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All Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN Mutiara Medika: Jurnal Kedokteran dan Kesehatan Biomedika Majalah Patologi Indonesia Medica Hospitalia Medica Arteriana (Med-Art) Zona Kebidanan : Program Studi Kebidanan Universitas Batam
Dik Puspasari, Dik
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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EKSPRESI INTERLEUKIN-1 (IL-1) Β PADA ENDOMETRIOSIS, KARSINOMA ENDOMETRIOID DAN KARSINOMA SEROSUM OVARIUM Lestari, Nadia Nur; Amarwati, Siti; Sadhana, Udadi; Puspasari, Dik
Biomedika Vol 8, No 1 (2016): Biomedika Februari 2016
Publisher : Universitas Muhamadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v8i1.3016

Abstract

Endometriosis ovarium memiliki resiko keganasan epithelial ovarium (resiko relatif 1.9 sampai 4.2). Karsinoma endometrioid adalah salah satu jenis keganasan yang paling sering berhubungan dengan endometriosis, sementara karsinoma serosum merupakan keganasan epitelial terbanyak pada ovarium.Serum sitokin pro-inflamasi interleukin-1 (IL-1) β telah ditemukan berperan pada endometriosis dan karsinogenesis.Penelitian Keita, 2010, menemukan bahwa karsinoma endometrioid memiliki kadar IL-1β yang lebih tinggi secara bermakna dibandingkan jenis lainnya. Penelitian ini bertujua untuk mengetahui perbedaan ekspresi IL-1β pada jaringan endometriosis, karsinoma endometrioid dan karsinoma serosum ovarium. Desain penelitian ini adalah cross sectional design. Sampel adalah tiga puluh 33 blok parafin yang telah didiagnosis dan dire-evaluasi sebagai endometriosis (kelompok A), karsinoma endometrioid (kelompok B) dan karsinoma serosum ovarium (kelompok C) dan dilakukan pemeriksaan imunohistokimia IL-1β. Data ekspresi IL-1β dianalisis uji One Way ANOVA, dilanjutkan dengan uji beda rerata Post Hoc. Hasil uji One Way ANOVA kelompok A, B dan C, p = 0,037, menunjukkan adanya perbedaan bermakna. Uji beda rerata Post Hoc didapatkan kelompok A vs kelompok B dan C (p = 0,034 dan p = 0,020) bermakna. Sedangkan kelompok B vs kelompok C (p =0,805) tidak bermakna. Dari penelitian ini dapat disimpulkan terdapatperbedaan yang bermakna ekspresi IL-1β antara endometriosis dengan karsinoma endometrioid dan karsinoma serosum ovarium, namun tidak terdapat perbedaan yang bermakna ekspresi IL-1β antara karsinoma endometrioid ovarium dan karsinoma serosum ovarium.Kata kunci: Endometriosis, interleukin-1β, karsinoma endometrioid, karsinoma serosum
GAMBARAN HISTOPATOLOGI EKSPRESI INTERFERON GAMMA (IFNγ) PADA FIBROADENOMA MAMMAE (FAM) DAN INVASIVE NO SPECIAL TYPE (NST) BREAST CARCINOMA Prastyo K, Yuni; Sadhana, Udadi; Puspasari, Dik
Biomedika Vol 9, No 2 (2017): Biomedika Agustus 2017
Publisher : Universitas Muhamadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v9i2.5843

