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All Journal E-Jurnal Medika Udayana Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran
Made Surya Dharmawan
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Health Professions Medicine & Pharmacology Nursing Physics Public Health

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KARAKTERISTIK KANKER PAYUDARA PADA GERIATRI DI RSUP SANGLAH TAHUN 2015-2017 Made Surya Dharmawan; Gede Budhi Setiawan; I Gst Ngr Wien Aryana
E-Jurnal Medika Udayana Vol 9 No 7 (2020): Vol 9 No 07(2020): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2020.V09.i7.P11

Abstract

ABSTRAK Kanker payudara adalah salah satu kanker yang paling sering ditemukan. Kejadian kanker payudaradipengaruhi oleh beberapa faktor, yaitu salah satunya meningkatnya usia. Penelitian ini bertujuan untukmengetahui karakteristik kanker payudara pada geriatri di RSUP Sanglah tahun 2015-2017 berdasarkanusia, stadium, tipe histologi, grading dan metastasis. Penelitian ini adalah penelitian deskriptif denganrancangan penelitian potong-lintang. Subjek penelitian adalah 52 pasien geriatri dengan kanker payudarayang diambil pada tanggal 1 Januari 2015 hingga 31 Desember 2017. Data penelitian adalah data sekunderyang diambil dari Instalasi Rekam Medis dan SMF Onkologi RSUP Sanglah Denpasar. Hasil penelitianmenunjukkan frekuensi kejadian kanker payudara paling tinggi terjadi pada rentang usia ?65-70 sebanyak37 pasien (71,2%). Angka kejadian kanker payudara tertinggi didapatkan pada stadium IV yaitu 13 orang (25%), didapatkan juga tipe histopatologi pada kejadian kanker payudara tertinggi yaitu tipe invasivecarcinoma no spesial type yaitu 41 pasien (78,8%). Grading tertinggi pada kanker payudara adalah gradeIII dengan angka kejadian 27 pasien (51,9%). Angka kejadian kanker payudara lebih banyak tanpametastasis yaitu 39 pasien (75%) dan kejadian kanker payudara dengan metastasis dengan angka kejadian13 pasien (25%). Kata Kunci: Kanker Payudara, Geriatri, Stadium, Grading, Metastasis ABSTRACT Breast cancer is one of the most common cancers. The incidence of breast cancer is influenced by manyfactors, one of them is increasing age. This study aimed to determine the characteristics of geriatric breastcancer in Sanglah Hospital in 2015-2017 based on age, stage, histology type, grading and metastatic. Thisresearch was a descriptive study with a cross-sectional study design. The research subjects were 52 geriatricpatients with breast cancer taken on January 1, 2015 to December 31, 2017. The research data wassecondary data taken from the Medical Record Installation and Oncology SMF Sanglah Hospital Denpasar.The results showed the highest frequency of breast cancer incidence occurred in the age range of ?65-70 asmany as 37 patients (71.2%). The highest incidence of breast cancer was found in stage IV, which was 13people (25%), and histopathological type at the highest breast cancer type was found, namely the type ofinvasive carcinoma no special type, 41 patients (78.8%). The highest grade in breast cancer was grade III with an incidence of 27 patients (51.9%). Breast cancer incidence was more without metastasis, namely 39 patients (75%) and the incidence of breast cancer with metastasis were 13 patients (25%). Keywords: Breast Cancer, Geriatric, Staging, Grading, Metastatic
The Effects Of Early And Delayed Palatal Repair On Maxillary Growth And Speech Outcome In Unilateral Cleft Lip And Palate Patients: A Systematic Review Raden Ratu Kania Tiaraningrum; Made Surya Dharmawan; Ida Ayu Cempaka Dewi Yatindra; Ratna Rayeni Natasha Rooseno
Jurnal Anestesi Vol. 2 No. 3 (2024): Juli : Jurnal Anestesi
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/anestesi.v2i3.1211

Abstract

Some cleft clinics use a two-stage method to correct the cleft palate, which helps avoid reduced maximum growth after early hard palate surgery and impaired speech development after late soft palate repair.. This study sought to evaluate the effects of early vs late palatoplasty on speech and maximum growth results. The following databases were searched: Cochrane Library, Science Direct, Pubmed, and NCBI. The primary objective of this study was to determine whether unilateral, non-syndromic cleft lip, alveolus, and palate patients who underwent early or late hard palate surgery before or after 18 months of age had an impact on speech and maxillary development. Things like case studies, reviews, editorials, textbooks, and studies conducted on animals weren't included. The following systematic observations consist of eight studies. Most studies had methodological quality that ranged from fair to good. This review discusses the experience of cleft centers using a variety of one and two stage palatoplasty procedures and timing, and shows inconsistent results regarding maximal progression. The seemingly inconsistent results of the studies included in this observation of speech outcomes suggest that there is insufficient evidence to conclude whether one- or two-stage palatoplasty has a significant effect on maximal development for a variety of reasons. The review provides inconclusive evidence on the impact of hard palate repair timing on facial growth and speech outcomes in unilateral cleft lip and palate patients, highlighting the need for further controlled studies.
Co-Authors I Gusti Ngurah Wien Aryana Ida Ayu Cempaka Dewi Yatindra Raden Ratu Kania Tiaraningrum Ratna Rayeni Natasha Rooseno Setiawan, I Gede Budhi