Profil Klinis dan Histopatologi Pasien Adenocarcinoma Colorectal di RSUP Hasan Sadikin Tahun 2016

Meike Rachmawati, Ismawati Ismawati, Meta Maulida, Dzikru Rahmah Robbika Az-Zahra

Abstract


Abstrak
Adenocarcinoma colorectal merupakan keganasan paling umum ketiga setelah kanker paru dan payudara. Adenocarcinoma colorectal merupakan tumor epitel ganas usus besar yang mengalami serangkaian mutasi genetik. Jumlah kasus adenocarcinoma colorectal pada tahun 2020 adalah 17.368 atau 4,4% kasus kanker di Indonesia. Penelitian ini bertujuan mengetahui dan menganalisis hubungan antara tiap-tiap profil klinis dan histopatologis adenocarcinoma colorectal. Penelitian ini merupakan penelitian analitik observasional dengan pendekatan potong lintang. Data yang digunakan adalah data sekunder berupa data rekam medis pasien adenocarcinoma colorectal di Rumah Sakit Dr. Hasan Sadikin Bandung periode tahun 2016 yang sesuai dengan kriteria inklusi. Penelitian dilakukan selama Februari–Oktober 2021. Teknik pengambilan sampel yang digunakan adalah total sampling. Uji analisis Fisher diperoleh p=0,018 (p<0,05) hubungan signifikan antara lokasi tumor dan staging T atau ukuran tumor. Pada penelitian ini didapatkan pula hubungan signifikan grading staging N p=0.002 (p<0.05). Simpulan penelitian ini adalah beberapa kriteria pada pasien memiliki hubungan yang signifikan antara satu sama lain, yaitu lokasi tumor dengan staging T, dan grading dengan staging N.

 

Abstract
Colorectal adenocarcinoma is the third most common malignancy after lung cancer and breast cancer, and a malignant epithelial tumor of the large intestine that undergoes a genetic mutations. The number of colorectal adenocarcinoma cases in 2020 was 17,368 or 4.4% of the total cancer cases in Indonesia. This study aims to determine and analyze the relationship between each clinical and histopathological profile of Colorectal Adenocarcinoma. This study is an observational analytic study with a cross-sectional approach. The data used in this study is patient's medical record at RSUP Dr. Hasan Sadikin in 2016 according to the inclusion criteria. The study was carried out during February–October 2021. The sampling technique used is total sampling. From the analytical Fisher test, a p value of 0.018 (p<0.05) was obtained in the analysis of the relationship between location and T staging, which stated that there was a significant relationship between tumor location and T staging. This study also found a significant relationship between grading and staging N with a p=0.002 (p <0.05). The conclusion of this study is that several criteria in patients have a significant relationship with each other, namely tumor location with T staging, and grading with N staging.


Keywords


Adenocarcinoma colorectal; grading; jenis kelamin; lokasi tumor; staging; varian histopatologis; Colorectal adenocarcinoma; gender; grading; histopathological variant; staging; tumor location

References


Rachmawati M, Yulianti H, Hernowo BS, Suryanti S, Wijaya I, Rahadiani N, dkk. The correlation of KRAS gene expression and P53 immunoexpression in colorectal adenocarcinoma. Open Access Maced J Med Sci [Internet]. 2019 Jul 9 [diunduh 31 Januari 2021];7(12):1940–5. Tersedia dari: https://www.id-press.eu/mjms/article/view/2810

Onyoh EF, Hsu WF, Chang LC, Lee YC, Wu MS, Chiu HM. The rise of colorectal cancer in asia: epidemiology, screening, and management. Curr Gastroenterol Rep. 2019;21(8):1–10.

Benedix F, Kube R, Meyer F, Schmidt U, Gastinger I, Lippert H. Comparison of 17,641 patients with right- and left-sided colon cancer: differences in epidemiology, perioperative course, histology, and survival. Dis Colon Rectum. 2010;53(1):57–64.

