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All Journal Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia
Junita Indarti
Social Obstetrics and Gynecology Consultant, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital
Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

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Pedekatan Holistik Pasien Tuberkuloma Serebri Dalam Kehamilan: Laporan Kasus Junita Indarti; Elizabeth Novita; Leonita Triwachyuni Agustina Sutrisna; Rendy Pratama
Majalah Kedokteran Indonesia Vol 71 No 6 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.6-2021-402

Abstract

Background: Tuberculoma are tumor-like space occupying lesions dispersed among various sites. Unlike pulmonary tuberculosis (TB), diagnosis and treatment of tuberculoma have received little consideration, especially those affected during pregnancy.Case: A 22-years-old women with two gestations, one parity, one abortion, and one alive child was admitted due to several syncope episodes. It was found that she had cerebral tuberculoma and received appropriate medication. Following her discharge, she was pregnant and had another symptoms. Holistic and multidiscipline approach was provided to the patient.Discussion: Cerebral tuberculoma is one of the most serious clinical forms of TB. There are some interactions between pregnancy and cerebral tuberculoma. Diagnosis and management on biopsychosocial aspect of cerebral tuberculoma in pregnancy was needed for patients, couples, and families affected.Conclusion: Tuberculoma in pregnancy is one of the challenging problem in pregnancy. Limited resource of references combined with both the mother and baby condition. It is important that healthcare providers assess the patient’s need and provide comprehensive and holistic management.
Insidensi Inspeksi Visual Asam Asetat Positif di RSUP Dr Cipto Mangunkusumo Dilanjutkan dengan Pemeriksaan Sitologi, Tes HPV DNA dan Kolposkopi: Sebuah Studi Cross Sectional Junita Indarti; Heru Prasetyo; Kristian Alda
Majalah Kedokteran Indonesia Vol 72 No 1 (2022): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.72.1-2022-750

Abstract

Introduction : Cervical cancer is most common cancer in women in Asia Oceania and worldwide. VIA(Visual Inspection after Acetic acid) is being used as an alternative in low- and middle-income countries due to the minimal equipment required. Data from recent systematic reviews and multicentre trials show that VIA to be moderately sensitive for precancerous lesions, as compared with Pap testing. This study aim to determine the incidence of positive VIA, LBC, HPV DNA testing and colposcopy findings obtained from positive VIA cases in Dr. Cipto Mangunkusumo General Hospital.Methods: This was a cross-sectional study. Data was collected from cervical cancer screening by VIA examination at Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia in 2017. Age, VIA results were recorded. The results showed abnormal and predictive cancer lesions (acetowhite lesion) were defined as a “positive test.” The positive VIA result followed by LBC, HPV DNA testing, and Colposcopy. Only 25 performed LBC and HPV DNA test, and 30 of the VIA positive were performed Colposcopy. Results: A total of 1.960 subjects were recruited for this study. The mean age of the subjects was 34.5 years, and 908 (46 %) subjects belong to the 30-40 years age group. Negative VIA result were found in 1893 subjects (96,58%) and 67 subjects (3,42%) had positive results. From 25 VIA positive subject whose gone through LBC and HPV test, 9 subjects (36%) had abnormal LBC, 3 subjects (12%) had positive HPV DNA test. From 30 positive VIA whose got colposcopy examination 17 subjects (56,6 %) had abnormal colposcopy.Conclusions: The number of VIA screening participants in RSCM, Jakarta, Indonesia with positive VIA results is low. Further studies regarding the validation of VIA are required to evaluate its diagnostic value.
Co-Authors Elizabeth Novita Heru Prasetyo Kristian Alda Leonita Triwachyuni Agustina Sutrisna Rendy Pratama