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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 2 (2015): April-Juni 2015" : 6 Documents clear
Perbandingan Uji Diagnostik Mesothelin Serum dengan CA-125 pada Kanker Ovarium Tipe Epitel USHAN, ERI PERDANA; ASKANDAR T, BRAHMANA; BUDIONO, BUDIONO
Indonesian Journal of Cancer Vol 9, No 2 (2015): April-Juni 2015
Publisher : "Dharmais" Cancer Center Hospital

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Abstract

This study was conducted to determine and compare the sensitivity, specificity, PPA and NPV of Mesothelin tumor marker, CA-125, combination of Mesothelin and CA-125 as a tumor marker in patients with epithelial ovarian carcinoma. This is a cross sectional diagnostic test on 30 subjects with malignant dan 30 sunjects with benign ovarian tumors that meet the inclusion and exclusion of research criteria in Department of Obstetrics and Gynecology, Medical Faculty Airlangga University/Dr. Soetomo, Surabaya. Blood sample were taken prior to surgery to examine tumor markers (Mesothelin and CA-125) and ultrasound to evaluate tumor mass, and then histopathology of surgery specimen. Statistical data calculated using SPSS. There is a significant increase of Mesothelin serum level and can be used as a tumor marker (alone or in combination with other methods as a triage tool, consider the use of new cut-off value of 1.75 nmol/L). Sensitivity, specificity, PPV, NPV of CA125 is 70%, 33.3%, 51.2% and 52.6%. Sensitivity, specificity, PPV, NPV of Mesothelin-1 is 50%, 80%, 71.4% and 61.5%. Sensitivity, specificity, PPV, NPV of Mesothelin-2 is 36.7%, 93.4%, 84.6% and 59.6%. Sensitivity, specificit , PPV, NPV combination of CA-125 + Mesothelin-1 is 33.3%, 86.7%, 71.4%, 56.5% and 60%. Sensitivity, specificity, PPV, NPV combination of CA-125 + Mesothelin-2 is 23.3%, 93.3%, 77.8%, and 54.9%. Sensitivity, specificity, PPV, NPV of RMI is 83.3%, 36.7%, 56.8%, and 68.8%. CA-125 (as a single tumor marker) has the highest sensitivity and proved as a simple and effective method for the early detection at general population. Mesothelin-2 (either as a single tumor marker or in combination) is more appropriate for the diagnosis tools (triage, determining the risk of malignant from benign ovarian masses) are better than the current and can be considered to replace CA-125.Keywords: