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Profil hasil pemeriksaan CT-Scan pada pasien tumor paru di Bagian Radiologi RSUD Dr. Zainoel Abidin periode Juli 2018-Oktober 2018



Abstract

Latar Belakang: Tumor paru masih menjadi penyebab utama keganasan di dunia. Tumor paru merupakan pertumbuhan abnormal benjolan pada jaringan paru yang dapat bersifat jinak ataupun ganas. CT scan merupakan salah satu modalitas yang digunakan untuk mengevaluasi dan mendiagnosis kecurigaan tumor paru. Penelitian ini bertujuan untuk mendapatkan gambaran profil hasil pemeriksaan CT scan pasien tumor paru.

Metode: Jenis penelitian yang digunakan adalah studi deskriptif retrospektif. Pengambilan sampel dilakukan di Bagian Radiologi RSUD Dr. Zainoel Abidin periode Juli 2018 – Oktober 2018. Data diperoleh dari hasil ekspertisi CT scan toraks dan kuisioner karakteristik responden. Didapatkan 66 kasus tumor paru yang memenuhi kriteria inklusi.

Hasil: Berdasarkan diagnosis radiologis, ditemukan 66 kasus tumor paru, dimana sebagian besar pasien berjenis kelamin laki-laki (63,6%); dengan kelompok usia terbanyak pada usia 60-69 tahun (37,9%); merokok aktif meningkatkan faktor risiko pada tumor paru; pasien memiliki gejala klinis awal terbanyak nyeri dada dan sudah dalam stadium lanjut; lokasi tumor terbanyak adalah paru kanan; dan tulang merupakan lokasi metastasis terbanyak ditemukan pada kasus tumor paru penelitian ini.

Simpulan: Penelitian ini diharapkan dapat memberikan umpan balik positif bagi manajemen tumor paru dan dapat digunakan sebagai dasar acuan untuk penelitian selanjutnya.

 

Background: Lung tumor is still being the most common tumors in the world. Lung tumor is defined as the abnormal growth of lumps in lung tissue that might be benign or malignant. CT scan is one of the most appropriate modality to diagnose the supposition of lung tumors and evaluating the tumor itself. The purpose of this study is to identify the CT scan images of patients with a lung tumor.

Method: The study was conducted by a retrospective descriptive design. In this study, sampling was performed at Radiology Department, Zinoel Abidin General Hospital, from July 2018 to October 2018. Data were obtained from the thorax CT scan examination request forms and questionnaire of respondent characteristics. There were 66 cases of lung tumors that met the

 inclusion criteria.

Results: There were 66 cases (53.2%) of lung tumors based on the radiological diagnosis. Most of the cases were males (63.6%); the largest age group consisted of patients aged 60-69 (37.9%); active smoking was the most important risk factor of lung tumor; patients mostly came with chest pain as an early symptom and at the final stage of lung tumor; the most common site of lung tumor was right lung; bone was the most common site of metastatic site.

Conclusion: This study can provide positive feedbacks in the whole management of lung tumor, and can be used as a basis for further research.

