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KARAKTERISTIK HASIL PAP SMEAR MENURUT BETHESDA DI RSUP SANGLAH DENPASAR TAHUN 2016-2017 Tasia Irma Endriani; I Nyoman Gede Budiana; I Nyoman Bayu Mahendra; I Gede Ngurah Harry Wijaya Surya
E-Jurnal Medika Udayana Vol 10 No 3 (2021): Vol 10 No 03(2021): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2021.V10.i3.P14

Abstract

ABSTRAK Kanker serviks merupakan kanker pada serviks uterus. Pemeriksaan Pap smear yang dilakukan teratur dapat membantu mendeteksi perubahan sitologi prakanker pada serviks. Hasil pemeriksaan Pap smear kemudian dilaporkan berdasarkan sistem Bethesda untuk memberikan terminologi seragam berdasarkan satu panduan. Namun, dalam pelaporannya sampai sekarang masih belum seragam dan belum banyak data penelitian mengenai karakteristik Pap smear yang dilaporkan khususnya di Bali. Penelitian ini bertujuan untuk mengetahui kelompok usia, keluhan, jumlah paritas, dan karakteristik hasil Pap smear di RSUP Sanglah Denpasar tahun 2016-2017. Penelitian ini dilakukan secara potong lintang deskriptif. Bahan penelitian yang digunakan berupa arsip data hasil pemeriksaan Pap smear di Laboratorium Patologi Anatomi RSUP Sanglah. Jumlah sampel penelitian yang diperoleh adalah 1393 orang. Hasil penelitian menunjukkan jumlah pasien terbanyak yang melakukan Pap smear di RSUP Sanglah Denpasar tahun 2016-2017 adalah pada kelompok umur 41-50 tahun, sebanyak 472 orang (33,9%). Sebanyak 824 orang (59,1%) datang tanpa keluhan. Sebagian besar pasien yang melakukan Pap smear merupakan nullipara, yaitu sebanyak 886 orang (63,6%). Berdasarkan hasil Pap smear menurut klasifikasi Bethesda 2014 hasil paling banyak pada kelompok pasien Reactive cellular changes sebanyak 690 orang (49,5%). Jumlah pasien pada kelompok atypical squamous cell sebanyak 60 orang (4,45%), kelompok dengan LSIL sebanyak 4 orang (0,3%), kelompok dengan HSIL sebanyak 5 orang (0,3%), kelompok dengan glandular cell sebanyak 14 orang (1,1%). Perlu dilakukan penelitian analitik lebih lanjut guna mencari hubungan berbagai karakteristik. Kata kunci : kanker serviks, Pap smear, karakteristik
KARAKTERISTIK HASIL PAP SMEAR MENURUT BETHESDA DI RSUP SANGLAH DENPASAR TAHUN 2016-2017 Tasia Irma Endriani; I Nyoman Gede Budiana; I Nyoman Bayu Mahendra; I Gede Ngurah Harry Wijaya Surya
E-Jurnal Medika Udayana Vol 10 No 1 (2021): Vol 10 No 01(2021): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2021.V10.i1.P14

Abstract

ABSTRAK Kanker serviks merupakan kanker pada serviks uterus. Pemeriksaan Pap smear yang dilakukan teratur dapat membantu mendeteksi perubahan sitologi prakanker pada serviks. Hasil pemeriksaan Pap smear kemudian dilaporkan berdasarkan sistem Bethesda untuk memberikan terminologi seragam berdasarkan satu panduan. Namun, dalam pelaporannya sampai sekarang masih belum seragam dan belum banyak data penelitian mengenai karakteristik Pap smear yang dilaporkan khususnya di Bali. Penelitian ini bertujuan untuk mengetahui kelompok usia, keluhan, jumlah paritas, dan karakteristik hasil Pap smear di RSUP Sanglah Denpasar tahun 2016-2017. Penelitian ini dilakukan secara potong lintang deskriptif. Bahan penelitian yang digunakan berupa arsip data hasil pemeriksaan Pap smear di Laboratorium Patologi Anatomi RSUP Sanglah. Jumlah sampel penelitian yang diperoleh adalah 1393 orang. Hasil penelitian menunjukkan jumlah pasien terbanyak yang melakukan Pap smear di RSUP Sanglah Denpasar tahun 2016-2017 adalah pada kelompok umur 41-50 tahun, sebanyak 472 orang (33,9%). Sebanyak 824 orang (59,1%) datang tanpa keluhan. Sebagian besar pasien yang melakukan Pap smear merupakan nullipara, yaitu sebanyak 886 orang (63,6%). Berdasarkan hasil Pap smear menurut klasifikasi Bethesda 2014 hasil paling banyak pada kelompok pasien Reactive cellular changes sebanyak 690 orang (49,5%). Jumlah pasien pada kelompok atypical squamous cell sebanyak 60 orang (4,45%), kelompok dengan LSIL sebanyak 4 orang (0,3%), kelompok dengan HSIL sebanyak 5 orang (0,3%), kelompok dengan glandular cell sebanyak 14 orang (1,1%). Perlu dilakukan penelitian analitik lebih lanjut guna mencari hubungan berbagai karakteristik. Kata kunci : kanker serviks, Pap smear, karakteristik
Clinical Presentation and Surgical Management of Invasive Ductal Carcinoma Grade III: A Case Report Pande Putu Sucahaya Pradhana; Tasia Irma Endriani; Anak Agung Ngurah Pretangga
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 3 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i3.1209

