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INDONESIA
Indonesian Journal of Cancer
Published by National Cancer Center-Dharmais Cancer Hospital
ISSN : 19783744     EISSN : 23556811     DOI : https://www.doi.org/ 10.33371
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Public Health
Indonesian Journal of Cancer is a peer-reviewed and open-access journal. This journal is published quarterly (in March, June, September, and December) by Dharmais Cancer Hospital - National Cancer Center. Submissions are reviewed under a broad scope of topics relevant to experimental and clinical cancer research. Articles are original research that needs to be disseminated and written in English. All submitted manuscripts will go through the double-blind peer review and editorial review before being granted acceptance for publication. The journal publishes original research articles, case reports, and review articles under the following categories: cancer management, cancer prevention, cancer etiology, epidemiology, molecular oncology, cancer diagnosis and therapy, tumor pathology, surgical oncology, medical oncology, radiation oncology, interventional radiology, as well as early detection.
Arjuna Subject : Kedokteran - Onkologi
Articles 13 Documents
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Search results for , issue "Vol 17, No 1 (2023): March" : 13 Documents clear
The Benefits of Physical Activity to Reduce Mortality in Postmenopausal Breast Cancer Patients: A Literature Review Thomas Jaya Gumilang; Budi Hernawan
Indonesian Journal of Cancer Vol 17, No 1 (2023): March
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v17i1.917

Abstract

Background: Breast cancer cases are more commonly diagnosed in postmenopausal women and the risk increases with age. Along with an increased vulnerability to breast cancer, increasing age also carries a higher risk of other health problems. Postmenopausal breast cancer patients frequently have one or more pre-existing comorbid conditions at the time of diagnosis. Higher physical activity can reduce breast cancer-specific and overall mortality. However, the vast majority of early breast cancer survivors experience a decrease in physical activity. This study aimed to determine the relationship between physical activity and the reduction of Breast Cancer-Specific Mortality (BCSM) and overall mortality in postmenopausal breast cancer survivors.Methods: This research uses a literature review design by conducting a journal search through Google Scholar, PubMed, and ScienceDirect. The keywords used are (“Physical activity” or Exercise) and (“Breast Cancer” or “Breast Neoplasm”) and (Mortality) and (“Post-menopause”).Results: Seven studies were included in this review. A total of 6276 deaths were reported. Only 3 out of 6 studies reported that there is a significant benefit between physical activity and reduction in breast cancer-specific mortality. Contrarily, all studies reported that there is a significant benefit between physical activity and overall mortality reduction, but at a certain intensity level. Conclusions: Our data suggest that physical activity, whether pre-diagnosis or post-diagnosis, is associated with a better prognosis of breast cancer in postmenopausal women.
Sunlight Exposure and Protection Behavior as Prevention of Skin Cancer in Nursing Students Raden Nabilah Putri Fauziyyah; Maria Komariah; Yusshy Kurnia Herliani
Indonesian Journal of Cancer Vol 17, No 1 (2023): March
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v17i1.921

Abstract

Background: Skin cancer ranks fifth in the world. Melanoma, a type of skin cancer, ranks 23rd in Indonesia. Meanwhile, deaths caused by skin cancer are more than half of the number of new cases in Indonesia. Indonesia is a country that lies across the equator. It makes Indonesia have longer exposure to sunlight and a higher UV index. This study aims to describe the sunlight exposure level and protection behavior among nursing students.Methods: The samples of this study were 248 respondents from the Faculty of Nursing, Universitas Padjadjaran, who were recruited with a convenience sampling technique. Data were collected using a modified Sun Exposure Behaviour Inventory (SEBI). The data were processed using SPSS statistical software to determine behavioral descriptions and exposure to sunlight. Then, the result of the data analysis was performed with descriptive analysis (frequency and percentage).Results: The result of this study showed that most of the respondents (84.3%) always used longsleeved clothes to cover their shoulders. Most respondents (85.9%) used sunscreen with a Sun Protection Factor (SPF) of 15 or more, and more than half of the respondents (68.5%) used sunscreen that can protect from Ultraviolet A (UVA) and Ultraviolet B (UVB). Most respondents (76.2%) never spent time under natural or artificial Ultraviolet Radiation (UVR) to get the desired brown skin. More than half of the respondents (66.9%) had never sunbathed in the last 12 months. Conclusions: More than half of the respondents had adequate protective behavior against sun exposure and had moderate sun exposure. Using sunscreens with a higher SPF has shown a stronger preventive effect. Therefore, regular use of sunscreen can decrease the risk of skin cancer.
Real-Time MRI-guided Radiation Therapy for Locally Advanced Pancreatic Tail Cancer in Contact with The Colon Yukihiro Hama; Etsuko Tate
Indonesian Journal of Cancer Vol 17, No 1 (2023): March
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v17i1.947

