Majalah Patologi Indonesia
Majalah Patologi Indonesia (MPI) digunakan sebagai wahana publikasi hasil penelitian, tinjauan pustaka, laporan kasus dan ulasan berbagai aspek di bidang patologi manusia. Tujuannya ialah menghadirkan forum bagi permakluman dan pemahaman aneka proses patologik serta evaluasi berbagai penerapan cara diagnostik sejalan dengan kemajuan perkembangan ilmu dan teknologi. Selain itu juga untuk merangsang publikasi barbagai informasi baru/mutakhir.
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<![CDATA[Ekspresi HPV16 Onkoprotein E7 pada Lesi Prakanker dan Karsinoma Sel Skuamosa Serviks ]]>
<![CDATA[Verli Saniba]]>;
<![CDATA[Wresnindyatsih]]>;
<![CDATA[Zulkarnain Musa]]>;
<![CDATA[Zen Hafy]]>
<![CDATA[ Majalah Patologi Indonesia Vol 29 No 2 (2020): MPI ]]>
Publisher : <![CDATA[Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI) ]]>
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DOI: 10.55816/mpi.v29i2.409
<![CDATA[BackgroundCervical cancer is the secondmost common malignancy in women worldwide.The vast majority of cervical cancersare associatedwith high risk HPV16 infection. The persistence of HPV16 and integration of viral DNA into cell genome are necessary for thedevelopment of precancerous lesion and squamous cell carcinoma (SCC) of the cervix. The integration of viral DNA in the host cellgenome resulted in the regulation of oncoprotein E7 leading to detection of HPV16 E7 expression in precancerous lesions and SCCof the cervix.The aim of this study was to evaluate differences of HPV16 E7 expression in precancerous lesions and cervical SCC.MethodsAn observational study with cross-sectional design was performedat Department of Anatomical Pathology Faculty of MedicineUniversity of Sriwijaya/dr. Mohammad Hoesin General Hospital Palembang, from 1st July 2014 to 30st Juni 2017. The selectedsamples consisted of 25 precancerous cases lesions (13 cases of LSIL and 12 samples of HSIL) and SCC (25 cases).Immuhistochemical stained was conducted using HPV16 E7 antibody. Fisher exact’s test was used to analyze differences inexpression of HPV16 E7 among precancerous lesions and cervical SCC.ResultsThe pracancerous lesions occurred mostly between the ages of 30-40 years, while SCC were those between the ages of 51-60years. All SCC cases (100%) and 91.6% of HSIL showed weak to strong HPV16 E7 expression, and 84.6% cases of LSIL showedimmunonegative.ConclusionThe positivity of HPV16 E7 increased in HSIL and KSS lesions.]]>
<![CDATA[Identifikasi Polimorfisme Gen CYP1A1 pada Karsinoma Sel Skuamosa dan Adenokarsinoma Serviks ]]>
<![CDATA[Hilda Fitriyani]]>;
<![CDATA[Delyuzar]]>;
<![CDATA[Hidayat]]>
<![CDATA[ Majalah Patologi Indonesia Vol 29 No 2 (2020): MPI ]]>
Publisher : <![CDATA[Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI) ]]>
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DOI: 10.55816/mpi.v29i2.410
<![CDATA[BackgroundCervical cancer is the third most common cancer in women with risk factor of smoking, high parity, long term use of oralcontaception that are associated with chemical carcinogenesis. Chemical carcinogenesis require biotransfor-mation of lipophilicsubstrates to hydrophilic metabolites, therefore facilitating their secretion from the human body. Cytochrome P450 (CYP) is one ofgenes that have important role in this process. Benzo[α]pyrene and estrogen have a common biotransformation process which ismetabolized by CYP, particularly CYP1A1. The objectives to identify the frequency and distribution of CYP1A1 gene polymorphismin squamous cell carcinoma and adenocarcinoma of the cervix.MethodsThis is an analytical descriptive study with cross sectional approach. CYP1A1 gene polymorphism (3801T/C or Ile462Val) wasanalyzed using PCR-RFLP method followed by gel electrophoresis.ResultsCYP1A1 gene polymorphisms (3801TC) in squamous cell carcinoma were 50% heterozygote T/C, 36% wild-types T/T and 14%homozygote C/C. CYP1A1 gene polymorphisms (3801TC) in adenocarcinoma were 60% heterozygote T/C and 40% wild-types T/T.CYP1A1 gene polymorphisms (Ile462Val) in squamous cell carcinoma were 97.2% heterozygote Ile/Val, and 2.8% homozygoteVal/Val. CYP1A1 gene polymorphisms (Ile462Val) in adenocarcinoma were 100% heterozygote Ile/ValConclusionThe most common type of CYP1A1 gene polymorphism (3801TC and Ile462Val) in squamous cell carcinoma and adenocarcinomaof the cervix were heterozygote.]]>
