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The Validity Assessment of E-Cadherin Expression to Differentiate Ductal and Lobular Type Invasive Breast Carcinoma I Gusti Ayu Sri Mahendra Dewi
Journal of Global Pharma Technology Volume 11 Issue 04.
Publisher : Journal of Global Pharma Technology

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Abstract

Introduction: Currently, breast cancer is one of the leading causes of cancer related death in women worldwide. The diagnosis of breast cancer still depends on biopsy to determine the histopathological subtype and the nature of the cancer. However, the subtypes alone could not differentiate between lobular and ductal carcinoma. Therefore, this study aimed to evaluate the validity of E-cadherin expression as biomarker to differentiate ductal and lobular invasive breast carcinomas. Methods: An analytic observational cross sectional study was conducted using 47 biopsy samples of ductal and lobular type invasive breast carcinoma examined at Anatomical Pathology Laboratory Faculty of Medicine, Udayana University/ RSUP Sanglah Denpasar in 2017. The samples were evaluated using H & E staining while E-cadherin expression was examined by using Immunohistochemistry technique (IHC). Pearson chi-square was performed to analyze the data with p-value less than 0.05 was considered significant or valid. Result: Descriptive statistics showed that the samples were homogeneous in term of age between ductal and lobular types (p=0.668). Breast cancer was found to be more prevalent on the left breast compared to the right one in both in ductal and lobular types. IHC staining showed that E-cadherin expression was significantly lower in lobular types (9.1% positive) compared to ductal (60.0% positivity) and, thus, can be used to differentiate them (p=0.000). Conclusion: E-cadherin expression was a valid biomarker to differentiate ductal and lobular type invasive breast carcinoma. More comprehensive study with larger number of samples is required to assess the generality of this findingKeywords: E-cadherin, Breast carcinoma, Ductal type, Lobular type.
Case Report: Gastric Wall Thickening: Radiological Diagnostic Challenges in Gastric Malignancy Putu Ayu Winda Wirastuti Giri; Nyoman Srie Laksminingsih; Firman Parulian Sitanggang; I Gusti Ayu Sri Mahendra Dewi; I Wayan Juli Sumadi; Luh Putu Iin Indrayani Maker
Jurnal Ilmiah Kedokteran Wijaya Kusuma Vol 10, No 1 (2021): MARET 2021
Publisher : Universitas Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (470.819 KB) | DOI: 10.30742/jikw.v10i1.983

Abstract

Gastric abnormalities show nonspecific gastrointestinal symptoms and similarly radiological findings. Intra and extra luminal gastric wall thickening are the most common finding in benign and malignant pathologic process. This aim of this case report was to describe several characteristics such as the location and size of the lesion, involvement of the gastric wall and surrounding structures, calcifications, and contrast enhancement pattern which can assist in radiological diagnosis. Several cases at our institution have similar gastrointestinal complaints, however, there were different lesions characteristic found in contrast enhanced abdominal CT scan. The first case 72-years-old man experienced hematemesis with radiologic finding diffuse gastric mucosal thickening as well as homogenous contrast enhancement but without calcification.  The second case 37-years-old man complaint dizziness and melena with radiologic finding large tumor more than 10 cm in size, amorph calcification and heterogenous contrast enhancement. The last 60-years-old man case experienced melena and hematemesis, from abdominal CT scan showed irregular gastric mucosal thickening with heterogenous contrast enhancement and fat stranding around the lesion, without calcification. Methods used in these cases were contrast-enhanced abdominal CT scan, esophagogastroduodenoscopy (EGD), and biopsy in order to determine the diagnosis. Contrast-enhanced abdominal CT scan plays a vital role in describing the lesion characteristics which affects the determination of treatment options and future prognosis.
KARAKTERISTIK KLINIKOPATOLOGIK TUMOR PHYLLODES DI RSUP PROF. DR. I G.N.G. NGOERAH PERIODE 2018 – 2021 Limantoro, Joshua; Dewi, I Gusti Ayu Sri Mahendra; Winarti, Ni Wayan; Sriwidyani, Ni Putu
E-Jurnal Medika Udayana Vol 12 No 12 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i12.P06