tumor marker, CA-125, Mesothelin, combine tumor marker.ABSTRAKPenelitian ini bertujuan mengetahui dan membandingkan sensitivitas, spesifisitas, PPV, dan NPV antara penanda tumor Mesothelin, CA-125, dan kombinasi Mesothelin dan CA-125 sebagai penanda tumor pada penderita keganasan ovarium tipe epitel. Penelitian ini merupakan uji diagnostik cross sectional terhadap 30 pasien tumor jinak dan 30 pasien tumor ganas tumor ovarium yang memenuhi kriteria inklusi dan kriteria eksklusi di Bagian Obstetri dan Ginekologi FK-Unair/RSU Dr. Soetomo, Surabaya. Dilakukan pengambilan serum darah untuk memeriksa tumor marker (Mesothelin dan CA-125) dan pemeriksaan ultrasonografi sebelum dilakukan tindakan pembedahan. Kemudian dilakukan pemeriksaan patologi anatomi spesimen operasi. Penghitungan data statistik menggunakan SPSS. Hasil penelitian menunjukkan terdapat peningkatan kadar serum Mesothelin yang dapat digunakan sebagai pemeriksaan penanda tumor tunggal atau kombinasi sebagai alat triase dengan mempertimbangkan penggunaan nilai cut-off 1,75 nmol/L. Sensitivitas, spesifisitas, PPV, dan NPV CA125 adalah 70%; 33,3%; 51,2%; dan 52,6%. Sensitivitas, spesifisitas, PPV, dan NPV Mesothelin-1 adalah 50%; 80%; 71,4%; dan 61,5%. Sensitivitas, spesifisitas, PPV, dan NPV Mesothelin-2 adalah 36,7%; 93,4%; 84,6%; dan 59,6%. Sensitivitas, spesifisitas, PPV, dan NPV kombinasi CA-125 + Mesothelin-1 adalah 33,3%; 86,7%; 71,4%; 56,5%; dan 60%. Sensitivitas, spesifisitas, PPV, dan NPV kombinasi CA-125 + Mesothelin-2 adalah 23,3%; 93,3%; 77,8%; dan 54,9%. CA-125 (sebagai penanda tumor tunggal) memiliki sensitivitas tertinggi sehingga merupakan metode sederhana dan efektif untuk deteksi dini pada populasi. Mesothelin-2 (baik sebagai penanda tumor tunggal maupun dalam kombinasi) lebih tepat untuk proses penegakan diagnosis (triase, penentuan risiko massa ovarium ganas dari jinak) yang lebih baik dan dapat menggantikan CA-125.Kata Kunci: penanda tumor, CA-125, Mesothelin, kombinasi CA-125 dan Mesothelin
Hubungan antara Ekspresi Hsp 27 dan Hsp 70 Dengan Derajat Diferensiasi dan Angka Ketahanan Hidup Dua Tahun pada Penderita Kanker Endometrium Tipe I Pasca-Pembedahan di RSUD Dr. Soetomo YULIATI, INDRA; ASKANDAR, BRAHMANA; FAUZIAH, DYAH
Indonesian Journal of Cancer Vol 9, No 2 (2015): April-Juni 2015
Publisher : "Dharmais" Cancer Center Hospital