<![CDATA[Peran CD44 pada Progresivitas Non Alcoholic Steatohepatitis (NASH) ]]>
<![CDATA[Sarwanti]]>;
<![CDATA[Marini Stephanie]]>;
<![CDATA[Ria Kodariah]]>
<![CDATA[ Majalah Patologi Indonesia Vol 29 No 2 (2020): MPI ]]>
Publisher : <![CDATA[Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI) ]]>
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DOI: 10.55816/mpi.v29i2.415
<![CDATA[Non alcoholic Steatohepatitis (NASH) is part of a group of conditions called Non-Alcoholic Fatty Liver Diseases(NAFLD) where it is a chronic disease, which defined after elimination other causes of fatty liver, such as excessivealcohol consumption and other causes of chronic liver diseases. NASH is fatty liver disease which characterized byballooning of hepatocyte and lobular inflammation with or without fibrosis. Histopathology diagnose on NASH can bedefined by performing liver biopsy. The purpose of liver biopsy is to define level and degree of the disease. Cluster ofDifferentiation (CD) 44 is a transmembrane glycoprotein receptor which located on the surface of macrophage cells,lymphocytes and endothelial cells. In studies which conducted on mice and humans, showed that CD44 playsimportant role in the progression of NASH. CD44 regulates inflammation of adipose tissue and liver. CD44 ispresumed as a marker which increase macrophage infiltration and other inflammatory cells on liver. This processleads to ultimate increment on insulin resistance and fatty liver. Deficiency was discovered on mice which injectedwith methionine and choline deficiency diet (MCDD). CD44 is associated with preventive method to prevent livercomplication by reducing macrophage or monocyte and as well as neutrophil accumulation in liver which wasevaluated through reducing numbers of inflammatory focus, expression of inflammatory cytokines: tumor necrosisfactor α (TNFα), interleukin (IL) -1B and nitric oxide synthesis (iNOS), and pro-inflammatory types of macrophage. Inobese patients, number of CD44 is predicted to be increasing.]]>
<![CDATA[Hubungan Kepadatan Tumor Associated Macrophages CD-68 dan Karakteristik Klinikopatologi pada Karsinoma Payudara Invasif ]]>
<![CDATA[Miko Kresna Handayani]]>;
<![CDATA[Heni Maulani]]>;
<![CDATA[Nursanti Apriyani]]>
<![CDATA[ Majalah Patologi Indonesia Vol 29 No 2 (2020): MPI ]]>
Publisher : <![CDATA[Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI) ]]>
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DOI: 10.55816/mpi.v29i2.417
<![CDATA[BackgroundBreast carcinoma is the most common malignancy among women worldwide. Many factors can influence prognosis of the disease.Tumor microenvironment (TME) is enriched in highly active immune cells. Herein, tumor associated macrophages (TAM) are themost prevalent immune cells. TAM can enhance tumor progression by promoting angiogenesis, invasion and metastasis. Somestudies demonstrate that high density of macrophages infiltration associated with poor prognosis. The aim of the study is todetermine the association between TAM density and clinicopathological characteristics of breast invasive carcinoma.MethodsDescriptive study with case series design on January 1, 2015-October 31, 2017 was performed at Department of AnatomicalPathology Faculty of Medicine University of Sriwijaya/dr. Moh. Hoesin General Hospital Palembang on 48 samples invasivecarcinoma mammae subtype unspecific, and have already staining with immunohistochemistry staining ER, PR, HER-2 and Ki-67,surrogate markers. Then immunohistochemistry staining using CD-68 antibody was conduced. The association between TAMdensity and clinicopathological characteristics were analyzed by using Spearman’s Rho test.ResultsThe majority of the patient are older than 40 years of age (77.1%), with positive lymphovascular invasion (79.2%), and at the gradeIII (62.5%). Bivariate analysis between TAM CD-68+density in stromal tumor and subtype luminal A showed negative correlationmoderate significantly (r= -0.398; p=0.005) while between TAM CD-68+density in stromal tumor and subtype triple negative showedpositive correlation moderate significantly (r=0.335; p=0.020).ConclusionTAM CD-68+density in stromal tumor was significantly correlated with luminal A and triple negative subtype.]]>
