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All Journal E-Jurnal Medika Udayana Jurnal Kesehatan Andalas Mutiara Medika: Jurnal Kedokteran dan Kesehatan Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan Media Ilmu Kesehatan JBN (Jurnal Bedah Nasional) ISM (Intisari Sains Medis) : Jurnal Kedokteran Indonesian Journal of Cancer
Patriawan, Putu
Departement Of Radiology, Faculty Of Medicine, Universitas Udayana
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Nilai Diagnostik Ultrasonografi Hepatobilier sebagai Prediktor Atresiabilier pada Kolestasis Bayi di RSUP Sanglah Denpasar Tahun 2017 - 2021 Agustina, Kristin; Anandasari, Pande Putu Yuli; Sitanggang, Firman Parulian; Putra, I Wayan Gede Artawan Eka; Asih, Made Widhi; Patriawan, Putu
Andalas Journal of Health Vol. 12 No. 1 (2023): Online March 2023
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v12i1.2156

Abstract

Hepatobiliary ultrasound is the most common initial diagnostic modality in the early detection of biliary atresia. It is not the gold standard, but the hepatobiliary ultrasound examination can be used to determine the appropriate further management. Objective: To determined the diagnostic value of ultrasound examination as a predictor of biliary atresia in cholestasis of infants. Methods: This was an observational study with a diagnostic test to determine the validity of hepatobiliary ultrasound as a predictor of biliary atresia with cholangiography as the gold standard. The research subjects were 40 infants taken by total sampling from January 2017 until December 2021. Data were obtained from medical records, hepatobiliary ultrasound images were accessed from PACS, and cholangiography results from SIMARS. The hepatobiliary ultrasound images were scored by two observers using a scoring table. The variables assessed included: gallbladder morphology, absence of common bile duct, triangular cord sign, gallbladder contraction index and liver morphology. Data analysis consisted of interobserver reliability test, and relationship assessment analysis. Diagnostic tests to determine the optimal cut-off score, sensitivity, specificity, positive predictive value, negative predictive value and accuracy. Results: At cut-off≥ 5, the number of patients with radiologically impressive biliary atresia was 26 and not biliary atresia was 14. The validity analysis showed a sensitivity 87.5%, specificity 68.8%, positive predictive  80.8%, negative predictive 78.6%, and accuracy 80%. Conclusion: The diagnostic value of hepatobiliary ultrasound as a predictor of biliary atresia in cholestasis of infants is good.Keywords:  biliary atresia, hepatobiliary ultrasound, neonatal cholestasis
Parotid Gland Oncocytoma and Its Clinicopathological Approach: A Case Report Dewi, I Gusti Ayu Sri Mahendra; Sudarsa, I Wayan; Mahastuti, Ni Made; Patriawan, Putu; Paskarani, Putu Erika; Heryanto, Budi
Indonesian Journal of Cancer Vol 19, No 1 (2025): March
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v19i1.1233

Abstract

Introduction: Oncocytoma is a benign tumor of the salivary glands consisting of oncocyte cells, occurring in approximately 2% of all salivary gland neoplasms, most of which occur in the parotid gland. This tumour most commonly occurs in the sixth to eighth decades of life, with a mean age of 64 years and without gender predilection. The clinical presentation is often misdiagnosed as pleomorphic adenoma, cystic lesion, and inflammation.Case Presentation: A 63-year-old male, complained of a lump under the right ear, for 7 years ago. It feels painless and slightly enlarged since a month before surgery. Based on clinical examination suspected as benign cystic lesion due to inflammation and ultrasound suggesting a benign tumour mass with multiple lymphadenopathies at the right and left submandibular and right parotid. Then, the resected tumour continued for histopathological examination. Microscopically, the tumor cells are confined to the tissue. It consists of a uniform large polygonal cell with granular eosinophilic cytoplasm without any mitosis and necrotic area.Conclusions: Oncocytoma is a rare benign tumor of the salivary glands, especially affecting the parotid gland. Clinical and radiologically it is often misdiagnosed, so histopathological examination is needed for diagnostic confirmation for the best patient outcomes
Co-Authors Agnes Caroline Agustina, Kristin Angelina, Vioreli Ayusta, I Made Dwijaputra Budi Heryanto Dewa Gede Mahiswara Suadiatmika Elysanti Dwi Martadiani Firman Parulian Sitanggang Firman Parulian Sitanggang Gandis Ayu Wardani I Gde Raka Widiana I Gusti Ayu Sri Mahendra Dewi I Made Dwijaputra Ayusta I W. Sudarsa I Wayan Gede Artawan Eka Putra, I Wayan Gede Artawan Eka Inez Kartika Listyani Gunawan Made Widhi Asih Maria, Dessy Ni Made Mahastuti Ni Made Putri Suastari Ni Nyoman Margiani Ni Nyoman Widyasari Nyoman Srie Laksminingsih Pande Putu Yuli Anandasari Paskarani, Putu Erika Putu Gede Wahyu Darmayuda Regina Primeylisa Dos Santos Sitanggang, Firman Parulian Yan William Sulaiman Zulfariska, Nony