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Willy Astriana
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Cendekia Medika : Jurnal Stikes Al-Ma`arif Baturaja
Published by Sekolah Tinggi Ilmu Kesehatan Al Ma'Arif
ISSN : 25031392     EISSN : 26205424     DOI : https://doi.org/10.52235/cendekiamedika.v7i2
Core Subject : Health,
Nursing Public Health
This journal is intended as a medium for communication among stakeholders on health research such as researchers, educators, students, practitioners of Health Office, Department of Health, Public Health Service center, as well as the general public who have an interest in the matter. This journal contains a script on Health Sciences that includes: Nursing, Midwifery, and Public health
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 2 Documents
 1 
Search results for , issue "Vol. 11 No. 2 (2026): April - June" : 2 Documents clear
MULTIBACILLARY LEPROSY IN TWO ADULT PATIENTS: A CASE REPORT WITH PERIPHERAL NERVE INVOLVEMENT Rilliani Hastuti; Indri Widya Sari; Nurita Bangun Hutahean; Lilis Khairani; Ghiffari, Ahmad; Thia Prameswarie
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 2 (2026): April - June
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i2.748

Abstract

Multibacillary leprosy remains a significant public health issue due to its potential to cause progressive nerve damage, disability, and ongoing transmission if not detected and treated early. This case report highlights two cases that underscore key lessons in leprosy management. In Case 1, despite the patient completing multidrug therapy (MDT) and being declared cured, the re-emergence of skin lesions raised the possibility of relapse, reinfection, or leprosy reaction, emphasizing the importance of post-MDT follow-up for patients. Meanwhile, Case 2 illustrates the need for early detection of peripheral neuropathy in patients with neuropathic ulcers without pain, leading to the loss of protective sensation. Peripheral nerve involvement in both cases underscores the need for thorough neurological evaluation to prevent permanent disability. The specific clinical lesson is that in-depth neurological evaluation and continuous post-MDT monitoring are crucial for preventing nerve complications and early relapse detection, thereby improving patient quality of life.
AGGRESSIVE SOLID PSEUDOPAPILLARY NEOPLASM OF THE PANCREAS WITH MULTIORGAN INFILTRATION AND SYNCHRONOUS HEPATIC AND INTESTINAL METASTASES: A CASE REPORT Gunawan, Vidro Alif; Fahriza Utama; Rudyanto; Gunawan Tohir; Khairani, Lilis; Ghiffari, Ahmad
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 2 (2026): April - June
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i2.753

Abstract

Solid pseudopapillary neoplasm (SPN) of the pancreas is a rare epithelial tumor that predominantly affects young women and is generally regarded as a low-grade malignant neoplasm with favorable prognosis after complete surgical resection. However, a small subset of cases may exhibit aggressive behavior, including local infiltration and distant metastases. This case is noteworthy because it demonstrates that SPN may present with indolent and nonspecific symptoms despite already showing aggressive intraoperative findings. A 25-year-old woman presented with a 3-month history of intermittent dull epigastric pain, progressive abdominal enlargement, early satiety, abdominal discomfort, and occasional nausea. Physical examination revealed abdominal distension with a palpable mass in the epigastric to left hypochondriac region. Abdominal ultrasonography demonstrated a pancreatic mass measuring approximately 6–8 cm with solid and cystic components, while computed tomography showed a well-defined encapsulated solid-cystic pancreatic mass suggestive of SPN. The patient underwent tumor resection. Intraoperatively, infiltration to the bowel, ovary, and pancreas, as well as hepatic and intestinal synchronous metastaseses, were identified, without major vascular involvement. Histopathologic examination revealed pseudopapillary structures composed of monomorphic tumor cells with cystic degeneration and hemorrhage, consistent with SPN. SPN should be considered in young women presenting with slowly progressive, nonspecific abdominal symptoms and a large solid-cystic pancreatic mass. The main contribution of this case is to emphasize that SPN, although usually indolent, may already demonstrate aggressive behavior at presentation. Integration of clinical presentation, imaging, intraoperative findings, and histopathology remains essential for diagnosis and surgical decision-making, particularly in resource-limited settings where tumor markers and immunohistochemistry are not available.

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