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INDONESIA
Indonesian Journal of Cancer
Published by Rumah Sakit Kanker Dharmais (Pusat Kanker Nasional)
ISSN : 19783744     EISSN : 23556811     DOI : -
Core Subject : Health,
Health Professions
The Indonesian Journal of Cancer (official journal of the Dharmais Cancer Center Hospital) is a peer-reviewed, quarterly, open access journal. Submissions are reviewed under a broad scope of topics relevant to experimental and clinical cancer research. The journal publishes original research articles, case reports, systematic literature reviews, and letters to the editor under the following categories: Cancer prevention, diagnosis, surgery, systemic therapy, radiotherapy, paliative therapy, and molecular biology.
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Articles 6 Documents
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Search results for , issue " Vol 9, No 1 (2015): Jan - Mar 2015" : 6 Documents clear
Hubungan Ekspresi Protein Bcl-2 Jaringan dengan Disease Free Survival 2 Tahun Pasien Kanker Epitel Ovarium di Rumah Sakit Dr. Soetomo, Surabaya K, ARDHANU
Indonesian Journal of Cancer Vol 9, No 1 (2015): Jan - Mar 2015
Publisher : "Dharmais" Cancer Center Hospital

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Abstract

ABSTRACTOvarian cancer is one of the most common causes of death among gynecological malignancies. Previous reports have shown that the anti-apoptotic protein Bcl-2 is over expressed in many solid neoplasms, including ovarian cancers, and contributes to neoplastic transformation and drug-resistant disease, resulting in poor clinical outcome. This study is an observational descriptive cross-cut design to determine the role of Bcl-2 protein expression as a two year disease free survival prognostic factor in patients with epithelial ovarian cancer. Data were extracted from 37 patients treated with primary surgery with or with out secondary surgery followed by adjuvant therapy, from January 1st2010 to December 31st2011, at the Division of Gynecologic Oncology, Department of Obstetric and Gynecology, Medical Faculty of Airlangga University, Surabaya, Indonesia, were retrospectively analyzed. Bcl-2 expression were analized by immunohistochemistry study. The reccurency evaluation was done by CT-scan. The time to follow-up was 24 months since patients diagnosis. Spearman and Phi correlation test were used for analysis. In this study, two year disease free survival rate of patients was found 78.4% (29 of 37), respectively, and Spearman and Phi correlation test showed that there were no significant relation between Bcl-2 expression and ovarian cancer recurrence (p=0.084). Expression of Bcl-2 as an anti-apoptotic protein in ovarian cancer was not significantly related with the tumor reccurency as a marker of the two year disease free survival.Keyword: ovarian cancer, Bcl-2 protein expression, two year disease free survival ABSTRAKKanker ovarium merupakan salah satu penyebab terbanyak kematian karena kanker ginekologi. Penelitan sebelumnya menunjukkan bahwa protein anti-apoptosis Bcl-2 ter-over-expressed pada banyak neoplasma solid, termasuk kanker ovarium; juga berkontribusi pada transformasi neoplasma dan resistansi terhadap kemoterapi yang menyebabkan luaran klinis kurang baik. Ini adalah penelitian observasional deskriptif dengan rancangan potong silang untuk melihat peran ekspresi protein Bcl-2 sebagai faktor prognostik disease free survival 2 tahun pada pasien kanker epitel ovarium. Data diambil dari 37 pasien yang menjalani operasi primer dengan/tanpa operasi sekunder yang diikuti dengan kemoterapi ajuvan, dari 1 Januari 2010 sampai dengan 31 Desember 2011, di Divisi Onkologi Ginekologi, Departemen Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Airlangga, Surabaya, Indonesia, dianalisis secara retrospektif. Ekspresi Bcl-2 diperiksa dengan teknik histokimia. Evaluasi rekurensi dilakukan dengan pemeriksaan CT-scan. Pemeriksaan dilakukan pada pasien yang sudah 2 tahun terdiagnosis kanker ovarium. Uji korelasi Spearman dan Phi dipergunakan untuk analisis data. Hasil penelitian menunjukkan angka bebas tumor 2 tahun sebesar 78,4% (29 dari 37), dan uji korelasi Spearman serta Phi menunjukkan bahwa tidak ada hubungan yang bermakna antara Bcl-2 dengan angka bebas tumor yang ditunjukkan dengan rekurensi tumor (p=0,084). Kesimpulannya, ekspresi protein sebagai protein anti-apoptosis pada kanker ovarium tidak berhubungan secara bermakna dengan rekurensi tumor sebagai petanda angka bebas tumor 2 tahun.Kata Kunci: kanker ovarium, ekspresi protein Bcl-2, angka bebas tumor 2 tahun.
Tren Tata Laksana Kanker Prostat Lokal Lanjut di Indonesia IRDAM, GAMPO ALAM
Indonesian Journal of Cancer Vol 9, No 1 (2015): Jan - Mar 2015
Publisher : "Dharmais" Cancer Center Hospital

