KARAKTERISTIK HASIL PAP SMEAR MENURUT BETHESDA DI RSUP SANGLAH DENPASAR TAHUN 2016-2017
| Main Authors: | Endriani, Tasia Irma, Budiana, I Nyoman Gede, Mahendra, I Nyoman Bayu, Surya, I Gede Ngurah Harry Wijaya |
|---|---|
| Format: | Article info application/pdf eJournal |
| Bahasa: | eng |
| Terbitan: |
Universitas Udayana
, 2021
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| Online Access: |
https://ojs.unud.ac.id/index.php/eum/article/view/72963 https://ojs.unud.ac.id/index.php/eum/article/view/72963/39475 |
Daftar Isi:
- ABSTRAK Kanker serviks merupakan kanker pada serviks uterus. Pemeriksaan Pap smear yang dilakukan teratur dapat membantu mendeteksi perubahan sitologi prakanker pada serviks. Hasil pemeriksaan Pap smear kemudian dilaporkan berdasarkan sistem Bethesda untuk memberikan terminologi seragam berdasarkan satu panduan. Namun, dalam pelaporannya sampai sekarang masih belum seragam dan belum banyak data penelitian mengenai karakteristik Pap smear yang dilaporkan khususnya di Bali. Penelitian ini bertujuan untuk mengetahui kelompok usia, keluhan, jumlah paritas, dan karakteristik hasil Pap smear di RSUP Sanglah Denpasar tahun 2016-2017. Penelitian ini dilakukan secara potong lintang deskriptif. Bahan penelitian yang digunakan berupa arsip data hasil pemeriksaan Pap smear di Laboratorium Patologi Anatomi RSUP Sanglah. Jumlah sampel penelitian yang diperoleh adalah 1393 orang. Hasil penelitian menunjukkan jumlah pasien terbanyak yang melakukan Pap smear di RSUP Sanglah Denpasar tahun 2016-2017 adalah pada kelompok umur 41-50 tahun, sebanyak 472 orang (33,9%). Sebanyak 824 orang (59,1%) datang tanpa keluhan. Sebagian besar pasien yang melakukan Pap smear merupakan nullipara, yaitu sebanyak 886 orang (63,6%). Berdasarkan hasil Pap smear menurut klasifikasi Bethesda 2014 hasil paling banyak pada kelompok pasien Reactive cellular changes sebanyak 690 orang (49,5%). Jumlah pasien pada kelompok atypical squamous cell sebanyak 60 orang (4,45%), kelompok dengan LSIL sebanyak 4 orang (0,3%), kelompok dengan HSIL sebanyak 5 orang (0,3%), kelompok dengan glandular cell sebanyak 14 orang (1,1%). Perlu dilakukan penelitian analitik lebih lanjut guna mencari hubungan berbagai karakteristik. Kata kunci : kanker serviks, Pap smear, karakteristik
- ABSTRACT Cervical cancer is a cancer of the uterus cervix. Pap smear which is done regularly can help to detect precancerous cytological changes in the cervix. Pap smear examination results are reported based on the Bethesda system to provide terminology in one guide. However, in its reporting still not uniform and there are not many research data on the characteristics of Pap smears reported especially in Bali. The aims of this study are to determine the age group, complaints, number of parities, and characteristics from Pap smear results at Sanglah Hospital Denpasar in 2016-2017. This research was conducted in cross sectional descriptive. The research material using an archive of Pap smear examination results in the Anatomy Pathology Laboratory of Sanglah Hospital. The number of research samples obtained was 1393 people. The results showed the highest number of patients who had Pap smears at Sanglah Hospital Denpasar in 2016-2017 were in the age group of 41-50 years, as many as 472 people (33.9%). A total of 824 people (59.1%) arrived without complaints. Most of the patients who had Pap smears were nulliparous, as many as 886 people (63.6%). Based on the results of the Pap smear according to the 2014 Bethesda classification, the most results were in the group of Reactive cellular changes, which were 690 people (49.5%). The amount of patients in the group atypical squamous cell are 60 people (4.45%), in the group LSIL are 4 people (0.3%), in the group HSIL are 5 people (0.3%), in the group glandular cell are 14 people (1.1%). Further research is needed to look for relationships between characteristics. Keywords : cervical cancer, Pap smear, characteristics