Abstract

International Agency for Research Cancer tahun 2012 melaporkan bahwa 1,7 juta wanita menderita kanker payudara. Penyakit ini masih menjadi penyebab utama kematian kanker pada wanita. Fibroadenoma merupakan lesi jinak payudara yang sering ditemukan. Terdapat 50% dari seluruh biopsi payudara.. Morfologi terbanyak pada keganasan payudara adalah Invasive NST breast carcinoma sebanyak 70%-80%. Berbagai faktor terlibat dalam pertumbuhan tumor payudara, antara lain genetika, diet, faktor reproduksi, hormon dan imunitas. Gangguan mekanisme imun memiliki peran penting pada patogenesis terjadinya tumor. Wanita dengan tumor payudara memperlihatkan adanya kekacauan pada sistem imun tubuh. Hal ini ditandai dengan rendahnya kadar Interferon ᵧ dan peningkatan IL4, IL6 serta IL10. Murine melaporkan tentang peran penting Interferon ᵧ dalam kekebalan tumor. Ketika terjadi penurunan kadarnya, secara spontan akan memicu tumbuhnya tumor. Interferon ᵧ sitotoksik pada beberapa sel-sel ganas dan memiliki aktivitas anti-angiogenik. Namun, penggunaannya di klinis masih terbatas. Tujuan penelitian adalah untuk membuktikan adanya perbedaan ekspresi Interferon ᵧ pada sediaan histopatologi. yang terdiagnosis sebagai fibroadenoma mammae intrakanalikular dan perikanalikular variant (FAM) dan Invasive No Special Type (NST) breast carcinoma. Penelitian ini merupakan jenis penelitian analitik observasional dengan desain case control. Sampel terbagi 2 yaitu kelompok dengan diagnosa  fibroadenoma mammae intrakanalikular dan perikanalikular variant  sebanyak 10 sampel dan kelompok Invasive NST breast carcinoma  sebanyak 27 sampel. kemudian dilanjutkan pemeriksaan imunohistokimia interferon γ. Data yang terkumpul tidak terdistribusi normal, sehingga dilakukan uji non-parametrik dengan menggunakan uji Fishers exact dan hipotesis satu arah (one-sided). Data hasil Penelitian diolah menggunakan uji Fisher’s exact dan hipotesis satu arah (one sided) dan didapatkan tingkat signifikansi p = 0.036 (p < 0.05). Terdapat perbedaan proporsi ekspresi Interferon γ yang positif antara FAM intrakanalikular dan perikanalikular variant dan NST, di mana proporsi ekspresi positif Interferon γ pada FAM intrakanalikular dan perikanalikular variant lebih besar dari pada NST. Secara statistik perbedaan ini bermakna (p < 0.05). Dapat disimpulan bahwa terdapat perbedaan bermakna tentang ekspresi interferon ᵧ pada sediaan histopatologi fibroadenoma mammae intrakanalikular dan perikanalikular variant dibanding pada sediaan Invasive NST breast carcinoma KataKunci: Interferon γ, fibroadenoma mammae, Invasive breast carcinoma of No Special Type
Effect of LMP-1 and mutant p53 on the Prognosis of Undifferentiated Type of Nasopharyngeal Carcinoma Atikah, Atikah; Sadhana, Udadi; Miranti, Ika Pawitra; Puspasari, Dik; Karlowee, Vega
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 22, No 1 (2022): January
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v22i1.13035

Abstract

Undifferentiated carcinoma is a subtype of NPC with a higher EBV antibody titer than healthy people. The carcinogenic effect of EBV involves LMP-1 associated with poor prognosis, and mutant p53 predicts tumor recurrence. This study aims to assess the effect of LMP-1 and mutant p53 on the prognosis of NPC patients. 40 paraffin blocks were stained with LMP-1 and p53 mutant. LMP-1 was positive when the cytoplasm and tumor cell membranes were brown, and mutant p53 was positive for the brown tumor cell nucleus. Pearson correlation test was performed. Most respondents were in the age group 40 years, males, regional lymph node involvement (N) in group N1, and no metastasis (M). The expression levels of LMP-1 and mutant p53 were strongly positive. The study showed the correlation between LMP-1 with age (p 0.327), gender (p 0.599), category N (p 0.512), category M (p 0.019) and the correlation between mutant p53 with age (p 0.329), gender (p 0.981), category N (p 0.013), category M (p 0.705). LMP-1 expression with mutant p53 (p 0.760). It can be concluded that LMP-1 and mutant p53 could be used as prognostic factors in NPC patients.
Mixed Lung Cancer in 46 Years Old, Male Smoker, Untreated Patient Susilorini, Susilorini; Puspasari, Dik; Amarwati, Siti; Endro, Bambang
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 7, No 2 (2016): December 2016
Publisher : Faculty of Medicine, Universitas Islam Sultan Agung (UNISSULA), Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1304.841 KB) | DOI: 10.30659/sainsmed.v7i2.1178

