T. Kemala Intan
Unknown Affiliation

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

Relationship of the Number of Black Dots in the Nuclei of Argyrophilic Nucleolar Organizing Regions (AgNORs) Expressed Epithelial Cells with Nottingham Grading System in Invasive Breast Carcinoma of No Special Type (IBC-NST) Mohd. Yuwanda Basrul; Delyuzar Delyuzar; T. Kemala Intan; Soekimin Soekimin; T. Ibnu Alferraly
Majalah Patologi Indonesia Vol. 35 No. 1, Januari 2026
Publisher : Perhimpunan Dokter Spesialis Patologi Anatomik Indonesia (PDSPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55816/mpi.v35i1.669

Abstract

Background Breast cancer is a malignant disease in women. The high number of breast cancer cases is caused by multiple factors, including barriers to early detection of breast cancer, socio-economic and geographical factors, and the difficulty of affordable, timely and effective health services. IBC-NST has the highest incidence among breast cancer cases with a 10 year survival rate (65-78%). AgNORs parameters have been shown to represent a reliable tool for determining the clinical outcome of cancer diseases, being an independent prognostic factor in many types of tumors.   Method Descriptive analytics research was carried out on slides from 31 patients with IBC-NST. Each slide was stained with H&E stainning to assess the Nottingham grading system and stained with AgNORs to assess the number of black dots in epithelial cell nuclei that expressed AgNORs. All clinicopathological data were taken from medical records/pathology archives. Logistic regression test (p<0.005) was used to assess the relationship between the number of black dots in epithelial cell nuclei expressing AgNORs and the Nottingham grading system in IBC-NST.   Results The highest cases were in the age group ≤40-50 years (range: 50.1 years), the highest grading was in grade 3 of the Nottingham grading system (48.8%), the lowest number of black dots was 576 dots and the highest was 1,036 dots (mean 798.80, median 710.0 and standard deviation 144.71) and the highest number of black dots was in grade 3 of the Nottingham grading system.   Conclusion Assessment of the number of black dots in the nuclei of epithelial cells expressing AgNORs associated with Nottingham grading system can be used as an indication of prognosis in patients with IBC-NST.
Hubungan Ekspresi Imunohistokimia p16INK4a terhadap subtipe dan grading histopatologi pada karsinoma sel skuamosa penis Marisi Cintya Debby Sihotang; T. Kemala Intan; Ibnu Alferraly; Causa Trisna Mariedina; Joko S. Lukito
Majalah Patologi Indonesia Vol. 35 No. 2 (2026): Mei 2026
Publisher : Perhimpunan Dokter Spesialis Patologi Anatomik Indonesia (PDSPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55816/mpi.v35i2.687

Abstract

Background Penile squamous cell carcinoma is a malignancy of the epithelial cells of the prepuce or glans penis, occupying 95% of all malignancies in the penis.The average patient age is 50 until 70 years. The p16INK4a immunohistochemistry is a cyclin dependent kinase inhibitor and can be expressed by human papilloma virus. Several studies have tried to relate this expression to eradicate this virus.  Methods This study use cross-sectional analytical study with 30 samples of histopathological preparations diagnosed as penile squamous cell carcinoma at H. Adam Malik Hospital Medan. Assessment of p16INK4a expression was made based on analysis of the percentage of positive tumor cells and staining intensity. Score 0: (no positive tumor cells). Score +1: (≤10% positive tumor cells). Score +2: (11–50% positive tumor cells). Score +3: (> 50% positive tumor cells). The color intensity of p16INK4a  is categorized as follows:  Score 0: (negative). Score 1: (weak). Score 2: (strong). Results The most common age was 40-49 years, the most location was in more than one region, the most subtype was HPV-associated ,the most weak positive expression was the HPV-associated subtype and the most strong positive expression was HPV-associated of squamous cell carcinoma of penile. The highest immunohistochemical expression of p16INK4a  was weakly positive at grade 3. Conclusion There is a significant relationship between p16INK4a and histopathological subtypes, but there was no significant with the grading of penile squamous cell carcinoma.