Soehartati Argadikoesoema Gondhowiardjo
Departemen Radioterapi RSUPN Dr. Cipto Mangunkusumo, Fakultas Kedokteran Universitas Indonesia

Published : 20 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 20 Documents
Search
Journal : Radioterapi

Radioterapi pada Retinoblastoma Henry Kodrat; Soehartati Argadikoesoema Gondhowiardjo
Radioterapi & Onkologi Indonesia Vol 4, No 1 (2013): Volume 4 No. 1 Januari 2013
Publisher : Perhimpunan Dokter Spesialis Onkologi Radiasi Indonesia (PORI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (405.609 KB) | DOI: 10.32532/jori.v4i1.11

Abstract

Tumor okuli primer yang paling sering pada anak adalah retinoblastoma. Ini dapat melibatkan satu atau kedua mata dan dapat bersifat herediter (diturunkan). Gejala pada umumnya adalah leukoria dan strabismus. Diagnosis dan pengobatan dilakukan secara multidisiplin antara lain oftalmologi, pediatrik onkologi, onkologi radiasi dan genetika. Enukleasi, kemoterapi, radioterapi dan terapi fokal merupakan modalitas dalam penatalaksanaan retinoblastoma. Angka kesembuhan tinggi pada anak dengan retinoblastoma melibatkan satu bola mata dan belum menyebar secara sistemik atau ke rongga orbita atau otak. Anak-anak dengan retinoblastoma herediter beresiko tinggi untuk mengalami keganasan yang lain, pada umumnya sarkoma.
Cancer Profile in South Jakarta: A 5-year descriptive study Soehartati Argadikoesoema Gondhowiardjo; Febryono Basuki Raharjo; Elian Hudiya; Sri Mutya Sekarutami; Nadia Christina; Steven Octavianus; R. Koesmedi Priharto; - Widyastuti
Radioterapi & Onkologi Indonesia Vol 9, No 2 (2018): VOLUME 9 NO. 2 JULI 2018
Publisher : Perhimpunan Dokter Spesialis Onkologi Radiasi Indonesia (PORI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (711.659 KB) | DOI: 10.32532/jori.v9i2.93

Abstract

There has been an effort of cancer registry in Cancer Control Program, especially Hospital-based, but it would not be useful if the data and procedure was not       standardized. This study was a cross-sectional study with cancer data collected from every health facility in South Jakarta from 2017, April to May. Inclusion criteria was every patient that resided in South Jakarta from 2008, January 1st to 2012, December 31st with no exclusion criteria. Five most common cancers for male are hematopoietic and reticuloendothelial systems, nasopharynx, lung, lymph nodes, and liver cancer, respectively. Five most common cancers in female are breast, cervix uteri, ovarium, hematopoietic and reticuloendothelial systems, thyroid gland cancer, respectively. Cancer patients were comprised by female a lot more than male with 1.86:1 frequency comparison. Compared to data from Malaysia and Singapore in the same period of time, there were some differences in cancer profile between the  countries. Based on the data reviewed, the quality was not perfect, one of the examples is shortcoming of SriKandi form which was used to input the data, especially occupation data. This can be a refinement point for future research and registry of cancer in Indonesia. 
Hipofraksinasi pada Kanker Payudara Stadium Dini Elia Aditya B K; Soehartati Argadikoesoema Gondhowiardjo
Radioterapi & Onkologi Indonesia Vol 4, No 2 (2013): Volume 4 No. 2 Juli 2013
Publisher : Perhimpunan Dokter Spesialis Onkologi Radiasi Indonesia (PORI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1021.246 KB) | DOI: 10.32532/jori.v4i2.16

Abstract

Disiplin ilmu Onkologi Radiasi dan teknik radiasi mengalami kemajuan pesat dalam beberapa dekade terakhir. Seiring dengan hal ini, radioterapi dengan menggunakan hipofraksinasi kembali menarik perhatian dan disebut sebagai suatu “re-emerging interest”. Studi-studi yang dilakukan secara luas dan dalam follow-up jangka menengah menghasilkan suatu kesimpulan yang menunjukkan bahwa hipofraksinasi dan fraksinasi konvensional pada kanker payudara memberikan hasil yang setara dalam hal kontrol tumor maupun efek samping. Hal ini memungkinkan untuk dapat diadopsinya pemberian hipofraksinasi di dalam guideline suatu institusi dan diterapkan di dalam aplikasi klinis sehari-hari.
Nasopharyngeal Carcinoma Profile in dr. Cipto Mangunkusumo Hospital Year 2013 Soehartati Argadikoesoema Gondhowiardjo; Lidya Meidania; Fajar Senoaji; Sri Mutya Sekarutami
Radioterapi & Onkologi Indonesia Vol 10, No 1 (2019): VOLUME 10 NO.1 JANUARI 2019
Publisher : Perhimpunan Dokter Spesialis Onkologi Radiasi Indonesia (PORI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1049.862 KB) | DOI: 10.32532/jori.v10i1.98