Abstract

Background: Invasive ductal carcinoma (IDC) is the most common type of breast cancer, accounting for approximately 80% of all cases. This case report describes the clinical presentation, diagnosis, and surgical management of a 52-year-old female with IDC Grade III. Case presentation: A 52-year-old female presented with a palpable lump in her left breast, associated with intermittent pain. She had undergone a left breast biopsy excision surgery three months prior. Physical examination revealed a tender mass in the left breast. Imaging studies and histopathological examination confirmed the diagnosis of IDC Grade III. The patient underwent a modified radical mastectomy (MRM). Conclusion: This case highlights the importance of early detection and prompt surgical intervention in the management of IDC Grade III. MRM remains a cornerstone of treatment for locally advanced breast cancer, offering favorable outcomes and improved quality of life.
Comprehensive Rehabilitation Improves Motor Function and Independence in a Patient with Left Hemiparesis Post-Ischemic Stroke: A Case Report Tasia Irma Endriani; Elien Wihestin
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 6 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i6.1301

Abstract

Background: Stroke remains a leading cause of disability worldwide, with ischemic stroke being the predominant type. Left-sided hemiparesis resulting from ischemic stroke significantly impairs motor function and activities of daily living, necessitating comprehensive rehabilitation interventions. This case report details the journey of a 72-year-old female patient who experienced left hemiparesis due to an ischemic stroke and underwent a comprehensive rehabilitation program. Case presentation: A 72-year-old female patient presented with sudden onset weakness in her upper and lower left limbs following an ischemic stroke. Initial assessments revealed significant impairments in motor function, balance, and self-care abilities, classifying her as having a moderate disability according to the Barthel Index. The rehabilitation program included passive and active range of motion exercises, functional mobilization techniques, resistance and balance training, infrared therapy, psychological support, and patient education. Conclusion: The comprehensive rehabilitation strategy implemented in this case resulted in significant improvements in the patient's motor function, balance, confidence, and independence in performing daily activities. This case underscores the crucial role of tailored and comprehensive rehabilitation programs in enhancing recovery and improving the quality of life for individuals following an ischemic stroke.
Comprehensive Rehabilitation Improves Motor Function and Independence in a Patient with Left Hemiparesis Post-Ischemic Stroke: A Case Report Tasia Irma Endriani; Elien Wihestin
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 6 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i6.1301

Abstract

Background: Stroke remains a leading cause of disability worldwide, with ischemic stroke being the predominant type. Left-sided hemiparesis resulting from ischemic stroke significantly impairs motor function and activities of daily living, necessitating comprehensive rehabilitation interventions. This case report details the journey of a 72-year-old female patient who experienced left hemiparesis due to an ischemic stroke and underwent a comprehensive rehabilitation program. Case presentation: A 72-year-old female patient presented with sudden onset weakness in her upper and lower left limbs following an ischemic stroke. Initial assessments revealed significant impairments in motor function, balance, and self-care abilities, classifying her as having a moderate disability according to the Barthel Index. The rehabilitation program included passive and active range of motion exercises, functional mobilization techniques, resistance and balance training, infrared therapy, psychological support, and patient education. Conclusion: The comprehensive rehabilitation strategy implemented in this case resulted in significant improvements in the patient's motor function, balance, confidence, and independence in performing daily activities. This case underscores the crucial role of tailored and comprehensive rehabilitation programs in enhancing recovery and improving the quality of life for individuals following an ischemic stroke.
Clinical Presentation and Surgical Management of Invasive Ductal Carcinoma Grade III: A Case Report Pande Putu Sucahaya Pradhana; Tasia Irma Endriani; Anak Agung Ngurah Pretangga
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 3 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i3.1209

Abstract

Background: Invasive ductal carcinoma (IDC) is the most common type of breast cancer, accounting for approximately 80% of all cases. This case report describes the clinical presentation, diagnosis, and surgical management of a 52-year-old female with IDC Grade III. Case presentation: A 52-year-old female presented with a palpable lump in her left breast, associated with intermittent pain. She had undergone a left breast biopsy excision surgery three months prior. Physical examination revealed a tender mass in the left breast. Imaging studies and histopathological examination confirmed the diagnosis of IDC Grade III. The patient underwent a modified radical mastectomy (MRM). Conclusion: This case highlights the importance of early detection and prompt surgical intervention in the management of IDC Grade III. MRM remains a cornerstone of treatment for locally advanced breast cancer, offering favorable outcomes and improved quality of life.