Garuda - Garba Rujukan Digital

Three Years Data of Uterine Fibroids Patient Characteristics at West Java Top Referral Hospital Azzahra, Mutiara; Gondodiputro, Sharon; Amarullah, Mulyanusa
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (584.749 KB)

Background: Uterine fibroids are the most common benign tumor in female reproductive system and a major cause in declining their quality of live. Patient characteristics has high prevalence in black women, 40s, nulliparous, and early menarche. These characteristics are varied in some areas and considered in treatment decisions. The objectives of this study was to describe the uterine fibroid patient characteristics at Dr. Hasan Sadikin General Hospital, Bandung from 1 January 2013 to 31 December 2015.Methods: A descriptive study was conducted to 255 medical records of patients with uterine fibroids at Dr. Hasan Sadikin General Hosiptal, Bandung from 1 January 2013 to 31 December 2015. This study was conducted from September to November 2016. The variables were the year of treatment, age, education, occupation, married status, menarche, abortion, parity, type of uterine fibroids, and treatment. The collected data were analyzed and presented using frequency tables and percentages.Results: Most cases of uterine fibroids were discovered in 2014. The most characteristics with uterine fibroids were pre-menopausal age (41.18%), high school education (55.69%), housewife (63.14%), normal menarche (54.51%), married (92.16%), nulliparous (47.45%), no abortion (76.47%), multiple uterine fibroids (46.67%), and hysterectomy (58.04%).Conclusions: The most combination of characteristics of patients with uterine fibroids is nulliparrous women in reproductive and pre-menopausal age with normal menarche.Â

Relationship between Menstrual Profile and Psychological Stress with Dysmenorrhea Maryam, Maryam; Ritonga, Mulyanusa Amarullah; Istriati, Istriati
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (160.288 KB)

Background: Dysmenorrhea or menstrual cramps is the most common menstrual complaint among reproductive women in developing countries. The prevalence of dysmenorrhea is ranged from 19â91%. Many studies showed that factors associated with dysmenorrhea include a younger age, nulliparity, family history of dysmenorrhea, prolonged menstrual duration, high menstrual flow, psychological factors, and lifestyle. The objective of this study was to compare female medical students with dysmenorrhea and without dysmenorrhea regarding menstrual profile and psychological stress, also to examine the relationship between psychological stress and dysmenorrhea specifically..Methods: This cross-sectional study was conducted among 136 fourth year female medical students of Universitas Padjadjaran. It used a structured, self-assessment, validated, and reliable questionnaire, such as Wong Baker FacesÂ® Pain Rating Scale in combination with Numeric Scale Pain, and Depression, Anxiety, Stress Scale (DASS-42). Then, the descriptive data analysis and chi-square hypothesis test were used to explore the relationship between the severity of psychological stress and the presence or severity of dysmenorrhea.Results: Family history of dysmenorrhea had a strongest relationship with dysmenorrhea. Nevertheless, there was no statistically significant interaction between the severity of stress and the presence of last menstrual cramps (p 0.745, Odd Ratio 1.15, 95% Confidence Interval 0.5â2.66). However, a positive relationship between the severity of stress and dysmenorrhea in last menstruation was found in this study (p 0.033, Odd Ratio 3.69, 95% Confidence Interval 1.06â12.8).Conclusions: The severity of stress and dysmenorrhea in last menstruation is related among the subjects with dysmenorrhea. [AMJ.2016;3(3):382â7]DOI: 10.15850/amj.v3n3.884Â

Relationship between Menstrual Profile and Psychological Stress with Dysmenorrhea Maryam Maryam; Mulyanusa Amarullah Ritonga; Istriati Istriati
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (160.288 KB)