Sudoyo AW, Hernowo B, Krisnuhoni E, Reksodiputro AH, Hardjodisastro D, Sinuraya ES. Colorectal cancer among young native indonesians: a clinicopathological and molecular assessment on microsatellite instability. Med J Indones. 2010;19(4):245–51.

The Global Cancer Observatory. Cancer incident in indonesia. Int Agency Res Cancer. 2020;858:1–2.

Longo DL, Fauci AS. Harrison’s gastroenterology & hepatology. Edisi ke-17. New York: Mc-Graw Hill; 2014.

Jiang H-H, Zhang Z-Y, Wang X-Y, Tang X, Liu H-L, Wang A-L, dkk. Prognostic significance of lymphovascular invasion in colorectal cancer and its association with genomic alterations. World J Gastroenterol [Internet]. 2019 May 28 [diunduh 26 September 2021];25(20):2489. Tersedia dari: /pmc/articles/PMC6543237/

Fleming M, Ravula S, Tatishchev SF, Wang HL. Colorectal carcinoma: pathologic aspects [Internet]. J Gastrointestinal Oncol. 2012;3:153–73. [diunduh 31 Januari 2021]. Tersedia dari: /pmc/articles/PMC3418538/?report=abstract

Natsume S, Yamaguchi T, Takao M, Iijima T, Wakaume R, Takahashi K, dkk. Clinicopathological and molecular differences between right-sided and left-sided colorectal cancer in Japanese patients. Jpn J Clin Oncol. 2018;48(7):609–18.

Hsu YL, Lin CC, Jiang JK, Lin HH, Lan YT, Wang HS, dkk. Clinicopathological and molecular differences in colorectal cancer according to location. Int J Biol Markers. 2019;34(1):47–53.

Park SH, Song CW, Kim YB, Kim YS, Chun HR, Lee JH, dkk. Clinicopathological characteristics of colon cancer diagnosed at primary health care institutions. Intest Res. 2014;12(2):131.

Arena EA, Bilchik AJ. What is the optimal means of staging colon cancer? . Adv Surg. 2013;47:199-211.

Kolligs FT. Diagnostics and epidemiology of colorectal cancer. Visc Med [Internet]. 2016 Jun 1 [diunduh 26 September 2021];32(3):158. Tersedia dari: /pmc/articles/PMC4945785/

Ueno H, Mochizuki H, Akagi Y, Kusumi T, Yamada T, dkk. Optimal colorectal cancer staging criteria in TNM classification. J Clin Oncol [Internet]. 2012 May 1 [diunduh 26 Sep 2021];30(13):1519–26. Tersedia dari: https://pubmed.ncbi.nlm.nih.gov/22430272/

Al-Sohaily S, Biankin A, Leong R, Kohonen-Corish M, Warusavitarne J. Molecular pathways in colorectal cancer. J Gastroenterol Hepatol. 2012;27(9):1423–31.

Nguyen HT, Duong HQ. The molecular characteristics of colorectal cancer: Implications for diagnosis and therapy (review). Oncol Lett. 2018;16(1):9–18.

Johncilla M, Yantiss RK. Histology of colorectal carcinoma: proven and purported prognostic factors. Surg Pathol Clin [Internet]. 2020;13(3):503–20. Tersedia dari: https://doi.org/10.1016/j.path.2020.05.008

Luo C, Cen S, Ding G, Wu W. Mucinous colorectal adenocarcinoma: Clinical pathology and treatment options. Cancer Commun [Internet]. 2019;39(1):1–13. Tersedia dari: https://doi.org/10.1186/s40880-019-0361-0

Akkoca AN, Yanık S, Özdemir ZT, Cihan FG, Sayar S, Cincin TG, dkk. TNM and modified Dukes staging along with the demographic characteristics of patients with colorectal carcinoma. Int J Clin Exp Med [Internet]. 2014 Sep 30 [diunduh 31 Januari 2021];7(9):2828–35. Tersedia dari: www.ijcem.com/

Yun SO, Cho YB, Lee WY, Kim HC, Yun SH, Park YA, dkk. Clinical significance of signet-ring-cell colorectal cancer as a prognostic factor. Ann Coloproctol. 2017;33(6):232–8.

