Faroek Hoesin
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Analisis Ekspresi Vascular Endothelial Growth Factor (VEGF) dan Kepadatan Mikrovaskuler pada Invasive Breast Carcinoma of No Special Type Grade 3 dengan Metastasis Kelenjar Getah Bening Aksila Maria Niasari; Faroek Hoesin
Majalah Patologi Indonesia Vol 25 No 1 (2016): MPI
Publisher : Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI)

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Abstract

Latar belakang Karsinoma payudara adalah keganasan paling sering pada wanita di seluruh dunia. Jenis histologik tersering adalah invasive carcinoma of no special type (invasive carcinoma NST). Metastasis kelenjar getah bening merupakan faktor prognostik yang bermakna. Proses metastasis melibatkan angiogenesis dengan VEGF sebagai faktor pertumbuhan yang penting. Kepadatan mikrovaskuler merupakan penghitungan kuantitatif terhadap pembuluh darah kapiler intra tumoral yang mencerminkan hasil proses angiogenesis. Peran VEGF dan kepadatan mikrovaskuler pada mekanisme proses angiogenesis potensial diterapkan pada terapi antiangiogenesis pada karsinoma payudara. Tujuan penelitian ini adalah untuk menganalisis ekspresiVEGF dan kepadatan mikrovaskuler pada invasive carcinoma NST grade 3 dengan metastasis kelenjar getah bening aksila. Metode Studi cross sectional dengan sampel yang terdiri atas 9 sampel masing-masing pada kelompok N0, N1, N2, and N3 yang didiagnosis invasive carcinoma NST selama periode Januari sampai Desember 2012 di Rumah Sakit Dr. Soetomo Surabaya. Dilakukan pulasan imunohistokimia dengan antibodi monoklonal VEGF dan CD31. Ekspresi VEGF dinyatakan secara semikuantitatif dalam skor 0, 1, 2, dan 3. Kepadatan mikrovaskuler merupakan rata-rata pembuluh darah kapiler yang terpulas positif dengan CD31 pada 5 lapangan pandang besar. Perbedaan ekspresi dianalisis dengan uji Kruskal-Wallis, Mann-Whitney, dan Anova. Korelasi antara variabel dianalisis dengan uji statistik Spearman. Hasil Terdapat perbedaan yang bermakna pada ekspresi VEGF antara N0 dan N1 (p=0,015), N0 dan N2 (p=0,031), dan N0 dan N3 (p=0,017). Terdapat korelasi antara ekspresi VEGF dengan metastasis kelenjar getah bening aksila (r=0,455, p=0,005, p
Ekspresi Matrix Metalloproteinase-9 (MMP-9), HER-/neu, dan Metastasis Kelenjar Getah Bening pada Karsinoma Payudara Duktal Invasif Threeyana Ariyati Kadi; Faroek Hoesin
Majalah Patologi Indonesia Vol 23 No 1 (2014): MPI
Publisher : Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI)

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Abstract

Background Lymph nodes metastases is the important major prognostic factor in predicting breast cancer mortality. HER-2/neu overexpression will make worse prognosis. MMP-9 is related to tumor invasion and metastases by their capacity to degrade basement membrane. Assessing HER-2/neu and MMP-9 expression before metastates occur is expected to be useful for prognostic and therapeutic assessment that can prevent patient deaths. Methods A retrospective study with cross sectional analytic approach was done. Assessment was performed on paraffin blocks of breast cancer patients who were diagnosed in Dr. Soetomo Hospitals during January 2011-December 2012 and met the criteria. MMP-9 expression was analyzed imunohistochemically. The relation between MMP-9, HER-2/neu, and lymph node metastases was investigated by Chi Square (2) tests. Results There were 26 out of 40 breast cancer cases with lymph nodes metastases, 22 of 26 cases with MMP-9 overexpression (2+ and 3+), and only 10 cases with HER-2/neu overexpression (3+). MMP-9 overexpression was 12 of 17 cases with positive HER-2/neu. There is statistically significant correlation between MMP-9 expression and lymph nodes metastases (p=0.011); whereas there is no statistical significant correlation between expression of HER-2/neu and MMP-9 (p=0.583) and between HER-2/neu expression and lymph nodes metastases (p=0.435). Conclusion MMP-9 is signifantly correlated with lymph nodes metastases. No significant relationship was found between HER-2/neu, MMP-9 and lymph nodes metastasis. Key words : breast cancer, HER-2/neu, lymph nodes metastases, MMP-9.
Ekspresi Protein HPV16 E6/18 E6 dan Protein P53 pada Adenokarsinoma Serviks Rahmi Alia; Gondo Mastutik; Faroek Hoesin
Majalah Patologi Indonesia Vol 25 No 1 (2016): MPI
Publisher : Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI)

