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All Journal Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Jurnal Kesehatan Andalas Jurnal Penelitian Kesehatan Suara Forikes Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Kesehatan Komunitas Majalah Kedokteran Andalas Majalah Patologi Indonesia Health and Medical Journal JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga International Journal of Nasopharyngeal Carcinoma Andalas obstetrics and gynecology journal Science Midwifery Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks Jurnal Ilmu Kesehatan Indonesia (JIKSI) Indonesian Journal of Cancer Jurnal Otorinolaringologi Kepala dan Leher Indonesia (JOKLI) Jurnal Riset Ilmiah
Aswiyanti Asri
Departement Of Patology Anatomi, Faculty Of Medicine, Universitas Andalas, Padang
Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Challenges in diagnosing schwannoma mimicking thyroid neoplasms on frozen section Ramadhani, Rahmi; Mayorita, Pamelia; Asri, Aswiyanti; Mulyani, Henny; Novianti, Hera
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1977

Abstract

Schwannoma is a benign soft tissue tumor of the nerve sheath, composed of neoplastic cells with Schwann cell differentiation. It predominantly arises from peripheral nerves in the head, neck, and extremities, with a peak incidence in the fourth to sixth decades. Schwannoma is typically a solitary and sporadic lesion, affecting individuals of all ages, with an incidence rate of 4.4-5.23 cases per 100,000 people. The prevalence is around 7% of all primary nervous system tumors, often occurring in the head and neck (20-50%) and affecting cranial nerves such as N. Vagus and N. Sympathetic. This case report involves a 50-year-old female patient presenting with a right neck lump that had been present for 23 years, initially small but growing rapidly in the last 10 years with occasional pain. Initial imaging suggested a thyroid complex cyst, but further investigation, including a CT scan and intraoperative frozen section examination, raised suspicion for a malignant thyroid tumor. However, histopathological analysis confirmed the diagnosis of Schwannoma, distinguishing it from other potential malignant lesions, such as Anaplastic Thyroid Carcinoma (ATC). This case highlights the importance of intraoperative cytology and frozen section techniques for diagnosing Schwannoma. Although Schwannomas share morphological similarities with other tumors, particularly in the thyroid region, a multidisciplinary approach combining clinical, radiological, and histopathological findings is essential for an accurate diagnosis. This case also underscores the need for careful differential diagnosis in nerve sheath tumors located in the neck.
APC-Pengaruh Pemberian Blastocystis sp. Terhadap Jumlah Leukosit Pada Tikus Febriyanti, Rizka; Nofita, Eka; Afriani, Nita; Adrial, Adrial; Asri, Aswiyanti; Almurdi, Almurdi
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 2 (2025): April-Juni 2025 (up coming)
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v16i2.3590

Abstract

Blastocystis sp. are the most common intestinal protists in human and animal faeces. Blastocystis sp infection associated with inhibition of celluler immunity due to an increase in cytokines resulting in an increase in the number of leukocytes. This study was conducted to determine the correlation between Blastocystis sp infection and leukocyte count. This experimental study with a post test only control group design, used male Wistar white rats (Rattus norvegicus). Blastocystis sp infection in rats assessed by performing microscopic examination of rat faeces and culture. Leukocytes count examination was carried out using a counting chamber. Data analysis was carried out using the One Way Anova Test. The final results obtained were the mean number of leukocytes in treatment group 1 (P1), treatment 2 (P2) negative control (K-) respectively, 6171.43 cells/mm3, 6866.67 cells/mm3 , and 7742.86 cells/mm3 mm3. The p value of One Way Anova p = 0.7 (p > 0.05). The conclusion is the administration of Blastocystis sp. did not significantly influence the number of rat leukocytes.Keywords: blastocystis sp; leukocyte count; rattus norvegicus
Faktor Determinan Perilaku Deteksi Dini Kanker Payudara dengan SADARI pada WUS di Puskesmas Padang Pasir Ginting, Desi Scorpinasari; Asri, Aswiyanti; Karmia, Hudila Rifa; Hilbertina, Noza; Meinapuri, Malinda; Hasmiwati, Hasmiwati
Jurnal Kesehatan Komunitas Vol 11 No 2 (2025): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol11.Iss2.2267