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Abstract

ABSTRACTAim: to evaluate treatment trend of stage T3 prostate cancer based on several factors. Methods: a retrospective studywas done on stage T3 prostate cancer patients from year 1995-2013, at two national referral hospitalsin Indonesia.Treatment trends between hormonal therapy and radiotherapy based on year of treatment, PSA level, tumor grade andage groups were evaluated.Results: On 50 patients subjects, 25 (50%), 23 (46%) and 2 (4%) subjects were treated byradiotherapy, hormonal therapy and radical prostatectomy, respectively. Year of treatment were significantly associatedwith treatment selection (p=0.012), after excluding year of treatment 1995-1999 group. Hormonal therapy was preferredon high grade tumor group (53.8%) and more applied for older patients. Treatment trend was not affected by PSA level.Conclusion: Year of treatment were significantly associated with treatment selection of stage T3 prostate cancer.Hormonal therapy was preferred on high grade tumor group and older age groups.Keyword: treatment trend, locally advanced prostate cancer, radiotherapy, hormonal therapyABSTRAKPenelitian ini bertujuan mengevaluasi tren tata laksana kanker prostat stage T3 berdasarkan faktor-faktor yangmemengaruhi. Metode: studi retrospektif tata laksana kanker prostat stage T3 di Rumah Sakit Cipto Mangunkusumodan Rumah Sakit Kanker “Dharmais” periode 1995-2013. Data tren pemilihan terapi antara radioterapi atau terapihormonal dianalisis berdasarkan kelompok tahun terapi, kadar PSA, grade tumor, dan kelompok usia. Hasil penelitianmenunjukkan dari 50 subjek, 25 (50%), 23 (46%), dan 2 (4%) subjek mendapatkan tata laksana radioterapi, terapihormonal, dan prostatektomi radikal secara berturutan. Perubahan tren pemilihan terapi berdasarkan tahun terapisecara statistik signifikan (p=0,012), dengan mengeksklusikan kelompok periode terapi 1995-1999. Terapi hormonallebih menjadi pilihan untuk kelompok tumor high grade (53,8%) dan lebih sering dipilih seiring bertambahnya usiapasien. Kadar PSA tidak memengaruhi tren pemilihan terapi. Kesimpulan: terdapat perubahan yang bermakna dalampemilihan terapi kanker prostat stage T3 berdasarkan tahun terapi. Terapi hormonal lebih menjadi pilihan pada kasusdengan tumor high grade dan kelompok usia yang semakin tua.Kata Kunci: tren terapi, kanker prostat lokal lanjut, radioterapi, terapi hormonal
Kolangiokarsinoma dan Infeksi Virus Hepatitis PRAMONO, LAURENTIUS A.
Indonesian Journal of Cancer Vol 9, No 1 (2015): Jan - Mar 2015
Publisher : "Dharmais" Cancer Center Hospital

