Claim Missing Document
Check
Articles

Hubungan Grading Histopatologi dan Infiltrasi Limfovaskular dengan Subtipe Molekuler pada Kanker Payudara Invasif di Bagian Bedah RSUP. Dr. M. Djamil Padang Vashti Resti Putri Firdaus; Aswiyanti Asri; Daan Khambri; Wirsma Arif Harahap
Jurnal Kesehatan Andalas Vol 5, No 1 (2016)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v5i1.463

Abstract

AbstrakGejala kanker payudara sering tidak disadari atau dirasakan dengan jelas oleh penderita, sehingga banyak penderita yang datang dalam keadaan stadium lanjut. Banyak faktor yang mempengaruhi prognosis dari kanker payudara, antara lain grading histopatologi, reseptor estrogen dan progesteron, HER2, serta infiltrasi limfovaskular. Tujuan penelitian ini adalah menentukan hubungan antara grading histopatologi dan infiltrasi limfovaskular terhadap subtipe molekuler pada kanker payudara invasif. Distribusi frekuensi dari grading histopatologi, infiltrasi limfovaskular, dan subtipe molekuler pada kanker payudara invasif di bagian bedah RSUP.Dr. M. Djamil Padang selama periode 1 Januari 2010 – 31 Desember 2013. Metode penelitian ini adalah observational analitik, dengan pendekatan cross sectional. Dalam penelitian ini didapatkan 424 kasus kanker payudara invasif, dengan 66 kasus yang dapat dianalisis. Analisis data yang digunakan univariat dan bivariat dengan menggunakan uji chi-square dengan derajat kemaknaan p<0,05. Ada hubungan yang bermakna antara grading histopatologi dengan subtipe molekuler (p=0,032). Hubungan infiltrasi limfovaskular dengan subtipe molekuler pada kanker payudara invasif didapatkan bermakna (p=0,000).Kata kunci: grading histopatologi, infiltrasi limfovaskular, subtipe molekuler, kanker payudara invasif AbstractBreast cancer symptoms are often not recognized or clearly perceived by the patient, so it makes most of patients come to doctor in late stage. There are many prognosis factors in breast cancer, such as hystopathology grading, estrogen and progesteron receptors, HER2, and lymphovascular infiltration.The objective of this study was to determine the association between hystopathology grading and lymphovascular infiltration with molecular subtype in invasive breast cancer. Determine the distribution and frequency of hystopatology grading, lymphovascular infiltration, and molecular subtype in invasive breast cancer at surgery department Dr. M. Djamil Hospital Padang period January 1, 2010 – December 31, 2013. The method of this research is analitic observational with cross sectional study. In this research obtained 424 cases of invasive breast cancer, with only 66 cases that could be analyzed. The analysis system that used is univariat and bivariat with chi-square (p<0,05). There is significant correlation between hystopathology grading with molecular subtype (p=0,032). There is significant correlation between lymphovascular infiltration with molecular subtype (p=0,000).Keywords: histopathology grading, lymphovascular infiltration, molecularsubtypes, invasive breast cancer
Hubungan Interval Waktu Antara Usia Menarche Dan Usia Saat Melahirkan Anak Pertama Cukup Bulan Dengan Kejadian Kanker Payudara Di Rsup Dr.M.Djamil Padang Pada Tahun 2014-2017 Rusydah Syarlina; Azamris Azamris; Avit Suchitra; Wirsma Arif Harahap
Jurnal Kesehatan Andalas Vol 8, No 1 (2019): Online Maret 2019
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v8i1.965

