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2013 No.4 Oct - Dec - Research

Profil Penderita Karsinoma Tiroid di RSUP dr. Kariadi, Semarang (Januari 2006 – Juni 2010)

YAN WISNU PRAJOKO

Divisi Bedah Onkologi, Departemen Bedah RS Kariadi/FK UNDIP, Semarang

Diterima 5 Oktober 2013; Direview 17 Desember 2013; Disetujui 30 Januari 2014

ABSTRACT

Objective: To indentify the incidence and pattern of thyroid cancer in Kariadi General Hospital from January 2006 to June 2010. Methods: We performed descriptive study from 318 patients diagnosed with malignant neoplasm of thyroid (ICD- 10 C37). We identified ages, gender, histopathology, tumor size(T), lymph nodes (N) and distant (M)metastases, shelter, and comorbids. Twenty-nine patients were excluded because lack of data. Result: we found 221 female patients (76.5%), common ages were 20–50 years (56.1%). About 31,8% were T3, papillary adenocarcinoma were most frequent (61.2%). About 54,7% and 86,5% cases were no lymphnodes and metastases found consecutively. About 86,9% patients live at <50 m above sealevel. Thirty-nine patients experienced shortness of breath. Conclusion: Thyroid cancer is still a problem in the handling of cases of malignancy, because the number of cases is still relatively high, and in general, people come in more advanced disease conditions. A quick and precise handling since the diagnosis, both clinically and pathologically, until the treatment should be performed by surgeons well, to obtain satisfactory results.

Keywords: thyroid carcinoma, incidence, risk factor

ABSTRAK

Penelitian ini bertujuan mengidentifikasi insiden dan pola kejadian kanker tiroid di RS Dr. Kariadi periode Januari 2006 – Juni 2010. Penelitian deskriptif ini dilakukan terhadap 318 pasien yang dirawat dengan diagnosis Malignant Neoplasma of Thyroid (ICD-10 C73). Pengamatan dilakukan terhadap usia, jenis kelamin, histopatologi, ukuran tumor (T), metastasis KGB (N), metastasis jauh (M), tempat tinggal, dan komorbid. Sebanyak 29 pasien dieksklusi karena data tidak lengkap. Didapatkan 221 pasien perempuan (76,5%); usia tersering 20-50 tahun (56,1%); T3 sebanyak 31,8%; tidak terdapat metastasis KGB dan metastasis jauh 54,7% dan 86,5%; adenokarsinoma papiler 61,2%. Sebanyak 86,9% tinggal di ketinggian <50 m di atas permukaan laut. Hanya 39 penderita yang mengalami gangguan sesak napas. Kesimpulan, kanker tiroid masih menjadi masalah dalam penanganan kasus keganasan, karena jumlah kasus yang relatif masih tinggi dan pada umumnya penderita datang dalam kondisi penyakit yang lebih lanjut. Penanganan yang cepat dan tepat sejak diagnosis, baik klinis maupun patologis, hingga tahap terapi harus dapat dilakukan oleh ahli bedah dengan baik, sehingga dapat diperoleh hasil yang memuaskan.

Kata Kunci: karsinoma tiroid, insidensi, faktor risiko

 

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