Abstract

Breast cancer is the most commonly diagnosed cancer globally, accounting for nearly 12% of all cases. One in eight women worldwide is at risk of developing breast cancer. Regular Breast Self-Examination (BSE) is one of the most effective methods for early detection. This study aimed to identify the determinants of early breast cancer detection behavior through BSE among women of reproductive age. The study found significant associations between BSE behavior and several predisposing factors, including education level (p = 0.002), knowledge (p = 0.000), perception (p = 0.009), attitude (p = 0.024), and motivation (p = 0.016); enabling factor, namely information exposure (p = 0.000); and reinforcing factors, including family support (p = 0.001) and support from health workers (p = 0.027). Conversely, there was no significant association between social support and BSE behavior (p = 0.394). The study concludes that predisposing, enabling, and reinforcing factors are significantly associated with BSE behavior. Information exposure is identified as the most influential determinant of BSE behavior among women in the working area of Padang Pasir Public Health Center.
Hubungan Nilai Gleason Score dan Grade Groups dengan Ekspresi Fibroblast Activation Protein di Stroma Tumor pada Adenokarsinoma Prostat Hardian, Sonny; Yenita, Yenita; Mulyani, Henny; Asri, Aswiyanti; MYH, Etriyel; Yetti, Husna
Health and Medical Journal Vol 6, No 2 (2024): HEME May 2024
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v6i2.1483

Abstract

Latar Belakang: Gleason score dan grade groups (GrGp) digunakan sebagai nilai prognostik adenokarsinoma prostat. Namun, lingkungan mikro tumor yang didominasi oleh cancer – associated fibroblast (CAF) juga memiliki peranan dalam progresivitas perkembangan kanker dan kejadian metastasis. Terdapat heterogenitas CAF berdasarkan sel asalnya, dan 90% dari CAF bisa dideteksi menggunakan biomarka fibroblast activation protein (FAP). Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan nilai Gleason score dan GrGp dengan ekspresi FAP sebagai biomarka CAF di stroma tumor pada adenokarsinoma prostat. Metode: Penelitian ini adalah penelitian observasional dengan pendekatan cross sectional study. Dilakukan review slide HE dan pulasan IHK dengan antibodi anti-FAP pada 33 sampel blok parafin adenokarsinoma prostat yang berasal dari prostatektomi atau TURP. Hasil pulasan IHK dinilai menggunakan imunnoreactive score (IRS) dengan hasil positif dan negatif. Gleason score dan GrGp dikelompokkan menjadi low grade dan high grade. Analisis data dilakukan dengan Chi-square test dan nilai p <0,05 dianggap bermakna secara stastistik. Hasil: Ekspresi FAP positif ditemukan pada 18 kasus (54,5%) dari 33 sampel yang diperiksa, dengan rincian 50% kasus dikelompok low grade Gleason score dan 54,8% pada high grade Gleason score (p = 1.000). Pada kelompok low GrGp ditemukan 33,3% dan 59,3% pada high GrGp (p = 0,375). Secara statistik tidak didapatkan hubungan bermakna antara nilai Gleason score dan GrGp dengan ekspresi FAP di stroma tumor adenokarsinoma prostat. Kesimpulan: Penelitian ini mendapatkan ekspresi FAP positif dan negatif pada setiap kelompok Gleason score dan GrGp. Hal ini mungkin disebabkan karena adanya heterogenitas dari CAF. Diperlukan penelitian lebih lanjut untuk menilai heterogenitas dari CAF yang berperan dalam adenokarsinoma prostat untuk menggali potensi faktor prognostik dan strategi terapi di masa depan.
Alveolar Soft Part Sarcoma (ASPS) Dinding Dada pada Laki-Laki Usia Tua: Kasus Jarang Sari, Rini Purnama; Asri, Aswiyanti; Novianti, Hera
Health and Medical Journal Vol 5, No 2 (2023): HEME May 2023
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v5i2.1274