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Abstract

Latar belakang Kejadian kanker serviks di Indonesia masih tinggi, 90% kanker serviks jenis sel skuamosa disebabkan Human Papillomavirus (HPV), dan selain itu infeksi HPV juga menimbulkan adenokarsinoma serviks. Protein Early 6 (E6) HPV memicu karsinogenesis. E6 mengikat protein 53 (p53) wild type dan mendegradasinya. Inaktivasi p53 menyebabkan gangguan mekanisme pengaturan apoptosis. E6 juga merusak DNA menimbulkan p53 mutan. Di sisi lain adenokarsinoma serviks dapat berkembang menjadi tumor berdiferensiasi baik, diferensiasi sedang, dan diferensiasi buruk. Tujuan penelitian ini untuk mengetahui apakah ada perbedaan antara ekspresi E6 dan p53 pada adenokarsinoma serviks berdiferensiasi baik, diferensiasi sedang, dan diferensiasi buruk, serta menganalisa korelasi antara ekspresi E6 dan p53pada adenokarsinoma leher rahim. Metode Rancangan penelitian menggunakan cross sectional. Sampel dibagi adenokarsinoma serviks diferensiasi baik, sedang, dan buruk, yang telah didiagnosis di Rumah Sakit Dr. Soetomo Surabaya periode Januari-Desember 2013. Sampel dilakukan pulasan immunohistokimia dengan antibody monoklonal HPV E6 dan p53. Perbedaan ekspresi HPV E6 dan p53 pada adenokarsinoma serviks dianalisa menggunakan Kruskall-Wallis. Hubungan antara ekspresi HPV E6 dan p53 pada adenokarsinoma serviks dianalisa menggunakan Spearman. Hasil Tidak didapatkan perbedaan ekspresi HPV E6 maupun ekpresi p53 pada derajat adenokarsinoma serviks (p=0,626). Terdapat hubungan yang bermakna antara HPV E6 dan p53 pada adenokarsinoma serviks (rs=0,429, p=0,018). Kesimpulan Terdapat hubungan antara ekspresi HPV E6 dengan p53 pada adenokarsinoma serviks. Peningkatan ekspresi HPV E6 seiring dengan peningkatan ekspresi p53. Tidak terdapat perbedaan ekspresi HPV E6 dan p53 pada derajat adenokarsinoma serviks. Kata kunci: adenokarsinoma serviks, E6, HPV16, p53.
Ekspresi Protein HER-2/neu pada Berbagai Tipe Karsinoma Ovarium Barliana Barliana; Faroek Hoesin; Dyah Fauziah
Majalah Patologi Indonesia Vol 23 No 1 (2014): MPI
Publisher : Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI)

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Abstract

Background HER-2/neu is second family of epidermal growth factor receptor (EGFR). Amplification of HER-2/neu gene presented in some carcinoma, especially breast carcinoma. Due to increasing incidency of ovarian carcinoma and its poor prognosis because of chemoresistancy, a study on HER-2/neu expression on ovarian carcinoma is conducted. Methods An observasional analytic design with cross sectional approach. Population and samples were paraffin blocks of many type ovarian carcinoma from archives in the Laboratory of Anatomical Pathology of Dr. Soetomo General Hospital, during January-December 2012. Fourty seven samples were obtained and stained with HER-2/neu antibody. HER-2/neu expression assessed by semiquantitative gradation of intensity. Difference of HER-2/neu expression in many type ovarian carcinoma was analyzed with Chi-Square test by probabilitas exact . Results There were 47 cases with mean age 48.51 years (range 19-68 years). Fourteen cases (29.8%) showed HER-2/neu overexpression (score 3+), Statistical analysis showed significant difference of HER-2/neu expression in ovarian carcinoma (p=0.000; coefficient contingency = 0.606). It was showed musinous and clear cell type had more overexpression of HER-2/neu. Conclusion There was HER-2/neu overexpression in ovarian carcinoma especially in mucinous and clear cell type. Key words: clear cell, endometrioid, HER-2/neu, mucinous, ovarian carcinoma, serous.
Ekspresi HER-2/neu dan Ki-67 pada Karsinogenesis Endometrium Febrina Diah Puspitasari; Faroek Hoesin; Dyah Fauziah
Majalah Patologi Indonesia Vol 23 No 1 (2014): MPI
Publisher : Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI)