Abstract

Interval usia saat menarche dan usia saat melahirkan anak pertama cukup bulan merupakan panjang waktu antara usia saat haid pertama kali dan usia saat melahirkan bayi cukup bulan pertama kali. Interval ini diduga merupakan salah satu faktor risiko terhadap KPD. Tujuan penelitian ini adalah menentukan hubungan antara interval usia saat menarche dan usia saat melahirkan anak pertama cukup bulan terhadap kejadian kanker payudara di RSUP Dr.M.Djamil Padang pada tahun 2014-2017. Penelitian ini merupakan studi case control terhadap 102 orang yang terbagi menjadi 2 kelompok, yaitu kelompok kasus dan kelompok kontrol. Pengumpulan data dilakukan melalui wawancara menggunakan tabel faktor risiko kanker payudara yang merupakan modifikasi dari Breast Cancer Risk Assessment Tools–National Cancer Institute dan data pasien dari bagian Bedah RSUP Dr.M.Djamil Padang tahun 2014-2017. Hasil analisis statistik menunjukkan usia menarche tertinggi pada kasus adalah 12 dan 13 tahun dan pada kontrol 13 tahun. Usia saat melahirkan anak pertama cukup bulan tertinggi pada kasus dan kontrol adalah 23 tahun. Frekuensi berdasarkan interval waktu usia menarche dan usia saat melahirkan anak pertama cukup bulan ≥ 10 tahun pada kasus dan kontrol secara berurutan adalah 58,8% dan 66,7%. Simpulan studi ini ialah tidak terdapat hubungan bermakna secara statistik antara interval waktu usia menarche dan usia saat melahirkan anak pertama cukup bulan ≥ 10 tahun dengan kejadian kanker payudara (p > 0,05).
Faktor-faktor yang Berhubungan dengan Waktu Tanggap pada Pelayanan Kasus Kecelakaan Lalu Lintas di Instalasi Gawat Darurat Rumah Sakit Umum Pusat Dr. M. Djamil Padang Tahun 2013 Nailatul Fadhilah; Wirsma Arif Harahap; Yuniar Lestari
Jurnal Kesehatan Andalas Vol 4, No 1 (2015)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v4i1.221

Abstract

AbstrakPenanganan kasus kecelakaan lalu lintas membutuhkan pelayanan yang cepat, tanggap, dan tepat. Salah satu indikator pelayanan tersebut adalah waktu tanggap pada pelayanan pasien di IGD. Penelitian ini dilakukan untuk mengetahui faktor-faktor yang berhubungan dengan waktu tanggap pada pelayanan kasus kecelakaan lalu lintas di IGD RSUP Dr. M. Djamil Padang. Penelitian ini dilaksanakan dari bulan Mei hingga Desember 2013 di IGD RSUP Dr. M. Djamil dengan desain penelitian studi cross-sectional. Pengambilan data menggunakan lembaran observasi dan diberikan kepada 60 orang pasien kecelakaan lalu lintas yang dipilih secara acak. Data dianalisis secara univariat dan bivariat menggunakan uji silang dengan tingkat kemaknaan p = 0,05. Hasil penelitian menunjukkan 70% memiliki waktu tanggap yang tepat, dimana rata-rata waktu tanggap adalah 6 menit 15 detik. Sebagian besar pasien kecelakaan lalu lintas berada dalam keadaan gawat tidak darurat atau triase kuning (80%). Pada sebagian besar kasus petugas berada di meja triase saat pasien datang (86,67%). Sebagian besar pasien dibawa ke triase dari pintu masuk IGD dengan brankar (86,67%). Tidak terdapat hubungan yang signifikan antara tingkat kegawatan pasien, keberadaan petugas yang bersiaga di triase, dan ketersediaan brankar dengan ketepatan waktu tanggap.Kata kunci: waktu tanggap, faktor-faktor yang berhubungan, kecelakaan lalu lintas, IGDAbstractTraffic accident cases management requires prompt, responsive, and precise service. Time response is one of several indicators of ER patient service. The aim of this study is to observe the factors that related to time response of traffic accident case management in Emergency Department of Dr. M. Djamil Hospital, Padang. This cross-sectional study was conducted between May and December 2013 by using observational sheet which is distributed to 60 randomly chosen from traffic accident patients in Dr. M. Djamil General Hospital. Crosstab analysis was used to determine the difference among variables. Chi-square test was used to determine the significance of categorical variables. Data were analyzed using univariate and bivariate cross test with a significance level of p = 0.05. Result showed that out of 60 cases, 70% cases had accurate response time. The average response time is 6 minutes 15 seconds. Most of traffic accident patients are in a yellow triage (80%). In most cases, 86,67% officers are at the triage desk. Most of the patients brought to the triage from the emergency department entrance by stretchers (86.67%). There was no significant relationship between the level of patient severity, payment method, the availability of stretchers when patients come and response time (p> 0,05). Analysis of the relationship between the presence of officers and response time cannot be performed. The presence of officers in triage when patient arrived tended to speed up the response time.Keywords: response time, related factors, traffic accident, emergency room
Pengaruh Faktor Risiko Hormonal pada Pasien Kanker Payudara di RSUP.Dr.M.Djamil Padang Yenda Hasnita; Wirsma Arif Harahap; Defrin Defrin
Jurnal Kesehatan Andalas Vol 8, No 3 (2019): Online September 2019
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v8i3.1037

