KESESUAIAN CT SCAN LEHER DENGAN HASIL BIOPSI ASPIRASI JARUM HALUS DALAM MENGIDENTIFIKASI KEGANASAN LIMFADENOPATI LEHER

THE RELATIONSHIP OF NECK CT SCAN AND THE RESULT OF FINE NEEDLE ASPIRATION BIOPSY IN DETERMINING MALIGNANTCY OF COLLI LYMPHADENOPATHIES

  • Nurintan Kasmin Ginano Departemen Radiologi, Fakultas Kedokteran, Universitas Hasanuddin
  • Mirna Muis Departemen Radiologi, Fakultas Kedokteran, Universitas Hasanuddin
  • Bachtiar Murtala Departemen Radiologi, Fakultas Kedokteran, Universitas Hasanuddin

Abstract

Limfadenopati dapat disebabkan oleh berbagai kondisi mulai dari keganasan, infeksi, autoimun, dan iatrogenik. Limfadenopati pada usia anak dan dewasa yang ukurannya tidak bertambah besar dalam kurun waktu kurang dari dua minggu atau lebih dari 12 bulan tidak bersifat neoplastik. Penelitian ini bertujuan mengetahui kesesuaian gambaran CT Scan leher dengan hasil biopsi aspirasi jarum halus (BAJAH) untuk membedakan limfadenopati leher yang jinak dan ganas. Penelitian ini dilaksanakan di Departemen Radiologi RS. Dr. Wahidin Sudirohusodo dan RS Universitas Hasanuddin Makassar mulai bulan Desember 2017 sampai Mei 2018. Sampel sebanyak 61 orang dengan rentang usia 4 - 82 tahun. Metode yang digunakan adalah observasional analitik dengan pendekatan cross sectional. Hasil penelitian menunjukkan gambaran keganasan limfadenopati leher pada CT Scan yang sesuai dengan BAJAH yaitu penyebaran ekstrakapsular, nekrosis sentral, bentuk bulat/lobulated dan margin irregular, sedangkan kalsifikasi dan ukuran tidak sesuai. Gambaran CT Scan limfadenopati leher yang jinak sesuai dengan hasil BAJAH yaitu tidak ada penyebaran ekstrakapsular, tidak ada nekrosis sentral, bentuk oval dan margin regular, sedangkan kalsifikasi dan ukuran tidak sesuai.


 


Lymphadenopathy can be caused by various conditions that were malignancy, infection, autoimmunity, and iatrogenic. In adults and children, lymphadenopathy whose duration is less than two weeks or more than 12 months but its size does not increase, that is not a neoplastic. The study aims to determine the relationship between CT Scan of neck image and the result of fine needle aspiration biopsy (FNAB) in distinguishing benign and malignant cervical lymphadenopathies. The research was conducted in Radiology Department of Dr. Wahidin Sudirohusodo and Universitas Hasanuddin Hospital Makassar from December to May 2018. The sample were 61 people aged form 4 – 82 years old. The observational analytic with cross sectional analytic were used in this study. The result revealed that image of malignant lymphadenopathies in CT Scan of neck were significantly related with FNAB results; extracapsular spread; central necrosis, lobulated or rounded forms with irregular margin, while calcification and size were not related. The image of benign lymphadenopathies in CT Scan of neck was related with FNAB results; no extracapsular spread, no central necrosis, oval formed with regular margin, while calcification and size were not related.

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Published
2018-12-31
How to Cite
GINANO, Nurintan Kasmin; MUIS, Mirna; MURTALA, Bachtiar. KESESUAIAN CT SCAN LEHER DENGAN HASIL BIOPSI ASPIRASI JARUM HALUS DALAM MENGIDENTIFIKASI KEGANASAN LIMFADENOPATI LEHER. Mandala Of Health : A Scientific Journal, [S.l.], v. 11, n. 2, p. 95-102, dec. 2018. ISSN 2615-6954. Available at: <http://jos.unsoed.ac.id/index.php/mandala/article/view/1264>. Date accessed: 15 july 2020. doi: https://doi.org/10.20884/1.mandala health.2018.11.2.1264.