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Abstract

ABSTRACTCholangiocarcinoma is a cancer which derived from biliary epithelial. This malignancy is rare, but have poor prognosis. Manifestation of liver flukes, primary sklerosing cholangitis, hepatolithiasis, and malformation of the biliary tree all this time are known to be risk factors for cholangiocarcinoma. In recent years, it has been shown that infection of hepatitis B and hepatitis C viral are also cholangiocarcinogenic, so it is known to become ‘new’ risk factor for cholangiocarcinoma. A literature study was conducted to search for pathogenesis theory and evidence in clinical and community study. Most basic, epigenetic, pathologic, clinical, and community studies revealed that there is a link between hepatitis viral infection and intrahepatic cholangiocarcinoma. Unfortunately, the link between the infection and extrahepatic cholangiocarcinoma remain unclear. Look at the analysis, in the future, we must take more attention to chronic hepatitis patients for the risk of getting cholangiocarcinoma, while in cholangiocarcinoma, we must also consider about the risk factors such as hepatitis viral infection in the patients. Keywords: cholangiocarcinoma, hepatitis B, hepatitis C, cholangiocarcinogenic ABSTRAKKolangiokarsinoma adalah kanker yang berasal dari epitel bilier. Keganasan ini termasuk jarang, namun memiliki prognosis yang buruk. Manifestasi cacing hati, kolangitis sklerosis primer, hepatolitiasis, dan malformasi bilier selama ini diketahui merupakan faktor risiko kejadian kolangiokarsinoma. Beberapa tahun terakhir diketahui bahwa infeksi virus hepatitis B dan hepatitis C juga memiliki sifat kolangiokarsinogenik sehingga menjadi faktor risiko ‘baru’ bagi kejadian kolangiokarsinoma. Penelusuran literatur mengenai patogenesis dan bukti ilmiah dalam studi klinis dan epidemiologi dilakukan untuk mengkaji hubungan antara infeksi virus hepatitis B dan C dengan kolangiokarsinoma. Sebagian besar riset dasar, epigenetik, patologi, klinis, dan komunitas (populasi) menyiratkan adanya hubungan antara infeksi virus hepatitis B dan C dengan kolangiokarsinoma intrahepatik. Sayangnya, hubungan infeksi kedua virus dengan kolangiokarsinoma ekstrahepatik masih belum jelas. Melihat kajian ini, ke depan perlu perhatian lebih kepada pasien hepatitis kronis terhadap risiko kolangiokarsinoma. Sementara, bagi pasien kolangiokarsinoma, perlu pencarian faktor risiko, yang salah satunya adalah infeksi virus hepatitis kronis.Kata Kunci: kolangiokarsinoma, hepatitis B, hepatitis C, kolangiokarsinogenik
Efek Laserpunktur pada Titik MA-TF1 Shenmen dan MA-AT Kelenjar Parotis terhadap Gejala Xerostomia Pasien Kanker Nasofaring Pasca-radioterapi SRILESTARI, ADININGSIH
Indonesian Journal of Cancer Vol 9, No 1 (2015): Jan - Mar 2015
Publisher : "Dharmais" Cancer Center Hospital

