Asumsie Tarigan
Dosen Jurusan Teknik Radiodiagnostik dan Radioterapi Poltekkes Kemenkes Jakarta II

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PERUBAHAN VOLUME TUMOR POST-RADIASI EKSTERNA PADA PASIEN KANKER NASOFARING Aidilawarti K. S.; Guntur Winarno; Asumsie Tarigan; Moh. Haris
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 1 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (687.14 KB) | DOI: 10.55451/jri.v2i1.25

Abstract

Introduction: The radiotherapists provides fractional treatment effectively and efficiently. The expected radiation response can be achieved for tumor volume change so that the principle in radiotherapy is to kill as many cancer cells as possible. However, due to the prognostic factors that may affect the radiation response such as Epstein-Barr Virus, TNM stage system, primary tumor, patient age, sex, type of treatment, and histopathology. Objective: This study is intended to analyze changes in the volume of external post-radiation tumors in nasopharyngeal cancer patients. Methods: This study is a descriptive quantitative study to determine changes in tumor volume from pro-radiation to post-radiation in patients with nasopharyngeal cancer. The sample used was the secondary data which belongs to Radiotherapy Installation at Dharmais Cancer Hospital Jakarta in patients with nasopharyngeal cancer in 2017. The study sample was taken on subjects who meet the criteria of inclusion and exclusion. Results: From the 51 study samples, the results are obtained based on stages, post-radiation tumor volume changes from stage II, III, and IV by 206.56643cc, 135.81397cc, and 168.83302cc. By sex, post-radiation tumor volume changes of male and female sexes were 174,18946cc and 176,02196cc. By age, post-radiation tumor volume changes in the age group 20-39 years, 40-49 years and> 50 years of 183.42215cc, 175.36875cc, and 166.95548cc. Conclusion: It can be concluded that the largest tumor volume change which leads to radiation effectiveness and better prognosis based on stage is at stage II, based on sex is on female gender, and by age was in the age group of 20-39 years. Keywords: Tumor volume change, Post-radiation, Nasopharyngeal cancer
PENATALAKSANAAN RADIASI EKSTERNA KASUS KANKER NASOFARING TEKNIK 2D MENGGUNAKAN PESAWAT COBALT 60 R. Prahardi; Guntur Winarno; Asumsie Tarigan; Elena Marliani
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 1 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (530.274 KB) | DOI: 10.55451/jri.v2i1.26

Abstract

Introduction: Nasopharyngeal cancer occupies the third place as a type of malignancy in the order of the number of patients receiving radiation treatment at the radiotherapy center in Indonesia. Treatment of nasopharyngeal cancer can be done with Radiotherapy or with Chemotherapy. In RSMS for nasopharyngeal cancer cases using 2D technique using cobalt plane 60. Methods: Data collection is done by monitoring the patient at the first time to the radiotherapy installation to complete the treatment. Patients were irradiated with 2D techniques using a Cobalt 60 type GWXJ80 NPIC plane and a HMD-IB type simulator. Results: 45-year-old male patients with stage IVA were irradiated using 2D techniques, with doses for opposite lateral left right field 35x2 Gy irradiation time 47 s, supraclavicula field 25x2 Gy radiation time 73 s, etxoid field 33x2 Gy time irradiation 75 s and 8x2 Gy AP-PA field booster. Conclusion: Management of external radiation of nasopharyngeal cancer cases in RSMS using 2D technique with cobalt plane 60. Fields used there are 4 ie etmoid field, supraclavicula, opposing lateral kIri and right, and AP-PA field for booster. Keywords: radiotherapy, nasopharyngeal cancer, 2 dimension (2D), cobalt 60, radiation procedure.