Akurasi Pemeriksaan Biopsi Jarum Halus Pada Tumor Tulang di Instalasi Patologi Anatomi RSU dr. Saiful Anwar Malang Periode Januari 2009 – Desember 2012.

AlbaitiJannati, Devi (2013) Akurasi Pemeriksaan Biopsi Jarum Halus Pada Tumor Tulang di Instalasi Patologi Anatomi RSU dr. Saiful Anwar Malang Periode Januari 2009 – Desember 2012. Sarjana thesis, Universitas Brawijaya.

Abstract

Fine Needle Aspiration Biopsi (FNAB) disebut juga Biopsi Jarum Halus (BAJAH) merupakan salah satu teknik diagnosa pre-operatif pada tumor tulang yang mudah, murah, cepat, minimal komplikasi, dan akurat. Penelitian ini bertujuan untuk menilai akurasi pemeriksaan BAJAH terhadap tumor tulang sebagai salah satu diagnosa pre-operatif dibandingkan dengan pemeriksaan histopatologi dari biopsi terbuka maupun operasi sebagai Gold Standard nya. Metode penelitian menggunakan metode deskriptif dan analitik. Deskriptif untuk melihat gambaran profil penderita tumor tulang,sedangkan metode analitik sebagai diagnosa tes untuk mencari sensitifitas, spesifisitas, nilai prediksi positif, nilai prediksi negatif, serta akurasi BAJAH. Data yang dikumpulkan merupakan pasien tumor tulang yang dilakukan pemeriksaan BAJAH di Instalasi Patologi Anatomi RSU dr. Saiful Anwar Malang periode Januari 2009 – Desember 2012. Didapatkan 170 kasus pasien tumor tulang yang dilakukan pemeriksaan dengan BAJAH; 27 kasus tumor tulang jinak non neoplasma dan tumor tulang jinak neoplasma sebanyak 53 kasus. Tumor tulang ganas metastase sebanyak 18 kasus dan tumor tulang ganas primer sebanyak 72 kasus. Sebanyak 38 kasus dilakukan diagnosa test dengan hasil sensitivitas 100 %, spesifisitas 100 %, nilai prediksi positif 100 %, nilai prediksi negatif 100 %, dan akurasi 100 %. Tidak didapatkan false negatif maupun false positif . Dapat disimpulkan bahwa BAJAH memiliki kemampuan yang sangat tinggi dalam membedakan lesi neoplasma dan non neoplasma, jinak atau ganas, tumor primer atau metastase. Sehingga BAJAH merupakan pilihan yang baik sebagai salah satu teknik diagnosa preoperatif pada tumor tulang karena murah, mudah, cepat, dan akurasi yang sangat tinggi.

English Abstract

Fine Needle Aspiration Biopsi (FNAB) is a technique that is used to make a pre-operative diagnose in bone tumor. It is easy to conduct, a cheap method, doesn’t need many times, low complication, and has high accuracy. This research is intended to assess the accuracy of FNAB towards bone tumor as one of pre-operative diagnose, compared by histopathological examination of open biopsy or operation as gold standard. This study is using descriptive and analytical methods. Descriptive method is used to assess bone tumor patient’s profile, while the analytical method is used to asses the sensitivity, specifity, positive and negative prediction value, and accuracy of FNAB. The data of this study is data of bone tumor patients which are examined by FNAB method at Pathological Anatomy Instalation RSU dr. Saiful Anwar Malang in period of time between Januari 2009 – Desember 2012. There are 170 cases that is examined by FNAB method, whereas 27 cases are non-neoplasmic benign bone tumor and 53 cases are neoplasmic benign bone tumor. There are 18 metastatic malignant bone tumor and 72 primary malignant bone tumor. 38 cases are diagnosed with the value of 100% in sensitifity, specifity, positive prediction value, negative prediction value, and accuracy. There are no false negatif or false positif . The conclusion of this study is that FNAB is capable to differentiate neoplasmic or non neoplasmic lession, benign or malignanttumor, and primary or metastatic tumor. FNAB is a good choice to make pre-operative diagnose because it is easy to conduct, a cheap method, doesn’t need many times, low complication, and has high accuracy.

Item Type: Thesis (Sarjana)
Identification Number: SKR/FK/2013/686/051400848
Subjects: 600 Technology (Applied sciences) > 610 Medicine and health > 610.7 Education, research, nursing, services of allied health personnel
Divisions: Fakultas Kedokteran > Pendidikan Dokter
Depositing User: Endang Susworini
Date Deposited: 12 Feb 2014 10:03
Last Modified: 21 Oct 2021 04:18
URI: http://repository.ub.ac.id/id/eprint/123976
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