Abstract

Lung cancer is a large heterogeneous family of malignancies, with tumors containing more than one subtype are very common. Over 50 different histologi­cal variants are recognized within the WHO typing system. Small Cell Lung Cancer comprises approximately 20% of all lung cancers and exhibits a neuroendocrine phenotype while Non Small Cell Lung Carsinoma (NSCLC) lacks these features and makes up the remaining 80% of cases. This case was reported in view of the rarity of this combination of morphologic patterns. The incidence of c- SCLC (Combined- Small Cell Lung Carsinoma) has been reported ranging from less than 1% to 14.6% of all SCLC. Mixed lung cancer in untreated patients suggests a common endodermal origin for c-SCLC which contains small-cell and non-small-cell pulmonary tumors. Quoix et al found that presentation as a solitary pulmonary nodule (SPN) is particularly indicative of a c-SCLC. Combined- Small Cell Lung Carsinoma contains a squamous cell and/or adenocarcinoma component. It’s becoming more important for pathologists to correctly subclassify NSCLC’s as distinct tumor entities, or as components of c-SCLC cause it’s more agrresive. A 46-year-old smoker man was referred because of rapid growth of a solitary nodule mass revealed by chest radiography with brain and limfonodes metastases. There was mixed histological feature including adenocarsinoma, squamous cell carsinoma and large cell carsinoma. The patient is dead after a few weeks later. It was revealed a panel immunohistochemistry stain (CK-7, CK-20, TTF-1, P63 and Chromoganin). It was concluded as c- SCLC.
Glycogen Rich Clear Cell Carcinoma Pada Payudara Finot, Finot; Puspasari, Dik; Amarwati, Siti
Medica Hospitalia : Journal of Clinical Medicine Vol. 6 No. 2 (2019): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (450.775 KB) | DOI: 10.36408/mhjcm.v6i2.397

Abstract

Background: Glycogen rich clear cell carcinoma is a rare neoplasm of the breast, with the incidence of 1.4-3% of all breast cancers. The tumour has distinct morphology, different from that of common breast cancers. Glycogen rich clear cell carcinomas are members of a heterogeneous group of neoplasms, including signet-ring, secretory and lipid-rich carcinomas of the breast. In general, clear cell breast carcinoma tends to follow an aggressive clinical course. Case report: To present a case of a 47 years old woman suffering from breast mass in the upper outer quadrant of her right breast. On macroscopic examination, the biopsy tumor sized 2x1.5x0.5 cm and solid with brown and white. Discussion: Microscopic examination showed breast tissue composed of tumor cells arranged in nets, trabeculae and singly dispersed. Tumor cells are moderately pleomorphic, have sharply defined border and polygonal contours. Cytoplasm is clear in more than 90% of cells and finely granular in few cells. Nuclei are hyperchromatic with clumped chromatin and prominent nucleoli. Occasional mitosis is also observed. Special stain (PAS Staining): Intracytoplasmic PAS positivity in tumor cells are variable. Immunohistochemistry ER (+) positive >20-50%, PR (+) positive <20%, HER2 (-) negative. The patient was diagnosed with glycogen rich clear cell carcinoma. Conclusion: Glycogen rich clear cell carcinoma of the breast is rare. Its clinical feature is rather aggressive and varies depending on special characteristics such as low grade. Keywords: Glycogen rich clear cell carcinoma, breast carcinoma, PAS staining Latar belakang: Glycogen rich clear cell carcinoma adalah kanker payudara yang jarang, dengan insidensi 1.4-3% dari semua kanker payudara. Tumor memiliki morfologi yang berbeda dari kanker payudara pada umunya. Glycogen rich clear cell carcinoma merupakan neoplasma heterogen yang termasuk karsinoma payudara signet-ring, sekretori dan kaya lipid. Secara umum, carcinoma ini cenderung mengikuti perjalanan klinis yang agresif. Tujuan: Laporan Kasus: Dilakukan pemeriksaan makroskopis jaringan tumor dari seorang perempuan berusia 47 tahun dengan massa payudara kanan di kuadran luar atas. Tumor biopsi berukuran 2x1.5x0.5 cm, komposisi padat, berwarna coklat dan putih. Dilakukan pemeriksaan histopatologi, imunohistokimia dan histokimia pewarnaan khusus PAS (Periodic Acid Schiff). Pembahasan: Pemeriksaan mikroskopis menunjukkan jaringan payudara dengan sel-sel tumor yang tersusun dalam jaring, trabekula dan tersebar tunggal. Sel-sel tumor cukup pleomorfik, hiperkromatik, kromatin kasar dan nucleoli prominent, mitosis dapat ditemukan, sitoplasma jernih lebih dari 90% sel dan granular halus dalam beberapa sel, memiliki garis batas dan beberapa bentuk poligon yang jelas. Hasil histokimia PAS (+) positif, Immunohistokimia ER (+) positif > 20-50% pada sel-sel tumor, PR (+) positif < 20%, HER2 (-) negatif. Dari hasil pemeriksaan tersebut, pasien didiagnosis Glycogen rich clear cell carcinoma. Kesimpulan: Glycogen rich clear cell carcinoma pada payudara adalah tumor yang jarang, perilaku klinisnya dilaporkan agak agresif sejauh ini, sangat bervariasi tergantung pada karakteristik khusus seperti tingkat rendah. Kata kunci: Glycogen rich clear cell carcinoma, karsinoma payudara, pewarnaan PAS.
Ekspresi Reseptor Estrogen Dan Reseptor Progesteron Pada Pasien Dengan Leiomioma Uteri Finot, Finot; Puspasari, Dik; Wijaya, Indra
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 1 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (429.503 KB) | DOI: 10.36408/mhjcm.v8i1.498

