Hasil Pencarian  ::  Simpan CSV :: Kembali

"Latar belakang: Kanker ovarium yang paling sering terjadi adalah jenis epitel, mayoritas terjadi pada perempuan usia lanjut namun ditemukan 3 - 17 wanita usia muda yaitu kurang dari 40 tahun. Meningkatnya angka survival dari keganasan ovarium maka mempertahankan fertilitas adalah hal yang sangat penting pada pasien usia muda. Prosedur diagnostik yang tepat diperlukan untuk oportunitas fungsi reproduksi pasien kedepannya, yaitu potong beku. Prosedur potong beku dapat mempertajam diagnosis dan penatalaksanaan yang terarah pada neoplasma ovarium suspek ganas dan mencegah terjadinya overprocedure maupun underprocedure. Tujuan : Mengetahui peran prosedur potong beku pada neoplasma ovarium suspek ganas pada usia dibawah 40 tahun di RSUPN dr. Cipto Mangunkusumo. Metode: Penelitian ini bersifat deskriptif dengan studi potong lintang yang dilaksanakan di RSUPN Dr. Cipto Mangunkusumo dengan menggunakan data rekam medik pada pasien neoplasma ovarium suspek ganas usia dibawah 40 tahun yang menjalani pembedahan dengan atau tanpa prosedur potong beku dari tahun 2013 hingga 2018. Hasil: Dari 109 subjek penelitian yang memenuhi kriteria inklusi didapatkan 62 kasus menjalani prosedur potong beku dengan hasil ganas (34,9%), borderline (14,7%) dan jinak (7,3%) sedangkan tanpa prosedur potong beku terdapat 47 kasus. Subjek yang menjalani potong beku didapatkan seluruh prosedur sesuai (100%) dengan kelengkapan prosedur pembedahan konservatif surgical staging, sedangkan tanpa potong beku didapatkan 4,8% outcome dengan hasil overprocedure. Kesimpulan: Tatalaksana konservatif menjadi prioritas utama dalam manajemen neoplasma ovarium suspek ganas usia muda, dengan adanya prosedur potong beku dapat menentukan tatalaksana lebih terarah secara intraoperatif.

---

Background: The most common ovarian cancer is the type of epithelium, the majority occur in elderly women but found 3-17 young women that is less than 40 years. The increased survival rate of ovarian neoplasm is to maintain fertility is very important in young patients. Appropriate diagnostic procedures are needed for the future reproductive function of the patient, which is frozen section. Frozen section procedures can diagnose clearly and directed treatment of suspected malignant ovarian neoplasms and prevent overprocedure or underprocedure.

Aim: Knowing the role of frozen section procedures in suspected malignant of ovarian neoplasms under the age of 40 years at RSCM.

Methods: This research is descriptive with a cross sectional study conducted at RSCM using medical record data on patients with suspected of malignant ovarian neoplasms age under 40 years who underwent surgery with or without frozen cut procedures from 2013 to 2018.

Results : 109 study subjects which were taken from the inclusion criteria, 62 cases underwent frozen section procedures with malignant results (34.9%), borderline (14.7%) and benign (7.3%) whereas without procedures frozen section there are 47 cases. Subjects who underwent frozen section obtained all procedures according to (100%) with complete conservative surgical staging procedures, whereas without frozen section obtained 4.8% outcome with overprocedure results.

Conclusions: Conservative management is the main priority in the management of young woman with ovarian neoplasms, with the presence of frozen section procedures can determine management more directed intraoperatively."

"The “Abtropfung” theory that nevi develop through the migration of nevus cells from the epidermis to the dermis prevailed for almost a century until the “Hochsteigerung” theory postulated the reverse pattern of migration. Most recently, however, new insights gained from epidemiology, cross-sectional and longitudinal studies of nevi, dermoscopy and confocal microscopy, and cellular and molecular studies have brought into question both of these theories. This book provides a comprehensive guide to current knowledge about nevogenesis by presenting these latest advances and in addition discusses issues yet to be resolved. It will assist practicing physicians in effectively managing patients with a variety of nevi and will also be of great value to researchers in the field. Importantly, since nevi are associated with an increased risk of melanoma, understanding nevogenesis may help to unravel some of the mysteries of melanomagenesis."

"Summary: A Guide to Oncology Symptom Management (second edition) is a comprehensive, evidence-based resource to lead oncology nursing practice, education, and research. Each chapter addresses a particular symptom, such as pain or fatigue, or an area of impact, such as spirituality or electrolyte imbalances. It takes a holistic approach, addressing a range of common concerns-physical, emotional, social, and spiritual. Some chapters also address specific populations that may have unique symptom experiences, including older adults and caregivers. All chapters provide Definitions of relevant constructs and inclusion of useful theoretical perspectives A review of pathophysiology and etiology related to cancer and specific treatments A framework for symptom assessment, including diagnostic criteria An evidence-based review of pharmacologic and nonpharmacologic management Delineation of the expected outcomes Recommendations for future research. In addition, the authors have provided case studies, patient teaching points, and links to useful information, such as clinical practice guidelines, ONS Putting Evidence Into Practice evidence reviews, and resources for patient teaching. All new to the second edition are chapters that address symptom management at the end of life, family caregiver burden, and distress, which you'll find most helpful given the new American College of Surgeons Commission on Cancer's distress screening and management standards. Also included are emerging data related to the genomics of certain symptom phenotypes such as anticipatory nausea and vomiting. The new edition is a must-have resource for oncology nurse clinicians, educators, and scientists. Add it to your medical library today. "

"Proceedings from the first International Symposium on Primo Vascular System 2010 (ISPS 2010) with special topics on cancer and regeneration was held in Jecheon, Korea during September 17-18, 2010. Includes coverage of new study results that have better revealed the functional aspects of PVS, including its roles in the areas of regenerative medicine and cancer."