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Abstract

This research was performed to know the relation between Hsp 27 and Hsp 70 expressions with degree of differentiation and two years survival rate in endometrial cancer type I that has undergone surgery in Dr. Soetomo Hospital, Surabaya. Methods: using observational analysis with retrospective Cohort study design to the endometrial cancer type I patients that had undergone surgery in Dr. Soetomo Hospital. As many as 30 subjects were examined, with dependent variable: Hsp 27 and Hsp 70 expressions and Dependent Variable: the type of endometrial cancer differentiation and 2 years survival rate of the endometrial cancer type I patients. In this research, 30 patients with endometrial cancer type I that had undergone surgery were obtained, with well differentiation (grade I) for 20 samples (66.7%), moderate differentiation (grade II) for 3 samples (10%) and poor differentiation (grade III) accounts for 7 samples (23.3%). Positive results for Hsp 27 are 13 samples, while negative Hsp 27 results are 17 samples. From the analysis, correlation coefficient is -0.218 and p value 0.248 (p > 0.05). Samples with positive Hsp 70 results are 19 (63.3%) and negative Hsp 70 results are 11 samples (36.7%), with correlation coefficient -0.099 and p value 0.603 (p > 0.05). Overall survival rate for Hsp 27 is 22.5 months (log rank 0.066), survival rate 1 year for positive Hsp 27 are 100%, and negative Hsp 27 are 88.2%, while in Hsp 70, the overall survival rate is 22.5 months (log rank 0.076), survival rate 1 year for positive Hsp 70 are 100% and negative Hsp 70 are 81.8%. There are no significant relations between Hsp 27 expression with tumor cells differentiation (grade) and the 2 years survival rate of the endometrial cancer type I patients. And also there are no significant relations between Hsp 70 expressions with tumor cells differentiation (grade). 2 years survival rate of the endometrial cancer type I with positive or negative Hsp expressions are not significantly correlated. And there are no significant relations between 2 years survival rate of the endometrial cancer type I with the cells differentiation degree.Keywords: Hsp 27, Hsp 70, differentiation degree, survival rate, endometrial cancer typeI. ABSTRAKPenelitian ini dilakukan untuk mengetahui hubungan antara ekspresi Hsp 27 dan Hsp 70 dengan derajat diferensiasi dan angka ketahanan hidup dua tahun pada penderita kanker endometrium tipe I pasca-pembedahan di RSUD Dr. Soetomo, Surabaya. Penelitian ini menggunakan penelitian analitik observasional dengan rancangan studi kohort retrospektif terhadap penderita kanker endometrium tipe 1 yang telah dilakukan pembedahan di RSUD Dr. Soetomo, Surabaya, sebanyak 30 subjek. Sebagai variabel bebas: ekspresi Hsp 27 dan Hsp 70. Variabel tergantung: jenis diferensiasi kanker endometrium dan angka ketahanan hidup 2 tahun penderita kanker endometrium tipe 1. Pada penelitian ini, didapatkan kanker endometrium tipe I yang telah dilakukan pembedahan sebanyak 30 penderita. Didapatkan sediaan dengan diferensiasi baik (grade I ) sebanyak 20 (66,7%), diferensiasi sedang (grade 2) 3 sediaan (10%), dan diferensiasi buruk (grade 3) sebanyak 7 sediaan (23,3%). Dengan ekspresi Hsp 27 positif sebanyak 13 sediaan, sedangkan dengan ekspresi Hsp 27 negatif sebanyak 17 sediaan. Dari hasil analisis didapatkan koefisienkorelasi -0,218 dan p value 0,248 (p>0,05). Sediaan dengan ekspresi Hsp 70 positif sebanyak 19 (63,3%), sedangkan Hsp 70 negatif 11 sediaan (36,7%), dengan koefisien korelasi -0,099 dan p value 0,603 (p > 0,05). Dengan overall survival sebesar 22,5 bulan (log rank 0,066), survival rate 1 tahun untuk Hsp 27 positif sebesar 100% dan Hsp 27 negatif sebesar 88,2%. Sedangkan pada Hsp 70, overall survival 22,5 bulan (log rank 0,076) dan survival rate 1 tahun untuk Hsp 70 positif sebesar 100% dan Hsp 70 negatif sebesar 81,8%. Tidak ada hubungan yang bermakna antara ekspresi Hsp 27 dengan diferensiasi sel tumor (grade) dan angka ketahanan hidup dua tahun penderita kanker endometrium tipe I. Tidak didapatkan hubungan yang bermakna juga antara ekspresi Hsp 70 dengan diferensiasi sel tumor (grade) dan angka ketahanan hidup dua tahun penderita kanker endometrium tipe I dengan ekspresi Hsp 70 positif ataupun negatif. Tidak ada hubungan antara angka ketahanan hidup dua tahun penderita kanker endometrium tipe I dengan derajat diferensiasi sel (grade). Kata Kunci: Hsp 27, Hsp 70, derajat diferensiasi, angka ketahanan hidup, kanker endometrium tipe 1.
Analisis Drug Related Problems pada Pasien Kanker Padat Stadium Lanjut yang Menjalani Terapi Paliatif di Rumah Sakit Kanker “Dharmais” KUSUMA, EMA NILLAFITA PUTRI
Indonesian Journal of Cancer Vol 9, No 2 (2015): April-Juni 2015
Publisher : "Dharmais" Cancer Center Hospital

