehatan Vol 1 No 2 (2022): Edisi Februari
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (858.04 KB) | DOI: 10.11594/jk-risk.01.2.8

Abstract

Latar belakang: Keganasan sinonasal memiliki angka kejadian yang jarang. Adenoid cystic carcinoma (ACC) merupakan tumor ganas tersering kedua di daerah sinonasal, memiliki karakteristik pertumbuhan lambat namun berpotensi metastasis jauh dan rekurensi yang tinggi. Tatalaksana utama penyakit adalah tindakan pembedahan radikal dilanjutkan radioterapi. Pemilihan pendekatan tindakan pembedahan bergantung pada stadium dan lokasi tumor. Prognosis keganasan sinonasal kurang baik, berhubungan dengan tipe histologis tumor, kejadian invasi perineural, perivaskular, dan metastasis jauh, lokasi tumor, usia pasien dan modalitas terapi. Tujuan: Melaporkan satu kasus ACC nasal dengan metastasis regional cervical yang dilakukan tindakan pembedahan dan dilanjutkan radioterapi. Laporan Kasus: Laki-laki, 70 tahun, datang ke klinik THTKL RSUD dr. Saiful Anwar Malang dengan keluhan benjolan di dalam hidung kanan disertai buntu hidung dan riwayat mimisan selama 1 tahun. Pasien dilakukan tindakan pembedahan dengan pendekatan rinotomi lateral menggunakan insisi Moure. Histopatologi jaringan operasi adalah ACC tipe cribiform. Kesimpulan: Tindakan pembedahan dilanjutkan radioterapi masih menjadi baku emas tatalaksanan ACC nasal. Evaluasi berkala jangka panjang harus dilakukan untuk deteksi dini rekurensi lokoregional dan kejadian metastasih jauh pasca tindakan pembedahan dan radioterapi.
Meningkatkan Perkembangan Bahasa Indonesia Anak Usia Dini Melalui Penggunaan Metode Bercerita Saputri, Fiki Triwidia; Amanda, Dhea; Pajira, Naila; Naibaho, Maria Agustina; Meipia, Tiara Akta; Putri, Anggie
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 7 (2024): Madani, Vol 2. No. 7, 2024
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.12509100

Abstract

Development is a pattern of change where children learn to master more complex levels of various aspects. One important aspect in child development is the aspect of language development, to give us an understanding of methods for developing language in children. We will find out more specifically what methods are effective and appropriate to the type of child. The author uses a descriptive method in this research because the author intends to describe in real terms the use of the storytelling method to develop the language skills of children aged 4-5 years. So, the results From what the researchers saw in the field, the level of achievement in the development of children's language skills in storytelling activities was appropriate, children were able to speak fluently in simple sentences, children were able to name many words such as names of objects, animals, etc., children were able to tell stories about events around them, and children were able to follow along. 1-2 commands at a time, Storytelling is an effective method for improving children's language skills, increasing speaking ability and vocabulary. Language is essential for communication from an early age, and involves conveying
Adenoid Cystic Carcinoma Nasal Sudarmanto, Yohanes; Soehartono; Angelina, Aina; Yudhanto, Hendy; Putri, Anggie
Jurnal Klinik dan Riset Kesehatan Vol 1 No 2 (2022): Edisi Februari
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.01.2.8

Abstract

Background: Sinonasal neoplasms are uncommon. Adenoid cystic carcinoma (ACC) is the 2nd commonest sinonasal malignancy, characterized by an indolent and slow growth but relatively high local recurrence and distant metastasis rate. Surgical management followed by adjuvant radiation therapy is the mainstay of treatment for sinonasal ACC. Surgical approach is modified according to the tumor size and location.In general, prognosis of sinonasal neoplasms is poor. Factors that contribute the overall prognosis such as type of histopathological findings, absent of perineural or perivascular invasion and distant metastases, site of tumour, age of patient and treatment modality. Aim: To report a case of nasal ACC with regional metastases treated with surgical management followed radiation therapy. Case Report: A 70-years-old man came to the ENT clinic at RSUD dr. Saiful Anwar Malang with right nasal obstruction and history of right epistaxis for 12 months. The patient underwent surgical using lateral rhinotomy approach with Moure’s incision, histopatological specimen revealed a cribiform type ACC. Conclusion: Surgical management and adjuvant radiation therapy is the gold standard for sinonasal ACC Longterm evaluation is a mandatory according to the high incidence of local recurrence and distant metastases of sinonasal ACC.
Co-Authors Aina Angelina Amanda, Dhea Meipia, Tiara Akta Naibaho, Maria Agustina Pajira, Naila Saputri, Fiki Triwidia Soehartono Sudarmanto, Yohanes Yudhanto, Hendy