Abstract

Introduction: Curative radiation therapy for locally advanced pancreatic ductal adenocarcinoma (PDAC) is difficult when the tumor is in contact with the colon. In this regard, MRI-guided radiation therapy (MRgRT) provides real-time MRI during radiation therapy, resulting in highdose radiation delivery to the target while avoiding surrounding organs at risk (OARs), such as the intestinal tract. Case Presentation: A 94-year-old woman with locally advanced PDAC in the pancreatic tail underwent high-dose (72 Gy/30 fractions) real-time hypo-fractionated MRgRT to avoid irradiation of the colon. Three months after MRgRT, her serum CA 19-9 level normalized, and the tumor regressed completely. No adverse event or recurrence was noted during the six-month follow-up period.Conclusions: High-dose hypo-fractionated MRgRT may be a treatment option for a patient with locally advanced PDAC of the pancreatic tail, which is in contact with the colon.
Comparison of Electrons and Photons Treatment Plans in Medulloblastoma Patients Muhammad Usman Ghani; Aasia Razzaq; Nauman Amjad; Ismat Fatima
Indonesian Journal of Cancer Vol 17, No 1 (2023): March
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v17i1.949

Abstract

Background: The treatment of medulloblastoma involves surgery, radiotherapy, and adjuvant chemotherapy. In radiotherapy, craniospinal irradiation (CSI) is prescribed, where two lateral cranial fields and one or two spinal beams are applied in CSI. Different multi-field techniques (coplanar and/or noncoplanar) are used to register the prescribed dose. The purpose of this study was to assess plan quality in terms of dose coverage of the spine with both photon and electron beam therapy and the sparing of organs at risks (OARs).Methods: Ten pediatric patients (ages 6 to 10 years) were immobilized in the prone position for simulation. The Clinical Target Volume (CTV) of the organ under treatment, Planning Target volume (PTV) of the organ under treatment, and OARs were contoured. Prowess Panther (v4.71) was used for dose computations. Two lateral parallel-opposed 6 MV photon cranial fields with the spinal beam(s) (either 6 Photons or 21 MeV electrons) were used in planning. Electron beams were added posteriorly on the spine with parallel-opposed cranial fields. The treatment plans were computed for 3600 c Gy in 21 fractions.Results: For comparable conformity number of electron versus photons beam plans (0.68 ± 0.41 versus 0.66 ± 0.47, is not significantly different at p < 0.05) and homogeneity index (1.22 ± 0.03 versus 1.25 ± 0.04, is significantly different at p < 0.05), the photon doses were higher for underlying OARs (heart, liver, and thyroid) and were lower for partially in-field organs (lungs and kidneys) compared to electrons.Conclusions: The underlying organs i.e., thyroid, heart, and liver receive a lesser dose in case of electrons, while partially in-field organs are exposed more compared to photons mainly due to the ballooning effect in electrons. The study shows that both electrons and photons can be used for CSI. However, the electron may be preferred due to its better sparing of underlying structures.
A Preliminary Study on Cancer Patients’ Quality of Life during the COVID-19 Pandemic Ririn Afrian Sulistyawati; Santoso Santoso; Lalu Muhammad Panji Azali; Galih Setia Adi
Indonesian Journal of Cancer Vol 17, No 1 (2023): March
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v17i1.938

Abstract

Background: Cancer patients are 3.5 times more susceptible to COVID-19 than patients without cancer. The increasing number of COVID-19 patients is likely to impact cancer patients’ quality of life (QoL) significantly. This study aims to analyze the QoL of cancer patients during the COVID-19 pandemic. Methods: The method used is quantitative with a cross-sectional research design. In this study, 60 respondents were selected using the Consecutive Sampling Technique. The patient’s QoL was measured once by utilizing The World Health Organization Quality of Life Brief Version (WHOQOL BREF) instrument. The QoL of cancer patients was shown in mean and standard deviation, and the correlation between respondent characteristics and QoL was analyzed with Spearman.Results: The results showed that the average QoL of the respondents in the physical health was 30.36 ± 7.72, the intermediate psychological was 25.88 ± 9.14, the average social relationship was 59.90 ± 13.04, and the mean environment was 56.7 ± 10.93.Conclusions: Respondents’ low QoL during the COVID-19 pandemic for all domains. This study implies the importance of paying attention to every domain of the QoL of cancer patients, especially during the COVID-19 pandemic.
Cases of CHOP Chemotherapy - Unresponsive Primary Cutaneous Diffuse of Large B-Cell Lymphoma in Abdul Wahab Sjahranie Regional Public Hospital: A Case Presentation and Brief Review of Literature Viky Hibatu Wafi; Zainal Abidin
Indonesian Journal of Cancer Vol 17, No 1 (2023): March
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v17i1.953