Abstract

Background: Nasopharyngeal carcinoma (NPC) remains as a health burden in Indonesia. It is one of most common cancers in Indonesia, with an overall incidence estimated at 6.2/100,000 or 12,000 new cases per year. Unfortunately, many of these cases are unregistered due to several factors, such as lack of national cancer registry. In most developing countries, cancer registration often begins in hospitals. Hospital-Based Cancer Registry (HBCR) provides the initial and major source of information on patients that leads to the set-up of a population-based registry.Materials and Methods: This was a descriptive retrospective study of all registered NPC patient in HBCR, from January-December 2013. All registered NPC patients in HBCR in the year 2013 is included.Results: There were 299 NPC patients, with a male-to-female ratio of 2.4:1. Median age was 47 years old, with majority of age between 40-49 years old (27.4%). Most common type of histology was undifferentiated NPC (85%). Most patients presented with locally advanced disease, with majority of stage IVA (33.9%). Chemoradiation remained as standard treatment for locally advanced NPC (84.1%).Conclusion: Demographic data of patients, such as age and sex, are consistent with previous studies. Whereas racial distribution was not parallel with previous studies, maybe due to its lack of available data. Moreover, most common histopathology type and presentation was undifferentiated NPC and patients with Stage III to IV cancer. 
Terapi Radiasi Ex Juvantibus pada Tumor Regio Pineal Arry Setyawan; Soehartati Argadikoesoema Gondhowiardjo
Radioterapi & Onkologi Indonesia Vol 7, No 1 (2016): Volume 7 No.1 Januari 2016
Publisher : Perhimpunan Dokter Spesialis Onkologi Radiasi Indonesia (PORI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1711.437 KB) | DOI: 10.32532/jori.v7i1.40

Abstract

Tumor regio pineal bertanggungjawab pada lebih kurang 0,5% dari semua tumor sistem saraf pusat pada dewasa, 1% pada dewasa muda, dan 2,7% pada anak-anak. Karena tindakan operasi dan biopsi dikaitkan dengan tingkat mortalitas dan morbiditas yang tinggi, banyak institusi kesehatan menggunakan radioterapi lokal tumor dengan dosis 2000 cGy sebagai radiasi ex juvantibus. Jika tumor cukup radioresponsif, maka tumor dianggap sebagai germinoma, dan selanjutnya dilakukan radiasi kraniospinal (dosis total 3000 cGy). Tetapi jika tumor relatif radioresistan, maka radiasi dilanjutkan pada lokal tumor atau operasi reseksi tumor kemudian disarankan pada beberapa kasus. Seorang anak laki-laki, usia 12 tahun dirujuk ke Departemen Radioterapi RSCM paska pemasangan VP shunt. Riwayat parestesia di kedua tangan sejak 2 bulan sebelum shunting, yang dirasakan  memberat. Gejala klinis dan CT kepala menunjukkan perbaikan paska pemasangan shunting. Massa didiagnosa banding sebagai germinoma atau pineoblastoma. Saat pemeriksaan awal di Departemen Radioterapi, pasien tanpa keluhan dengan KPS 100%. Pemeriksaan neurologi tidak ditemukan kelainan objektif, dengan hasil pemeriksaan endokrinologi dalam batas normal. Hasil pemeriksaan MRI kepala 2 bulan kemudian menunjukkan pembesaran-volume tumor 2 kali ukuran sebelumnya. Tetap tidak ditemukan kelainan secara klinis. Dilakukan radiasi ex juvantibus pada lokal tumor,  sebanyak 10 fraksi dengan total dosis 2000 cGy. Didapatkan pengecilan volume tumor yang signifikan berdasarkan MRI evaluasi (regresi 95%). Tumor pineal tersebut dianggap sebagai suatu jenis Germinoma, dan selanjutnya dilakukan radiasi kraniospinal.
Hasil Kosmetik Pasca Breast Conserving Treatment pada Wanita Indonesia dengan Kanker Payudara Stadium T1-2N0 Rafiq S Nugroho; Ratnawati S Soediro; Nurjati C Siregar; Zubairi C Djoerban; Evert D.C Poetiray; Soehartati Argadikoesoema Gondhowiardjo
Radioterapi & Onkologi Indonesia Vol 7, No 2 (2016): Volume 7 No.2 Juli 2016
Publisher : Perhimpunan Dokter Spesialis Onkologi Radiasi Indonesia (PORI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1219.545 KB) | DOI: 10.32532/jori.v7i2.45

