WindySaputri, Mariska (2015) Akurasi Diagnosis FNAB (Fine Needle Aspiration Biopsy) Dibandingkan Dengan Pemeriksaan Histopatologi Pada Pasien Tumor Kulit (Uji Diagnostik di Instalasi Patologi Anatomi Rumah Sakit Umum Daerah Dr. S. Sarjana thesis, Universitas Brawijaya.
Abstract
Kulit adalah organ yang terletak paling luar, fungsi utama kulit yaitu sebagai pelindung dan pertahanan. Diantara semua penyakit kulit, tumor kulit perlu diperhatikan karena angka kejadiannya cukup tinggi. Seiring dengan perkembangan Ilmu Patologi Anatomi dalam bidang sitopatologi, maka dikembangkanlah diangnosa FNAB (Fine Needle Aspiration Biopsy), sebagai diagnosa preoperative untuk tumor kulit. Penelitian ini bertujuan untuk mengetahui akurasi pemeriksaa FNAB dibandingkan dengan histopatologi pada pasien tumor kulit khususnya di Instalasi Patologi Anatomi Rumah Sakit Saiful Anwar Malang. Penelitian ini merupakan penelitian uji diagnostik dengan mengambil data sekunder dari rekam medik pasien tumor kulit. Hasil penelitian menunjukkan bahwa terdapat 40 kasus pasien tumor kulit yang dilakukan pemeriksan dengan FNAB dilanjutkan dengan pemeriksaan histopatologi hasil operasi. Berdasarkan 40 kasus tersebut diperoleh akurasi pemeriksaan FNAB adalah sebesar 80%, dengan sensitifitas 88,46%, spesifisitas 64,28%, prediksi positif 82,14%, prediksi negatif 75%. Pada pemeriksaan pemeriksaa FNAB ini didapatkan nilai sensitifitas 88,46%, dalam arti bila didapatkan hasil FNAB yang ganas, maka kemungkinan besar hasilnya memang ganas, namun didapatkan nilai spesifisitas yang rendah, dalam arti bila didapatkan hasil FNAB jinak maka diperlukan pemeriksaan histopatologi yang merupakan standar baku emasnya dalam menegakkan diagnosa tumor kulit secara akurat. Kesimpulan dari penelitian ini adalah FNAB dapat digunakan sebagai sarana diagnotik preoperatif tumor kulit yang akurat. Akan tetapi, diagnosa FNAB bukan sebagai pengganti diagnosa histopatologi yang masih merupakan diagnosa pasti (gold standart) untuk tumor kulit.
English Abstract
The skin is an organ located at the outside, the main function of the skin is a protective and defense. Among all of the skin disease, skin tumor need to be concerned because the incident rate is quite high. Along with the advance of Anatomy Pathology, especially in cythopathology field, the diagnosis of FNAB (Fine Needle Aspiration Biopsy) is being develop and such diagnosis serves as preoperative diagnosis for the skin tumor. The study has a purpose to measure the accuracy of FNAB to skin tumor especially in Anatomy Pathology Installation, RSU Dr. Saiful Anwar Malang. The study is an uses diagnostic test through the collection of secondary data obtained from the medical record of patient with skin tumor. The findings show that the study obtained 40 cases of patients with skin tumor that were treated with FNAB examination and followed up with the histopathology examination for operation result. Based on the 40 case, the obtained accuracy of FNAB examination was as follows: 80% for accuracy, 88,46% for sensitivity, 64,28% for specificity, 82,14% for positive prediction, 75% for negative prediction. In this examination of FNAB was obtained quite high sensitivity value, meaning that if the result of FNAB examination is malignant, it is likely that the result is malignant, but the specificity value was low, meaning that the result of FNAB is beningn, histopathological examination as the gold standart is diagnosis skin tumor accurately were still required. From the study it can be concluded that FNAB can be used as accurate preoperative diagnostic medium for skin tumor. However, FNAB diagnosis is not a subtitle for histopathology diagnosis that still functions as gold standart in diagnosing the akin tumor.
| Item Type: | Thesis (Sarjana) |
|---|---|
| Identification Number: | SKR/FK/2015/263/051501943 |
| 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: | Samsul Arifin |
| Date Deposited: | 10 Mar 2015 14:54 |
| Last Modified: | 19 Oct 2021 00:00 |
| URI: | http://repository.ub.ac.id/id/eprint/125019 |
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