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BAB 6 KESIMPULAN

6.2 Saran

Antara saran bagi penelitian selanjutnya adalah :

1. Mengikuti perjalanan penyakit pasien yang menderita kanker payudara sejak awal munculnya penyakit supaya penelitian lanjutan dapat mengkaji hubungan antara kanker payudara dengan obesitas dengan lebih menyeluruh.

2. Bagi penelitian lain dapat melanjutkan penelitian ini dengan memasukkan faktor-faktor resiko kanker payudara lain yang belum dikaji, misalnya faktor genetik dan penggunaan hormon steroid eksogen

DAFTAR PUSTAKA

American Cancer Society. Cancer Facts and Figures 2010. Atlanta, Ga: American Cancer Society; 2010. Available from:

http://www.cancer.org/Cancer/BreastCancerinMen/DetailedGuide/breast cancer-in-men-what-is-breast-cancer-in-men [accessed 15 September 2010]

Bethesda,. 1998. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. National Heart, Lung, and Blood Institute: NIH Publication No. 98–4083.

Badan Pusat Statistik Republik Indonesia (2010). Available from: www.bps.go.id/hasilSP2010/sumut [accessed 06 October 2010]

Borgen P.I., Wong G.Y., Vlamis V., Current management of male breast cancer. A review of 104 cases. Ann Surg 215 (5): 451-7; discussion 457-9, 2002. Available from: http://onlinelibrary.wiley.com/doi/10.1002/ssu.2980070516 [accessed 20 September 2010]

Darwito.Omega-3 dan Kanker Payudara. Available from: http://darwitosuwito

saridinsangpembaharu.blogspot.com/2009/03/kanker.html [accessed 2 April 2010]

Garofalo, C., Surmacz, E., 2006 Leptin and cancer. Journal of Cellular Physiology 207 12–22 Available from: http://joe.endocrinology

Gallagher, D., Heymsfield S, Heo M, Jebb S, Murgatroyd P, Sakamoto Y (2000). Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index.. Am J Clin Nutr 72 (3): 694–701 Available from: http://www.ncbi.nlm.nih.gov/pubmed/10966886 [accessed 16 May 2010]

Giordano S.H., Cohen D.S., Buzdar A.U., .Breast carcinoma in men: a population-based study. Cancer 101 (1): 51-7, 2004. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15221988 [accessed 25 September 2010]

Grundy S.M., Obesity, .Metabolic Syndrome, and Cardiovascular Disease. J Clin Endocrinol 2004 ; 89(6) : 2595-2600. Available from:

http://circ.ahajournals.org/cgi/content/full/112/17/2735 [accessed 23 September 2010]

Guyton, A. C., Hall, J. E., 2006. Dietary Balances; Regulation of Feeding; Obesity and Starvation; Vitamin and Minerals. In Belfus L., ed. Medical Physiology. 11th Edition.China:Saunders and Elsevier., 872-874.

Hompedin - Hematologi Onkologi Medik Penyakit Dalam Indonesia. Available from:http://www.hompedin.org [accessed 15 March 2010]

Huang Z, Hankinson S.E., Cloditz G.A., .Dual effects of weight and weight gain on breast cancer risk. Journal of the American Medical Association 1997; 278(17):1407–1411. Available from:

http://www.ncbi.nlm.nih.gov/pubmed/9355998 [accessed 20 October 2010]

Klikdokter, 2008. Indeks Penyakit, Obesitas . Available from:

http://www.klikdokter.com/illness/detail/43 [accessed 2 April 2010]

Kumar, V., Abbas, A. K., Fausto, N., dan Mitchell R. N., 2007. Environmental and Nutritional Diseases. In: Schmitt W., ed. Robbins Basic Pathology.8th

Edition.China: Saunders and Elsevier Inc., 313-318.

Loricnz A. M. and Sukumar S.,2006. Molecular links between obesity and cancer, 13(2):279 Available from:

http://erc.endocrinologyjournals.org/cgi/content/full/13/2/279 [accessed 4 April 2010]

National Cancer Institute, 2004. Obesity and Cancer: Questions and Answers. Available from: http://www.cancer.gov/cancertopics/factsheet/Risk/obesity [accessed 12 March 2010]

Notoatmodjo, S., 2005. Metodologi Penelitian Kesehatan. Rineka Cipta, Jakarta.

Pamela, C. Champe., & Richard A. Harvey, 2008. Obesity and Health. In Pamela, C. Champe., ed. Lippincott’s Illustrated Reviews: Biochemistry. 4th edition USA: Williams & Wilkins., 349-355.

Pane, M., 1990. Aspek Klinis dan Epidemiologis Penyakit Kanker Payudara. Available from: http://www.tempo.co.id/medika/arsip/082002/pus-3.htm [accessed 15 March 2010]

Ringa, V., 2000. Menopause and treatments. Quality of life research 9(6): 695 707. Available from: http://wapedia.mobi/en/Menopause [accessed 10 October 2010]

Ronald, Informasi Kesehatan: Kanker Payudara. Available

from:http://www.dechacare.com/Kanker-Payudara-Pengertian-dan PenyembuhanI319.html [accessed 1 April 2010]

Kedokteran dan Kesehatan. Sagung Seto, Jakarta.

World Health Organization (WHO). Western Pacific Region (WPRO) International Association for the Study of Obesity (IASO). The Asia Pacific Perspective: Refining Obesity and its Treatment. Sydney: Health Communications Australia Pty Ltd. ISBN 0-9577082-1-1.