Abstract

Latar belakang: Leiomioma uteri merupakan tumor jinak dengan prevalensi yang cukup tinggi dan perkembangannya sangat dipengaruhi oleh hormon steroid. Sementara itu masih terdapat pertentangan pada penelitian mengenai ekspresi reseptor estrogen (ER) dan reseptor progesteron (PR) pada leiomioma uteri, serta belum dipahami tentang etiologi dan patogenesis leiomioma uteri. Objektif: Penelitian ini bertujuan untuk mengetahui ekspresi ER dan PR pada leiomioma uteri. Metoda: Penelitian ini merupakan analitik observasional dengan rancangan case control design, dilakukan di Laboratorium Patologi anatomi RSUP Dr. Kariadi, Semarang. Populasi penelitian adalah blok histopatologi dengan diagnosa leiomioma uteri pada tahun 2017. Pengambilan sampel dilakukan secara acak sederhana, setelah memenuhi kriteria inklusi. Hasil: Berdasarkan karakteristik usia pada kelompok leiomioma uteri, yang terbanyak adalah kelompok usia > 40 tahun. Dari segi karakteristik Indeks Massa Tubuh (IMT), pada kelompok Leiomioma uteri IMT yang paling banyak pada normoweight, tetapi terdapat kecendrungan kasus Leiomioma uteri meningkat pada IMT yang lebih tinggi, dengan jumlah kumulatif pada IMT overweight dan obese adalah sebanyak 6 kasus (40%). Karakteristik paritas pada kelompok Leiomioma uteri yang terbanyak adalah nullipara yaitu 7 kasus (46,7%). Seluruh kelompok leiomioma uteri mengeskpresikan ER dengan rerata skor 7,20 ± 0,78 dan PR dengan rerata skor 7,47 ± 0,74. pengujian dengan uji korelasi spearman’s terhadap ekspresi ER dan PR dihubungkan dengan karakteristik, didapatkan hasil yang tidak signifikan juga. Sehingga tidak bermakna hubungan antara ekspresi ER dan PR terhadap karakteristik dan multiparitas. Pembahasan: Pada pengujian Mann-whitney terdapat perbedaan yang bermakna pada ekspresi ER antara jaringan leiomioma uteri dan miometrium normal (p = 0,045). Dan terdapat perbedaan yang bermakna pada ekspresi PR antara jaringan Leiomioma uteri dan miometrium normal (p = 0.022). Kata kunci: Leiomioma uteri, miometrium, reseptor estrogen, reseptor progesteron ABSTRACT Background: Leiomyoma is a benign tumor with a fairly high prevalence and its development is strongly influenced by steroid hormones. While it is still related to research on estrogen receptors and progesterone receptors in uterine leiomyomas, and has not been understood about the etiology and pathogenesis of uterine leiomyomas. Objective: This study aims to determine the expression of estrogen receptors and progesterone receptors in uterine leiomyomas. Method: This study is an observational analytic with a case control design, carried out at the Anatomical Pathology Laboratory Dr. General Hospital. Kariadi, Semarang. The study population was histopathological block with diagnosis of uterine leiomyoma and myometrium in 2017. Sampling was done in a simple randomized manner, after fulfilling the inclusion criteria. Results: Based on the age characteristics in the uterine leiomyoma group, the most were the age group> 40 years. In terms of characteristics of the Body Mass Index (BMI), in the uterine Leiomioma group the most BMI was normoweight, but there was a tendency for cases of uterine Leiomyoma to increase in higher BMI, with a cumulative number of overweight and obese BMI of 6 cases (40%) . The most characteristic parity in the uterine Leiomioma group was nullipara which was 7 cases (46.7%). All uterine leiomyoma groups expressed estrogen receptors with a mean score of 7.20 ± 0.78 and progesterone receptors with a mean score of 7.47 ± 0.74. testing with the spearman correlation test on the expression of ER and PR is related to the characteristics, which results are not significant as well. So there is no meaningful relationship between ER and PR expression on characteristics and multiparity. Discussion: In the Mann-Whitney test there were significant differences in the expression of estrogen receptors between uterine leiomyoma and normal myometrium (p = 0.045). And there are significant differences in the expression of progesterone receptors between uterine leiomyoma and normal myometrium (p = 0.022). Keywords: Uterine leiomyoma, myometrium, estrogen receptor, progesterone receptor
PERBEDAAN USIA, UKURAN MAKROSKOPIS TUMOR, DAN PROFIL HORMON ANTARA PASIEN KARSINOMA TIROID PAPILER KLASIK DAN VARIAN FOLIKULER DI RSUP DR KARIADI SEMARANG Nabila, Alin; Istiadi, Hermawan; Wikanta, Edmond Rukmana; Miranti, Ika Pawitra; Puspasari, Dik
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 2 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (255.183 KB) | DOI: 10.36408/mhjcm.v8i2.508