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Abstract

ABSTRACTThe goal of palliative care is to increase the quality of life and to reduce the symptomp, but it often increases the complexity of patient’s therapy. The aim of this study is to evaluate prevalance, the risk factor, and the profile of Drug Related Problems (DRPs) from the palliative therapy patient who suffer from solid cancer at “Dharmais” Hospital National Cancer Center. This is a cross sectional study and the data was taken from the patients’ medical records starting from March to June 2011. The patient characteristics who followed this study were 33 patients women (68.8%), and the frequent cases of solid cancer was breast cancer, i.e about 15 patients (31.3%). Most of the patients (64.6%) were in palliative care. Adverse reactions occurred in 70.1% patienst and 66.2% patients got potential adverse reaction. Only 5.7% drug-drug interactions were detected with moderate significance. About 15.0% drug interactions caused by the use of morphine, and amitriptyline at the same time. The risk of incident adverse reactions were influenced by age, sex,history of curative chemotherapy regimen, comorbidities, and the number of drug use. The increasing risk of drug interaction incident was the influenced by the number of drugs using ( > 5 drugs) and if the patient had a comorbidities. Most of patients in the palliative care would get the DRP but drug interactions did not always occur. ABSTRAKTerapi paliatif bertujuan meningkatkan kualitas hidup dan mengurangi gejala, namun akan menambah kompleksitas terapi. Penelitian ini bertujuan mengevaluasi prevalensi, faktor risiko, dan profil kejadian Drug Related Problems (DRPs) terapi paliatif pasien kanker padat stadium lanjut. Penelitian ini adalah penelitian potong lintang. Dan data diambil dari rekam medis pasien bulan Maret – Juni 2011. Karakteristik pasien, 33 orang (68,8%) perempuan, dan kasus kanker padat terbesar adalah kanker payudara sebanyak 15 orang (33,3%). Sebagian besar pasien kanker padat stadium lanjut (64,6%) hanya menjalani satu kali terapi paliatif. Reaksi obat yang tidak diinginkan (ROTD) termanifestasi dialami 70,1% subyek uji dan 66,2% uji berpotensi mengalami ROTD. Interaksi obat dengan signifikansi moderate ditemui pada 5,7% terapi pasien. Sebesar 15,0% interaksi tersebut akibat penggunaan morfin dan amitriptilin bersama. Risiko ROTD meningkat karena usia, jenis kelamin, riwayat pemberian regimen kemoterapi kuratif, penyakit penyerta, dan jumlah obat yang digunakan. Peningkatan risiko kejadian interaksi obat dipengaruhi oleh penggunaan > 5 jenis obat dan adanya penyakit penyerta. Pasien kanker padat stadium lanjut yang menjalani terapi paliatif pada umumnya mengalami ROTD, namun jarang ditemukan interaksi obat. 
A Modified Buttockectomy as a Limb Salvage Procedure in Ischium Osteosarcoma: A Case Report KAMAL, ACHMAD FAUZI; DJAJA, YOSHI PRATAMA; KODRAT, EVELINA; SALAMAH, THARIQAH
Indonesian Journal of Cancer Vol 9, No 2 (2015): April-Juni 2015
Publisher : "Dharmais" Cancer Center Hospital

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Abstract

Osteosarcoma, which rarely originates from the axial bones such as pelvis, presents a major challenge in limb preservation. We report a 9-year-old girl with osteosarcoma on her buttock. She underwent wide excision “modified buttockectomy” to resect the tumour with sciatic nerve involvement. One year after surgery, she was able to walk and no recurrence was found. Keywords: buttockectomy, osteosarcoma ABSTRAKOsteosarkoma, tulang aksial seperti pelvis jarang sekali ditemukan, dan menjadi tantangan besar dalam upaya penyelamatan ekstremitas. Kami laporkan satu kasus osteosarkoma pada tulang panggul-daearah bokong pada seorang anak perempuan berusia 9 tahun. Pasien menjalani eksisi luas “buttockectomy” yang dimodifikasi untuk mengangkat tumor beserta nervus ischiadikus yang terlibat. Pada pengamatan satu tahun pasca pembedahan, pasien dapat berjalan dan tidak ditemukan tanda-tanda rekurensi. Kata Kunci: buttockectomy, osteosarkoma
Pregnancy Associated Breast Cancer di Rumah Sakit Onkologi Surabaya 2006 –2014 OCTOVIANUS, JACOBUS; KUNTARI, SAVITRI; DJATMIKO, ARIO
Indonesian Journal of Cancer Vol 9, No 2 (2015): April-Juni 2015
Publisher : "Dharmais" Cancer Center Hospital