Yoo KY, Tajima K, Park S, et al. Postmenopausal obesity as a breast cancer risk factor according to estrogen and progesterone receptor status (Japan). Cancer Letters 2001; 167(1):57–63. Available from:

http://cebp.aacrjournals.org/content/13/10/1558.full [accessed 11 October 2010]

LAMPIRAN 1

DAFTAR RIWAYAT HIDUP

Nama : Muhammad Faiz bin Abdul Rahman Azmil

Tempat / Tanggal Lahir : 13 Julai 1988 / Johor, Malaysia.

Agama : Islam

Alamat : No 28 Jalan 7/3C Sekesyen 7, Bandar Baru Bangi, 43650 Selangor.

Riwayat Pendidikan : 1. Sekolah Kebangsaan Kampong Melayu

2. Sekolah Datok Abdul Razak, Seremban

3. Allianze College of Medical Science, Pulau Pinang

4. Universitas Sumatera Utara, Medan

Riwayat Pelatihan : 1. Peserta Penyambutan Mahasiswa Baru 2007 FK USU, Medan

2. Peserta Minggu Suai Kenal Pelajar Malaysia 2007.

Riwayat Organisasi : 1. Ahli Persatuan Kebangsaan Pelajar-pelajar Malaysia se-Indonesia (PKPMI).

LAMPIRAN 2 DATA INDUK

Distribusi Pasien Kanker Payudara stadium 1 dan 2 dengan Riwayat Obesitas RSUP Haji Adam Malik, Medan Tahun 2009

Jenis Kelamin Umur Kel. Umur BB TB IMT Kel. IMT PLT Kel. PLT 1 PEREMPUAN 33 Awal Dewasa 68 1.56 27.94 Obese Kelas 1 35.72 Overweight 2 PEREMPUAN 31 Awal Dewasa 61 1.53 26.06 Obese Kelas 1 33.00 Overweight 3 PEREMPUAN 37 Awal Dewasa 64 1.57 25.96 Obese Kelas 1 34.26 Overweight 4 PEREMPUAN 43 Akhir Dewasa 59 1.52 25.54 Obese Kelas 1 35.13 Overweight 5 PEREMPUAN 47 Akhir Dewasa 69 1.54 29.09 Obese Kelas 1 40.32 Obese 6 PEREMPUAN 29 Awal Dewasa 63 1.49 28.38 Obese Kelas 1 35.32 Overweight 7 PEREMPUAN 35 Awal Dewasa 67 1.55 27.89 Obese Kelas 1 36.12 Overweight 8 PEREMPUAN 37 Awal Dewasa 66 1.52 28.57 Obese Kelas 1 37.39 Overweight 9 PEREMPUAN 36 Awal Dewasa 76 1.51 33.33 Obese Kelas 2 42.88 Obese 10 PEREMPUAN 52 Akhir Dewasa 60 1.57 24.34 Lebih Berat

Badan

35.77 Overweight 11 PEREMPUAN 45 Akhir Dewasa 67 1.60 26.17 Obese Kelas 1 36.36 Overweight 12 PEREMPUAN 43 Akhir Dewasa 65 1.62 24.77 Lebih Berat

Badan

34.21 Healthy 13 PEREMPUAN 53 Akhir Dewasa 58 1.61 22.38 Normal 33.64 Healthy 14 PEREMPUAN 30 Awal Dewasa 77 1.65 28.28 Obese Kelas 1 35.44 Overweight 15 PEREMPUAN 47 Akhir Dewasa 68 1.59 26.90 Obese Kelas 1 37.69 Overweight 16 PEREMPUAN 46 Akhir Dewasa 82 1.55 34.13 Obese Kelas 2 46.14 Obese 17 PEREMPUAN 36 Awal Dewasa 69 1.65 25.34 Obese Kelas 1 33.29 Overweight 18 PEREMPUAN 62 Lansia 72 1.59 28.48 Obese Kelas 1 43.04 Obese 19 PEREMPUAN 49 Akhir Dewasa 64 1.61 24.69 Obese Kelas 1 35.49 Overweight 20 PEREMPUAN 42 Akhir Dewasa 66 1.56 27.12 Obese Kelas 1 36.80 Overweight 21 PEREMPUAN 46 Akhir Dewasa 66 1.52 28.57 Obese Kelas 1 39.46 Overweight 22 PEREMPUAN 40 Awal Dewasa 69 1.53 29.48 Obese Kelas 1 39.17 Obese 23 PEREMPUAN 38 Awal Dewasa 65 1.54 27.41 Obese Kelas 1 36.23 Overweight 24 PEREMPUAN 48 Akhir Dewasa 69 1.59 27.29 Obese Kelas 1 38.39 Overweight 25 PEREMPUAN 44 Akhir Dewasa 72 1.61 27.78 Obese Kelas 1 38.05 Overweight 26 PEREMPUAN 43 Akhir Dewasa 81 1.67 29.04 Obese Kelas 1 39.34 Overweight 27 PEREMPUAN 56 Akhir Dewasa 69 1.64 25.65 Obese Kelas 1 38.27 Overweight 28 PEREMPUAN 53 Akhir Dewasa 74 1.61 28.55 Obese Kelas 1 41.05 Obese 29 PEREMPUAN 57 Akhir Dewasa 75 1.59 29.67 Obese Kelas 1 43.31 Obese 30 PEREMPUAN 43 Akhir Dewasa 76 1.65 27.90 Obese Kelas 1 40.27 Obese 31 PEREMPUAN 51 Akhir Dewasa 84 1.58 33.65 Obese Kelas 2 46.71 Obese

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