Abstract

Introduction: Primary cutaneous diffuse large B-cell lymphoma (PCDLBCL) is a variety of B-cell neoplasms that are present in the skin with no evidence of extra-cutaneous disease at the time of diagnosis or even after 6 months of the diagnosis. Cutaneous B-cell Lymphoma (CBCL) comprises 25 to 35% of all primary cutaneous lymphomas. Due to the relative rarity of PCDLBCL, there are no completed randomized trials to clarify the optimal treatment. Reported therapy options include radiotherapy, multiagent chemotherapy, chemotherapy, polychemotherapy with rituximab, and rituximab as a single agent.Case Presentation: Several red nodular lesions on the back developed over 10 months are found in a 40-year-old woman. The first Incision biopsy revealed these lesions were malignant roundcell tumors. After being treated with 10 cycles of chemotherapy regimens comprising cyclophosphamide, doxorubicin, vincristine, dan prednisone (CHOP), there was a progressive response as several red nodular lesions are getting larger and turned into an ulcerated wound. Wide excisions and skin flaps were done. Anatomical pathology examination showed diffuse non-Hodgkin lymphoma, a large B cell that belongs to intermediate malignancy, as immunohistochemistry was positive for CD20 and CD45. The patient was then diagnosed with primary cutaneous diffuse large B-cell lymphoma and given rituximab, a CD20-targeted therapy. The patient was allowed to be discharged on the second day after surgery.Conclusions: This case report presents cases of CHOP chemotherapy-unresponsive PCDLBCL in Abdul Wahab Sjahranie Regional Public Hospital of Samarinda, East Kalimantan.
Multimodality Diagnosis of Laryngeal Cancer in “Dharmais” National Cancer Hospital (DNCH) Dian Cahyanti; Syahrizal Syarif; Septiawati -; Evlina Suzanna
Indonesian Journal of Cancer Vol 17, No 1 (2023): March
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v17i1.1021

Abstract

Background: Almost 95% of laryngeal cancers are squamous cell carcinoma. Most of them come from the supraglottic and glottic regions. Globally from 1990 to 2017, there was an increase in the incidence of laryngeal cancer by 58.67%. Patients with suggestive grievances of laryngeal cancer symptoms are usually advised to do a further examination. The use of multimodality diagnosis is helpful for the diagnosis of cancer. Diagnostic procedures in diagnosing laryngeal cancer can be made by history and physical examination, clinical (laryngoscopy), and supporting examination (radiology and biopsy). This study aims to determine the distribution of the demographic (gender, age, domicile, marital status, and educational level), clinical distribution (voice changes, respiratory disorders, pain, dizziness, cough, lump on the neck, and others), and modalities of diagnosis (anamnesis, clinical examination, radiology, and biopsy) in laryngeal cancer.Methods: Descriptive study and a routine data-based study was conducted by collecting data on cancer patients who were diagnosed with laryngeal cancer from 2003 to 2007 by the microscopic either in Dharmais National Cancer Hospital (DNCH) or other hospitals. The study sample was 53 out of a total of 68 cases of laryngeal cancer who had been diagnosed with malignancy histopathologically at DNCH or in other hospitals with epithelial or non-epithelial types with completed medical records. Results: The glottic region is the most common subsite, that is, 52.8%, and squamous cell carcinoma (SCC) is the most common histopathological type of laryngeal cancer. In most of the cases, either males or females presented with a change in the voice of 68.8% and 80% respectively. In 6 out of 12 cases have not been examined microscopically before, while 7.5%.of the cases have done the diagnostic procedure completely in DNCH. Conclusions: The most common subsite and histopathological type of laryngeal cancer is glottis and SCC. The most common clinical feature in both sexes is voice changes. Most cases have not been examined according to the standard diagnosis procedure completely.
Sexual Rehabilitation of Cancer Patients: A Less Noticed Domain in Cancer Care Abhijeet Dhawalram Faye
Indonesian Journal of Cancer Vol 17, No 1 (2023): March
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v17i1.929