Marzouk O, Schofield J. Review of histopathological and molecular prognostic features in colorectal cancer. Cancers (Basel). 2011;3(2):2767–810.

Li P, Xiao Z, Braciak TA, Ou Q, Chen G, Oduncu FS. A relationship to survival is seen by combining the factors of mismatch repair status, tumor location and age of onset in colorectal cancer patients. PLoS One Internet]. 2017 Mar 1 [diunduh 4 November 2021];12(3):e0172799. Tersedia dari: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0172799

Sheng H, Wei X, Mao M, He J, Luo T, Lu S, dkk. Adenocarcinoma with mixed subtypes is a rare but aggressive histologic subtype in colorectal cancer. BMC Cancer. 2019;19(1):1–11.

Wu X, Lin H, Li S. Prognoses of different pathological subtypes of colorectal cancer at different stages: A population-based retrospective cohort study. BMC Gastroenterol. 2019;19(1):1–8.

Teka MA, Yesuf A, Hussien FM, Hassen HY. Histological characteristics, survival pattern and prognostic determinants among colorectal cancer patients in Ethiopia: a retrospective cohort study. Heliyon [Internet]. 2021 Feb 1 [diunduh 16 November 2021];7(2):e06366. Tersedia dari: /pmc/articles/PMC7920880/

Lee GH, Malietzis G, Askari A, Bernardo D, Al-Hassi HO, Clark SK. Is right-sided colon cancer different to left-sided colorectal cancer? - A systematic review. Eur J Surg Oncol [Internet]. 2015;41(3):300–8. Tersedia dari: http://dx.doi.org/10.1016/j.ejso.2014.11.001

Demb J, Earles A, Martínez ME, Bustamante R, Bryant AK, Murphy JD, dkk. Risk factors for colorectal cancer significantly vary by anatomic site. BMJ Open Gastroenterol. 2019;6(1):1–9.

Shia J, Klimstra DS, Bagci P, Basturk O, Adsay NV. TNM staging of colorectal carcinoma: Issues and caveats. Semin Diagn Pathol [Internet]. 2012;29(3):142–53. Tersedia dari: http://dx.doi.org/10.1053/j.semdp.2012.02.001

Malki A, Elruz RA, Gupta I, Allouch A, Vranic S, Al Moustafa AE. Molecular mechanisms of colon cancer progression and metastasis: Recent insights and advancements. Int J Mol Sci. 2021;22(1):1–24.

Alexiusdottir KK, Möller PH, Snaebjornsson P, Jonasson L, Olafsdottir EJ, Björnsson ES, dkk. Association of symptoms of colon cancer patients with tumor location and TNM tumor stage. Scand J Gastroenterol. 2012;47(7):795–801.

Minhajat R, Benyamin AF, Miskad UA. The Relationship Between Histopathological Grading and Metastasis in Colorectal Carcinoma Patients. Nusant Med Sci J [Internet]. 2020;5(2):51–60. Tersedia dari: https://journal.unhas.ac.id/index.php/jmednus/article/view/8786

Hemminki K, Santi I, Weires M, Thomsen H, Sundquist J, Bermejo JL. Tumor location and patient characteristics of colon and rectal adenocarcinomas in relation to survival and TNM classes. BMC Cancer [Internet]. 2010 Dec 21[diunduh 13 November 2021];10(1):1–6. Tersedia dari: https://bmccancer.biomedcentral.com/articles/10.1186/1471-2407-10-688




DOI: https://doi.org/10.29313/jiks.v4i2.10261

Refbacks

  • There are currently no refbacks.



eISSN: 2656-8438


View My Stats 


Flag Counter

Jurnal Integrasi Kesehatan dan Sains is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.