Abstract

Kanker Payudara merupakan salah satu jenis kanker yang paling sering terjadi pada wanita di Indonesia. Kanker payudara ini berkaitan dengan banyak faktor risiko (multi faktor), salah satunya akibat paparan hormon estrogen. Tujuan penelitian ini adalah menentukan sejauh mana pengaruh faktor risiko hormonal terhadap kanker payudara. Penelitian ini merupakan studi analitik observasional dengan desain case control terhadap 294 responden yang terbagi atas 2 kelompok, yaitu kelompok kasus dan kelompok kontrol. Pengumpulan data dilakukan melalui wawancara langsung dengan responden menggunakan lembar kuesioner di Poliklinik Bedah RSUP.Dr.M.Djamil Padang pada bulan Januari - Maret tahun 2019 dengan teknik consecutive sampling menggunakan Uji Chi-Square.Hasil analisis statistik menunjukkan bahwa terdapat pengaruh yang signifikan pada faktor risiko usia menstruasi pertama (menarche) (p=<0,001; OR=2,84) dan lama penggunaan kontrasepsi pil (p=0,05; OR=3,16), namun tidak ada pengaruh yang signifikan pada usia (p=1), usia pertama melahirkan (p=0,821), paritas (p=0,107), riwayat menyusui (p=1), dan usia menopause (p=0,150). Faktor risiko yang paling dominan adalah lama penggunaan kontrasepsi pil p=0,035. Simpulan penelitian ini adalah faktor risiko hormonal yang memiliki pengaruh terhadap kanker payudara yaitu usia menstruasi pertama (menarche) dan lama penggunaan kontrasepsi pil.
ROLE OF DNA METHYLATION AS A DIAGNOSTIC BIOMARKER OF SPORADIC BREAST CANCER Wirsma Arif Harahap
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 48, No 4 (2016): SUPPLEMENT
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (160.206 KB) | DOI: 10.19106/JMedScieSup004804201636