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Abstract

Background Endometrial cancer is the most prevalent gynecological cancer in the Western World. In Dr. Soetomo Hospital, endometrial carcinoma is the second commonest cancer affecting women. HER-2/neu is a receptor on the cell surface which activate cellular proliferation. Ki-67 protein is present in the nucleus of cells that are actively undergoing proliferation. The role of HER-2/neu and Ki-67 overexpression in carcinogenesis of endometrial carcinoma is not clear. This study is to determine the difference of HER-2/neu and Ki-67 expression in normal endometrium, simple hyperplasia without atypia, and endometrial carcinoma endometrioid. Methods This study used cross sectional design. Samples were retrieved from Pathology archives at Dr. Soetomo Hospital during January 2011-December 2011. Normal endometrium in proliferation phase, simple hyperplasia without atypia, and endometrial carcinoma endometrioid were collected and stained with immunohistochemistry using HER-2/neu and Ki-67. Statistical analysis with Kruskal-Wallis and Mann Whitney were performed. Result There were 9 samples with glandular proliferation, 18 samples with simple hyperplasia without atypia, and 18 samples with endometrial carcinoma endometrioid type. Statistical analysis showed no significant difference of HER-2/neu expression in proliferation phase, simple hyperplasia without atypia, and endometrial carcinoma endometrioid (p=0.054) but Ki-67 expression had significant difference in proliferation phase, simple hyperplasia without atypia, and endometrial carcinoma endometrioid (p=0.001). Conclusion There was not significant difference in HER-2/neu expression but significant difference in Ki-67 expression on glandular proliferation, simple hyperplasia without atypia, and endometrial carcinoma endometrioid. Key words : endometrioid, endometrium, HER-2/neu, Ki-67, simple hyperplasia without atypia.
Profil Epilepsi Anak dan Keberhasilan Pengobatannya di RSUD Dr. Soetomo Tahun 2013 Pravita Tri Andrianti; Prastiya Indra Gunawan; Faroek Hoesin
Sari Pediatri Vol 18, No 1 (2016)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp18.1.2016.34-39

Abstract

Latar belakang. Epilepsi adalah satu dari tiga kelainan neurologis tersering yang ditemui di praktek pediatri. Insiden epilepsi di negara berkembang dua kali lebih banyak daripada negara industri.Tujuan. Mengetahui profil epilepsi pada anak dan keberhasilan pengobatannya di RSUD Dr. Soetomo, Surabaya.Metode. Studi deskriptif retrospektif menggunakan rekam medis,variabel meliputi jumlah kasus baru, usia, jenis kelamin, riwayat keluarga, EEG, CT-scan, MRI dan keberhasilan terapi selama 2013 di RSUD Dr. Soetomo Surabaya.Hasil. Terdapat 103 kasus baru epilepsi anak terbanyak usia 1-5 tahun (45,63%), laki-laki (71,84%), tanpa pengobatan sebelumnya (32,04%), riwayat keluarga kejang/epilepsi (93,20%), kelainan perinatal (83,50%), maupun gangguan tumbuh kembang (63,11%). Hasil EEG 72,84% abnormal, 61,53% CT-scan kepala normal dan 57,14% MRI normal. Tipe bangkitan 55,34% general. Obat yang diberikan adalah asam valproat (89,32%) dan 75,73% kejang dapat terkontrol.Kesimpulan. Terdapat 103 kasus baru epilepsi anak, terbanyak usia 1-5 tahun dan laki-laki. Hasil pemeriksaan EEG umumnya abnormal di lobus temporal, tetapi lebih dari separuh kasus memperlihatkan CT-scan kepala dan MRI normal. Asam valproat terbanyak digunakan mengontrol kejang.