Abstract

Tumor phyllodes (TP) merupakan lesi fibroepitelial pada payudara yang memiliki kemungkinan rekurensi. Tidak hanya itu, TP jinak dan borderline juga memiliki kemampuan untuk berkembang ke arah tumor ganas dengan angka mortalitas yang signifikan. Berdasarkan permasalahan tersebut, studi ini bertujuan untuk mempelajari karakteristik klinikopatologi dari TP di RSUP Prof. dr. I.G.N.G. Ngoerah Denpasar Bali periode 2018-2021. Penelitian ini menggunakan perhitungan menurut Snedecor dan Cochran sebagai upaya perhitungan jumlah sampel minimal, yaitu sebanyak 51 sampel. Sampel dipilih berdasarkan kriteria inklusi dan eksklusi dari formulir register di Laboratorium Patologi Anatomi RSUP Prof. dr. I.G.N.G. Ngoerah Denpasar Bali. Melalui desain penelitian potong lintang, penelitian ini mencakup 4 variabel klinikopatologi, yaitu usia, lateralisasi, ukuran, dan grading histopatologi dari TP. Selanjutnya data deskriptif akan ditinjau berdasarkan frekuensi dan distribusi kasus TP. Sepanjang periode 2018-2021, didapatkan jumlah pasien TP yang sesuai dengan kriteria inklusi dan eksklusi adalah sebanyak 61 kasus. Penelitian ini mendapatkan jumlah kasus TP terbanyak ada pada kategori usia 40-49 tahun, yaitu sebanyak 29 (47,5%) kasus. Rentang usia sampel pada penelitian ini adalah dari 12-62 tahun dengan rerata 43,54 +10,59 tahun. Payudara kanan merupakan lateralisasi TP dengan jumlah sampel terbanyak, yaitu 31 (50,8%) kasus. Berdasarkan grading WHO, ditemukan jumlah kasus TP terbanyak ada pada kelompok ukuran >5 cm dan kategori histopatologi borderline dengan jumlah masing-masing 45 (73,8%) dan 25 (41%) pasien. Hasil penelitian ini menunjukkan kelompok usia 40-49 tahun, lateralisasi kanan, ukuran >5 cm, dan grading histopatologi borderline sebagai kelompok dengan jumlah kasus terbanyak pada masing-masing kategori. Penelitian ini dapat dijadikan sebagai landasan untuk pelaksanaan penelitian selanjutnya dan menambah pengetahuan terkait TP. Kata kunci : Tumor Phyllodes, Karakteristik, Klinikopatologi, Lateralisasi, Histopatologi
Klinikopatologi, Penis, KSS KARAKTERISTIK KLINIKOPATOLOGI KARSINOMA SEL SKUAMOSA PENIS DI RSUP PROF. DR. I G.N.G. NGOERAH DENPASAR TAHUN 2016-2020 Lisanthoni, Johnathan; Winarti, Ni Wayan; Sriwidyani, Ni Putu; Dewi, I Gusti Ayu Sri Mahendra
E-Jurnal Medika Udayana Vol 13 No 3 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i03.P11

Abstract

Penile cancer has an incidence range of 1% of all cancers in men. The most common type of penile cancer is squamous cell carcinoma (SCC).Objective: To determine the clinicopathological characteristics of penile squamous cell carcinoma at Prof I G.N.G.Ngoerah Hospital, Denpasar in 2016-2020 based on age, histologic subtype, histological grading, tumor size, pT stage, lymph node metastasis, and lymphovascular invasion. Methods: This study is a descriptive observational study of 78 cases of penile SCC at Prof I G.N.G.Ngoerah Hospital Denpasar for the period 2016 to 2020. The sample that were obtained from secondary data is cross-sectional (cross sectional) with total sampling technique, which uses patient medical record data at the Anatomical Pathology Installation. Prof I G.N.G.Ngoerah Hospital, Denpasar. Results: The most cases of penile SCC in this study were found in the 51-60 year age group (34.6%) with the usual type of SCC histological subtype (73,1%), grade II (61.5%), tumor size between 5 to 10 cm (35.9 %), pT2 stage (25.6%), negative lymph node metastasis (34.6%) and negative lymphovascular invasion (35.9%).
KARAKTERISTIK KLINIKOPATOLOGIK ATEROSKLEROSIS KORONER DAN MORFOLOGI MIOKARDIUM KASUS OTOPSI DI RSUP PROF. DR. I.G.N.G. NGOERAH TAHUN 2017 – 2021 Nathaniela, Jocelin; Winarti, Ni Wayan; Sriwidyani, Ni Putu; Dewi, I Gusti Ayu Sri Mahendra; Henky, .
E-Jurnal Medika Udayana Vol 12 No 12 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i12.P02

