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Nana Liana
Fakultas Kedokteran Universitas Baiturrahmah
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PENGGUNAAN SITOLOGI IMPRINT BERSAMAAN DENGAN PEMERIKSAAN FROZEN SECTION PADA KARSINOMA PAYUDARA INVASIF Nana Liana; Aswiyanti Asri; Meta Zulyati Octora
JURNAL KEDOKTERAN DAN KESEHATAN Vol 10, No 1 (2023)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/JKK.V10I1.19847

Abstract

Karsinoma payudara invasif adalah keganasan terbanyak di dunia maupun di Indonesia. Karsinoma payudara invasif merupakan keganasan yang berasal dari sel epitel kelenjar payudara. Pada kasus dugaan keganasan dibutuhkan tambahan modalitas selain mammografi. Salah satunya dengan frozen section intraoperatif. Tindakan frozen section berguna mengkonfirmasi diagnosis keganasan dan penentuan tatalaksana selanjutnya. Kesalahan interprestasi sediaan frozen section bisa terjadi karena adanya artefak sehingga menghalangi patolog melihat perubahan arsitektur dan detail morfologi sel tumor. Oleh karena itu dibutuhkan Prosedur tambahan untuk menilai morfologi sel seperti sitologi imprint. Telah dilaporkan kasus seorang perempuan usia 68 tahun dengan keluhan benjolan di payudara kiri. Benjolan tanpa disertai nyeri dan tidak ada nipple discharge. Benjolan berukuran 4 cmx3cmx2 cm, warna kulit tidak ada kelainan, ulkus tidak ada, kosistensi padat, agak terfiksir. Pasien didiagnosis sebagai tumor mammae sinistra suspek ganas. Pasien menjalani tindakan operasi mammae sinistra, dengan analisis frozen section intraoperatif bersamaan dengan sitologi imprint. Hasil pemeriksaan mikroskopik imprint sesuai dengan frozen section yaitu carcinoma mammae. Frozen section adalah prosedur yang bermanfaat untuk mengkonfirmasi diagnosis yang diduga ganas secara klinis. Penggunaan sitologi imprint bersamaan dengan frozen section dapat mengatasi kesulitan menilai morfologi sel sehingga meningkatkan akurasi diagnosis. 
Transformasi Teratoma Matur Mediastinum Menjadi Mucinous Adenocarcinoma Disertai Sitologi Sikatan Bronkus Positif Nana Liana; Yenita Yenita
Health and Medical Journal Vol 5, No 2 (2023): HEME May 2023
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v5i2.1281

Abstract

Pendahuluan: Teratoma matur adalah germ cell tumor yang paling banyak ditemukan di mediastinum yaitu 50-70%. Namun kejadian transformasi keganasan non germ cell masih sangat jarang hanya sekitar 6% dari germ cell tumor. Laporan Kasus: Kami melaporkan kasus pasien perempuan usia 43 tahun datang dengan keluhan sesak nafas dan massa kistik multilokular di mediastinum anterior. Pasien menjalani tindakan torakotomi eksplorasi dan eksisi tumor dengan diagnosis histopatologi teratoma matur. Sepuluh bulan setelah operasi pasien datang dengan benjolan baru di suprasternum. Biopsi massa di suprasternum menunjukkan metastasis mucinous carcinoma. Pemeriksaan CT-Scan toraks tampak adanya pulmoner metastase dari tumor mediastinum anterior (residif). Pada sitologi sikatan bronkus juga ditemukan metastase mucinous adenocarcinoma. Setelah dilakukan review pada sediaan awal ditemukan fokus mucinous adenocarcinoma dalam teratoma matur mediastinum dan radang granulomatosa ekstensif yang menandakan ruptur kista. Kesimpulan: Teratoma matur dapat mengalami transformasi keganasan dari komponen non germ cell. Untuk mengetahui asal komponen mucinous adenocarcinoma dibutuhkan pemeriksaan imunohistokimia CK7, CK20 dan TTF1. Pada kasus ini didapatkan CK7 positif, CK 20 negatif dan TTF1 negatif, sehingga disimpulkan komponen mucinous adenocarcinoma berasal dari teratoma matur di mediastinum yang mengalami transformasi keganasan
Deteksi Dini Kanker Serviks dan Edukasi Kegunaan Pemeriksaan Pap Smear Nana Liana; Nurwiyeni; Meta Zulyati Oktora; Anandia Putriyuni
AMMA : Jurnal Pengabdian Masyarakat Vol. 2 No. 4 (2023): AMMA : Jurnal Pengabdian Masyarakat
Publisher : CV. Multi Kreasi Media