Background: Dysmenorrhea or menstrual cramps is the most common menstrual complaint among reproductive women in developing countries. The prevalence of dysmenorrhea is ranged from 19–91%. Many studies showed that factors associated with dysmenorrhea include a younger age, nulliparity, family history of dysmenorrhea, prolonged menstrual duration, high menstrual flow, psychological factors, and lifestyle. The objective of this study was to compare female medical students with dysmenorrhea and without dysmenorrhea regarding menstrual profile and psychological stress, also to examine the relationship between psychological stress and dysmenorrhea specifically..Methods: This cross-sectional study was conducted among 136 fourth year female medical students of Universitas Padjadjaran. It used a structured, self-assessment, validated, and reliable questionnaire, such as Wong Baker Faces® Pain Rating Scale in combination with Numeric Scale Pain, and Depression, Anxiety, Stress Scale (DASS-42). Then, the descriptive data analysis and chi-square hypothesis test were used to explore the relationship between the severity of psychological stress and the presence or severity of dysmenorrhea.Results: Family history of dysmenorrhea had a strongest relationship with dysmenorrhea. Nevertheless, there was no statistically significant interaction between the severity of stress and the presence of last menstrual cramps (p 0.745, Odd Ratio 1.15, 95% Confidence Interval 0.5–2.66). However, a positive relationship between the severity of stress and dysmenorrhea in last menstruation was found in this study (p 0.033, Odd Ratio 3.69, 95% Confidence Interval 1.06–12.8).Conclusions: The severity of stress and dysmenorrhea in last menstruation is related among the subjects with dysmenorrhea. [AMJ.2016;3(3):382–7]DOI: 10.15850/amj.v3n3.884

Three Years Data of Uterine Fibroids Patient Characteristics at West Java Top Referral Hospital Mutiara Azzahra; Sharon Gondodiputro; Mulyanusa Amarullah
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (584.749 KB)

Background: Uterine fibroids are the most common benign tumor in female reproductive system and a major cause in declining their quality of live. Patient characteristics has high prevalence in black women, 40s, nulliparous, and early menarche. These characteristics are varied in some areas and considered in treatment decisions. The objectives of this study was to describe the uterine fibroid patient characteristics at Dr. Hasan Sadikin General Hospital, Bandung from 1 January 2013 to 31 December 2015.Methods: A descriptive study was conducted to 255 medical records of patients with uterine fibroids at Dr. Hasan Sadikin General Hosiptal, Bandung from 1 January 2013 to 31 December 2015. This study was conducted from September to November 2016. The variables were the year of treatment, age, education, occupation, married status, menarche, abortion, parity, type of uterine fibroids, and treatment. The collected data were analyzed and presented using frequency tables and percentages.Results: Most cases of uterine fibroids were discovered in 2014. The most characteristics with uterine fibroids were pre-menopausal age (41.18%), high school education (55.69%), housewife (63.14%), normal menarche (54.51%), married (92.16%), nulliparous (47.45%), no abortion (76.47%), multiple uterine fibroids (46.67%), and hysterectomy (58.04%).Conclusions: The most combination of characteristics of patients with uterine fibroids is nulliparrous women in reproductive and pre-menopausal age with normal menarche.

Perbandingan Kadar Testosteron dan Lemak Viseral Pasien Sindrom Ovarium Polikistik di Poliklinik Aster RSUP Dr. Hasan Sadikin Bandung Sebelum dan Setelah Pemberian Terapi Metformin Imelda Rosmaida Siagian; Mulyanusa Amarullah Ritonga; Maringan D.L. Tobing; M. Rizkar Arev Sukarsa
Indonesian Journal of Obstetrics & Gynecology Science Volume 4 Nomor 1 Maret 2021
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v4n1.205