Abstract

Pendahuluan: Alveolar soft part sarcoma (ASPS) adalah jenis sarkoma yang jarang terjadi dan mencapai <1% dari semua subtipe sarkoma jaringan lunak. Tumor ini jarang terjadi setelah usia 50 tahun dan dibawah 5 tahun, namun ASPS dapat terjadi pada usia berapa saja dengan insiden puncak pada rentang usia 15-35 tahun. Laporan Kasus: Kami melaporkan kasus seorang laki-laki berusia 58 tahun datang dengan keluhan benjolan di dada sejak 3 bulan sebelum masuk rumah sakit. Pasien tidak mengetahui adanya benjolan pada dada sebelumnya, benjolan disadari pasien saat mengeluhkan nyeri pada dada dalam 3 bulan ini. Pemeriksaan fisik regio toraks, tampak massa di regio sternum dengan konsistensi kenyal padat, batas tidak tegas, ukuran 6x5x1,5cm. Hasil CT-scan toraks di dapatkan kesan soft tissue tumor dinding dada dengan destruksi sternum. Hasil histopatologi adalah Alveolar Soft Part Sarcoma. Kesimpulan: Diagnosis ASPS harus didasarkan pada temuan klinis, radiologis dan histopatologis.
Hubungan Ekspresi Calretinin dan Choline Transporter dengan Keberadaan Sel Ganglion dan Serabut Saraf dalam Diagnosis Penyakit Hirschsprung di RSUP Dr. M. Djamil Padang Tahun 2021-2022 Kusumardani, Dini; Hilbertina, Noza; Tofrizal, Tofrizal; Asri, Aswiyanti; Arnofyan, Budi Pratama; Yetti, Husna
Health and Medical Journal Vol 6, No 2 (2024): HEME May 2024
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v6i2.1484

Abstract

Latar Belakang: Penyakit Hirschsprung merupakan kelainan bawaan yang ditandai dengan tidak adanya sel ganglion di lapisan submukosa atau muskularis propria dari kolon distal dan rektum. Prevalensi kejadiannya 1:5000 kelahiran hidup di populasi umum. Diagnosis pasti penyakit Hirschsprung adalah dengan pemeriksaan histopatologi untuk menentukan adanya sel ganglion dan serabut saraf, tetapi pada sampel jaringan dengan lapisan submukosa yang tidak adekuat dapat sulit untuk menentukan sel ganglion dan serabut saraf. Untuk mengatasi masalah ini dapat dilakukan pemeriksaan imunohistokimia Calretinin dan Choline Transporter. Calretinin, merupakan protein pengikat kalsium yang terlibat dalam pensinyalan kalsium. Calretinin tidak diekspresikan pada segmen aganglionik dan bersifat imunopositif pada sel ganglion atau serabut saraf kolon normal. Choline Transporter merupakan penanda alternatif untuk saraf kolinergik yang efektif dalam mengidentifikasi kasus penyakit Hirschsprung dan secara kualitatif mirip dengan Asetilkolinesterase. Tujuan: penelitian ini bertujuan untuk mengetahui hubungan Calretinin dengan keberadaan sel ganglion dan Choline Transporter dengan keberadaan serabut saraf dalam menegakkan diagnosis penyakit Hirschsprung. Metode: Penelitian ini merupakan penelitian cross sectional dengan sampel sebanyak 70 kasus penyakit Hirschsprung yang telah didiagnosis di Laboratorium Patologi Anatomi RSUP Dr. M. Djamil Padang 2021-2022. Sampel diperoleh secara simple random sampling dari blok paraffin. Dilakukan penilaian ulang pada slaid untuk menilai gambaran histopatologis. Ekspresi Calretinin dan Choline Transporter dilihat dengan pemeriksaan imunohistokimia. Untuk mengetahui korelasi dilakukan analisis statistik bivariat menggunakan uji chi-square dengan tingkat kemaknaan p<0,05. Hasil: Dari 70 kasus, didapatkan ekspresi Calretinin negatif pada 28 kasus (80%) dan memiliki hubungan yang bermakna dengan keberadaan sel ganglion (p = 0,003). Didapatakan ekspresi Choline Transporter positif pada 29 kasus(82,86%) dan memiliki hubungan yang bermakna dengan keberadaan serabut saraf (p = 0,000). Kesimpulan: Penelitian ini menyimpulkan bahwa terdapat hubungan yang bermakna antara ekspresi Calretinin dengan keberadaan sel ganglion dan ekspresi Choline Transporter berhubungan dengan serabut saraf.
Extra Gastrointestinal Stromal Tumor Pada Ovarium, Kasus Jarang Liana, Nana; Nizar, RZ; Asri, Aswiyanti; Novianti, Hera; Friadi, Andi
Andalas Obstetrics And Gynecology Journal Vol. 4 No. 2 (2020)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.2.173-182.2020