Abstract

Background: New cases of Papillary Thyroid Carcinoma and Carcinoma patients at Dr. Kariadi Hospital, Semarang is quite high, where the most types are Classical Papillary Thyroid Carcinoma and Follicular Variant Papillary Thyroid Carcinoma. On the other hand, in diagnosing PTC, histopathological examination which is a gold standard sometimes has a subjective value. Therefore, it is necessary to have a correlation with the clinical characteristics of the patient in order to get a correct diagnosis. Aim: Understanding the differences in age characteristics, tumor macroscopic size and hormone profile between Classical Papillary Thyroid Carcinoma and Follicular Variant patients at Dr. Kariadi Hospital, Semarang. Method: Analytic observational research with cross sectional design. The number of samples was 38 medical records in which 18 cases of Classic Papillary Thyroid Carcinoma and 20 cases of Follicular Variant Papillary Thyroid Carcinoma. Data with a nominal scale, namely age were analyzed using the Fisher exact test, while the data with a numerical scale, namely the macroscopic size of the tumor and the hormone profile, were tested for normality of Saphiro Wilk then continued with the Mann-Whitney test. Result: Based on the Fisher exact test, there was significant difference (p = 0,009) between age characteristics and Classical Papillary Thyroid Carcinoma and Follicular Variant. In the Mann-Whitney test there was no significant difference (p = 0.3) between the macroscopic size of the classical papillary carcinoma and follicular variant and there was no significant difference TSHs (p = 0.501) and fT4 (p = 0.953) hormone profiles between Classic Papillary Thyroid Carcinoma and Follicular Variants. Conclusion: There was significant difference between the characteristics of age at diagnosis, and there was no significant difference between the macroscopic size of the tumor and the hormonal profile of Classical Papillary Carcinoma and Follicular Variants in Dr. Kariadi Hospital, Semarang.
Ekspresi Reseptor Estrogen, Reseptor Progesteron Dan Digit Ratio Pada Pasien Meningioma Prakoso, Teguh Iman; Arifin, Mohammad Thohar; Sadhana, Udadi; Puspasari, Dik; Kusuma Astuti, Meira Dewi
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 2 (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (313.298 KB) | DOI: 10.36408/mhjcm.v7i2.518

