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Diagnostic challenges of gastrointestinal stromal tumour during transurethral resection of the prostate: A case report Anandia Putriyuni; Yevri Zulfiqar; Santy Saberko; Lila Indrati
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 14, No 3, (2023)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol14.Iss3.art17

Abstract

Mesenchymal prostate tumours are relatively rare compared to epithelial tumours. To diagnose mesenchymal tumours on transurethral resection of the prostate (TURP) specimen, doctors have to consider a few differential diagnoses, including gastrointestinal stromal tumour (GISTs). We reported a 63 years-old male patient, presented with urinary retention in one week. Based on an initial scan of the abdomen, a large lobulated mass in the pelvic cavity from the prostate pushed up the urinary bladder. Histopathologic examination demonstrated cellular spindle cell neoplastic proliferation, a moderate degree of atypia, and a mitotic count of >5 per 50 high-power fields (HPFs) with a fascicular growth pattern. Immunohistochemically, the tumour had positive expression for CD117 (c-KIT), CD34, and discovered on Gist-1 (DOG-1), while smooth muscle actin (SMA) and S-100 were negative. The pathological report was consistent with a high-risk group of GISTs in the prostate. Subsequent imaging revealed that the tumour mass was centrally located between the rectum and prostate, infiltrating bladder and liver metastases. Comprehensive differential diagnoses of mesenchymal tumours involving the prostate are necessary because of the inadequacy of specific clinical signs, symptoms, and unexpected location. Diagnoses of GISTs was performed based on spindle cell pattern and the positive immunohistochemistry expression for CD117, CD34, and DOG-1. The tumour mass involved in the prostate with spindled morphology should be considered as a GIST, assisted with appropriate immunohistochemistry marker panel. It is a challenge to diagnose the GIST particularly involving the prostate.
Perception of Health Profession Students Towards Interprofessional Education at Hospital Bella Alvina Lim; Yevri Zulfiqar; Laila Isrona
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3801

Abstract

Interprofessional Education (IPE) is a curriculum approach where students from various health profession backgrounds collaborate in one place to learn and get to know each other, as well as appreciate the role of each health profession to achieve collaboration and teamwork for the advancement of health services Objective: To determine the perception of health profession students towards interprofessional education at Unand Hospital Methods: This study is a descriptive research with a cross-sectional research design. The research was conducted at Unand Hospital with a total sample of 51 people consisting of 8 students of the Doctor Profession, 19 students of the Midwife Profession, 16 students of the Nursing Profession, and 8 students of the Pharmacist Profession. The research sample was determined using the proportionate stratified random sampling technique. This study uses an Interdisciplinary Education Perception Scale (IEPS) questionnaire. Results: A total of 40 students (78.4%) had a good perception of IPE with the highest percentage of competency and autonomy perception components (82.4%) and the perception component of understanding of other professions had the lowest percentage (62.7%). Nursing Profession students have the highest percentage of perception (87.5%), while Pharmacist Profession students have the lowest percentage of perception (62.5%). First-year students (83.3%) have a higher percentage of perception than second-year students (75.8%). Conclusion: The perception of health profession students towards IPE at Unand Hospital is mostly in the good category, however, the understanding of other professions is still lacking, so this needs to be considered and improved.