Abstract

Penelitian ini dilakukan untuk mengetahui bagaimana hasil kosmetik pasca breast conserving treatment pada kanker payudara stadium T1-2N0. Penelitian retrospektif ini dilakukan pada pasien kanker payudara T1-2N0 yang menerima pengobatan antara Januari 2001 dan Desember 2010 di Departemen Radioterapi Rumah Sakit Cipto Mangunkusumo dan Jakarta Breast Center. Hasil akhir penelitian ini adalah hasil kosmetik yang dinilai dengan skor Harvard. Seratus tiga dari 200 pasien yang menjalani breast conserving treatment telah dilakukan penilaian kosmetik. 59 (57,3%) pasien mendapatkan hasil kosmetik excellent – good. Sedangkan hasil kosmetik fair dan poor sebanyak 9 (8,7%) dan 35 (34%) pasien. Hasil penelitian ini menunjukkan bahwa dua pertiga pasien yang menjalani breast conserving treatment mendapatkan hasil kosmetik yang baik.
Cancer Profile in West Jakarta: A 5-year descriptive study Soehartati Argadikoesoema Gondhowiardjo; Denny Handoyo; Mahesa Auzan; Sri Mutya Sekarutami; Nadia Christina; Steven Octavianus; R. Koesmedi Priharto; - Widyastuti
Radioterapi & Onkologi Indonesia Vol 9, No 2 (2018): VOLUME 9 NO. 2 JULI 2018
Publisher : Perhimpunan Dokter Spesialis Onkologi Radiasi Indonesia (PORI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (576.459 KB) | DOI: 10.32532/jori.v9i2.94

Abstract

Background. Cancer burdens the government in terms of health care funding.     Unlike  Indonesia, cancer information and data in other several countries are handled by a program called The National Program of Cancer Registries (NPCR), managed by the Centers for Disease Control and Prevention (CDC). This study was aimed to describe the cancer profile in West Jakarta Region from 2008 to 2012 due to insufficient data provided by the government.Methods. This was a cross-sectional, descriptive study involving all cancer patients residing in West Jakarta based on the medical record of Cipto Mangunkusumo    Hospital, acting as DKI Jakarta Cancer Registry Control Center.Results This study found 4,057 cancer cases in the area. Five most commonly       diagnosed cancer cases based on the sites of disease are breast cancer (22,5%), cervical cancer (10,3%), lung and bronchus cancer (7,5%), nasopharyngeal cancer (5,3%), and hemopoietic and reticuloendothelial malignancies (5,3%). Most cases were diagnosed in advance stage (III and IV) and predominantly in women aged 45 – 54 years old. Intraductal carcinoma was the most common morphology type for breast cancer cases.
Perbandingan Respon Terapi Radiasi Antara Teknik Konvensional 2D dengan Pengecilan Lapangan Radiasi Teknik 2D, 3DCRT atau Brakiterapi pada Kanker Nasofaring Stadium Dini di Departemen Radioterapi RSUPN Cipto Mangunkusumo Endang Nuryadi; Soehartati Argadikoesoema Gondhowiardjo; Marlinda Adham
Radioterapi & Onkologi Indonesia Vol 6, No 2 (2015): Volume 6 No.2 Juli 2015
Publisher : Perhimpunan Dokter Spesialis Onkologi Radiasi Indonesia (PORI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1067.796 KB) | DOI: 10.32532/jori.v6i2.35