<![CDATA[Analisis Imunoekspresi Programmed Death Ligand 1 (PD-L1) dan Indeks Proliferasi Ki-67 pada Tumor Astrositik Difus ]]>
<![CDATA[Billy Parulian Lubis]]>;
<![CDATA[Hasrayanti Agustina]]>;
<![CDATA[Hermin Aminah Usman]]>;
<![CDATA[Bethy Surjawathy Hernowo]]>;
<![CDATA[Sri Suryanti]]>;
<![CDATA[Ahmad Faried]]>;
<![CDATA[Hendrikus Bolly]]>
<![CDATA[ Majalah Patologi Indonesia Vol 29 No 2 (2020): MPI ]]>
Publisher : <![CDATA[Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI) ]]>
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DOI: 10.55816/mpi.v29i2.418
<![CDATA[BackgroundDiffuse astrocytic tumours (DAT) is a diffuse infiltrative astrocytoma tumor accompanied by molecular parameters in the form or absence ofIsocitrate Dehydrogenase (IDH) gene mutations. The DAT category without the examination of the IDH gene mutation is classified as NotOtherwise Specified (NOS). Ki-67 is a marker for DAT proliferation so that it can assess the degree of DAT. Diffuse astrocytic tumoursbehavior is influenced by proliferative ability and the presence of a tumor microenvironment. The tumor microenvironment PD-L1 factorinfluences DAT behavior and allows the development of target therapy in DAT cases. This study aimed to analyze the relationship betweenPD-L1 and Ki-67 imunoexpression in the histopathological degree of DAT.MethodsCross-sectional study of 30 paraffin blocks of DAT NOS cases from 2014-2018 in the Department of Anatomical Pathology RSUP dr. HasanSadikin, Bandung. The sample consisted of 15 cases of grade II, 7 cases of grade III and 8 cases of grade IV, carried outimmunohistochemical staining with GFAP, PD-L1 and Ki-67. Assessment of PD-L1 immunoexpression was carried out by the histoscoremethod. The Ki-67 assessment was assessed based on its distribution, which was <10% and ≥10%. PD-L1 and Ki-67 immunoexpressionwith histopathological degrees in DAT were statistically analyzed by Kolmogorof Smirnov test, however association betweenimmunoexpression of PD-L1 and Ki-67 were analyzed by chi-square test.ResultsThere was a significant relationship between PD-L1 immunoexpression and histopathological degree in DAT (p=0.005). There was asignificant relationship between Ki-67 immunoexpression and DAT histopathology degree and with PD-L1 (p=0.001 and p=0.010).ConclusionPD-L1 immunoexpression and proliferation rates affect the degree of DAT. Proliferation rate of DAT is influenced by PD-L1 so that in thisstudy, PD-L1 and Ki-67 can be used as a marker of prognosis predictors.]]>
<![CDATA[Analisis Gambaran Morfologi Limfadenitis Tuberkulosis Menggunakan Metode Biopsi Aspirasi Jarum Halus dan Polymerase Chain Reaction ]]>
<![CDATA[Dedy Suryadi]]>;
<![CDATA[Delyuzar]]>;
<![CDATA[Soekimin]]>
<![CDATA[ Majalah Patologi Indonesia Vol 29 No 2 (2020): MPI ]]>
Publisher : <![CDATA[Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI) ]]>
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DOI: 10.55816/mpi.v29i2.419
<![CDATA[BackgroundIndonesia is the 2nd largest of tuberculous (TB) cases in the world. Therefore, TB must be controlled by increasing the capacity anddeveloping universal access needed for TB diagnose accurately and quickly. Progression in controlling TB and decreasing theconsequence can be accelerated through early detection and promt treatment. This study used PCR test as gold standard, albeitthe high cost. Thus, quick, accurate and low cost diagnostic method is needed. In this case morphologic features requirementinclude the existence of epithelioid and necrosis in FNAB smears. Objective was to analyze morphologic features of tuberculosislymphadenitis using FNAB and PCR methods.MethodsThis study is a cross sectional analysis. N samples are all kind of lymphadenitis tuberculosis. Morphologic features in FNABcytology must be confirmed using PCR test and performing chi-square test respectively.ResultsEpitheloid and necrosis features of TB lymphadenitis on FNAB showed 100% positive on PCR methods. This study divided intothree groups. Statistic analyses between group I and II, group II and III showed in significant differences (p=0.074); while betweengroup I and III showed significant differences (p<0.05).ConclusionsPCR method could confirmed morphologic features (epitheloid and necrosis) of TB lymphadenitis]]>