Abstract

Objective : This article objective is to describe a woman with extra gastrointestinal stromal tumor (extra GIST) in ovary; Method : A case report and literature review; The author reports a woman 54 years old with complaints of swelling in the abdomen. Tumors suspected originate from ovary with an extension to abdominal wall. The patient had history of previous ovarian tumor surgery with pathological anatomy diagnosis was thecoma. Working diagnosis of the patient was residif ovarian malignancy and then suboptimal debulking was performed. Microscopically, ovarian tumors appear cellular and diffuse, partially arranged fascicles. Cells with rounded-spindle nuclei, mitosis ≥ 4 per 10 HPF. The conclusion was malignant thecoma which metastasizes to peritoneum and omentum. Differential diagnosis were GIST and leiomyosarcoma. Immunohistochemistry examination was performed with  Calretinin and CD117 to rule out the differential diagnosis. Calretinin were negative  and CD117 were strongly positively smeared. Based on the morphology and positive CD117 results, diagnosis was extra GIST of ovary.; Conclusion: Extra GIST in the ovary is an unusual location so that it can be misdiagnosed as a gynecological disorder. The differential diagnosis at this location is quite limited including thecoma, fibrothecoma and leiomyosarcoma.Keywords: extra gastrointestinal stromal tumor, ovary, thecoma
Malignant GIST DOG-1 Positif Pada Colon Dengan Metastasis Pada Jaringan Paraovarium Dan Cairan Asites Utami, Dini Andri; Asri, Aswiyanti; Novianti, Hera; Friadi, Andi
Andalas Obstetrics And Gynecology Journal Vol. 4 No. 2 (2020)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.2.183-193.2020

Abstract

Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal neoplasm of gastrointestinal tract that originate from Interstitial Cell of Cajal (ICC). The correct diagnosis of GISTs is important for therapeutic reasons of imatinib. Recently, DOG-1 has been introduced as an important diagnostic marker with high sensitivity and specificity. We report a caseof 40 years old woman with pain and swollen stomach in left lower quadrant since four month before come to the hospital. Ultrasound examination showed hipoechoic lession in the posterior of uterus and ascites. Paraovarian mass attached to the transverse colon and ascites was found on surgery. Histopathology diagnosis was a mesenchymal stromal tumour suggestive malignant GIST. Citological examination of asites fluid show a malignancy metastases. Immunohistochemistry showed negative for c-kit and positive for DOG-1, the conclusion is a GIST. Immunohistochemistry examinations are important to make defenitive diagnosis for GIST.  C-kit-negative GIST sare still rare, but defenitive diagnosis must be made because related to target therapy. DOG 1 has been proven in 89% of c-kit-negative GIST and claimed more sensitive and spesific.Keywords: GIST, c-kit, DOG-1, ICC, paraovary
Ovarian Clear Cell Carcinoma which Detected in Ascitic Fluid Smear Kamelia, Muthia; Asri, Aswiyanti; Muhammad, Syamel
Andalas Obstetrics And Gynecology Journal Vol. 5 No. 2 (2021)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.5.2.269-277.2021

Abstract

Objective: To report the case of ovarian clear cell carcinoma with involvement of both ovaries and metastatic to ascitic fluid and the label mass in the bladderMethod: Case Report  Case: A 51 years old female presented with enlarging abdominal with gradual pain. The result of transabdominal sonography were multiple cysts with solid mass, suspected solid cystic ovarian neoplasm and ascites. The patient prepared for laparotomy; optimal debulking surgery, mass resection from bladder. Cytology examination was performed from ascitic fluid and it was confirmed by histopathology examination.Result: Microscopic features on cytology examination of ascitic fluid smear was suggest carcinoma. Histological examination was confirmed the diagnosis and the result was ovarian clear cell carcinoma. Discussion: Ovarian clear cell carcinoma is a rare subtype of epithelial ovarian cancer and comprises about 5-10% of ovarian carcinomas. Clear cell carcinoma tends to occur in the fifth to seventh decades. Cytology examination showed the cellular smear consists of groups of epithelial cells with large nucleus, hyperchromatic, pale-staining, vacuolated cytoplasm. There is also eosinophilic, extracellular substance. The presence of a tumor in ascitic fluid and the label mass in the bladder can categorize become IIB. This determined based on the FIGO’s ovarian tumor staging system.Keywords: ovarian clear cell carcinoma; ascitic fluid.
GAMBARAN HISTOPATOLOGI PARU PADA PASIEN COVID-19: SEBUAH TINJAUAN LITERATUR Hermafasya, Ayu Octarin; Asri, Aswiyanti; Hardisman, Hardisman; Yenita, Yenita; Anggrainy, Fenty; Yulistini, Yulistini
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 3 (2025): SINERGI : Jurnal Riset Ilmiah, Maret 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i3.983

