Sensitivitas dan Spesifitas Pemeriksaan Diagnostik USG dalam Menilai Axillary Lymph Nodes pada Pasien Kanker Payudara di Wilayah Surakarta

Penulis Utama : Monica Bellynda
NIM / NIP : S561902007
× <p>Sensitivity and Specificity of Ultrasonography for Assessing Axillary Lymph Nodes in Breast Cancer Patients in Surakarta*</p><p>Monica Bellynda1, Kristanto Yuli Yarsa2, Ari Rosati3</p><p>1 General Surgery Resident, Surgery Department, Sebelas Maret Surakarta University</p><p>2 Oncology Surgery Department, Sebelas Maret Surakarta University</p><p>3 Radiologi Department, Sebelas Maret Surakarta University</p><p> </p><p>Introduction: Breast cancer is the most common malignancy in women worldwide. Early detection is effective in reducing breast cancer mortality by 25-30%. Staging assessment with “Sentinel Lymph node Node Biopsy” (SLNB) is the gold standard for patients with clinically negative axillae. Ultrasound examination of the axillae is often performed as a preoperative treatment for breast cancer patients with the aim of determining the stage of the cancer, where regional axillary lymph nodes assessment can be related to the prognostic factors of breast cancer, as well as assessing the prognosis for distant metastases. This study aims to assess the sensitivity of ultrasound examination of the axillary lymph nodes in breast cancer. Methods: The study was conducted in the Surakarta Hospital between 2020?2022. Data was taken from medical records of breast cancer patients with enlarged axillary lymph nodes who were examined at the Hospital in Surakarta.. Name, age, date of examination, medical record number, clinical diagnosis, expertise of the ultrasound and histopathology axillary lymph node were recorded. Calculation of diagnostic validity was carried out using a 2x2 table, then the sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy of ultrasound were calculated. Results: There were 70 cases had positive results on both examination and 74 cases had negative results in both examinations. There were 17 cases that had positive ultrasound but negative histopathology examination. Meanwhile, the remaining 15 cases were negative ultrasound but positive histopathology examination. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and diagnostic accuracy result as follow 82%, 83%, 80%, 83%, 489%, 21%, and 82% respectively. Conclusion: Ultrasound examination in assessing Axillary lymph nodes is easy, inexpensive, effective, and safe. The results can be increased with better radiological methods and experience from higher operators.</p><p>Keywords: Ultrasonography, axillary lymph node, breast cancer</p>
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Penulis Utama : Monica Bellynda
Penulis Tambahan : -
NIM / NIP : S561902007
Tahun : 2023
Judul : Sensitivitas dan Spesifitas Pemeriksaan Diagnostik USG dalam Menilai Axillary Lymph Nodes pada Pasien Kanker Payudara di Wilayah Surakarta
Edisi :
Imprint : surakarta - Fak. Kedokteran - 2023
Program Studi : PPDS Ilmu Bedah
Kolasi :
Sumber :
Kata Kunci : MONICA BELLYNDA
Jenis Dokumen : Disertasi
ISSN :
ISBN :
Link DOI / Jurnal : -
Status : Public
Pembimbing : 1. Dr. dr. Kristanto Yuli Yarsa, Sp.B(K)Onk, M.Kes
2. dr. Ari Rosati, Sp.Rad(K) PRP
Penguji : 1. dr. Soebandrio, Sp. B , Sp. BTKV(K)
2. dr. Setya Anton Tusawardaya, Sp.U
3. dr. Joko Purnomo, Sp.B(K)Onk
Catatan Umum :
Fakultas : Fak. Kedokteran
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