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Lampiran 2

Data Klinis Pasien Penelitian, Diagnosa Si-BAJAH, dan Luas Tampilan Imunositokimia HER2/neu

GEJALA KLINIK Si-BAJAH

Tampilan imunositokimia HER2/neu pada sediaan metastasis KNF tipe squamous cell carcinoma

Tampilan imunositokimia HER2/neu pada sediaan metastasis KNF tipe undifferentiated cell carcinoma No. Slide S E X Umur (Thn) Limfadeno- pati di leher Ggn hidung Ggn telinga Kepala sakit uni/bi- lateral Eksoftal- mus KET. 0 +1 +2 +3 0 +1 +2 +3 08061428A ♀ 58 9 9 9 9 9 - 9 - - - 08071536A ♀ 65 9 9 9 9 - - - - - - 9 - - - 08071581A ♂ 44 9 9 9 9 - - 9 - - - 08071675A ♀ 53 9 9 9 9 - - - - 9 - - - 08071714A ♀ 43 9 9 9 9 - - - - - - 9 - - - 08081730A ♂ 56 9 9 9 9 - - - 9 - - - 08071792A ♀ 51 9 9 9 9 - - - 9 -- - - 08092139A ♂ 47 9 9 9 9 - - - - - 9 - - 08102387A ♂ 60 9 9 9 9 - - - - - - 9 - - - 08112418A ♂ 60 9 9 9 9 - - - - - 9 - - 08112438A ♂ 22 9 9 9 9 - - - - - 9 - - 08112806A ♀ 43 9 9 9 9 9 massa nasofaring + - - - 9 - - 08112592A ♀ 54 9 9 9 9 - CT scan massa + - - - 9 - - 08122655A ♂ 24 9 9 9 9 - - - - - - 9 - - - 08122682A ♀ 64 9 9 9 9 9 CT scan massa + - - - 9 - - 08122712A ♀ 24 9 9 - 9 Wajah kebas, sengau tdk bisa bilang ’B’ - - - 9 - - 08112820A ♀ 46 9 9 9 - - - - -- - - - 9 - - 08122838A ♀ 36 9 9 9 9 9 - - - - 9 - - 08122856A ♂ 17 9 9 9 - - - - - - 9 - - 08122857A ♂ 55 9 9 9 9 - - - - - 9 - - 09010129A ♀ 14 9 9 9 9 9 - 9 A/3114/08 ♂ 42 9 9 9 9 9 massa nasofaring + - 9 - - - A/3115/08 ♂ 43 9 9 9 9 9 massa nasofaring + - 9 - - - A/3289/08 ♂ 49 9 9 9 9 9 massa nasofaring + - - - - 9 - -- -

Lampiran 3

Data Klinis Pasien Penelitian, Diagnosa Si-BAJAH, dan Histopatologi

GEJALA KLINIK SI-BAJAH

No. Slide S E X Umur (Thn) Limfadeno- pati di leher Ggn hidung Ggn telinga Kepala sakit uni/bi- lateral Eksoftal- mus KET. Squamous cell carcinoma Undifferentiated

carcinoma Konfirmasi Histopatologi

08061428A ♀ 58 9 9 9 9 9 - 9 - -

08071536A ♀ 65 9 9 9 9 - - - 9 Undifferentiated ca

08071581A ♂ 44 9 9 9 9 - - 9 - -

08071675A ♀ 53 9 9 9 9 - - 9 - Nonkeratinizing squamous cell ca

08071714A ♀ 43 9 9 9 9 - - - 9 -

08081730A ♂ 56 9 9 9 9 - - 9 - -

08071792A ♀ 51 9 9 9 9 - - 9 - Non keratinizing squamous cell ca

08092139A ♂ 47 9 9 9 9 - - - 9 - 08102387A ♂ 60 9 9 9 9 - - - 9 - 08112418A ♂ 60 9 9 9 9 - - - 9 - 08112438A ♂ 22 9 9 9 9 - - - 9 - 08112806A ♀ 43 9 9 9 9 9 massa nasofaring + - 9 Undifferentiated ca 08112592A ♀ 54 9 9 9 9 - CT scan massa + - 9 Undifferentiated ca 08122655A ♂ 24 9 9 9 9 - - - 9 - 08122682A ♀ 64 9 9 9 9 9 CT scan massa + - 9 -

08122712A ♀ 24 9 9 - 9 Wajah kebas, sengau tdk bisa bilang ’B’ - 9 - 08112820A ♀ 46 9 9 9 - - - - 9 - 08122838A ♀ 36 9 9 9 9 9 - - 9 Undifferentiated ca 08122856A ♂ 17 9 9 9 - - - - 9 - 08122857A ♂ 55 9 9 9 9 - - - 9 - 09010129A ♀ 14 9 9 9 9 9 - - 9 - A/3114/08 ♂ 42 9 9 9 9 9 massa

nasofaring + 9 - Non keratinizing squamous cell ca A/3115/08 ♂ 43 9 9 9 9 9 massa

nasofaring +

9 - Non keratinizing squamous cell ca A/3289/08 ♂ 49 9 9 9 9 9 massa

nasofaring +

- 9 Undifferentiated ca A/3290/08 ♂ 50 9 9 9 9 9 massa

Lampiran IV

Gambar: Luas tampilan imunositokimia HER2/neu pada sediaan metastasis Karsinoma nasofaring ke KGB leher, tipe quamous cell carcinoma dan undifferentiated carcinoma

Gbr.1. Luas tampilan imunositokimia HER2/neu 0

Gbr.1. Luas tampilan imunositokimia HER2/neu +1

Gbr.1. Luas tampilan imunositokimia HER2/neu +2

DATA, KUESIONER & PERSETUJUAN MENGIKUTI PENELITIAN

TAMPILAN IMUNOSITOKIMIA HER2/NEU PADA BIOPSI ASPIRASI METASTASIS

KARSINOMA NASOFARING KELENJAR LIMFE

NAMA : NO. PA. :

UMUR : HARI / TGL :

RAS/SUKU :

PEKERJAAN :

ALAMAT/TELP : Keluhan Utama : Limfadenopati di leher ……….

Keluhan Tambahan : 1. Gejala khas di hidung : ………

2. Gejala khas pendengaran :……….

3. Kepala sakit unilateral atau bilateral :……….

4. Gangguan neurologik syaraf otak :……….

5. Eksoptalmus :……….

6. Masa terlihat pada nasofaring :……….

Pemeriksaan Penunjang : ………..

………..

Saya menyatakan bersedia untuk dilakukan biopsi aspirasi pada benjolan di leher untuk mengetahui diagnosa terhadap penyakit saya ini, dan selanjutnya di proses untuk melihat tampilan imunositokimia HER2/NEU , yang diteliti oleh: Nama : dr. Lidya Imelda Laksmi (PPDS Patologi Anatomi FK-USU) No.Reg. : 17426 Medan,……….2009

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