Abstract

Latar belakang Meningioma merupakan tumor jinak intrakranial primer yang dipengaruhi oleh keseimbangan hormon estrogen dan progesteron. Digit Ratio (2D : 4D) sangat dipengaruhi oleh paparan hormon androgen prenatal khususnya estrogen dan testosteron. Tujuan Mengetahui hubungan reseptor estrogen (ER) dan reseptor progesteron (PR) dengan Digit Ratio (2D : 4D) pada pasien meningioma. Metode Penelitian observasional analitik dengan desain cross sectional study. Jumlah sampel sebesar 25 pasien meningioma yang dilakukan pemeriksaan ER dan PR. Pengukuran Digit Ratio dilakukan di poliklinik dan bangsal bedah syaraf RSUP Dr. Kariadi Semarang. Uji statistik menggunakan uji spearman. Hasil Digit Ratio kanan, kiri dan selisih kanan-kiri dengan nilai rerata 1,0046; 1,0021 dan 0,0492. Uji spearman, hubungan Digit Ratio kanan, Digit Ratio kiri dan Selisih Digit Ratio kanan kiri dengan PR didapatkan masin–masing nilai p = 0,5 (r = 0,1), p = 0,8 ( r = 0,1), dan p = 0,3 (r = 0,2). Hubungan Digit Ratio kanan, Digit Ratio kiri dan Selisih Digit Ratio kanan kiri dengan ER didapatkan masing–masing nilai p = 0,4 (r = 0,2), p = 0,5 ( r = -0,1), dan p = 0,9 (r = 0,1). Secara statistik terdapat hubungan yang sangat lemah antara Digit Ratio kanan, Digit Ratio kiri, selisih Digit Ratio kanan kiri dengan ER dan PR pada pasien meningioma Simpulan Terdapat hubungan yang sangat lemah antara reseptor estrogen (ER) dan reseptor progesteron (PR) dengan Digit Ratio pada pasien meningioma. Kata kunci : Reseptor Estrogen, Reseptor Progesteron, Digit Ratio, Meningioma. Background Meningiomas are primary intracranial benign tumors that are affected by the balance of estrogen and progesterone. Digit Ratio (2D: 4D) is strongly influenced by exposure to prenatal androgen hormones especially estrogen and testosterone. Objective To determine the relationship between estrogen receptor (ER) and progesterone receptor (PR) with Digit Ratio (2D: 4D) in meningioma patients. Method Analytical observational research with cross-sectional study design. The total sample of 25 meningioma patients who underwent ER and PR examinations. Digit Ratio measurements were performed at the clinic and neurosurgical ward of RSUP Dr. Kariadi Semarang. The Spearman test was used for the statistical test. Results Right, left and right-left difference digit ratio with mean value of 1.0046; 1,0021 and 0,0492. After Spearman test, the relationship between right Digit Ratio, left Digit Ratio and Difference between right and left Digit Ratio with PR was p = 0.5 (r = 0.1), p = 0.8 (r = 0.1), and p = 0.3 (r = 0.2). Correlation between right Digit Ratio, left Digit Ratio and Difference between left and right Digit Ratio with ER was p = 0.4 (r = 0.2), p = 0.5 (r = -0.1), and p = 0.9 (r = 0.1). Statistically there is a very weak relationship between right Digit Ratio, left Digit Ratio, difference between right and left Digit Ratio with ER and PR in patients with meningiomas. Conclusions There is a very weak relationship between estrogen receptors (ER) and progesterone receptors (PR) and Digit Ratio in meningioma patient. Keywords: Estrogen Receptor, Progesterone Receptor, Digit Ratio, Meningioma.
Hubungan Antara Ekspresi LMP1 dan Karakteristik Klinikopatologis Karsinoma Payudara Invasif Di RSUP Dr. Kariadi Semarang Utami, Asih Ratna; Miranti, Ika Pawitra; Puspasari, Dik; Istiadi, Hermawan; Karlowee, Vega
Medica Arteriana (Med-Art) Vol 6, No 1 (2024): Juni 2024
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/medart.6.1.2024.1-9