Abstract

Aterosklerosis arteri koroner menjadi penyebab utama PJK dengan angka kejadian dan kematian tinggi yang menyerang berbagai usia dan jenis kelamin. Penelitian ini bertujuan mengetahui karakteristik klinikopatologik aterosklerosis koroner dan morfologi miokardium. Penelitian ini merupakan penelitian deskriptif analitik observasional potong lintang menggunakan teknik total sampling dari 1 Januari 2017 hingga 31 Desember 2021 mencakup variabel deskriptif berupa usia, jenis kelamin, lokasi sumbatan, level sumbatan, serta variabel analitik meliputi ketebalan miokardium dan morfologi miokardium. Data diolah menggunakan SPSS ver 26.0. Selanjutnya, dari data deskriptif dianalisis hubungan antara level sumbatan arteri koroner dengan ketebalan dan morfologi miokardium menggunakan uji chi square test dengan nilai kemaknaan ditentukan pada p<0,05. Hasil penelitian menunjukkan kasus otopsi di RSUP Prof. Dr. I G.N.G. Ngoerah Denpasar tahun 2017-2021 berjumlah 81 kasus otopsi. Kasus otopsi terbanyak pada rentang usia 60-69 tahun (20 kasus/25%) dan didominasi laki-laki (62 kasus/76,5%). Lokasi sumbatan kebanyakan multiple baik campuran arteri koroner kiri maupun campuran arteri koroner kiri dan kanan, yaitu sebesar 9 kasus dan 12 kasus (25,9%). Level sumbatan sebagian besar di bawah critical stenosis/sumbatan <75% dengan frekuensi 48 kasus (59,3%). Miokardium paling tebal adalah miokardium ventrikel kiri dengan rerata ketebalan 16,85 mm. Kebanyakan kasus (35 kasus/43,2%) tidak menunjukkan perubahan morfologi miokardium. Miokardium ventrikel kiri menunjukkan perbedaan ketebalan signifikan (p=0,033), sedangkan perubahan morfologi tidak menunjukkan perbedaaan signifikan pada level sumbatan berbeda (p=0,245) pada uji statistik chi-square. Disimpulkan bahwa kasus otopsi di RSUP Prof. Dr. I G.N.G. Ngoerah Denpasar tahun 2017-2021 sebagian besar laki-laki, usia 60-69 tahun, dengan lokasi sumbatan aterosklerosis multiple pada level sumbatan <75%, dan miokardium paling tebal adalah ventrikel kiri. Terdapat hubungan bermakna antara ketebalan ventrikel kiri dengan level sumbatan arteri koroner. Tidak terdapat hubungan bermakna antara perubahan morfologi dengan level sumbatan arteri koroner. Kata kunci : Aterosklerosis Koroner, Kasus Otopsi, Karakteristik, Gambaran Histopatologi, Morfologi Miokardium
Gambaran Klinikopatologik Lupus Nefritis di RSUP Sanglah Denpasar tahun 2016-2020 Nariswari, Ida Ayu Ista; Winarti, Ni Wayan; Sriwidyani, Ni Putu; Dewi, I Gusti Ayu Sri Mahendra
E-Jurnal Medika Udayana Vol 11 No 10 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i10.P14