Abstract

Studi retrospektif ini bertujuan untuk mengetahui perbandingan respon terapi radiasi antara teknik konvensional 2D dengan pengecilan lapangan radiasi teknik 2D, 3DCRT atau brakiterapi pada pasien kanker nasofaring stadium dini (stadium I – IIa). Dari 20 sampel didapatkan respon komplit pada 17 pasien (85%) dan respon parsial pada 3 pasien (15%) (p=0.219). Efek samping akut yaitu dermatitis radiasi grade 3-4 adalah 5% (p=0.435), mukositis grade 3-4 adalah 15% (p=0.510) dan xerostomia grade 3-4 adalah 0% (p=0.517). Secara statistik tidak didapatkan perbedaan bermakna tetapi secara klinis mempunyai kesan ada kecenderungan bahwa dengan pengecilan lapangan radiasi teknik brakiterapi dan 3D-CRT lebih baik dalam hal efek samping akut mukositis dibanding teknik 2D
Cervical Cancer Profile in dr. Cipto Mangunkusumo Hospital Year 2013 Soehartati Argadikoesoema Gondhowiardjo; Adji Kusumadjati; Prasetya Wibisono; Sri Mutya Sekarutami
Radioterapi & Onkologi Indonesia Vol 10, No 1 (2019): VOLUME 10 NO.1 JANUARI 2019
Publisher : Perhimpunan Dokter Spesialis Onkologi Radiasi Indonesia (PORI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1073.613 KB) | DOI: 10.32532/jori.v10i1.99

Abstract

Background: Cervical cancer ranks in the second place based on the malignancy among female sex in Indonesia with a prevalence of 14.4% and a mortality rate of 10.3%. Hospital-Based Cancer Registry (HBCR) is a system of cancer registration in a hospital that can provide information about the general information of cancer patients, treatment, and outcome of treatment. This study was conducted to obtain the profile of cervical cancer in dr. Cipto Mangunkusumo general hospital (RSCM) in 2013 based on data from HBCR RSCM.Methods: The study was conducted by extracting the epidemiological data and cervical tumor data from HBCR RSCM in 2013 which was then analyzed descriptively.Results: The result showed that cervical cancer ranks at the second place from all the malignancy at RSCM (12%, n= 678), with domicile mostly come from outside Jakarta (52.8%, n = 358). The average age of cervical cancer was 49.48 years, the most common occurs in the age range 45-49 years. In terms of histopathology, squamous cell carcinoma is the most prevalent type of histopathology (74.2%, n = 447). The surgery is a type of action that done for early-stage cervical cancer (83,3%, n = 25), whereas the action of radiation is mostly done in locally advanced cervical cancer (79,9%, n = 273).Conclusion: Nevertheless, cervical cancer has a significant health burden in Dr. Cipto Mangunkusumo general hospital which is needed further management.  
Cancer Profile in Central Jakarta : A 5-Year descriptive study Soehartati Argadikoesoema Gondhowiardjo; Montesquieu Silalahi; Donald Arinanda Manuain; Sri Mutya Sekarutami; Nadia Christina; Steven Octavianus; R. Koesmedi Priharto; - Widyastuti
Radioterapi & Onkologi Indonesia Vol 9, No 2 (2018): VOLUME 9 NO. 2 JULI 2018
Publisher : Perhimpunan Dokter Spesialis Onkologi Radiasi Indonesia (PORI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (880.791 KB) | DOI: 10.32532/jori.v9i2.90

Abstract

Background: Global Burden of Cancer 2012 (GLOBOCAN 2012) estimated 14.1 million new cases of cancer worldwide in 2012. This data was obtained from countries that have a population-based cancer registry. Cancer registration is useful in classifying information from all cancer cases  to  generate  statistics of  cancer  incidence in a particular population as well as providing a framework for interpreting and controlling the impact of cancer in the community. Indonesia  has  not had a population-based cancer registry currently. The Minister of Health of Indonesia has designated Dr. Cipto Mangunkusumo Hospital as a control center for cancer registration to establish a population-based cancer registry in Jakarta province.Methods: This cross-sectional descriptive study aimed to describe the cancer profile in Central Jakarta 2008-2012 based on data of  RSCM as cancer  registry control center in Jakarta province. The data were collected using Srikandi form, a form for cancer registry in Dr. Cipto Mangunkusumo Hospital.Result: The results obtained 1,797 cases of cancer in Central Jakarta from 2008- 2012 with male and female ratio of 1:1.9. The majority of patients came to health providers with advanced stage. The  most  common cancers were  breast cancer, uterine cervical cancer, hematopoietic and reticuloendothelial system cancer, nasopharyngeal cancer, lung and bronchial cancer and lymph node cancer.Conclusions: This research has some similarities with data from GLOBOCAN 2012. However, it is to be  noted that data  showed that many patients come in an advanced stage of cancer. Moreover, some part of the research data is incomplete due to inadequacy in the filling process of Srikandi form.