Abstract

Latar Belakang: Sekitar 30-50% karsinoma payudara positif terhadap virus Epstein-Barr (EBV). Studi melaporkan bahwa karsinoma payudara positif EBV cenderung lebih agresif. Infeksi EBV dapat dibuktikan salah satunya melalui pemeriksaan LMP1. Sejauh ini studi tentang infeksi EBV terhadap karakteristik klinikopatologis karsinoma payudara di negara-negara Asia termasuk Indonesia masih terbatas. Penelitian ini bertujuan menganalisis hubungan ekspresi LMP1 dengan karakteristik klinikopatologis karsinoma payudara invasif.Metode: Penelitian cross-sectional menggunakan 64 sampel blok parafin dari pasien karsinoma payudara invasif di RSUP Dr. Kariadi periode Juni-September 2019. Ekspresi LMP1 dinilai dengan immunostaining. Data klinikopatologis berupa usia, ukuran tumor, grade, ekspresi ER, PR, HER2, Ki67, subtipe molekuler dan keterlibatan KGB aksila. Analisis menggunakan uji korelasi dan SPSS 17.Hasil: Dari 64 kasus karsinoma payudara invasif, sebagian besar berusia >50 tahun (59,4%), ukuran T2 (45,3%), grade 2 (70,3%), ekspresi ER positif (62,5%), ekspresi PR negatif (56,3%), ekspresi HER2 negatif (64,1%), indeks Ki67 > 20% (75%), subtipe molekuler Luminal B-like (HER2 negative) (31,3%) dan metastasis KGB N1 (35,9%). Ekspresi hanya berkorelasi dengan metastasis KGB (p=0.01), bermakna karsinoma payudara invasif dengan LMP1 positif menunjukkan semakin tinggi risiko keterlibatan KGB.Kesimpulan: Ekspresi LMP1 berkorelasi dengan tingkat metastasis KGB.
Extranodal NK/T-cell Lymphoma, Nasal Type (Angiocentric T-cell Lymphoma): Laporan Kasus dan Kajian Diagnosis Histopatologik Prasetyo, Awal; Istiadi, Hermawan; Puspasari, Dik
Majalah Patologi Indonesia Vol. 32 No. 1 (2023): MPI
Publisher : Perhimpunan Dokter Spesialis Patologi Anatomik Indonesia (PDSPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55816/mpi.v32i1.566

Abstract

Extranodal NK/T-cell lymphoma, nasal type (ENKL) is a lymphoid neoplasm, which in the past has been grouped as a type of granulomatous diseases, is an aggressive non-Hodgkin’s lymphoma. The aggressiveness of ENKL is characterized clinically by nonrelenting destruction of the midline structures of the palate and nasal fossa. The histopathological diagnosis of this disease is difficult to enforced despite the malignant clinical course recognizably because of extensive tissue necrosis and multiple biopsies are often required. ENKL has an ominous prognosis, as the average survival rate is between 6 and 25 months. This case report describes the difficulties in making histopathological diagnosis of a 52-year-old male patient who presented with nasal obstruction and foul smelling, destructive and ulseratif lesion over for 3 months duration, and failed to treat with antibiotics and anti-inflammatories drugs. The diiferential diagnosis of the multiple biopsies was nasal cavity granuloma, NK/T cell lymphoma and Wegener granulomatosis. After immunohistochemical panel analysis of Pansitokeratin (AE1/3), LCA, CD3 and CD56, the patient be confirmed had an ENKL, nasal type which in the past also known as angiocentric T-cell lymphoma.
Co-Authors AA Sudharmawan, AA Aminuyati Arianto, Adi Awal Prasetyo Bambang Endro, Bambang Finot, Finot Hermawan Istiadi Ika Pawitra Miranti Karlowee, Vega Kusuma Astuti, Meira Dewi Lestari, Nadia Nur Mohammad Thohar Arifin, Mohammad Thohar Nabila, Alin Prakoso, Teguh Iman Prastyo K, Yuni RR. Ella Evrita Hestiandari Susilorini Susilorini, Susilorini Udadi Sadhana, Udadi Utami, Asih Ratna Wikanta, Edmond Rukmana