Tujuan: Terdapat 50-70% kasus sindrom ovarium polikistik yang berkaitan dengan adanya resistensi insulin. Peran agen sensitisasi insulin seperti metformin diharapkan dapat memperbaiki kondisi lemak dan testosteron bebas yang tinggi sehingga memperbaiki gejala klinis pasien dengan sindrom ovarium polikistik. Penelitian ini bertujuan mengetahui perbedaan indeks androgen bebas (sebagai representasi kadar testosteron) dan lemak viseral pasien sindrom ovarium polikistik sebelum dan sesudah diberi pengobatan metformin. Metode: Populasi penelitian didapatkan dari data penelitian DLBS (Dexa Laboratories of Biomolecular Sciences) 3233 yaitu 29 kasus wanita sindrom ovarium polikistik yang datang untuk berobat di Klinik Aster RSUP Dr. Hasan Sadikin Bandung periode Januari 2013 - Desember 2017, dengan menggunakan metode experimental design dengan pendekatan one group pretest-posttest design. Pengambilan sampel penelitian dilakukan secara purposing sampling yang diambil secara retrospektif pada data sekunder yang terdapat dalam rekam medik. Hasil: Didapatkan rata-rata indeks androgen bebas sebelum pemberian terapi metformin 2.67 ± 0.43 dan sesudah pemberian terapi 1.88 ± 0.37. Rata-rata kadar lemak visceral sebelum pemberian terapi metformin 10.27±2.589% dan sesudah pemberian terapi 8.00±1.488%. Kesimpulan: Sehingga disimpulkan terdapat perbedaan signifikan kadar indeks androgen bebas (p:0.008) dan lemak visceral (p:0,0001) pada pasien sindrom ovarium polikistik sebelum dan sesudah pemberian terapi metformin.Comparasion of free Androgen Index and Viseral Fat in Polycystic Ovary Syndrome Patients in Aster Polyclinic Dr. Hasan Sadikin Bandung Before and After Giving Metformin TherapyAbstractObjective: There are 50-70% of cases of polycystic ovary syndrome associated with insulin resistance. The role of insulin sensitizing agents such as metformin is expected to improve the condition of high fat and free testosteron, thereby improving the clinical symptoms of patients with polycystic ovary syndrome. This study aims to determine differences in free androgen index (represent the value of free testosteron) and visceral fat levels of polycystic ovary syndrome patients before and after being given metformin treatment. Method: The study population was obtained from DLBS (Dexa Laboratories of Biomolecular Sciences) 3233 research data, namely 29 cases of polycystic ovary syndrome women who came for treatment at the Aster Clinic Dr. Hasan Sadikin Bandung from January 2013 - December 2017, using the experimental design method with the one group pretest-posttest design approach. Sampling was done by purposing sampling taken retrospectively on secondary data contained in the medical record. Result: The average free androgen index levels were obtained before the administration of metformin therapy 2.67 ± 0.43 and after the administration of therapy 1.88 ± 0.37 Average visceral fat levels before administration of metformin therapy 10.27 ± 2.589% and after administration of 8.00 ± 1,488%. Conclusion : It was concluded that there were significant differences in free androgen index (p: 0.008) and visceral fat (p: 0.0001) in patients with polycystic ovary syndrome before and after metformin therapy.Key word: Polycystic ovary syndrome, free androgen index, viseral fat, metformin

Evaluasi Tindakan Operatif pada Kanker Serviks, Endometrium, dan Ovarium di RSUP Dr. Hasan Sadikin Bandung Tahun 2015-2016 Rosita Indriani; Mulyanusa Amarullah Ritonga; Dodi Suardi
Indonesian Journal of Obstetrics & Gynecology Science Volume 1 Nomor 2 September 2018
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