Abstract

ABSTRACT Systemic lupus erythematosus (SLE) is one of the most common autoimmune diseases in the community. One of common clinical manifestations of SLE is Lupus Nephritis (LN). The World Health Organization (WHO) notes that there are five million people with lupus in the world and there are 100,000 more new sufferers every year. In Indonesia in 2016 it was reported that 2,166 patients were hospitalized with a diagnosis of SLE and 550 of them died. This study aims to determine the characteristics of LN patients at Sanglah Hospital Denpasar in 2016-2020 based on age, gender, histopathological class (categorized according to ISN/RPS), and proteinuria level and to determine the relationship between proteinuria level and histopathological class and the relationship between age and histopathological class. This research was conducted at the Anatomical Pathology (PA) laboratory of Sanglah Hospital Denpasar in 2021 with a cross-sectional method, using secondary data that available at the PA laboratory of Sanglah Hospital Denpasar, then processed using SPSS ver. 26. The results showed that the total number of LN patients at Sanglah Hospital Denpasar in 2016-2020 was 28 cases. Most cases were found at age range of 26-35 years (11 cases or 39.3%) and most were female (23 cases or 82.1%). The most common proteinuria level found was +3 (8 cases or 28.6%) and the most common histopathological class was class IV (13 cases or 46.4%). Chi square test showed no significant relationship between proteinuria level and LN histopathological class (p=0.069) nor between age and LN histopathological class (p=0.202). It was concluded that LN patients at Sanglah Hospital in 2016-2020 were mostly women, aged 26-35 years, with a proteinuria level of +3 and included class IV LN. Since there is no correlation between age or proteinuria level with histopathological class, it is recommended that histopathological biopsy be performed in all cases of suspected LN so that patients receive adequate therapy based on the level of kidney damage. Keywords : Lupus nephritis, age, gender, proteinuria level, histopathological class according to ISN/RPS
Gambaran Klinikopatologik Penyakit Prostat di RSUP Sanglah Denpasar Tahun 2018-2020 Astuti, Ida Ayu Jelantik; Winarti, Ni Wayan; Sriwidyani, Ni Putu; Dewi, I Gusti Ayu Sri Mahendra
E-Jurnal Medika Udayana Vol 11 No 11 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i11.P16

Abstract

Prostate disease is one of the diseases with a high incidence among elderly men. . In establishing the diagnosis of prostate disease, histopathological and laboratory examinations are vital. These histopathological results can be grouped into 3, namely benign lesions, PIN, and carcinoma. This study aims to determine the clinicopathological description of prostate diseases at Sanglah Hospital Denpasar from 2018-2020. The cross-sectional research was conducted using the descriptive and analytic method. Samples were selected based on several inclusion and exclusion criteria. Data were analyzed using SPSS version 26 to obtain a general clinicopathological picture based on age, histopathological diagnosis, the relationship between age and histopathological, diagnosis, PSA level, and the relationship between PSA level with histopathological diagnosis, and grade group carcinoma. The results showed that the prostate disease with the most patients at Sanglah Hospital Denpasar from 2018-2020 occurred between the age of 70-79 years by 39,0% with the dominant histopathological diagnosis being benign prostate 240 (74,3%), followed by PIN 27 (8,4%), and carcinoma 56 (17,3%). There was no relationship found between age, mean age and histopathological diagnosis with p=0,881 and p=0,119. The highest PSA level was > 20ng/mL. It was found that the PSA level was significantly associated with histopathological diagnoses with a value of p=0,000. The most prevalent grade group characteristic was grade group 5 with 36 (64,3%). Keywords: Prostate Disease, Clinicopathologic, PSA Level
GAMBARAN KLINIKOPATOLOGIK PENYAKIT PROSTAT DI RSUP SANGLAH DENPASAR TAHUN 2018-2020 Astuti, Ida Ayu Jelantik; Winarti, Ni Wayan; Sriwidyani, Ni Putu; Dewi, I Gusti Ayu Sri Mahendra
E-Jurnal Medika Udayana Vol 12 No 11 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i11.P07