<![CDATA[Perbedaan Ekspresi CD56 pada Hiperplasia Nodular, Adenoma Folikular dan Karsinoma Papiler Tiroid ]]>
<![CDATA[Amalia Octaviani Dewi]]>;
<![CDATA[Mezfi Unita]]>;
<![CDATA[Apitriani]]>
<![CDATA[ Majalah Patologi Indonesia Vol 29 No 2 (2020): MPI ]]>
Publisher : <![CDATA[Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI) ]]>
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DOI: 10.55816/mpi.v29i2.420
<![CDATA[BackgroundThyroid carcinomas are the most common malignancy of endocrine organs and the fourth most common cancer of women inIndonesia. Most of these tumors derived from thyroid follicular cells and more than 85% of cases are papillary carcinoma. Somecases may be confusing and cause misdiagnosis due to the morphology of these tumors are frequent overlap between nodularhyperplasia, follicular adenoma and papillary carcinoma. Anti-CD56 is one of the diagnostic markers with high sensitivity andspecificity in distinguishing benign thyroid lesions and papillary carcinoma. The aims of this study is to analyze the differences ofCD56 expression in nodular hyperplasia, follicular adenoma and papillary carcinoma.MethodsAn observational study with cross-sectional design was performed at Departement of Anatomical Pathology Faculty of MedicineUniversity of Sriwijaya/Dr. Mohammad Hoesin Palembang, from 1st January 2014 to 30th June 2017. Paraffin blocks of 52 samplesare collected from nodular hyperplasia (24 cases), follicular adenoma (8 cases) and papillary carcinoma (20 cases). The slides wereimmune stained using CD56 antibody. The difference of CD56 expression between papillary carcinoma and nodular hyperplasiawas analyzed using Chi-Square test while those between papillary carcinoma among follicular adenoma was analyzed usingFisher’s exact test.ResultsIn all samples of papillary carcinoma CD56 expression was negative compared to totally positive reaction in all samples of nodularhyperplasia and follicular adenoma.ConclusionAnti-CD56 could be used as a diagnostic marker in distinguishing between papillary carcinoma, nodular hyperplasia and follicularadenoma.]]>
<![CDATA[Analisis Ekspresi Cyclin D1 dan COX-2 pada Berbagai Grading Histopatologik Karsinoma Endometrioid Ovarium ]]>
<![CDATA[Erwin Sunardi]]>;
<![CDATA[Endang Joewarini]]>
<![CDATA[ Majalah Patologi Indonesia Vol 29 No 2 (2020): MPI ]]>
Publisher : <![CDATA[Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI) ]]>
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DOI: 10.55816/mpi.v29i2.421
<![CDATA[BackgroundOvarian endometrioid carcinoma accounts for 10-15% of ovarian carcinomas, representing the second most common form ofovarian epithelial malignancy. Epithelial cell lines stably transfected to overexpress COX-2 exhibit a higher proliferation rate and aninhibition of apoptosis by prolongation of the G1 phase of the cell cycle through effects on Cyclin D1. The aim of this study is toanalyzed the correlation and differences between Cyclin D1 and COX-2 expressions in various histopathology grading ovarianendometrioid carcinoma.MethodsAn analitycal obsevational design with cross-sectional approach on sample from 23 paraffin blocks in Anatomical PathologyLaboratory Dr. Soetomo General Hospital. Microscopic slide stained with Cyclin D1 and COX-2 antibody. The imunohistochemistryexpression are evaluated and analyzed using Kruskal Wallis and Spearman test.ResultsThere were no differences Cyclin D1 expression in each grade, there were no differences COX-2 expression in each grade, therewas no correlation between Cyclin D1 and COX-2 expression all histopathologic grading, but have correlation expression in grade 3ovarian endometrioid carcinoma.ConclusionThis study showed that Cyclin D1 and COX-2 expression have no significant differences in various histopathological grading ovarianendometrioid carcinoma, and no correlation between Cyclin D1 and COX-2 expression all grade ovarian endometrioid carcinoma]]>