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Abstract

ABSTRACTXerostomia (dry mouth) is a chronic & acute effect on a cancer patient who receives radiation therapy on the areas ofhead and neck. Earlier studies state that acupuncture helps to relieve the symptoms concerning cancer and xerostomiais one. Laserpuncture is an acupuncture therapy technique that uses the benefit of low energy laser beam that does notgenerate pain and is not an invasive procedure which is more comfortable for patients. This research involved 44xerostomia patients who have underwent complete radiotherapy on the minimum course of 3 months up to amaximum of 1.5 years before going through with the research; the research is clustered into ear laserpuncture and shamlaserpuncture groups. The result shows a mean Xerostomia Inventory (XI) score between two states of pre against postlaserpuncture of 3 and 6 times of treatment that were tested on case group and control group; there’s a mean score oflife quality of pre treatment compared to post treatment of laserpucture on those who underwent 3 times and 6 timeslaserpucture treatment on case group and control group on every variable of life quality, except financial difficulties (FI);and there is a mean pH score on the saliva of those undergoing treatment between the states of pre and post 6 timeslaserpuncture treatment on case group and control group. From this study, we can conclude that laserpuncture on earacupoints MA-TF1 Shenmen and MA-AT parotis gland might increase saliva pH and reduce XI score, and we canconsidered as an adjuvant treatment in xerostomia on cancer patients post radiotherapy.Keyword: ear laserpuncture; xerostomia Inventory; pH saliva; life quality.ABSTRAKXerostomia (mulut kering) merupakan efek akut dan kronik pada pasien kanker yang mendapat terapi radiasi padadaerah kepala dan leher. Beberapa studi pendahuluan mengemukakan bahwa akupunktur meringankan gejala ataukeluhan yang berhubungan dengan kanker, di antaranya xerostomia. Laserpunktur merupakan teknik terapi akupunkturyang memanfaatkan sinar laser energi rendah yang tidak menimbulkan rasa nyeri serta tidak invasif sehingga lebihnyaman bagi pasien. Penelitian ini melibatkan 44 pasien xerostomia yang telah menjalani radioterapi lengkap minimal3 bulan dan maksimal 1,5 tahun sebelum mengikuti penelitian. Pasien dibagi menjadi kelompok laserpunktur telingadan kelompok laserpunktur sham. Hasil penelitian menunjukkan terdapat rerata selisih skor Xerostomia Inventory (XI)antara sebelum tindakan laserpunktur dengan setelah memperoleh tindakan laserpunktur 3 kali dan 6 kali padakelompok kasus dan kontrol. Terdapat rerata selisih skor kualitas hidup antara sebelum tindakan laserpunktur dengansetelah memperoleh tindakan laserpunktur 3 kali dan 6 kali pada kelompok kasus dan kontrol pada semua variabelkualitas hidup, kecuali variabel financial difficulties (FI). Terdapat rerata selisih pH saliva antara sebelum tindakanlaserpunktur dengan setelah memperoleh tindakan laserpunktur 6 kali pada kelompok kasus dan kontrol.Dari hasil penelitian ini dapat disimpulkan bahwa laserpunktur pada titik akupunktur telinga MA-TF1 Shenmen danMA-AT kelenjar parotis dapat meningkatkan pH saliva dan menurunkan skor XI sehingga dapat dipertimbangkansebagai salah satu penunjang pengobatan xerostomia pada pasien kanker nasofaring pasca-radioterapi.Kata Kunci: laserpunktur telinga; xerostomia Inventory; pH saliva; kualitas hidup.
Hubungan antara Genotyping DNA Human Pappillomavirus (HPV) dengan Respons Terapi Radiasi pada Adenokarsinoma Serviks HARDJOLUKITO, WIDYORINI LESTARI
Indonesian Journal of Cancer Vol 9, No 1 (2015): Jan - Mar 2015
Publisher : "Dharmais" Cancer Center Hospital