Keywords: computed tomography scan tumor paru epidemiologi

References

  1. American Cancer Society. Cancer Facts & Figures 2018. Atlanta: American Cancer Society, 2018. (diunduh 14 Juli 2019). Tersedia dari: https://www.cancer.org/cancer/cancer-facts .
  2. Torre LA, Bray F, Siegel RL, Ferlay J, Tieulent JL, Jemal A. Global cancer statistics 2012. Cancer J Clin. 2015; 65:87-108.
  3. Jusuf A, Wibawanto A, Icksan AG, Syahruddin E, Juniarti, Sutjahjo E. Kanker paru jenis karsinoma bukan sel kecil. Pedoman diagnosis dan penatalaksanaan di Indonesia. PDPI, Jakarta. 2018; 7-20.
  4. Malhotra J, Malvezzi M, Negri E , Vecchia CL, Boffetta P. Risk factors for lung cancer worldwide. Eur Respir Journal. 2016; 48(3):889- 902.
  5. Kusumawidjaja K. Tumor jinak paru. Dalam: Sutarto AS, Abdullah AA, Boer A, Budyatmoko B, Makes D, Ilyas G et al,. Radiologi diagnostik. Edisi kedua.
  6. Jakarta: Gaya Baru, 2005; 145-7.
  7. Cufari ME, Proli C, Sousa PD. Increasing frequency of non-smoking lung cancer: Presentation of patients with early disease to a tertiary institution in the UK. European Journal of Cancer. 2017; 84:55-9.
  8. Beckles MA, Spiro SG, Colice GL, Rudd RM. Initial evaluation of the patient with lung cancer. Chest, 2013; 123(Suppl. 1): 97-104.
  9. Cleave VJH, Cooley ME. Lung cancer. Dalam: C.G. Varricchio (Ed.), A cancer sourcebook for nurses (8th ed.). Sudbury, MA: Jones & Bartlett, 2004; 215-29
  10. American Joint Committee on Cancer (AJCC). AJCC staging manual (6th ed.). New York: Springer-Verlag, 2002.
  11. Icksan A, Faisal RM, Elisna, Astowo P, Hidayat H, Prihartono J. Kriteria Diagnosis Kanker Paru Primer Berdasarkan Gambaran Morfologi pada CT Scan Toraks Dibandingkan dengan Sitologi. Indonesia Journal of Cancer. 2008; 1:3-8.
  12. Tandi M, Tubagus VN, Simanjuntak ML. Gambaran CT-scan tumor paru di Bagian/SMF Radiologi FK Unsrat RSUP Prof. Dr. R. D. Kandou Manado
  13. periode Oktober 2014-September 2015. Jurnal e-Clinic (eCl). 2016; 4(1):140-45.
  14. Yulianti D, Syahruddin E, Hudoyo A, Icksan A. Neurological Clinical Symptoms and CT Scan Brain Images of Lung Cancer Patiens Small Cell Carcinoma is Not Brain Metastasis in Persahabatan Hospital. J Respir Indo. 2011; 31(1):32-7.
  15. Hulma MA, Basyar M, Mulyani H. Hubungan karakteristik penderita dengan gambaran sitopatologi pada kasus karsinoma paru yang dirawat di RSUP Dr. M. Djamli Padang. Jurnal Kesehatan Andalas. 2014; 3(2).
  16. Mannino DM, Samuel M, Aguayo SM, Pett TL, Redd SC. Low lung function and incident lung cancer in the United States. Intern Med. 2003; 1(63):1475-80.
  17. Wilson LM. Anatomi dan fisiologi sistem pernafasan. Dalam: Price SA, Wilson LM,editors. Patofisiologi Konsep Klinis Proses-Proses Penyakit Vol 2 (6th ed). Jakarta: EGC, 2005; 736- 55.
  18. Somantri I. Asuhan keperawatan pada pasien dengan gangguan sistem pernafasan. Edisi ke-2. Jakarta: Salemba Medika, 2009.
  19. Wysham NG, Cox CE, Wolf SP, Kamal AH. Symptom burden of chronic lung disease compared with lung cancer at time of referral for palliative care consultation. AnnalsATS. 2015; 12(9):1294-9.
  20. Ananda RR, Ermayanti S, Abdiana. Hubungan Staging Kanker Paru dengan Skala Nyeri pada Pasien Kanker Paru yang Dirawat di Bagian Paru RSUP DR M Djamil Padang. Jurnal Kesehatan Andalas. 2018; 7(3).
  21. Miaskowski C, Cleary J, Burney R, et al. Guideline for the Management of Cancer Pain in Adults and Children. Glenview: American Pain Society (APS), 2005.
  22. Ellis PM, Vandermeer R. Delays in the diagnosis of lung cancer. Journal of Thoracic Disease. 2011; 3(3):183-8.
  23. McWilliam A, Mayo J, MacDonald S, IeRiche JC, Palcic B, Szabo E, et al,. Lung cancer screening. American Journal of Respiratory and Critical Care Medicine. 2003; 168:1167.
  24. Laksmiarti T, Budisuari MA, Ardani I. Pilihan pelayanan kesehatan oleh masyarakat perbatasan negara. Buletin Penelitian Sistem Kesehatan. 2014; 17(4):353-62.
  25. Wahyuni TD, Swidarmoko B, Rogayah R, Hidayat H. The positive Result of Cytology Brushing Al Flexible Fiberoptic Bronchoscopy Compared with Transthoracic Needle Aspiration in Central Lung Tumor. J Respir Indo. 2011; 32(1):22-31.
  26. Bagheri R, Haghi SZ, Dalouee MN, Nasiri Z, Rajabnejad A. Evaluation of the results of surgery treatment in patients with benign lung tumors. NCBI. 2015; 32(1):29-33.

How to Cite

Iqbalawaty, I., Machillah, N., Farjriah, F., Abdullah, A., Yani, M., Ilzana, T. M., Rahmi, C. R., & Khaled, T. M. (2019). Profil hasil pemeriksaan CT-Scan pada pasien tumor paru di Bagian Radiologi RSUD Dr. Zainoel Abidin periode Juli 2018-Oktober 2018. Intisari Sains Medis, 10(3). https://doi.org/10.15562/ism.v10i3.661
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Indrita Iqbalawaty
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Nurul Machillah
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Farjriah Farjriah
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Asnawi Abdullah
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Muhammad Yani
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Teuku Muhammad Ilzana
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Cut Rizka Rahmi
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Teuku Muhammad Khaled
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