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Case Report : Karsinoma Duktal Invasif pada Payudara Pria Danisa Indira Fatma; Muharriansyah Muharriansyah
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 2 (2025): Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i2.4948

Abstract

Breast cancer is a rare disease in men, accounting for approximately 0.5-1% of all breast cancer cases. Although current data show a slow increase in incidence, epidemiological data on male breast cancer are still limited compared with female breast cancer due to its rarity. This case study discusses a 70 year old man with a previous history of invasive ductal carcinoma who presented with complaints of a hard lump in the right breast that had recurred several times. Biopsy results showed invasive ductal carcinoma. The patient had previously undergone a radical mastectomy of the right breast, but the patient refused adjuvant chemotherapy after the initial dissection. Based on the tumor stage, it was found to be T4bN1M0 and then a mastectomy was performed. Based on this case, it was found that the importance of complete and comprehensive treatment of invasive ductal carcinoma in men is expected to become a guide to promote additional treatment for removal of the primary tumor in male breast cancer.
Upaya Penanganan Pasien Skabies Usia 23 Bulan Melalui Pendekatan Kedokteran Keluarga di Puskesmas Simpang Keuramat Danisa Indira Fatma; Noviana Zara
Inovasi Kesehatan Global Vol. 2 No. 3 (2025): Agustus : Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v2i3.2219

Abstract

A 23-month-old female patient presented with red, itchy bumps, accompanied by intense itching, which caused the skin to peel from scratching. These symptoms began less than a month before the visit and worsened one week before seeking treatment. The fluid-filled bumps burst due to scratching, causing sores and peeling skin. The itching was constant and tended to worsen at night. The use of moisturizer by the patient's mother provided little relief. The onset of these symptoms coincided with a visit from the patient's mother's younger brother, a student at the Islamic boarding school (Santri), who was staying at the patient's home during the holidays. Less than a month later, similar symptoms began to be felt by the patient, her siblings, and both parents. The diagnosis was based on primary data obtained through a history taking with the patient's mother, a direct physical examination during a home visit, and completion of the family file and the patient's medical records. The patient, suspected of having scabies, was treated with 5% permethrin cream, applied as directed, and cetirizine to reduce the itching. Case assessments are conducted holistically, assessing the initial condition, process, and final outcome of each visit both quantitatively and qualitatively. Interventions include not only treatment but also comprehensive family education. This education includes an explanation of the etiology and transmission of scabies, the importance of maintaining personal and environmental hygiene, and potential complications such as secondary skin infections due to scratching. The goal of this education is to improve patient and family compliance with therapy, prevent reinfection, and break the chain of disease transmission in the home environment. This approach is expected to not only reassure the patient but also raise family awareness of the importance of clean and healthy living practices as a long-term preventative measure.