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Jurnal Health Sains
Published by Syntax Corporation Indonesia
ISSN : 27236927     EISSN : 27234339     DOI : http://doi.org/10.36418
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Jurnal Health Sains adalah jurnal yang diterbitkan sebulan sekali oleh Ridwan Institute. Jurnal Health Sains akan menerbitkan artikel ilmiah dalam lingkup ilmu kesehatan. Artikel yang diterbitkan adalah artikel dari penelitian, studi atau studi ilmiah kritis dan komprehensif tentang isu-isu penting dan terkini atau ulasan buku-buku ilmiah.
Arjuna Subject : Profesi Kesehatan - Bimbingan Kesehatan dan Transkripsi
Articles 762 Documents
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Case Report: Multiple Nodular Thyroid Riondi, Muhamad Afif; Santosa, Arif
Jurnal Health Sains Vol. 7 No. 2 (2026): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v7i2.2810

Abstract

Thyroid nodules are uneven and lumpy enlargements of the thyroid gland, with a prevalence of approximately 8% in the adult population and occurring more frequently in women. This case report aims to describe the evaluation and management of patients with multiple nodular thyroid. A case of a 36-year-old female patient who presented with a complaint of a neck lump that had been slowly enlarging for several months—from the size of a marble to that of a ping pong ball—is reported. The lump was palpable, solid, and painless, without symptoms of hyperthyroidism or obstruction. Physical examination revealed thyroid gland enlargement with a solid consistency. Complete blood count and HBsAg laboratory results were within normal limits. The patient was diagnosed with multiple nodular thyroid and underwent total thyroidectomy. The surgery was performed successfully without complications. Multiple nodular thyroid is generally benign but requires careful evaluation to rule out the possibility of malignancy. Definitive management through total thyroidectomy provided good outcomes in this case.
Comparison of Range of Motion (ROM) Limitations and Lymphedema in Breast Cancer Patients Following Axillary Lymph Node Dissection (ALND) and Sentinel Lymph Node Biopsy (SLNB): A Systematic Review Rahmautami, I G A Gita Dewi; Wiraguna, I Gede Wikania; Irawan, Hendry; Tirtayasa, I Nyoman Wawan; Tulus Widiana, ⁠I Gede Tuban Eling
Jurnal Health Sains Vol. 7 No. 2 (2026): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v7i2.2801

Abstract

Axillary lymph node dissection (ALND) and sentinel lymph node biopsy (SLNB) are widely used surgical procedures for breast cancer management. Previous studies have reported a lower incidence of range of motion (ROM) limitations and lymphedema following SLNB. However, no systematic review has been conducted to consolidate these findings. This research aims to systematically compare the incidence of ROM limitations and lymphedema in breast cancer patients undergoing ALND versus SLNB. The methods follow PRISMA 2020 guidelines, with a literature search conducted using PubMed, ScienceDirect, and Cochrane databases. The population included early-stage invasive breast cancer patients who underwent either SLNB or ALND. A qualitative analysis was performed to assess postoperative ROM limitations and lymphedema. Ten studies involving 8,523 patients were included. Both procedures were applied to patients with operable, early-stage invasive breast cancer. Qualitative analysis indicated that SLNB was generally associated with fewer postoperative complications, particularly in terms of ROM limitation and lymphedema. Some studies reported similar outcomes for both techniques regarding ROM limitation and lymphedema, but SLNB showed better outcomes in terms of postoperative complications such as lymphedema and ROM limitation. However, heterogeneity in definitions, assessment methods, lymph node involvement, and surgical techniques was noted across studies. This systematic review suggests that SLNB is associated with a lower incidence of ROM limitations and lymphedema compared to ALND, supporting its use as a less morbid surgical approach in early-stage breast cancer.

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