Abstract

COVID-19 was declared a pandemic on March 11, 2020, posing a global challenge for healthcare workers. Understanding the histopathological characteristics of the lungs in COVID-19 patients is crucial for elucidating the disease's pathophysiology. This literature review analyzes pulmonary histopathological findings based on 34 articles retrieved from PubMed, including case reports, case series, and other descriptive studies published between March 2020 and April 2022. A total of 264 patients were examined, the majority of whom were male (184 individuals) with an average age of 64 years. Most patients had comorbidities such as hypertension, cardiovascular disease, diabetes, obesity, and chronic pulmonary disease. Key histopathological findings included hyaline membrane formation, endothelial cell damage, interstitial cell involvement, alveolar and interstitial edema, hemorrhage, microthrombi, and fibrin deposits. These histological patterns suggest diffuse alveolar damage (DAD) in both exudative and proliferative phases, organizing pneumonia (OP), and acute fibrinous organizing pneumonia (AFOP), with varying combinations observed in individual patients.
Co-Authors Adrial Adrial Adrial Adrial Afriani - Afriani Afriani, Nita Aisyah Elliyanti Alan Mustaqim Almurdi Almurdi Andi Friadi Anggrainy, Fenty Antonius, Puja Agung Arifuddin Arifuddin Aristya Rahadiyan Budi Arni Amir Arnofyan, Budi Pratama Asril Zahari Asril Zahari Bestari Jaka Budiman Bobby Indra Utama Daan Khambri Danuwirya, Muhammad Reko Deddy Saputra Desi Aliefia Dessy Arisanti Dia Rofinda, Zelly Dia Dian Pertiwi Dini Andri Utami Dutia Gestin Dutia Gestin Edison Eka Fithra Elfi, Eka Fithra Eka Nofita Elmatris Sy Endrinaldi Endrinaldi Endrinaldi Etriyel Myh Febriyanti, Rizka Fedrivia, Rannia Ginting, Desi Scorpinasari Hafni Bachtiar Hardian, Sonny Hardisman Hasmiwati Hasnaini Hasnaini henny Mulyani Henny Mulyani Hera Novianti Hera Novianti Hera Novianti Hera Novianti Hera Novianti, Hermafasya, Ayu Octarin Hirowati Ali Histawara Subroto Husna Yetti Husnil Kadri iftahillah - iftahillah Iwani Rahmah Rambe Julizar Julizar Kamelia, Muthia Karmia, Hudila Rifa Kusumardani, Dini Laila Isra Laila Isrona liana, nana Lismawati Rasyd Malinda Meinapuri Mayorita, Pamelia Meta Zulyati Oktora Miftah Irramah Mohamad Reza Muflikal Hamdi Muhamad Febry Muthia Kamelia Nabilla Mahyenda Nadhira Isza Qushoyyi Nadia Oktarina Nana Liana Nana Liana Nana Liana Nita Afriani Nizar, RZ Nova Fenita Sari Noverial Noverial Novianti, Hera Noza Hilbertina, Noza Nuzulia Irawati Oktora, Meta Zulyati Pamelia Mayorita Pemuda, Haris putri, amanda Putri, Rizqy Nurfathonah R Zuryati Nizar R. Zuryati Nizar Rachmadijah Zuryati Nizar Rahmani Welan Rahmi Ramadhani Randi Septiah Hendri Rauza Sukma Rita Resti Aulia Fitri Rizka Fitria Husni Rosfita Rasyid RZ Nizar RZ Nizar Salmiah Agus Salmiah Agus Salmiah Agus Salsabila Muslim Salsabilla Firdaus Sari, Nova Fenita Sari, Rini Purnama Selly Alinta Syukri Shofi Faiza sondang - nora Sorayya A'dilah Putri Suci Rahmadhani Sukri Rahman Susanto Winarko Syamel Muhammad Teddy Kurniawan Tofrizal Tuti Lismayarni Utami, Dini Andri Valencia Valencia Valencia Valencia Valencia, Valencia Vashti Resti Putri Firdaus Wirsma Arif Harahap Yanwirasti . Yenita . Yenita Afriyeni Yessy Setiawati Yessy Setiawati Yuastika Puspita Sari Yulistini, Yulistini Zuryati Nizar, Rachmadijah