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Abstract

ABSTRACTThe object of this study to know the type of DNA Human Papilloma Virus genotyping in adenocarcinoma cervical cancer,espescially in Cipto Mangunkusomo Hospital and Cancer Centre Dharmais Hospital. The importance of humanpapilloma virus (HPV) infection in the outcome of cervical cancer after radiotherapy remains unknown. Our studyexplored whether the HPV status of tumors and also persistence of the HPV infection is related with the outcome ofradiotherapy in patients with cervical cancer.The biopsy cervix samples taken from 12 patients with Adenocarcinoma cervical cancer (Stage IIB-IIIB) that met in theinclusion criteria. The HPV genotyping examination was conducted twice, before and 3 month after radiation therapy. Thesubjects treated by radiation therapy without sensitizer according to standard procedures. After underwent completeradiation, response of radiation therapy was conducted by clinical assessment and repeated HPV genotyping test.Result: a total of 12 patients had been collected in this study. From this sample, there were found HPV-positive tumors in91,7% (11 cases ) of patients, with the details of a single infection of 75% and 16,7% multiple infections. Based on the typeof HPV type 18 was obtained (66,7%), type 45: 8,3%. Persistent infection with HPV after radiation encountered by 41,7%.Complete clinical responsse observed in the single infection group number of 66,7%, while in the group of multipleinfections by 50% (p = 1,000). While HPV infection settled with a complete clinical responsse by 16,7% (p = 0,015).There weren’t clinically relationships between clinical complete responsse with single or multiple HPV infection (p =1,000). There were clinically relationship between persistent HPV infection with complete clinical responsse (p = 0,015).Keyword: cervical cancer, genotyping HPV DNA, persistent infection, clinical responsseABSTRAKPenelitian ini bertujuan untuk mengetahui jenis genotipe DNA HPV pada kasus adenokarsinoma serviks , terutama diRSUPN Cipto Mangunkusumo dan RS Kanker “Dharmais”. Penelitian ini juga bertujuan untuk mengetahui hubunganantara genotipe DNA HPV dengan respons klinis radiasi serta mengetahui terjadinya infeksi HPV menetap responsklinis terapi radiasi.Dua belas penderita kanker serviks stadium IIB-IIIB dengan hasil histopatologi adenokarsinoma serviks sesuai dengankriteria inklusi dilakukan pemeriksaan genotipe HPV DNA yang berasal dari biopsi serviks. Sampel penelitian diberikantata laksana dengan terapi radiasi tanpa sensitizer sesuai prosedur standar. Tiga bulan setelah dinyatakan selesairadiasi, dilakukan penilaian respons klinis radiasi dan pemeriksaan genotipe DNA HPV ulang.Dari 12 sampel penelitian, didapatkan infeksi HPV sebelum radiasi 11 sampel (91,7%) dengan perincian infeksi tunggal75% dan infeksi multipel 16,7%. Berdasarkan tipe HPV, diperoleh infeksi tunggal tipe 18 (66,7%) dan tipe 45 (8,3%).Infeksi menetap HPV setelah radiasi, baik pada infeksi tunggal maupun multipel sebesar 41,7%. Respons klinis komplitdijumpai pada kelompok infeksi tunggal sejumlah 66,7%; sedangkan pada kelompok infeksi multipel sebesar 50%(p=1,000) dan infeksi HPV menetap dengan respons klinis komplit sebesar 20,0% (p=0,015). Penelitian ini menyimpulkan bahwa tipe HPV DNA terbanyak dijumpai pada penderita adenokarsinoma serviks adalah tipe 18, yaitu 83,4%. Infeksi HPV menetap setelah radiasi sebanyak 41,7%. Tidak terdapat perbedaan respons klinis antara infeksi tunggal dan infeksi multipel HPV, tetapi tidak terdapat hubungan yang signifikan (p=1,000). Infeksi menetap HPV berhubungan secara klinis dengan respons klinis terapi radiasi (p=0,015).Kata Kunci: kanker serviks, adenokarsinoma, tipe DNA HPV, infeksi HPV menetap, respons terapi.
Sacral Tumor: Experience in a Single Institution KAMAL, ACHMAD FAUZI
Indonesian Journal of Cancer Vol 9, No 1 (2015): Jan - Mar 2015
Publisher : "Dharmais" Cancer Center Hospital