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Abstract

ABSTRACTPregnancy associated breast cancer (PABC) is the most common malignancy in gestation. Due to its high aggressiveness, PABC needs a specific management right from diagnosis process to therapy. The objective of this study is to find out the PABC profile in Rumah Sakit Onkologi Surabaya from 2006-2014. A descriptive study using PABC Medical Record datafrom 2006 until 2014. There were 21 PABC patients of whom 11 was diagnosed on 31-40 years old (52.38%); 16 PABC patients with multiparity (76.19%); 14 (66.67%) PABC diagnosed at 1 year post partum; 18 USG and 6 Mammography examinations, both revealed 100% sensitivity in diagnosing PABC; 14 patients (66,67%) in stadium III-IV; 9 patients (42,86%) with T4 tumor size; 9 patients (42,86%) with axillary lymphnode metastasis ; 4 patients (19,05%) with distant metastasis; 10 patients (47,62%) with Invasive Ductal Carcinoma (IDC); 14 patients (66,67%) grade III; and 8 patients (38,10%) with angioinvasion. Positive ER/PR in 11 patients (52,38%) and positive Her-2 in 10 patients (47,62%). PABC prognosis were: 8 patients (38,10%) in good condition, while 5 patients (23.81%) had distant metastasis, and 4 patients (19,05%) passed away. Twenty one babies born healthy (100%). The aggressiveness of PABC can be seen from the percentage of patients in advanced stage and has worse prognosis.Keywords: breast cancer, pregnancy ABSTRAKPregnancy Associated Breast Cancer (PABC) merupakan keganasan yang paling sering ditemukan pada kehamilan. Karena agresivitas yang tinggi, PABC memerlukan penanganan yang khusus, baik saat penegakan diagnosis maupun tindakan terapi. Penelitian ini bertujuan mengetahui profil PABC di Rumah Sakit Onkologi Surabaya sejak 2006-2014. Studi deskriptif ini menggunakan data rekam medis pasien PABC sejak 2006 hingga 2014. Hasil penelitian menunjukkan kasus PABC sebanyak 21 pasien. Jumlah PABC tertinggi ditemukan pada usia 31-40 tahun, yaitu 11 pasien (52,38%); 16 pasien (76,19%) PABC didapatkan pada multiparitas; 14 pasien (66,67%) pada 1 tahun post-partum. Pada 18 pemeriksaan USG dan 6 pemeriksaan mammografi memiliki tingkat sensitivitas 100%; 14 pasien (66,67%) pada stadium III-IV; 9 pasien (42,86%) tumor T4; 12 pasien (57,14%) metastasis ke kelenjar getah bening; 4 pasien (19,05%) metastasis jauh; 10 pasien (47,62%) Invasive Ductal Carcinoma (IDC); 14 pasien (66,67%) pada grade III; 8 pasien (38,10%) memiliki angioinvasion; 11 pasien (52,38%) memiliki ER/PR positif; dan 10 pasien (47,62%) memiliki Her-2 positif. Pada follow up didapatkan 8 pasien (38,10%) berada dalam kondisi baik, 5 pasien mengalami metastasis jauh (23,81%), dan 4 pasien meninggal (19,05%). Dua puluh satu bayi terlahir sehat (100%). Kesimpulannya, agresivitas PABC dapat dilihat dari besarnya persentase pasien yang datang pada stadium lanjut dan prognosis yang buruk.Kata Kunci: kanker payudara, kehamilan
Ekspresi CTR1 dan ATP7B sebagai Prediktor Respons Kemoterapi Neoadjuvan Cisplatin pada Kanker Serviks IIB SUARTA, PUTU AGUS
Indonesian Journal of Cancer Vol 9, No 2 (2015): April-Juni 2015
Publisher : "Dharmais" Cancer Center Hospital