Abstract

Background: Sexual problems are associated with almost all types of cancers, especially those of the genital regions. Sexual problems can occur due to cancer itself or due to its treatment (chemotherapy, radiotherapy, or surgery) across all the stages of cancer and its management.Methods: The researcher reviewed the current research status of this less-discussed issue. 115 articles were identified using predefined keywords in Pubmed, Pubmed Central, Embase, and Google Scholar databases from January 1, 2000, to March 31, 2022. First, the articles were screened based on the abstracts followed by checking for the availability of their full-text versions. A total of 28 articles fulfilling the inclusion criteria were finally selected and analyzed. Results: Common sexual problems found in men were erectile dysfunction, decreased libido, dry ejaculation, and performance anxiety. On the other hand, women usually complained of reduced intimacy, lack of sexual desire, vaginal dryness, pain during intercourse, lack of sexual sensation, and reduced self-esteem for sexual activities. There is a significant prevalence of sexual problems with effects on marital relationships in cancer patients. Psychiatric disorders were found to be associated with a higher prevalence of sexual dysfunction ranging from 70 to 90% compared to the general population. Up to 50% and 40% of female and male patients with depression (a common occurrence in cancer) respectively may have sexual dysfunctions. Conclusions: Management of these problems is necessary, as it can be a contributing factor to the poor quality of life. Communication and discussion about sexual health from patients as well as the healthcare provider side are needed. The urgency of seeking a specialist’s help such as a psychiatrist or a sex therapist is also discussed. The researcher reviewed common sexual problems, causes, and treatment modalities, and suggested a few recommendations for making sexual health a part of routine cancer check-ups.
A Rare Clinical Entity of Krukenberg Tumor: A Case Report in Margono Soekarjo Hospital of Purwokerto Aditya Eka Octavian; M Yamsun; Gita Nawangtantrini
Indonesian Journal of Cancer Vol 17, No 1 (2023): March
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v17i1.931

Abstract

Introduction: Krukenberg Tumor is an ovarian tumor that originated from other organ metastases such as gastric, colorectal, pylorus, appendix, colorectal, or breasts. This study aims to report an incidence of a Krukenberg tumor found in a-36year- old woman who has finished her therapy at Margono Soekarjo Hospital.Case Presentation: This case reports the incidence of a Krukenberg tumor found in a-36-year old woman with the main complaint of a burning sensation in her stomach and the existence of a mass in the right and under the Arcus Costae. The patient underwent metastasectomy and biopsy. Histopathological examinations show that the features of Krukenberg tumor originated from a gaster. The patient then underwent chemotherapy for 6 cycles, radiotherapy 20 times, and some evaluation. This case had been observed for 12 months since the first time the patient came to the hospital.Conclusions: Krukenberg tumor is a rare tumor of the ovary which is characterized by poor prognosis. This case depicts the finding of Krukenberg tumor with gastric clinical features. The combination of metastasectomy and chemotherapy can be done in such a case to improve patient survival rates.
Various Clinical Overviews in Pelvic Cavity Cancer In “Dharmais” National Cancer Hospital (DNCH) Evlina Suzanna; Asri C Adisasmita; Pradnya Sri Rahayu; Grace Shalmont
Indonesian Journal of Cancer Vol 17, No 1 (2023): March
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v17i1.1022

Abstract

Background: Pelvic cavity is formed by the bones of pelvic organs where there are many system organs. Pelvic cavity cancer incidence in Jakarta from 2005 to 2007 was 13.96/100.000 population. In “Dharmais” National Cancer Hospital (DNCH), the frequency in 1993-2007 was 26% of all cancer. The purpose of the research is to find an overview of epidemiological (age group, gender, domicile, educational, marital status, tumor location) and clinical (symptoms and stage) cancer pelvic cavity. Methods: This cross-sectional study used the medical records of patients registered with DNCH as new cases and diagnosed by microscopic examination during 2005-2007. The study population is a case of cancer with the diagnosis of the location of the primary tumor in the pelvic cavity area. The sample calculation used a precision formula and obtained a minimum sample of 323. The data collection used questionnaires and obtained 326 cases. The data were analyzed using SPSS 26.0 with Chi-square test (α = 0.05).Results: Pelvic cavity cancer is a major problem in females (91.1%) with peak ages 45-59. Variations of clinical features in males and females were 24 and 35 symptomatic. In males, the most common clinical feature is dark/blood stool (41.38%), generally on rectal cancer, followed by weight loss (20.69%) which overlaps at five organs. In females, the most common clinical features are vaginal bleeding (43.77%), and vaginal spotting (13.47%), which occurs in cervix cancer, followed by abdominal pain (13.47%) that overlaps in six organs. Conclusions: Cancer, especially primary tumors of the pelvic cavity, is not a “silent killer” disease because the clinical picture can appear at an early stage. This study also provides a common clinical picture in patients with primary tumors in the pelvic cavity even though they are in one cavity. The clinical picture that appears is specific according to the primary tumor. In addition, some symptoms are possessed by various organs, so they are nonspecific.

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