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Abstract

ABSTRACTIntroduction. Sacral tumors are rare, and experience of these tumors is usually limited to a small number of patients. Inthis study, we evaluated profile, survival rates, and functional outcome in a series of sacral tumor treated in our institution.Method. We retrospectively reviewed the records of 22 sacral tumor patients from January 1995 to February 2014 inCipto Mangunkusumo National Central Hospital, Jakarta, Indonesia. Kaplan-Meier method was used to describedsurvival and functional outcome. Their correlation with clinical profile, histological type, level of sacral involvement,treatment, and complication were analyzed by Log rank test.Results. From 22 patients, 5 of them were excluded from this study. Thus, there were 17 cases of sacral tumor, 16 ofthem were malignant and one case was benign. In Kaplan-Meier Analysis, there were no significant difference insurvival found between sex, age group, biopsy type, level of sacral involvement, treatment, and complication. There wassignificant difference in survival found between histopathology result (p=0.012), and giant cell tumor GCT showed thehighest survival, followed by chordoma, metastatic lession, and Ewing Sarcoma. Sacral tumor at the level of S2 andbelow had better functional outcome compared to the one above S2 (p=0.001). There were no difference in functionaloutcome found between histopathology type and treatment (p=0.137 and p=0.210).Conclusion. The majority of primary tumors of sacrum are chordoma which present with nonspecific early signs andsymptoms. Survival rate and functional outcome of the sacral tumor patients were determined by histopathology resultand level of sacral involvement. Lower level of sacral involvement lead to better survival and functional outcome.Keyword: sacral tumors, chordoma, giant-cell tumor, metastasis, survival, functional outcomeABSTRAKPendahuluan. Tumor sakrum sangat jarang ditemukan; dan pengalaman mengenai tumor sakrum biasanya terbataspada sejumlah kecil pasien. Dalam studi ini, kami mengevaluasi profil, tingkat kesintasan, dan luaran fungsional dariserangkaian tumor sakrum yang dirawat di institusi kami.Metode. Kami telah mengevaluasi 22 pasien tumor sakrum dari Januari 1995 sampai Februari 2014 secara retrospektif diRumah Sakit Umum Pusat Nasional Cipto Mangunkusumo Jakarta Indonesia. Metode Kaplan-Meier digunakan untukmenganalisis angka kesintasan dan luaran fungsional. Hubungan antara kesintasan dan luaran fungsional dengan profilklinis, jenis histopatologi, level sakrum yang terlibat, penatalaksanaan, dan komplikasi dianalisis dengan Log rank test.Hasil. Dari 22 pasien, hanya 17 pasien tumor sakrum yang dimasukkan ke dalam studi ini (5 kasus diekslusi), 16 kasusdengan tumor ganas dan 1 kasus dengan tumor jinak. Hasil analisis Kaplan-Meier menunjukkan tidak ada perbedaanyang bermakna pada angka kesintasan terhadap jenis kelamin, kelompok umur, jenis biopsi, level sakrum yang terlibat,penatalaksanaan, dan komplikasi. Hasil uji statististik menunjukkan perbedaan yang bermakna antara kesintasandengan hasil histopatologi (p = 0,012), giant cell tumor menunjukkan kesintasan hidup tertinggi, diikuti oleh Chordoma,lesi metastasis, dan Ewing Sarcoma. Tumor sakrum setinggi S2 ke bawah memiliki luaran fungsional yang lebih baikdibandingkan dengan level di atas S2 (p = 0,001). Hasil uji statistik menunjukkan tidak ada perbedaan yang bermakna antara luaran fungsional dengan jenis histopatologi dan penatalaksanaan(p = 0,137 dan p = 0,210). Kesimpulan. Mayoritas tumor primer pada tulang sakrum adalah chordoma yang muncul dengan gejala dan tanda-tanda awal yang tidak spesifik. Angka kesintasan dan luaran funsional pasien tumor sakrum dipengaruhi oleh jenis histopatologi dan level sacrum yang terlibat. Semakin rendah level sacrum yang terlibat, semakin baik kesintasan dan luaran fungsional.Kata Kunci: Tumor sakrum, Chordoma, giant cell tumor, metastasis,kesintasan, luaran fungsional

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