Abstract

The initiation and progression of breast cancer have been recognized for many years to be secondary to the accumulation of genetic mutations which lead to aberrant cellular function. Genetic mutations, either inherited or sporadic, may result in the activation of oncogenes and the inactivation of tumor suppressor genes. The more recent discovery that reversible alterations in histone proteins and deoxyribonucleic acid (DNA) can also lead to tumorigenesis has introduced a novel term to the field of cancer research: epigenetics.  Epigenetics refers to the study of heritable changes in gene regulation that do not involve a change in the DNA sequence. The most often studied in epigenetics of breast cancer is DNA methylation. That a promoter methylation result in transcription blockade supports the notion that cellular inhibition takes place. Compared to normal tissues, hypermethylation occurs from double to triple in cancerous ones. DNA methylation plays a crucial role in oncogenesis and is one of the hallmarks of cancer.Detection of aberrantly methylated CpG islands in promoter region of several genes in DNA sample derived from nipple aspirates, serum, or cancer tissue associated with down regulation of expression or loss of function of these genes has been associated with early stages of breast cancer, where  hypermethylation of CpG island points to poorer prognosis in breast cancer.  DNA methylation has been identified as signature for TNBC. Methylation of BRCA1 gene is frequently demonstrated in young, estrogen receptor-negative breast cancer patients. Methylation of specific genes is known to differ across race and socioeconomic status. BRCA1 methylation in premenopausal women with sporadic breast cancer in West Sumatra region has been higher than in Western women.DNA methylation may be used to enhance current breast cancer classification. There is such a distinction between methylation and gene expression profiles of breast cancer that not all methylation profiles fit within the same molecular subtype. Specific gene methylation profiles are identified for basal-like, luminal A and HER2-overexpressing breast cancers. A number of studies have analyzed the methylation status of BRCA1, a key player in TNBC. One study demonstrated that BRCA1 promoter was methylated in TNBC.  It was discovered that the sensitivity of TNBC cell lines to PARP inhibitors was increased when BRCA1 was methylated. Concurrently, BRCA1 methylation quantity was higher in patients with complete response than in those who are non-responders of neoadjuvant chemotherapy.Epigenetics is now the cutting edge of cancer research.  Advances in this field will have major implications in diagnosis, prevention, treatment of cancer, and formulation of new epigenetically targeted cancer drugs.
Recurrence Prediction Score of the Localy Advance Breast Cancer in West Sumatera Province, Indonesia Shinta Qorina; Wirsma Arif Harahap; Ricvan Dana Nindrea
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 9 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i9.406

Abstract

Introduction: Breast cancer is the most common malignancy that occurs in women in the world, which is about 18% of cancer cases that occur in women. Every year there are 1 million new cases of breast cancer worldwide and nearly 60,000 patients die from this disease. Therefore, the authors want to find out more about the prognosis factors that play a role in influencing the survival of patients with locally advanced breast cancer in Padang city, West Sumatera Province Indonesia. Methods: This study is a retrospective case-control study of locally advanced breast cancer for patients in Padang city. The study was conducted at the Surgical Oncology Division of Dr. M Djamil Padang Hospital, Ropana Suri Hospital, Ibnu Sina Hospital and Siti Rahmah Padang Hospital from September 2018 to December 2018. The total number of samples for the two groups was 242 people. The sampling technique used was convenience sampling. Results: In this study 4 prognostic factors were found that had a significant effect on predicting breast cancer recurrence, namely histopathological type, stage, regional lymph and lymphovascular invasion with p <0.05. Conclusion: Prognosis factors that influence breast cancer recurrence are histopathological type, stage, regional lymph node status and lymphovascular invasion. A scoring system is obtained that is good enough to predict the possibility of breast cancer recurrence.
Association of Early Drain Removal with Formation of Seroma in Breast Cancer Patients After Modified Radical Mastectomy Ramadanus; Daan Khambri; Wirsma Arif Harahap
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 7 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i7.544

Abstract

Background: The installation of drainage after MRM surgery has been aimed at reducing seroma formation. However, when the drain should be removed has not been studied well. This study aims to determine the association of early drain removal with seroma formation. Methods: A nested cohort study was conducted on 40 breast cancer patients undergoing MRM surgery. Patients were divided into 2 groups; off-drain day I and day III post-surgery. Seroma formation was assessed 7 days after the patient was discharged. Results: Seroma formation seven days after discharge occurs in 25 of the total 40 patients (62.5%). There was no difference in seroma incidence between groups of patients on the off-drain day I and day III seven days after discharge (65% vs. 60%) (p 1,000) or the number of seromas (157.31 +120.00 ml vs. 149.58 + 110.00 ml) (p 0.437). Conclusion: Removing the drain faster does not reduce the incidence and number of seromas seven days after discharge.
Lymphedema in Breast Cancer Muhammad Iqbal; Wirsma Arif Harahap
Journal of Midwifery Vol 6, No 1 (2021): Published on June 2021
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.6.1.106-112.2021