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Cervical cancer is the second largest malignancy after breast cancer in Indonesia. The incidence is increasing every year. In the United States and several other countries, the incidence of cervical cancer has decreased due to public health services and lifestyle changes as well as early implementation through pap smears. In developing countries, the mortality and incidence of cervical cancer has also decreased by 34-80% in the last 50 years. This is sufficient because the period of occurrence of cervical cancer is long and 90-95% of pathological changes in the epithelium can be determined through the Pap smear test. However, in developing countries, health services are still limited and there are no screening programs, cervical cancer is still the leading cause of death in women. Cervical cancer is often diagnosed at an advanced stage and the survival rate is low. On the other hand, the cure rate for early cervical cancer is very high. Therefore, it is important for women to undergo regular pap smears test so that the health condition of the cervix can be monitored and cervical cancer can be detected early.
Edukasi Penyakit Faringitis Akut terhadap Masyarakat di Kecamatan Bungus Teluk Kabung Kota Padang Ruhsyahadati Ruhsyahadati; Febianne Eldrian; Nana Liana; Rahma Triyana; Prima Adelin; Wisda Widiastuti; Anandia Putriyuni
Jurnal Pengabdian Pada Masyarakat Vol 8 No 4 (2023): Jurnal Pengabdian Pada Masyarakat
Publisher : Universitas Mathla'ul Anwar Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30653/jppm.v8i4.466

Abstract

Faringitis akut merupakan salah satu penyakit infeksi saluran pernafasan atas dengan kunjungan terbanyak di layanan kesehatan. Penyakit ini dapat menimbulkan komplikasi yang mengancam nyawa, terutama pada anak-anak. Dengan demikian diperlukan edukasi kepada masyarakat mengenai penyebab dan upaya pencegahan serta penatalaksanaan penyakit ini. Pengabdian masyarakat ini dilakukan di Kecamatan Bungus Teluk Kabung, Kota Padang, Sumatera Barat. Kegiatan diawali dengan pengisian kuesioner oleh responden. Selanjutnya kegiatan penyuluhan dilakukan dengan menyebarkan brosur dan memperlihatkan video singkat mengenai penyakit faringitis akut. Berdasarkan hasil pengisian kuesioner didapatkan hasil sebanyak 45,5% responden memiliki pengetahuan baik, namun masih ada 24,2% memiliki pengetahuan buruk. Pemberian edukasi ini diharapkan dapat meningkatkan pengetahuan masyarakat Kecamatan Bungus Teluk Kabung mengenai penyakit faringitis akut sehingga dapat menurunkan angka kesakitan infeksi saluran pernafasan atas. Acute pharyngitis is one of the most common upper respiratory tract diseases that require medical attention. Particularly in children, this condition can have life-threatening complications. As a result, it is critical to educate the public on the etiology of this disease in addition to strategies to prevent and manage it. This activity was done at the Bungus Teluk Kabung District of Padang City, West Sumatra. Respondents begin the activity by completing a questionnaire. Furthermore, education was conducted by distributing brochures and watching a short movie about acute pharyngitis. According to the results of the questionnaire, it was observed that 15 people (45.5%) had good knowledge and 8 people (24.2%) had poor knowledge. In order to decrease the morbidity rate of upper respiratory tract infections, education is intended to improve the knowledge of acute pharyngitis among the locals of the Bungus Teluk Kabung District.
PROFIL RESPIRATORY DISTRESS PADA BAYI BARU LAHIR DI NICU RSIA SITI HAWA PADANG TAHUN 2021 Febiane Eldrian; Nana Liana; Yudhi Aditia Permana; Lismawati; Roland Helmizar
Nusantara Hasana Journal Vol. 3 No. 12 (2024): Nusantara Hasana Journal, May 2024
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v3i12.1121