AbstrakTujuan: Mengetahui hasil luaran tindakan operatif pada kanker serviks, endometrium dan ovarium di RSUP Dr. Hasan Sadikin.Metode: Jenis penelitian dengan mengevaluasi data pasien kanker serviks, endometrium dan ovarium dengan tindakan operatif dari Bagian Rekam Medik RSUP Dr. Hasan Sadikin, Bandung dari Januari 2015−Desember 2016. Variabel yang dievaluasi berupa usia, BMI, paritas, asal kanker, jenis dan komplikasi tindakan operasi.Hasil: Terdapat 560 kasus yang sesuai dengan kriteria inklusi dari Januari 2015−Desember 2016. Nilai tengah usia pasien 45 tahun, dengan 222 pasien (39,6%) memiliki BMI normal dan 413 pasien (73,8%) dengan kanker ovarium. Perdarahan >2000 cc terdapat pada 141 kasus (25,2%). Durasi operasi terbanyak 3−4 jam pada 208 kasus (37,1%). Komplikasi saluran gastrointestinal sebanyak 40 kasus (7,1 %) dan saluran genitourinaria sebanyak 28 kasus (5%). Nilai tengah length of stay selama 7 hari, dengan 47 pasien (8,4%) memerlukan ICU dan kematian terjadi pada 20 kasus (3,6%).Kesimpulan: komplikasi tersering adalah perdarahan. Tindakan operatif pada kanker serviks lebih berkaitan dengan cedera saluran genitourinaria, sedangkan tindakan operatif pada kanker ovarium lebih berkaitan dengan cedera saluran gastrointestinal.Evaluation of Operative Procedures on Cervical, Endometrial and Ovarian Cancers in Dr. Hasan Sadikin General Hospital Bandung 2015 ̶̶̶ 2016Abstract Objectives: To evaluate the post-operative outcomes in patients with cervical, endometrial, and ovarian cancers in Dr. Hasan Sadikin General Hospital in 2015−2016.Method: We retrospectively evaluated cross-sectionally the charts of these three cancer patients who underwent operative procedures from January 2015 to December 2016 in Dr. Hasan Sadikin Hospital. The following study variables were noted for evaluation: age, BMI, parity, cancer origin, type of surgery, and operative complications. Results: A total of 560 oncologic surgery from these three cancers was undertaken and met the inclusion criteria from January 2015 to December 2016. Median age was 45 years old, with 222 (39,6%) patients had normal BMI and 413 (73,8%) patients belonged to ovarian cancer. Operative complications such as bleeding >2000cc were reported in 141 (25,2%) cases. The most common length of surgery time was 3−4 hours in 208 (37,1%) patients. A total of 40 (7,1%) gastrointestinal and 28 (5%) genitourinary tract injuries were encountered. Median length of stay was 7 days, post-operative staying at ICU was noted in 47 (8,4%) patients and 20 (3,6%) had intraoperative-related deaths.Conclusion: The most common complication is bleeding.The operative procedure of cervical cancer is more related to injury to the genitourinary tract, while gastrointestinal tract injury mostly occurs in the operative procedure of ovarian cancerKey words: Gynecological oncology, surgery and complication

Overview of Non-Pharmacological Treatment Option for Adolescent Girls with Dysmenorrhea in Cimahi, West Java, Indonesia Rahmani, Shofiatunisa Firdhausy; Anwar, Ruswana; Sasongko, Elsa Pudji Setiawati; Ritonga, Mulyanusa Amarullah; Arya, Insi Farisa Desy
Althea Medical Journal Vol 11, No 1 (2024)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v11n1.3064

Background: Dysmenorrhea is a condition of pain during menstruation that may affect daily activities. The phenomenon of dysmenorrhea in West Java has reached 54,9%. When dysmenorrhea is not treated, it can decrease productivity at school. This study aimed to find out which therapy was more widely used, the reasons for using the therapy, and to identify changes in non-pharmacological therapy as seen from the visual analog scale (VAS) assessment.Methods: This research used quantitative data with a descriptive study conducted with a cross-sectional method, and the instrument used was a questionnaire. The study was conducted in July 2022 with a total sample of 457 participants, and 366 samples met the inclusion criteria. This data analysis used Statistical Package for Social Scientists (SPSS version 28) to identify changes before and after non-pharmacological therapy options and the frequency distribution of the data.Results: The non-pharmacological therapy option was preferred by students (n= 366), and the reasons students used this therapy were seen from various aspects. Rest was the most frequently chosen activity by students (n= 329). All students felt a change in the pain scale before and after using non-pharmacological therapy with the visual analog scale (VAS).Conclusion: Students in grades 1 and 2 of SMAN 1 Cimahi prefer non-pharmacological therapy with rest. They have various aspects of reasoning and feeling changed after using the therapy. There is a change in the pain scale after using non-pharmacological therapy.