Abstract

Forearm edema in breast cancer is caused by disruption of the axillary lymphatic system by surgery or radiotherapy, which causes fluid accumulation in the subcutaneous tissue of the arm, with decreased distensibility of the tissues around the joints and increased weight of the extremities. Risk factors with strong clinical evidence include extensive surgery (eg, axillary lymph node dissection, more dissection of lymph nodes, mastectomy) and being overweight or obese. A BMI greater than or equal to 30 kg / m2 is an independent risk factor for lymphedema associated with breast cancer. Subclinical edema and cellulitis in the literature have also been cited as risk factors for lymphedema associated with breast cancer. The mechanism underlying lymphedema is dysfunction in the lymphatic transport system. of interstitial pressure. Lymphatic fluid, known as lymph, is drained by blind-ended lymphatic capillaries. It is then filtered through the lymph nodes and eventually re-enters the circulatory system, through the thoracic duct, where peripheral venous blood enters the right atrium of the heart. Under normal conditions, the same amount is transported to the interstitial as is transported from the interstitial, a balance that is disturbed in lymphedema due to reduced lymph transport capacity, leading to fluid accumulation and swelling. Options include bioelectrical impedance analysis (BIA), band measurement, perometry, and water displacement. Lymphoscintigraphy, computed tomography (CT) and magnetic resonance imaging (MRI) can also be used to describe lymphatic dysfunction. Management of lymphedema associated with breast cancer conservatively with controlled and operative compression therapy with resection, microsurgery, tissue transfer and liposuction
Association of Pesticides Exposure with Breast Cancer in West Sumatera Province, Indonesia Yuniar Lestari; Rima Semiarty; Wirsma Arif Harahap
Journal of Midwifery Vol 4, No 2 (2019): Published on December 2019
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (274.571 KB) | DOI: 10.25077/jom.4.2.8-14.2019

Abstract

Breast cancer cause multifactorial, one of the risk factors is exposure of pesticides. The aim of this study was to determine association of pesticides exposure with breast cancer in West Sumatera Province, Indonesia. In this cross sectional study, the data were collected from Dr. M Djamil General Hospital Padang. Sampling technique with convenience sampling. We selected 234 patients with breast cancer diagnosed. The variables of this study included independent variable is exposure pesticides and dependent variable is breast cancer. Pesticides exposure were collected from the questionnaire of pesticides exposure that have been validated. The association was analyzed by using chi-square test and cut off point analyzed using receiver operating characteristics (ROC). A two-tailed P-value of <0.05 was considered statistically significant. Data  were  analyzed  using  the SPSS version 22.0. The results of study found that more than half of respondents (53.8%) were exposed of pesticides while less than half of respondents (46.2%) were not exposed. This study confirmed no association of pesticides exposure with breast cancer in West Sumatera Province, Indonesia
Breasts and Lymphatic Tissue ; A Literature Review Muhammad Iqbal; Wirsma Arif Harahap
Journal of Midwifery Vol 5, No 2 (2020): Published on Desember 2020
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.5.2.5-13.2020

