Dian Ibnu Wahid
General Surgery Resident Moewardi Hospital, Surakarta, Indonesia

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Immunohistochemical Profile Of Breast Cancer Patients On Oncology Department, Moewardi Hospital, Surakarta, Indonesia Dian Ibnu Wahid; Kristanto Yuli Yarsa
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 1 (2018): SUPPLEMENT
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (149.562 KB) | DOI: 10.19106/JMedScieSup0050012018016

Abstract

Immunohistochemical is used to show hormone receptors on their surface. The aim of this study were to find information about immunohistochemical profile of breast cancer patient on oncology department, Moewardi Hospital, Surakarta Indonesia. A total 1.395 cases of breast carcinoma with Her2 profile were reviewed. The mean age of the patients was 45.7 (Ranged 23-73 years old). At time of diagnosis 739 (53%) patients were under 50 years of age. In this group the frequency of Her2 positive was higher than other. The incidence of patients above 50 years of age were significancy higher in Her2 positive with 363 (47%). Ductal invasive carcinoma is the most common type of breast carcinoma (86.9%). HER-2 Positive subtype was the most common subtype in the woman breast carcinoma (43.6%), which was followed by Basal like (31.3%), Luminal A (16.8%) and (8.3%). For tumor grading, the highest on G3 with the results 764 (54.7%). G3 got the highest results on Her2 positive with 535. We just divide the type of tumor consist of three parts (ductal, lobular, and other). In tumor type obtained the most data on ductal carcinoma with 878 (63%).
Comparison of Quality of Life For Breast Conserving Surgery And Mastectomy In Early Stage Breast Cancer In Breast Cancer Survivors Community Dian Ibnu Wahid; Kristanto Yuli Yarsa
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 1 (2018): SUPPLEMENT
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (108.678 KB) | DOI: 10.19106/JMedScieSup0050012018018

Abstract

Breast cancer surgery can impact patients psychologically as well as organically, which can manifest as Quality of life (QOL). Thirty patients, the age ranged between 25 and 60 years and the mean age 41 years. Twenty seven patients have married, a widow, and two unmarried. There was not found a difference in health related quality of life. No differences were seen in level of pain, skin sensitivity and related problems in surgical area. Woman in mastectomy group reported stastitically more problem with their body image. Beyond that, they also have a complaint about the feelings of sexual attractiveness than woman in breast conserving surgery (BCS). Women undergoing breast conserving surgery experience more positive outcomes than women undergoing mastectomy. Women in the mastectomy groups also reported experiencing more physical problems related to their surgery. The score of CES-D is above 16 both breast conserving surgery’s group and mastectomy’s groups. Higher scores are associated with more symptoms. There were also no differences seen among them as measured by the MOS, four main poins consists of emotional support, real support, affection support and good social interactions. There were also no differences seen among them as measured by the RDAS consists of three aspects (concensus, satisfaction, cohession). This can happen because the doctors give well support and education to all patients. Despite, the patients, their families, their partners also give support each other. The women sight of their body images was considered making well social interaction. Most of the study showed the declining of social interactions after the surgery. This happened beacuse they were apprehensive about rejection in social life.