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Profile of Endometrial Cancer Patients in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia Alim, Kenny Dion; Tjokroprawiro, Brahmana Askandar; Kusumastuti, Etty Hary
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 14 No. 2 (2023): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V14I22023.83-88

Abstract

Highlights:1. Endometrial cancer is one of the most common cancers that affect the female genitalia.2. Endometrial cancer patients are mostly women in the age group of 51-60 years old, nullipara, with normal BMI, had type 1 endometrial cancer, and on stage II. AbstractIntroduction: Endometrial cancer is one of the most common cancers that affect the female genitalia. This study aimed to find the profile of endometrial cancer patients in Dr. Soetomo General Academic Hospital, Surabaya, from January 2019 to December 2020. Methods: Data were collected from medical records of endometrial cancer patients in Dr. Soetomo General Academic Hospital, Surabaya, from January 2019 to December 2020. There were 154 endometrial cancer patients, and 66 met the inclusion and exclusion criteria. Forty-one of those patients also had curettage grades. Data were extracted from the medical records of those patients.Results: There were 66 samples used in this study. The most common age group of patients was the age group of 51-60 years old (40.91%). The highest parity rate was nullipara (28.79%). The highest body mass index (BMI) group was the normal BMI group (42.42%). The most common type of endometrial cancer was type 1, with endometrioid adenocarcinoma (93.94%). The most common stage of endometrial cancer was stage II (36.36%). The similarity between curettage and post-operative grade was 70.73%. Patients with a history of diabetes mellitus were 6.06%, and patients with a history of hypertension were 12.12%.Conclusion: Most of the endometrial cancer patients in Dr. Soetomo General Academic Hospital, Surabaya, were women in the age group of 51-60 years old, nullipara, with normal BMI, had type 1 endometrial cancer, and on stage II. Most patients had similar curettage and post-operative grades, and only a minority had diabetes mellitus and hypertension histories.
Diagnosis and Surgical Management of Annular Pancreas in an 18-Day-Old Neonate: A Case Report Alim, Tasya Fabiola; Alim, Linawati; Alim, Kenny Dion
Medicinus Vol. 13 No. 2 (2024): February
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v13i2.10182

Abstract

Background: This case report presents a rare and challenging condition—annular pancreas—in an 18-day-old neonate. Annular pancreas is a congenital anomaly where a ring of pancreatic tissue encircles the duodenum, leading to gastrointestinal obstruction. Early diagnosis and intervention are crucial for optimal patient outcomes. The rarity of this condition in neonates underscores its clinical significance. Case Description: The patient presented with a history of persistent vomiting since birth, which initially appeared green but later turned yellow. The infant had been fed various types of milk sequentially, with vomiting occurring after each feeding. Additionally, the infant developed jaundice a week prior to presentation, which was treated without improvement in symptoms. Diagnostic modalities included abdominal X-ray, ultrasound, and upper gastrointestinal contrast study, which collectively confirmed a partial obstruction at the gastroduodenal junction due to annular pancreas. The definitive treatment involved a laparotomy for exploratory surgery, followed by a duodenoduodenostomy using the Kimura technique to address the anatomical abnormality. Postoperative management included prophylactic antibiotics, anti-emetic therapy, acid suppression, and probiotics to support recovery. The outcome of the case was favorable, with successful resolution of the gastrointestinal obstruction following the surgical intervention. Conclusions: This case underscores the importance of early recognition, precise diagnosis, and multidisciplinary intervention in managing congenital anomalies like annular pancreas, ultimately leading to favorable outcomes and improved quality of life for neonatal patients..