Bethy Suryawati Hernowo
Bagian Patologi Anatomi

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Hubungan antara Imunoekspresi ER-α, ER-β, dan PR dengan Gradasipada Tumor Filodes Payudara Quzwain, Fairuz; Hernowo, Bethy Suryawati
Jurnal Kedokteran Brawijaya Vol 29, No. 3 (2017)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2017.029.03.10

Abstract

Berbeda dengan tumor dari unsur epitelial duktuli dan kelenjar payudara, penelitian tentang peranan hormonal pada tumor filodes masih menunjukkan hasil yang inkonsisten, sehingga patogenesis dan penatalaksanaan tumor ini dalam jalur hormonal masih kontroversi. Penelitian ini bertujuan untuk mengetahui hubungan antara imunoekspresi faktor hormonal yaitu Estrogen Receptor Alpha (ER-α), Estrogen Receptor Beta (ER-β) dan Progesteron Receptor (PR) dengan gradasi tumor filodes payudara. Dilakukan penilaian histologi dan imunoekspresi pada parafin blok jaringan tumor filodes payudara di Laboratorium Patologi Anatomi RSUP. Hasan Sadikin Bandung periode tahun 2011 sampai 2014. Subjek penelitian dibagi menjadi 3 kelompok gradasi berdasarkan kriteria WHO tahun 2012 yaitu benign, borderline dan malignant. Didapatkan 62 kasus tumor filodes yang sebagian besar menunjukkan distribusi imunoekspresi ER- α>50 % yaitu pada kategori benign sebesar 35(87,5%). Terdapat korelasi negatif yang signifikan antara imunoekspresi ER-α dengan gradasi histopatologis (p=0,001 r=-0,423), artinya nilai imunoekspresi ER-α yang tinggi justru banyak diekpresikan pada gradasi benign. Tidak ditemukan korelasi signifikan antara imunoekspresi ER-β dan PR dengan gradasi tumor filodes payudara pada penelitian ini. Dapat disimpulkan bahwa semakin tinggi nilai imunoekspresi ER-α maka gradasi tumor filodes semakin rendah. Kata Kunci: ER-α, ER-β, PR, gradasi, tumor filodes
Insidensi Bayi Berat Lahir Rendah pada Spektrum Plasenta Akreta di Rumah Sakit Dr Hasan Sadikin Bandung Kharisma, Yuktiana; Agustina, Hasrayati; Suryanti, Sri; Dewayani, Birgitta Maria; Hernowo, Bethy Suryawati
Andalas Journal of Health Vol. 11 No. 2 (2022): Online July 2022
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v11i2.2063

Abstract

Low birth weight (LBW) babies are closely related to infant morbidity, stunted growth and cognitive development, and chronic diseases. Placenta accreta spectrum (PAS) is a condition that complicates pregnancy and is closely related to low birth weight. Objectives: To determined the incidence of LBW in mothers with SPA at the hospital Dr. Hasan Sadikin Bandung. Methods: A descriptive observational study involving 71 cases of SPA in hospitals  Dr. Hasan Sadikin Bandung, period 2016-2020, which has met the inclusion and exclusion criteria. SPA cases were divided into three groups: placenta accreta, increta, and percreta. In each SPA group, the incidence of LBW was evaluated. Results: 46.5% (33/71 cases of PAS) had low birth weight, while 53.5% (38/71 cases of PAS) had normal birth weight babies. The placenta accreta and percreta groups were dominated by normal birth weight infants [(18/31 cases), (5/9 cases)], while the placenta increta group was dominated by low birth weight infants (16/31 cases). The LBW category is divided into Extremely Low Birth Weight (ELBW), Very Low Birth Weight (VLBW), and LBW. In placenta accreta, there were 2 ELBW and VLBW infants, and 9 LBW infants. In the placenta increta, there are 3 ELBW and VLBW, and 10 LBW. In the placenta percreta, there were 1 ELBW and 3 LBW, while VLBW was not found in the placenta percreta. Conclusion: The incidence of LBW is found in almost half the population of SPA cases in hospitals. DR. Hasan Sadikin in the 2016-2020 period.Keywords:  low birth weight, placenta accreta spectrum