Garuda - Garba Rujukan Digital

Thomas Aribowo

Unknown Affiliation

Author-ID : 3594198

Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

Published : 3 Documents Claim Missing Document

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Articles

The Correlation between Fasting Blood Glucose Level with Infiltrated Axillary Limph Node Rate in Infiltrating Ductal Carcinoma of the Breast Thomas Aribowo; Widyanti Soewoto
Journal of Medicine and Health Vol. 1 No. 6 (2017)
Publisher : Universitas Kristen Maranatha

Cancer cell have been shown to extensively use glucose for proliferation, even at hypoxia environment. The consumption of glucose in a hypoxia environment induced HIF and VEGF, which play a role in cancer cell infiltration process . The objective of study is to determine the relationship between fasting blood glucose levels with the amount of infiltrated axillary lymph node in patients with infiltrating ductal carcinoma. This is an analytic observational study with cross sectional design. The data obtained were tested with chi-square test (Î± < 0.05). This study was conducted on 24 infiltrating ductal carcinoma patients. The results showed p value of 0.004, indicating there is a significant correlation between fasting blood glucose levels with the amount of infiltrated axillary lymph nodes. The correlation coefficient ( r) value was 0.505; indicating medium level correlation. As conclusion, there is a significant correlation between fasting blood glucose levels with the amount of infiltrated axillary lymph node in patients with infiltrating ductal carcinoma.Keywords: axillary lymph nodes, breast cancer, fasting blood glucose level, infiltrating ductal carcinoma

Successful Management of Pediatric Todani Type IVa Choledochal Cyst with Roux-en-Y Reconstruction: Diagnostic and Surgical Insights Rizky Ratria Kusumawardhani; Thomas Aribowo
Open Access Indonesian Journal of Medical Reviews Vol. 5 No. 4 (2025): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v5i4.726

Choledochal cysts (CC), or biliary cysts, are congenital dilatations of the biliary tree. Type IVa cysts, involving both intra- and extrahepatic ducts, present diagnostic and management challenges, particularly due to the risk of complications like cholangitis, pancreatitis, and long-term malignancy. Early diagnosis and complete surgical excision with biliary reconstruction are paramount. We report the case of a 4-year-old boy presenting with a six-month history of worsening intermittent upper abdominal pain, nausea, and vomiting. The initial ultrasound suggested a hepatic cyst. Magnetic Resonance Cholangiopancreatography (MRCP) confirmed multiple cystic dilatations involving the intra- and extrahepatic biliary ducts, consistent with a Todani Type IVa choledochal cyst. Laboratory findings showed elevated Gamma GT (179 U/L) but normal bilirubin levels. The patient underwent successful open surgery involving complete excision of the extrahepatic cyst and biliary reconstruction via Roux-en-Y hepaticojejunostomy. His postoperative course was uneventful, with discharge on day six. Follow-up revealed good clinical recovery without immediate complications. In conclusion, Todani Type IVa choledochal cysts are complex anomalies requiring meticulous diagnostic workup and tailored surgical management. This case highlights the utility of MRCP in delineating complex biliary anatomy and reaffirms Roux-en-Y hepaticojejunostomy following complete cyst excision as an effective treatment, offering favourable short-term outcomes in pediatric patients.

The Correlation between Fasting Blood Glucose Level with Infiltrated Axillary Limph Node Rate in Infiltrating Ductal Carcinoma of the Breast Thomas Aribowo; Widyanti Soewoto
Journal of Medicine and Health Vol 1 No 6 (2017)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v1i6.552

Cancer cell have been shown to extensively use glucose for proliferation, even at hypoxia environment. The consumption of glucose in a hypoxia environment induced HIF and VEGF, which play a role in cancer cell infiltration process . The objective of study is to determine the relationship between fasting blood glucose levels with the amount of infiltrated axillary lymph node in patients with infiltrating ductal carcinoma. This is an analytic observational study with cross sectional design. The data obtained were tested with chi-square test (Î± < 0.05). This study was conducted on 24 infiltrating ductal carcinoma patients. The results showed p value of 0.004, indicating there is a significant correlation between fasting blood glucose levels with the amount of infiltrated axillary lymph nodes. The correlation coefficient ( r) value was 0.505; indicating medium level correlation. As conclusion, there is a significant correlation between fasting blood glucose levels with the amount of infiltrated axillary lymph node in patients with infiltrating ductal carcinoma.Keywords: axillary lymph nodes, breast cancer, fasting blood glucose level, infiltrating ductal carcinoma

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