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Leptin Expression in High-grade Serous Ovarian Carcinoma: The Controversy of Leptin Paradox in Ovarian Cancer Ham, Jonathan; Masadah, Rina; Nasser, Andi Sitti Halija Diawanti; Rauf, Syahrul; Nelwan, Berti Julian; Cangara, Muhammad Husni; Miskad, Upik Anderiani; Mardiati; Tawali, Suryani
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 1 January 2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i1.2373

Abstract

Objectives : To analyse the characteristics and expression patterns of Leptin in high-grade serous epithelial ovarian carcinoma (HGSC), and to compare them with the overall serous ovarian carcinoma population. Methods : This was a cross-sectional study. A total of 77 paraffin-embedded tissue samples were collected from patients at the Wahidin Sudirohusodo Hospital over a period of 3 years. Immunohistochemical staining was performed using a polyclonal Leptin antibody. Data were analyzed using SPSS version 22.0. Results: Among HGSC patients, the majority (64.3%) were over 50 years old, and a significant portion (39.3%) were obese. Leptin showed strong cytoplasmic expression in 69.6% of HGSC tumor cells and in 100% of LGSC tumor cells (p-value = 0.004). There was no correlation between lymphovascular space invasion and leptin expression. Interestingly, leptin expression in overall serous ovarian carcinoma patients exhibited a protective effect against metastasis (p-value = 0.047), suggesting a leptin paradox exists in this type of cancer. However, this association was no longer significant when the analysis excluded the LGSC group (p-value = 0.193). Conclusion : This study suggest that leptin expression may not be a significant prognostic factor in HGSC. The appearance of the pseudo-leptin paradox phenomenon in several previous studies was confounded by sample populations with heterogeneous tumor morphology. Keywords: high-grade serous carcinoma, leptin paradox, immunohistochemistry, leptin, obesity
Reducing Women’s Cancer Rates: Early Detection of Breast Cancer and Cervical Cancer Through Self-Breast Exams (SADARI) and Pap Smears in Pinrang Regency, South Sulawesi Masadah, Rina; Nelwan, Berti Julian; Ham, Jonathan; Raharja, Siska Putri Wulandari; Gosal, Steffy Rebecca; Rauf, Syahrul
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 11, No 1 (2025): March
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpkm.99065

Abstract

Breast and cervical cancer constitute the two most prevalent cancer types globally, with a disproportionately high mortality rate among women. While cervical cancer ranks eighth in terms of incidence, it remains a significant public health concern. A common challenge is the community’s delay in seeking healthcare attributed to a dearth of information, consequently leading to delayed treatment. The Pinrang Regency Health Department and the Family Empowerment and Welfare Team (TP-PKK) of South Sulawesi identified a high incidence of breast and cervical cancer among women in the Pinrang region. A primary obstacle to addressing this issue is the absence of public awareness regarding breast and cervical cancer, including early warning signs, symptoms, and associated risks. This problem is compounded by the district’s lack of an anatomical pathology specialist, hindering public education efforts and diagnostic capabilities. The objective of this activity was to enhance awareness of early detection for these two gynecological cancers in order to reduce mortality and morbidity rates associated with cancer. The method comprised an educational session on breast and cervical cancer, practicing SADARI, attended by 145 participants, followed by Pap smear tests for 45 volunteers. Program effectiveness was evaluated through pretest and posttest. A Wilcoxon signed-rank test was conducted to compare pretest and posttest scores. The results revealed a highly significant increase in scores p = 0.000 (p<0.005), suggesting that the educational program was successful in improving participants’ knowledge. A significant proportion of participants (57.8%) reported undergoing a Pap smear for the first time, highlighting the need for enhanced awareness and knowledge-sharing efforts regarding early detection of cervical cancer. The Pinrang Regency Health Department and TP-PKK provided essential support and participation. The Institute for Research and Community Service (LPPM) funds this community service project. The project was executed under contract number 0031/UN.4.22/PM.01.01.2024.
A Retrospective Comparative Study of Clinicopathological Features in High-Grade and Low-Grade Serous Ovarian Carcinoma Ham, Jonathan; Nasser, Andi S.H.D.; Masadah, Rina; Rauf, Syahrul; Nelwan, Berti J.; Miskad, Upik A; Cangara, Muhammad H; Tawali, Suryani
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i1.1558

Abstract

Backgroud: Ovarian carcinoma is the third most common malignancy in Indonesian women after breast and cervical cancer. Serous ovarian carcinoma is the most frequent subtype, divided into low-grade and high-grade types, each with distinct genetic and biological characteristics. Objective:This study aims to compare the clinicopathological features of high-grade and low-grade serous ovarian carcinoma. Methods: A retrospective cross-sectional study was conducted using 77 paraffin-embedded samples of serous ovarian carcinoma. Clinical and pathological data including age, body mass index (BMI), age at menarche, and parity were collected and analyzed using the chi-square test. Results: Patients aged >50 years accounted for most cases, with 64.3% presenting high-grade serous carcinoma (HGSC). Overweight/obesity was observed in 40.3% of cases. Early menarche (<13 years) was reported in 78%, and 42.7% were multiparous. No significant differences were found in clinical variables between HGSC and low-grade serous carcinoma (LGSC). Histopathologically, HGSC showed more pronounced cytologic atypia, necrosis, and metastasis. Conclusion: High-grade serous carcinoma demonstrates greater aggressiveness compared to its low-grade counterpart. Histopathological assessment plays a critical role in diagnosis, treatment decisions, and prognosis evaluation.