Abstract

Respiratory distress (RD) poses a significant issue that can lead to fatal consequences such as respiratory failure, brain damage, and an increase in morbidity and mortality among newborns. The diagnosis of RD is based on the identification of one or more signs of increased respiratory activity, including tachypnea, nasal flaring, retractions in the intercostal area, and grunting. Objective: The purpose of this research is to provide an overview of the occurrence of RD among neonatus who were hospitalized in the Neonatal Intensive Care Unit (NICU) at RSIA Siti Hawa Padang in the year 2021. Methods: This study is an analytic descriptive research. The accessible population in this study consists of newborns who were treated at the NICU of RSIA Siti Hawa Padang during the year 2021. Results: From the study findings, it was observed that 94 newborns (approximately 5.2%) experienced RD. Among them, males were more predominant, accounting for 54 infants (57%). The majority of infants had a gestational age categorized as full-term, totaling 56 infants (59.6%). Furthermore, the birth weight for the majority of newborns was within the normal range, with 65 infants (69.1%) falling into this category. Conclusion: In conclusion, the majority of newborns at NICU RSIA Siti Hawa Padang in 2021 did not experience RD. Among those affected by RD, males were predominant, and most had a gestational age categorized as full-term, indicating a low risk of prematurity. The average birth weight also tended to be within the normal range for newborns born and cared for in NICU RSIA Siti Hawa Padang in 2021.
THE PROFILE OF COLORECTAL ADENOCARCINOMA AT DR. M. DJAMIL GENERAL HOSPITAL PADANG, INDONESIA Nana Liana; Roland Helmizar; Ruhsyahadati Ruhsyahadati; Sri Nani Jelmila; Rahma Triyana; Lismawati Lismawati
Nusantara Hasana Journal Vol. 4 No. 1 (2024): Nusantara Hasana Journal, Juny 2024
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v4i1.1132

Abstract

Colorectal carcinoma is the third most common malignancy in the world. This malignancy originates from the epithelium of the colon and/or rectum, showing glandular or mucinous differentiation, where tumor cells have penetrated the muscularis mucosae layer. The study aims to report on epidemiological, clinical, and pathological characteristics of colorectal adenocarcinoma. Methods: We performed a retrospective descriptive study of 140 cases of colorectal adenocarcinoma in the gastroenterology and general surgery departments of M. Djamil General Hospital Padang, Indonesia conducted from January 2022 to December 2022. Data collection using medical records of patients in M. Djamil General Hospital Padang, Indonesia. We reported different data: Age, sex, site, and differentiation grade of the tumor. Results: Our study included 140 patients 80 males (57,1%) and 60 females (42.9%), with a median age range of 51-60 years. The tumors were found in the rectum 82 (58.6%), distal colon 37(26.4%), and proximal colon 21(15.0%). The differentiation grade was majority low grade 117 (83.6%). Conclusion: In conclusion, our result showed that colorectal adenocarcinoma is highest in the male population with an age range of 61-70 years. The most common site of adenocarcinoma is rectum. A low grade is the most differentiated grade. Keywords: colorectal adenocarcinoma, anatomical location, differentiation grade, profile
Edukasi Penyakit Mastitis Saat Menyusui di Kantor Lurah Gantiang, Padang Panjang Timur Nana Liana; Meta Zuliyati Oktora; Sri Nani Jelmila; Budi Yulhasfi Febrianto; Dita Hasni
Jurnal Abdimas Kesehatan (JAK) Vol 4, No 3 (2022): November
Publisher : Sekolah Tinggi Ilmu Kesehatan Baiturrahim Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v4i3.379

Abstract

Breastfeeding or in a foreign language called breasting is the feeding of breast milk (breast milk) as a natural food provided to the baby. The breastfeeding process can be hampered due to several problems, one of which is mastitis. Mastitis in nursing mothers is an infection of breast tissue when the mother is breastfeeding, mainly occurs due to blockage of breast milk ducts by a coagulated breast milk and accompanied by bacteria that enter the breast tissue through the nipple.  The incidence of mastitis is estimated to occur in the first 12 weeks to the second year of feeding. Mastitis needs to be considered because being one of the reasons for the mother to stop breastfeeding can proceed to other diseases such as breast abscesses. Lack of knowledge about mastitis and its treatment causes many mothers to detect mastitis too late and aggravate the state of mastitis. Therefore, prevention and education related to mastitis when the mother is breastfeeding is needed.This activity was held on July 29, 2022 for 3 hours and was attended by 23 mothers of reproductive age who lived in Gantiang village, Padang Panjang Timur. The results of this activity obtained differences in the average level of knowledge of participants before and after counseling. This activity has an impact on increasing public knowledge related to mastitis so that it can increase the success of breastfeeding and prevent stunting.
Co-Authors Adelin, Prima Anandia Putriyuni Aswiyanti Asri Budi Yulhasfi Febrianto Dita Hasni Febiane Eldrian Febianne Eldrian Lismawati Lismawati Lismawati Meta Zuliyati Oktora Nurwiyeni Oktora, Meta Zulyati Rahma Triyana Roland Helmizar Ruhsyahadati Ruhsyahadati Sri Nani Jelmila Sri Nani Jelmila Wisda Widiastuti Yenita Afriyeni Yudhi Aditia Permana