Abstract

Prostate disease is one of the diseases with a high incidence among elderly men. . In establishing the diagnosis of prostate disease, histopathological and laboratory examinations are vital. These histopathological results can be grouped into 3, namely benign lesions, PIN, and carcinoma. This study aims to determine the clinicopathological description of prostate diseases at Sanglah Hospital Denpasar from 2018-2020. The cross-sectional research was conducted using the descriptive and analytic method. Samples were selected based on several inclusion and exclusion criteria. Data were analyzed using SPSS version 26 to obtain a general clinicopathological picture based on age, histopathological diagnosis, the relationship between age and histopathological, diagnosis, PSA level, and the relationship between PSA level with histopathological diagnosis, and grade group carcinoma. The results showed that the prostate disease with the most patients at Sanglah Hospital Denpasar from 2018-2020 occurred between the age of 70-79 years by 39,0% with the dominant histopathological diagnosis being benign prostate 240 (74,3%), followed by PIN 27 (8,4%), and carcinoma 56 (17,3%). There was no relationship found between age, mean age and histopathological diagnosis with p=0,881 and p=0,119. The highest PSA level was > 20ng/mL. It was found that the PSA level was significantly associated with histopathological diagnoses with a value of p=0,000. The most prevalent grade group characteristic was grade group 5 with 36 (64,3%). Keywords: Prostate Disease, Clinicopathologic, PSA Level
KARAKTERISTIK KLINIKOPATOLOGI LESI NEOPLASTIK TIROID DI RSUP SANGLAH DENPASAR BALI PERIODE 2016-2020 Dewi, Ida Ayu Krisna Cantika; Sriwidyani, Ni Putu; Dewi, I Gusti Ayu Sri Mahendra; Winarti, Ni Wayan
E-Jurnal Medika Udayana Vol 11 No 11 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i11.P12

Abstract

Thyroid neoplastic lesion can be either benign or malignant/cancerous. Thyroid cancer is a type of cancer that is increasing worldwide and is the most common endocrine gland malignant in Indonesia. The purpose of this study is to determine the clinicopathological characteristics of thyroid neoplastic lesion at Sanglah General Hospital Denpasar Bali for the 2016-2020 period based on age, sex, histopathological type, and location of lesion. This research is a descriptive study with a cross sectional approach. The data used are secondary data of patients with thyroid neoplastic lesion that registered for histopathological examination at the Anatomical Pathology Laboratory of Sanglah Hospital Denpasar in 2016-2020. The data collection technique used was total sampling which result in of 407 data meeting the inclusion criteria. The results show that the most common thyroid neoplastic lesion is found in the age group of 41-50 years (25.3%), female sex (77.4%), histopathological type of papillary thyroid carcinoma (79.9%), and location of the lesion is multiple (combination of two or more locations) as much as 36.9%. The conclusions that can be drawn from this study are thyroid neoplastic lesion patients at Sanglah General Hospital Denpasar for the period 2016-2020 have the most clinicopathological characteristics aged 41-50 years, female sex, papillary thyroid carcinoma histopathology, and multiple lesion locations. The results of this study can be developed and become the basis for other research with more varied variables or other research methods such as analytical research. Keywords: Thyroid Neoplastic Lesion, Clinicopathological Characteristics, Histopathological Type
Akurasi Pemeriksaan Potong Beku Dibandingkan dengan Histopatologi untuk Mendiagnosis Tumor Ovarium di RSUP Sanglah Denpasar Ida Ayu, Priandini; Dewi, I Gusti Ayu Sri Mahendra; Winarti, Ni Wayan; Sriwidyani, Ni Putu
E-Jurnal Medika Udayana Vol 12 No 11 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i11.P08