Outcome of Fetuses with Anterior Abdominal Wall Defects in A Tertiary Referral Hospital Alifa, Dhara; Aziz, Muhammad Alamsyah; Ritonga, Mulyanusa Amarullah; Pribadi, Adhi
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 2 Juli 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i2.691

Introduction: The most common abdominal wall defects are gastroschisis and omphalocele. Gastroschisis is a case of intraabdominal herniation caused by an abdominal wall defect from exposure to amniotic fluid during pregnancy. Omphalocele is a case of intraabdominal herniation covered with a membranous sac on the umbilical cord’s base. Gastroschisis occurred in 1/4000 of the of the global birth rate. Prevalence of omphalocele in between 1/3000 and 1/5000 cases of pregnancy. The purpose of the purpose of the research is to present an overview of patients with congenital defects such as Gastroschisis and Omphalocele.Method: Research design is observational and descriptive. Data obtained from medical records in Hasan Sadikin tertiary referral hospital Bandung. Sample size was obtained by total sampling and conducted in April 2020–April 2023. Results: The demographics of gastroschisis include male (50%), female (50%), preterm (20%), stillbirth (30%), severe asphyxia (14.29%), moderate asphyxia (57.14%), normal asphyxia (8.57%), newborn mortality (14.29%), and other congenital anomalies (40%). In comparison, the demographics of omphalocele are male (66.67%), female (33.33%), preterm (58.33%), stillbirth (16.67%), severe asphyxia (40%), moderate asphyxia (40%), normal asphyxia (20%), newborn mortality (50%), and other congenital abnormalities (25%). Abdominal wall defects are seldom related with gender.Conclusion: Abdominal wall defect is a very rare congenital abnormality. This abnormality will require primary abdomen closure surgery to enhance the baby’s prognosis. The more other risk factors exist within abdominal wall defect babies, the worse their following prognosis will be. The prognosis for omphalocele is more severe than gastroschisis due to the presence of asphyxia and prematurity.Luaran Janin dengan Defek Dinding Abdominal Anterior di Rumah Sakit Rujukan TersierAbstrakPendahuluan: Cacat dinding depan abdomen yang paling banyak terjadi adalah gastroschisis dan omphalocele. Gastroschisis adalah kasus herniasi intraabdomen yang disebabkan oleh cacat dinding perut akibat paparan cairan ketuban selama kehamilan. Omphalocele adalah kasus herniasi intraabdomen yang ditutupi kantung membran di dasar tali pusat. Gastroschisis terjadi pada 1/4000 angka kelahiran global. Prevalensi omfalokel antara 1/3000 dan 1/5000 kasus kehamilan. Tujuan dari penelitian ini adalah untuk menyajikan gambaran pasien dengan kelainan bawaan seperti Gastroschisis dan Omphalocele.Metode: Desain penelitian adalah observasional dan deskriptif. Data diperoleh dari rekam medis di rumah sakit rujukan tersier Hasan Sadikin Bandung. Besar sampel diperoleh dengan cara total sampling dan dilakukan pada bulan April 2020–April 2023.Hasil: Demografi gastroschisis meliputi laki-laki (50%), perempuan (50%), prematur (20%), lahir mati (30%), asfiksia berat (14,29%), asfiksia sedang (57,14%), asfiksia normal (8,57%). ), kematian bayi baru lahir (14,29%), dan kelainan kongenital lainnya (40%). Sebagai perbandingan, demografi omfalokel adalah laki-laki (66,67%), perempuan (33,33%), prematur (58,33%), lahir mati (16,67%), asfiksia berat (40%), asfiksia sedang (40%), asfiksia normal (20). %), kematian bayi baru lahir (50%), dan kelainan bawaan lainnya (25%). Cacat dinding perut jarang berhubungan dengan jenis kelamin.Kesimpulan: Cacat dinding perut merupakan kelainan bawaan yang sangat tidak biasa. Kelainan ini memerlukan operasi penutupan perut utama untuk meningkatkan peluang hidup bayi. Adanya faktor risiko tambahan pada bayi baru lahir dengan kelainan dinding perut memperburuk prognosisnya. Omphalocele sering menyebabkan asfiksia dan prematur, sehingga prognosisnya lebih buruk dibandingkan gastroschisis.Kata Kunci : Cacat dinding depan abdomen, Gastroschisis, Omphalocele

