Asdi Wihandono
Department Of Surgery, Faculty Of Medicine, Universitas Airlangga, RSUD Dr. Soetomo, Surabaya Indonesia

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The Correlation between the Level of Physical Activity and the Incidence of Breast Cancer in RSUD Dr. Soetomo Surabaya Yovita Kristiani Widiyatno; Asdi Wihandono; Samsriyaningsih Handayani
Indonesian Health Journal Vol. 3 No. 1 (2024): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v3i1.356

Abstract

Breast cancer is one of the most common cancers worldwide. This study aims to investigate and analyze the relationship between the level of physical activity and the occurrence of breast cancer at Dr. Soetomo Hospital Surabaya. The research method employed in this study is correlation analysis. The sample population was obtained from the Cancer Service Development Center (PPLK) at Dr. Soetomo Hospital Surabaya. The results of this study indicate that the majority of the 53 research subjects suffering from breast cancer had low-intensity physical activity since childhood to adolescence, with 41.5% of the total subjects (22 patients). In contrast, only 24.5% (13 patients) and 34% (18 patients) had moderate and high-intensity physical activity, respectively. Statistical analysis using Microsoft Excel version 2019 and SPSS showed that the calculated Chi-square value was greater than the tabulated Chi-square value, thus rejecting the null hypothesis (H0). This indicates a significant relationship between the intensity of physical activity during childhood to adolescence and the occurrence of breast cancer in the research subjects. This study implicates the importance of awareness regarding the significance of physical activity in maintaining breast health, especially from a young age. The practical implication of this research is the necessity of a preventive approach to breast cancer involving the promotion of a healthy lifestyle and regular physical activity, particularly during childhood and adolescence.
FAKTOR RISIKO PENGGUNAAN KONTRASEPSI HORMONAL PADA KEJADIAN KANKER PAYUDARA DI RSUD DR.SOETOMO SURABAYA Fakhira, Avisha; Wihandono, Asdi; Umiastuti, Pirlina
Mitra Raflesia (Journal of Health Science) Vol 16, No 1 (2024)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

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Abstract

Latar Belakang : Berdasarkan data terbaru dari Global Cancer Observatory 2020, sekitar 65 ribu wanita Indonesia telah dan masih berjuang melawan kanker payudara. Dengan demikian, dapat dikatakan bahwa kanker payudara merupakan salah satu jenis masalah kesehatan yang membutuhkan perhatian lebih, terutama oleh para Wanita. Terdapat faktor-faktor risiko yang dapat meningkatkan angka kejadian kanker payudara di Indonesia. Walaupun belum diketahui secara pasti, penggunaan kontrasepsi hormonal merupakan salah satu penyebabnya. Penelitian ini bertujuan untuk menentukan faktor risiko penggunaan kontrasepsi hormonal pada kejadian kanker payudara di RSUD Dr. Soetomo Surabaya.Metode : Penelitian ini menggunakan rancangan penelitian jenis penelitian analitik. Rancangan penelitian observasional dengan pendekatan case control. Studi ini dilakukan dengan membandingkan kelompok kasus pasien dengan kanker payudara dan kelompok kontrol yaitu pasien tanpa kanker payudara. Perhitungan sampel penelitian menggunakan perhitungan Fleiss dengan CC (Continuity Correction), diperoleh total besar sampel sebanyak 114 (kelompok kasus yakni penderia kanker payudara sebanyak 57 dan kelompok kontrol yakni bukan penderita kanker payudara sebanyak 57). Variabel yang diamati yaitu penggunaan jenis kontrasepsi hormonal oral, AKDR, injeksi, implan, lama penggunaan kontrasepsi hormonal, serta kejadian riwayat kanker payudara. Analisis dilakukan secara univariat, bivariat, dan multivariat.Hasil : Berdasarkan hasil analisis diketahui jika dari keempat KB hormonal yakni oral, AKDR, injeksi, dan implan, yang memiliki faktor risiko terhadap kejadian kanker payudara adalah KB hormonal jenis injeksi. Hal tersebut dibuktikan dengan nilai p value dari hasil analisis bivariat dan multivariat (0,015, 0,013, dan 0,021) < 0,05, serta nilai OR 3,041, 3,306, dan 2,756Simpulan : Dapat dikatakan bahwa penggunaan kontrasepsi hormonal jenis injeksi dapat meningkatkan risiko terjadinya kanker payudara sebesar 3 kali (ada peningkatan risiko penyakit dengan adanya peningkatan paparan) dibandingkan dengan responden yang tidak menggunakan kontrasepsi hormonal jenis injeksi Kata Kunci : Kontrasepsi Hormonal, Kejadian Kanker Payudara
Desmoid Tumor Patients Profile in Dr. Soetomo Surabaya Hospital: A Rare Event Beatta Meidini Rahmat; Edwin Danardono; Asdi Wihandono
Jurnal Health Sains Vol. 6 No. 1 (2025): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i1.1462

Abstract

Desmoid tumor (DT) is a fibroblast soft tissue tumor that deep seated connective tissue malignancy developing in musculoaponeurtic tissues. Desmoid tumor is a rare tumor, reported 5-6 cases per million population and account 0.03% of all neoplasm yet the etiopathogenesis of this tumor remains unclear. DT most commonly develops between the age of 15-60 years and common in females, although it rarely metastasized but locally aggressive and affect the adjacent structures. Knowing the profile of desmoid tumor patients at RSUD Dr. Soetomo Surabaya for the period January 2020 – December 2024. Including demographic patients, risk factors, tumor sites, and patients’ managements. All patients between January 2020-December 2024 whose primary DTs were observed. Datas were obtained and observational descriptive study conducted from medical files to record patient’s age, sex, tumor site, and therapeutic managements. All 16 patients were obtained during 5 years with female predominantly (1:4) and adult was more common 19-44 years. Risk factors including in this study were history of trauma, history on pregnancy, and hormonal contraceptive. Location of tumors were found mostly in abdominal wall and the therapy conducted were surgery followed by chemotherapy, and combination of hormonal therapy, TKIs, and radiotherapy. DT is a rare fibroblastic neoplasm that shows locally aggressive behavior with very low incidence annually with female, history of trauma, history of pregnancy, and hormonal contraceptive as a major risk factors. The therapeutic management includes multidisciplinary approach.