Abstract

Ovarian tumors are gynecological tumors that are difficult to detect because of the variety of symptoms and signs that require a precise and accurate diagnosis. Frozen section examination is a histological examination performed rapidly in intraoperative cases in the diagnosis of ovarian tumors with paraffin block examination as the gold standard. This study aims to assess the accuracy of frozen section compared to histopathological examination of paraffin blocks in diagnosing ovarian tumors in RSUP Sanglah Denpasar. This study is a diagnostic test study with a sample of 62 patients selected by consecutive sampling method. Value of sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were calculated from the sample obtained. On paraffin blocks examination, 36 cases of benign ovarian tumors (benign and borderline neoplasms) and 26 cases of malignant ovarian tumors were found. This study obtained a sensitivity value of 88.5%, specificity 100%, positive predictive value 100%, negative predictive value 92.3%, and frozen section accuracy value 95.2%. Therefore, the frozen section examination is a good diagnostic test tool to be used in the diagnosis of ovarian tumors. Keywords : Paraffin Block, Frozen Section, Ovarian Tumor. Tumor ovarium merupakan tumor ginekologi yang sulit dideteksi karena gejala dan tanda yang beragam sehingga memerlukan cara diagnosis yang tepat dan akurat. Pemeriksaan potong beku merupakan pemeriksaan histologi yang dilakukan secara cepat dalam kasus intraoperatif pada diagnosis tumor ovarium dengan pemeriksaan histopatologi blok parafin yang menjadi standar baku emas. Penelitian bertujuan untuk menilai akurasi dari alat uji diagnostik potong beku dengan pemeriksaan histopatologi blok parafin untuk mendiagnosis tumor ovarium di RSUP Sanglah Denpasar. Penelitian ini merupakan penelitian uji diagnostik dengan jumlah sampel 62 pasien yang dipilih dengan metode consecutive sampling. Pada sampel dihitung nilai sensitivitas, spesifisitas, nilai prediksi positif, nilai prediksi negatif, dan akurasi. Pada pemeriksaan histopatologi blok parafin ditemukan 36 kasus tumor ovarium jinak (neoplasma jinak dan borderline) dan 26 kasus tumor ovarium ganas. Penelitian ini mendapatkan nilai sensitivitas 88,5%, spesifisitas 100%, nilai prediksi positif 100%, nilai prediksi negatif 92,3%, dan nilai akurasi potong beku 95,2%. Berdasarkan hal tersebut, pemeriksaan potong beku merupakan alat uji diagnostik yang baik untuk digunakan dalam penegakan diagnosis tumor ovarium. Kata kunci : Blok Parafin, Potong Beku, Tumor Ovarium.
Co-Authors Anak Agung Ayu Ngurah Susraini and I G. Alit-Artha annie minerva datui Astuti, Ida Ayu Jelantik Azizah, Norma Nur Azizah Budi Heryanto Desak Made Cittarasmi Saraswati Seputra Desak Putu Gayatri Saraswati Seputra Desak Putu Gayatri Saraswati Seputra Desak Putu Gayatri Saraswati Seputra Dewi, Ida Ayu Krisna Cantika Dewi, Ni Putu Wulan Tantri Diah Widityasari, Diah E. Joewarini Efrisca M Br Damanik Ening Krisnuhoni Firman Parulian Sitanggang Gde Ngurah Idraguna Pinatih Handoko, Jovi Carina Henky, . Herman Saputra Herman Saputra Herman Saputra Herman Saputra Hutapea, Yuliance Nurhawati I Gusti Alit Artha I Gusti Bagus Lulut Premana Mulia I Gusti Bagus Mulia Agung Pradnyaandara I Gusti Ngurah Bagus Rai Mulya Hartawan I Kadek Adi Purnama Sandhi I Ketut Suwiyoga I Made Gotra I Made Muliarta I Made Muliarta I MADE MULIARTA . I Made Naris Pujawan I Made Wirya Sastra I W. Sudarsa I Wayan Juli Sumadi I Wayan Juli Sumadi IB Caka Gunantara Ida Ayu Eugenia Natasha Blanco Oka Ida Ayu, Priandini Ivana Juliarty Sitanggang Kadek Agus Suhardinatha Putra Kadek Dwi Pradnyawati kadek pramesti dewi Katrin Rotua Simbolon Limantoro, Joshua Lisanthoni, Johnathan Luh Ayu Widayanti Luh putu Iin Indrayani Luh Putu Iin Indrayani Maker Made Dwi Hartayati MADE RATNA SARASWATI . Mochtar, Fransiska Moestikaningsih Moestikaningsih Nariswari, Ida Ayu Ista Nathaniela, Jocelin Ni Ketut Ari Widhiasih, Ni Ketut Ari Ni Made Mahastuti Ni Putu Ekawati Ni Putu Sriwidyani Ni Wayan Winarti Nur Silfiah Nyoman Srie Laksminingsih Paramitha, Ni Made Laksmi Dewi Paskarani, Putu Erika Patriawan, Putu Popi Imelda Margareth Sitompul Putu Ayu Widya Pramesti Putu Ayu Winda Wirastuti Giri Putu Dony Astika Wiguna Putu Risky Yoga Pradnyana Shameni Subramaniam Silvia Nuhyil Indriani Sinaga, Naomi Juliana tanaka, Tanaka Tjandra Kristiana Volman Tampubolon Wetan, Ni Gusti Ayu Agung Manik Yuniawaty Wilananda, Ida Bagus Ardya Kurnia Wimpie I Pangkahila Winari, Ni Wayan