Characteristics of Endometrioma Recurrence Patients Maharani, Chintia Dewi; Bayuaji, Hartanto; Syam, Hanom Husni; Ritonga, Mulyanusa Amarullah; Mantilidewi, Kemala Isnainiasih; Rinaldi, Andi; Pratiwi, Yuni Susanti
Indonesian Journal of Obstetrics & Gynecology Science Volume 6 Nomor 3 November 2023
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v6i3.576

Objective: To identify the characteristics of endometrioma recurrence cases. Method: This study was a descriptive retrospective, using secondary data taken from all medical records of Clinic Aster and Medical Records Installation in Dr. Hasan Sadikin General Hospital, Bandung, from 1st January 2018 – 31st December 2022. Data were presented in tables.Results: Of the 37 endometrioma recurrences, most of the patients are 20 to 35 in age. None of them has a parity history after the first surgical procedure. Both previous and recent cases are dominantly unilateral endometriomas. The history of postoperative medication is higher (54,1%). Obstetricians/Gynecologists appear to perform the most surgical procedure (67,6%). Mass is the main clinical manifestation of the recurrence. While menstrual and BMI profiles appear to be normal.Conclusions: The characteristic of the recurrence of endometrioma is related parity status after the first surgery, history of the previous medical treatment, and previous form of endometrioma are related to the current characteristic of endometrioma (age, lesion form, clinical manifestation, and recurrence interval).Karakteristik Pasien Endometrioma RekurenAbstrakTujuan: Mengetahui karakteristik dari pasien endometrioma rekuren.Metode: Penelitian ini merupakan penelitian deskripsi retrospektif dengan menggunakan data sekunder yang diambil dari seluruh rekam medis pasien kista endometriosis rekuren di Klinik Aster dan Instalasi Rekam Medis di Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung dengan periode 1 Januari 2018 – 31 Desember 2022. Kemudian, data-data disajikan dalam bentuk tabel. . Hasil: Dari 37 kasus e ndometrioma rekuren, sebagian besar pasien berusia 20 hingga 35 tahun. Seluruh pasien tidak mempunyai riwayat paritas setelah prosedur pembedahan sebelumnya. Baik kasus-kasus kista endometriosis sebelumnya maupun yang kambuh, keduanya dominan dalam bentuk unilateral. Riwayat pengobatan pasca operasi lebih tinggi (54,1%). Dokter Spesialis Obstetri/Ginekologi tampak melakukan tindakan pembedahan terbanyak (67,6%). Massa adalah manifestasi klinis utama dari kekambuhan. Selain itu, profil menstruasi dan BMI tampak normal.Kesimpulan: Karakteristik pada endometrioma rekuren berkaitan dengan status paritas setelah operasi pertama, riwayat pengobatan medis sebelumnya, dan bentuk endometrioma sebelumnya berhubungan dengan karakteristik endometrioma saat ini (usia, bentuk lesi, manifestasi klinis, dan rentang rekurensi)Kata kunci: karakteristik, rekuren, endometrioma

Management of Ovarian Cancer in the Second Trimester of Pregnancy: A Case Report and Literature Review Syarief, Sri Dewi Rahmawati; Ritonga, Mulyanusa Amarullah; Anwar, Ruswana; Suardi, Dodi
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 1 Maret 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i1.778