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Abstract

The locally advanced cervical cancer is common in Indonesia and with limitation of radiation, chemotherapy is used as a neoadjuvant treatment. However the clear mechanism of accumulation chemotherapy in cervical cancer is still unclear. The purpose this study to determine CTR1 and ATP7B expression as a predictor of response to neoadjuvant chemotherapy cisplatin in cervical cancer IIB The design of this research is observational analytic form prospectively on 30 sample cervical cancer stage IIB. Before chemotherapy, Cervical biopsy was taken to evaluate expression CTR1 and ATP7B and MRI was done to measure the tumor volume. Furthermore, four cycles neoadjuvat chemotherapy (NAC) cisplatin 50mg/m2 every weeks. Two - three weeks after complete chemotherapy, repeated MRI examination. Assessment response to chemotherapy was catagorized by RECIST. Results: 30 samples obtained from the study of cervical cancer, before chemotherapy the smallest volume 23.35 cm3 and the greatest 276.23 cm3. After chemotherapy smallest 2.14 cm3 and largest 422.11 cm3. Chemotherapy response obtained Partial Response (PR) 23 (76.7%), Stable Disease (SD) 5 (16.6%), Progressive Disease (PD) 2 (6.7%). Relationship CTR 1 expression and response to chemotherapy according to RECIST obtained p value 0.002. Relationship ATP7B expression and chemotherapy response according to RECIST obtained with p value 0.009. In multiple logistic regression analysis obtained CTR 1 with p 0.006 and p value 0.454 ATP7B. Conclusions: CTR1 and ATP7B expression can be used as a predictor of response to chemotherapy neoadjuvant cisplatin in cervical cancer IIB, CTR expression more better as a predictor of response to neoadjuvant chemotherapy.Keyword: Neoadjuvant chemotherapy, MRI, Cisplatin, RECIST, CTR1 ATP7B ABSTRAKKanker serviks lokal lanjut masih menjadi masalah umum di Indonesia. Dengan keterbatasan radiasi maka kemoterapi sebagai neoadjuvan dipakai sebagai alternatif pengobatan. Mekanisme pasti akumulasi obat kemoterapi masih belum jelas. Penelitian ini bertujuan untuk mengetahui ekspresi CTR1 dan ATP7B sebagai prediktor respons terhadap kemoterapi cisplatin pada kanker serviks IIB. Rancangan penelitan ini adalah analitik observasional dengan bentuk prospektif. Dari 30 sampel penelitian kanker serviks IIB, dilakukan pemeriksaan MRI untuk mengukur volume serviks dan parametrium serta biopsi serviks untuk dilakukan pemeriksaan IHC (immunochemistry) CTR1 dan ATP7B. Selanjutnya diberikan Neoadjuvat chemotherapy (NAC) cisplatin 50 mg/m2 tiap minggu 4 kali. Setelah 2–3 minggu setelah NAC dilakukan pemeriksaan MRI ulangan. Penilaian respons kemoterapi dilakukan dengan RECIST. Hasil penelitian menunjukkan dari 30 sampel penelitian sebelum kemoterapi, volume serviks dan parametrium terkecil 23,35 cm3 dan terbesar 276,23 cm3. Setelah kemoterapi, terkecil 2,14 cm3 dan terbesar 422,11 cm3. Respons kemoterapi didapatkan Partial Response (PR) 23 (76.7%), Stable Disease (SD) 5 (16.6%), Progressive Disease (PD) 2 (6.7%). Hubungan ekspresi CTR 1 dan respons kemoterapi sesuai RECIST didapatkan dengan nilai p 0,002. Hubungan ekspresi ATP7B dan respons kemoterapi sesuai RECIST didapatkan dengan nilai p 0,009. Pada analisis regresi logistik ganda didapatkan CTR 1 dengan nilai p 0,006 dan ATP7B nilai p 0,454. Penelitian ini menyimpulkan bahwa ekspresi CTR1 dan ATP7B dapat dijadikan sebagai prediktor respons Neoadjuvant chemotherapy cisplatin pada kanker serviks IIB. Bila dibandingkan, ekspresi CTR 1 lebih baik sebagai prediktor respons kemoterapi neoadjuvant.Kata kunci: Neoadjuvant chemotherapy, MRI, cisplatin, RECIST, CTR1 ATP7B

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