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Yolanda Handayani
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INDONESIA
Respiratory Science
Published by Perhimpunan Dokter Paru Indonesia
ISSN : -     EISSN : 27471306     DOI : https://doi.org/10.36497/respirsci.v1i3.17
Core Subject : Health,
Health Professions Medicine & Pharmacology
Focuses on original article reviews and case reports in pulmonary and critical care medicine Scope: 1. Asthma 2. Chronic Obstructive Pulmonary Disease (COPD) 3. Lung Physiology and Sleep-Related Disorder 4. Lung Infection 5. Thoracic Oncology 6. Interstitial Lung Disease 7. Environmental Lung Disease 8. Tobacco Control 9. Occupational Pulmonary Disease 10. Pulmonary Intervention and Emergency Medicine 11. Respiratory critical care 12. Respiratory immunology and biomolecular
Arjuna Subject : Kedokteran - Kedokteran Paru dan Pernafasan
Articles 113 Documents
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Role of Interventional Pulmonology in Palliative Care Aniwidyaningsih, Wahju; Martini, Ni Putu Laksmi Ananda
Respiratory Science Vol. 6 No. 2 (2026): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v6i2.200

Abstract

Interventional pulmonology (IP) is a minimally invasive approach that plays a pivotal role in the evaluation and management of advanced thoracic diseases within palliative care. By integrating bronchoscopic and pleural techniques, IP provides effective symptom relief without the need for extensive surgical procedures or prolonged hospitalization. In malignant central airway obstruction, stenting, cryotherapy, and laser debulking offer rapid improvement in airflow and quality of life. For malignant pleural effusion, thoracentesis, pleurodesis, indwelling pleural catheters, and intrapleural fibrinolytic therapy for septated effusions provide safe and cost-effective strategies for symptom control. In selected cases of severe emphysema, bronchoscopic lung volume reduction using endobronchial valves improves lung mechanics and exercise capacity. In contrast, one-way endobronchial valves and spigots are valuable in managing persistent air leaks. With high procedural success rates and favorable safety profiles, IP is broadly applicable across diverse palliative respiratory conditions. Overall, IP provides a safe, effective, and patient-centered solution that complements standard palliative care, ensuring optimal quality of life while minimizing invasive burden.
Shoulder Pain as The First Clue: A Case Report of Pancoast Tumor with Early Presentation Munandar, Muhammad Akbar Ramadhan; Kusumastuti, Ira; Herlina, Liana; Munandar, Hendra Priatna
Respiratory Science Vol. 6 No. 2 (2026): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v6i2.202

Abstract

Background: In some cases, shoulder pain can be an early sign of a serious condition, such as a Pancoast tumor. A Pancoast tumor is a type of lung cancer located in the upper lobe of the lung. These tumors are often difficult to diagnose because their symptoms are similar to those of musculoskeletal conditions. Case: A 68-year-old man presented with a three-month history of right shoulder pain. The pain had been treated with analgesics and acupuncture but showed no improvement. The patient reported experiencing shortness of breath over the past few days. The patient had a history of smoking and unintentional weight loss. A chest X-ray revealed atelectasis and a suspicious mass in the superior lobe of the right lung. A chest CT scan confirmed the presence of a mass in the superior lobe of the right lung. A biopsy was performed to confirm the diagnosis, which revealed poorly differentiated small cell carcinoma in the right lung. The patient was subsequently diagnosed with a Pancoast tumor (with staging T4N3M1a). Discussion: A pancoast tumor is a condition which oftenly overlooked due resemblane of musculoskeletal disorders. Shoulder pain caused by this tumor may result from the tumor invading surrounding tissues. It is important for physicians to perform a thorough evaluation of patients presenting with shoulder pain, especially when risk factors are present. Conclusion: Shoulder pain as an early symptom of a Pancoast tumor is an important clinical concern for healthcare professionals. Early detection through comprehensive and appropriate evaluation can significantly improve patient prognosis.
Improving Awareness and Screening of Obstructive Lung Disease in Post-Tuberculosis Patients: A Community Service Program at Depok Ananda, Fannie Rizki
Respiratory Science Vol. 6 No. 2 (2026): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v6i2.215

Abstract

Background: Post-tuberculosis lung disease (PTLD) is a rising public health concern despite the urgency of eliminating the active infections of tuberculosis (TB). Even after successful treatment, almost half of patients continue to have limitations related to respiratory complaints, particularly dyspnea and chronic cough. This has resulted from airway and parenchymal destruction. This study was conducted as a community service program at Bhakti Yudha Hospital, Depok, to provide education and early screening of respiratory disorders in post-TB patients. Method:  This study consisted of material presentations on risk factors, warning signs of respiratory disease, and prevention of post-TB complications, followed by screening using the modified Medical Research Council (mMRC) dyspnea scale and spirometry. Patients with serious respiratory complaints will get a consultation session with the pulmonologist. The activity was carried out from May to June 2025 and involved 50 patients who had completed 6 months of TB therapy. Results: Reported that participants presented with dyspnea of varying severity: mMRC 1–2 (18%), mMRC 3 (56%), and mMRC 4 (26%). Among these, 84% of patients with mMRC >2 had a history of extensive pulmonary lesions at initial diagnosis. Spirometry revealed that 94% of patients exhibited moderate to severe mixed obstructive-restrictive impairment. Conclusion: This study highlights the importance of screening for respiratory complaints after TB treatment, the early recognition of exacerbations, and the continuation of pulmonary rehabilitation in post-TB care.

Page 12 of 12 | Total Record : 113

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