Introduction: Ovarian carcinoma during pregnancy is a rare but clinically significant condition that requires swift and precise management to optimize maternal and fetal outcomes. This case report highlights the successful conservative surgical management of malignant mucinous ovarian cancer diagnosed in the second trimester. It provides insights into the feasibility and safety of surgical intervention during pregnancy, contributing valuable evidence to the existing literature on oncologic care during pregnancy.Case Illustration: A 21-year-old woman, G1P0A0, presented at 17-18 weeks of gestation with no complaints related to her pregnancy but reported abdominal enlargement over the past three months. At 6 weeks gestation, the patient was diagnosed with an ovarian cyst, later confirmed as a large cystic mass on the right ovary with papillary components through ultrasound. The IOTA simple rules indicate that the mass was suspected to be malignant. The provisional diagnosis was suspected ovarian malignancy with a differential diagnosis of multilocular ovarian cyst. The patient underwent a planned right oophorectomy at 18 weeks gestation. Histopathology revealed a mucinous malignant tumor of the right ovary that had not invaded the right fallopian tube. The pregnancy was continued, and the patient was closely monitored, with plans for further evaluation postpartum.Conclusion: This case highlights the feasibility and safety of conservative surgical management of ovarian cancer in the second trimester, demonstrating that timely intervention can optimize both maternal and fetal outcomes. The successful continuation of pregnancy after surgery reinforces the importance of individualized, multidisciplinary approaches to oncologic care during pregnancy.Penatalaksanaan Kanker Ovarium pada Kehamilan Trimester Kedua: Sebuah Laporan Kasus dan Tinjauan PustakaAbstrakPendahuluan: Karsinoma ovarium pada kehamilan merupakan kondisi yang jarang terjadi tetapi, memiliki implikasi klinis yang signifikan. Penatalaksanaannya memerlukan keputusan yang cepat dan tepat untuk mengoptimalkan hasil bagi ibu dan janin. Laporan kasus ini menyoroti keberhasilan manajemen bedah konservatif pada kanker ovarium mucinous ganas yang terdiagnosis pada trimester kedua kehamilan. Kasus ini memberikan wawasan mengenai kelayakan dan keamanan tindakan bedah selama kehamilan, serta berkontribusi terhadap literatur ilmiah terkait onkologi kehamilan.Ilustrasi Kasus: Seorang wanita berusia 21 tahun, G1P0A0, datang pada usia kehamilan 17 – 18 minggu tanpa keluhan, namun melaporkan pembesaran perut selama tiga bulan terakhir. Pada usia kehamilan 6 minggu, pasien didiagnosis dengan kista ovarium yang kemudian dikonfirmasi sebagai massa kistik besar pada ovarium kanan dengan komponen papiler melalui pemeriksaan ultrasonografi. Berdasarkan IOTA simple rules, massa tersebut dicurigai ganas. Diagnosis sementara adalah dugaan keganasan ovarium dengan diagnosis banding kista ovarium multilokular. Pasien menjalani operasi ooforektomi kanan yang terencana pada usia kehamilan 18 minggu. Hasil histopatologi menunjukkan tumor mukinosa ganas pada ovarium kanan yang tidak menyerang tuba falopi kanan. Kehamilan dilanjutkan, dan pasien dipantau secara ketat dengan rencana evaluasi lebih lanjut setelah persalinan.Kesimpulan: Kasus ini menyoroti kelayakan dan keamanan manajemen bedah konservatif pada kanker ovarium trimester kedua. Intervensi yang tepat dapat mengoptimalkan hasil bagi ibu dan janin. Keberhasilan kelanjutan kehamilan setelah tindakan bedah ini menegaskan pentingnya pendekatan multidisiplin yang disesuaikan dengan kondisi pasien dalam penatalaksanaan kanker pada kehamilan.Kata kunci: kanker ovarium, kehamilan, kanker ovarium musinosum

Title

Found 14 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 14 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 14 Documents
Search