Abstract

The breasts begin to grow from the sixth week of the embryo in the form of ectodermal thickening along the milk line that lies from the axilla to the middle of the groin (inguinal). The blood supply comes from the internal mammary artery, which is a branch of A. subclavian. Additional bleeding originated from A. axillary through the branches of A. thoracic lateral, A. thoraco dorsalis, and A. thoraco acromialis. The return of blood through the veins follows the passage of the artery to the internal mammary V. and the axillary vein branches to the superior V. kava. Lymph capillaries are located under the epidermis with a diameter between 20 and 70 mm. Lymphangion, as a pacemaker is limited by valves and lymphatic endothelial cells, will initiate an intrinsic pulsation of lymph fluid flow. Extrinsic factors such as contraction of the skeletal muscles, massage, increased hydrostatic pressure by postural gravity can also affect the lymphatic flow rate.5,6 These lymphatic vessels run on the lateral side of the upper arm, parallel to the cephalic vein and drain into the supraclavicular nodes. 4 The LVC is an important anatomical structure for the physiology of vascular lymph node transplantation (VLNT) .8 Lymph vessels in the upper limb travel axially from the fingers to the back of the hand and make direction to the elbow, travel to the anteromedial area at the top of the arm and connect to the axillary lymph nodes in the lateral area. An alternative route directly to the supraclavicular node can be identified. These lymphatic vessels run on the lateral side of the upper arm, parallel to the cephalic veins and drain into the supraclavicular nodes. 4 The LVC is an important anatomical structure for the physiology of vascular lymph node transplantation (VLNT) .8An alternative route directly to the supraclavicular node can be identified. These lymphatic vessels run on the lateral side of the upper arm, parallel to the cephalic veins and drain into the supraclavicular nodes. 4 An alternative route directly to the supraclavicular node can be identified. These lymphatic vessels run on the lateral side of the upper arm, parallel to the cephalic veins and drain into the supraclavicular nodes.
Co-Authors ., Azamris ., Oktahermoniza Afriwardi Afriwardi Aisyah Ellyanti Ari Oktavenra Arifin, Hidayat Aswiyanti Asri Avit Suchitra Azamris Azamris Bastian Nova Beni Indra, Beni Bethy Suryawathy Hernowo Bugi R Budiarto Cicilia Artitin Daan Khambri Deddy Saputra Defrin Defrin Desriani Desriani Dessy Arisanty Desti Wahyuni Dewi Rusnita Diandra K., Puti Reno Edison Edison Effif Syofra Tripriadi, Effif Syofra Erin Desweni Fadil Oenzil Fathma Mardhotilla Ferry Sandra Fitra, Maisa Hafiz, Muhammad Zaki Abdul Hasmiwati Irianiwati Widodo Ismiati Ismiati Jamil, Mohd Krisdianto, Boby Febri Kurniawan, Arif Rasyidi Leni Merdawati Magdi Ayuza Maisa Fitra Mardhiyah, Farah Martga Bella Rahimi Masnadi, Nice Rachmawati Maulanisa, Sinta C. Muhammad Fadhil Muhammad Fadhil Muhammad Iqbal Muthia Afdhelia Putri Anbiar Nailatul Fadhilah Nindrea, Ricvan Dana Nora, Sondang Nur Indrawati Lipoeto Oktahermoniza Oktahermoniza . Oktahermoniza Oktahermoniza Oktarina, Elvi Oktavenra, Ari Oktora, Meta Zulyati Pieri Kumaladewi Putri, Rizqy Nurfathonah Raden Mohamad Herdian Bhakti Ramadanus Ramadanus Ramadanus Ramadhan Karsono Richvan Dana Nindrea Ricvan Dana Nindrea Rima Semiarty Risna Meliyani Rony Rustam Rony Rustam Rosfita Rasyid Rusnita, Dewi Rustam, Rony Rusydah Syarlina Salmiah Agus Selfi Renita Rusjdi Shinta Qorina Sofia Mubarika Sofia Mubarika Haryana Sonar Soni Panigoro Sondang Nora Sondang Nora Suci Estetika Sari Suyuthie, Heldrian Dwinanda Tofriza Tofriza Utami, Tania Nugrah Vashti Resti Putri Firdaus Yanwirasti - Yanwirasti - Yanwirasti Yanwirasti Yanwirasti Yanwirasti Yenda Hasnita Yevri Zulfiqar Yuniar Lestari Yuniar Lestari