Gambaran Histopatologi pada Pasien Karsinoma Nasofaring Tahun 2012-2014 di RSUP. H. Adam Malik Medan

LAMPIRAN 1

DAFTAR RIWAYAT HIDUP

Nama

: Fathimah Nurul Wafa

Tempat/Tanggal Lahir

: Jakarta/22 Februari 1994

Pekerjaan

: Mahasiswa

Agama

: Islam

Alamat


: Jalan dr. Sumarsono No.18 Medan, Kompleks Dosen USU,
Medan
Komp. Timah Blok CC V No. 35 Rt.05/12 Kota Depok- Jawa
Barat

Orangtua
Ayah

: Sigit Pramono

Ibu

: Rufidah

Riwayat Pendidikan

:

1. Taman Qur’an Nurul Fikri


(1997-1999)

2. Sekolah Dasar Islam Pondok Duta

(1999-2005)

3. Sekolah Menengah Pertama Islam Terpadu Nurul Fikri (2005-2008)
4. Sekolah Menengah Atas Negeri 1 Depok

Riwayat Pelatihan

(2008-2011)

:

1. Pelatihan Pengkaderan Tingkat III UKMI Ad-Dakwah USU
2. Pelatihan Basic Life Support TBM FK USU
3. Pelatihan Pengkaderan Tingkat 2 (CPRI) PHBI FK USU


Universitas Sumatera Utara

Riwayat Organisasi

:

1. Sekretaris Divisi HUMAS PHBI FK USU Periode 2013-2014
2. Anggota Divisi PPI SCORE PEMA FK USU Periode 2013-2014
3. Sekretaris Divisi MAI BKM Ar-Rahmah FK USU Periode 2015

Universitas Sumatera Utara

LAMPIRAN 2

ETHICAL CLEARENCE

LAMPIRAN 3
SURAT IZIN PENELITIAN

Universitas Sumatera Utara


LAMPIRAN 3
SURAT IZIN PENELITIAN

TAKSASI DANA PENELITIAN

LAMPIRAN 4

DATA OUTPUT STATISTIK

Universitas Sumatera Utara

LAMPIRAN 4

DATA OUTPUT STATISTIK
Frekuensi

Statistics
gambaran


N

umur

umur

responden

berinterval

Valid
Missing

jenis kelamin histopatologi
responden

responden

144


144

144

144

0

0

0

0

umur responden

Frequency Percent

Valid


Cumulative

Percent

Percent

Valid 16

1

.7

.7

.7

17

2


1.4

1.4

2.1

20

1

.7

.7

2.8

21

1


.7

.7

3.5

24

3

2.1

2.1

5.6

26

1


.7

.7

6.2

27

1

.7

.7

6.9

29

1


.7

.7

7.6

30

1

.7

.7

8.3

31

4

2.8

2.8

11.1

33

1

.7

.7

11.8

34

4

2.8

2.8

14.6

35

2

1.4

1.4

16.0

Universitas Sumatera Utara

36

2

1.4

1.4

17.4

37

3

2.1

2.1

19.4

38

1

.7

.7

20.1

39

4

2.8

2.8

22.9

40

3

2.1

2.1

25.0

41

11

7.6

7.6

32.6

42

4

2.8

2.8

35.4

43

4

2.8

2.8

38.2

44

2

1.4

1.4

39.6

45

5

3.5

3.5

43.1

46

5

3.5

3.5

46.5

47

2

1.4

1.4

47.9

48

3

2.1

2.1

50.0

49

6

4.2

4.2

54.2

50

8

5.6

5.6

59.7

51

1

.7

.7

60.4

52

7

4.9

4.9

65.3

53

4

2.8

2.8

68.1

54

4

2.8

2.8

70.8

55

2

1.4

1.4

72.2

56

2

1.4

1.4

73.6

57

4

2.8

2.8

76.4

58

2

1.4

1.4

77.8

59

3

2.1

2.1

79.9

60

3

2.1

2.1

81.9

61

1

.7

.7

82.6

62

5

3.5

3.5

86.1

Universitas Sumatera Utara

65

4

2.8

2.8

88.9

66

5

3.5

3.5

92.4

67

2

1.4

1.4

93.8

69

1

.7

.7

94.4

70

2

1.4

1.4

95.8

72

1

.7

.7

96.5

74

3

2.1

2.1

98.6

79

1

.7

.7

99.3

82

1

.7

.7

100.0

144

100.0

100.0

Total

umur berinterval

Frequency Percent

Valid

Cumulative

Percent

Percent

Valid usia 11-20 tahun

4

2.8

2.8

2.8

usia 21-30 tahun

8

5.6

5.6

8.3

usia 31-40 tahun

24

16.7

16.7

25.0

usia 41-50 tahun

50

34.7

34.7

59.7

usia 51-60 tahun

32

22.2

22.2

81.9

usia 61-70 tahun

20

13.9

13.9

95.8

usia 71-80 tahun

6

4.2

4.2

100.0

144

100.0

100.0

Total

jenis kelamin responden

Frequency Percent

Valid

Cumulative

Percent

Percent

Universitas Sumatera Utara

Valid laki-laki
perempuan
Total

103

71.5

71.5

71.5

41

28.5

28.5

100.0

144

100.0

100.0

gambaran histopatologi responden

Frequency Percent

Valid

Cumulative

Percent

Percent

Valid WHO 1 (Keratinizing
Squamous Cell

12

8.3

8.3

8.3

73

50.7

50.7

59.0

59

41.0

41.0

100.0

144

100.0

100.0

Carcinoma)
WHO 2 (NonKeratinizing Squamous
Cell Carcinoma)
Undifferentiated
Squamous Cell
Carcinoma
Total

Descriptive Statistics
Std.
N

Minimum Maximum

Mean

Deviation

umur responden

144

16

82

48.10

13.268

umur berinterval

144

1.00

7.00

4.2639

1.31684

jenis kelamin responden

144

1.00

2.00

1.2847

.45286

144

1.00

3.00

2.3264

.62388

gambaran histopatologi
responden

Universitas Sumatera Utara

Descriptive Statistics
Std.
N

Minimum Maximum

Mean

Deviation

umur responden

144

16

82

48.10

13.268

umur berinterval

144

1.00

7.00

4.2639

1.31684

jenis kelamin responden

144

1.00

2.00

1.2847

.45286

144

1.00

3.00

2.3264

.62388

gambaran histopatologi
responden
Valid N (listwise)

144

Universitas Sumatera Utara

LAMPIRAN 5

DATA INDUK

NAME

SEX

1
2
3

Hendrikus B. Simbolon
Irna Siregar
Arma Sihombing

Laki-laki
Perempuan
Laki-laki

AGE
(years)
46
40
30

4

Maria E. Silitonga

Perempuan

40

5

Markus Jordan

Laki-laki

29

6
7
8

Boni Lucas
Paijo
Dadang

Laki-laki
Laki-laki
Laki-laki

54
41
52

9

Yusra

Perempuan

31

10

Yoyok

Laki-laki

62

11

Ali Usman Nst

Laki-laki

24

12

andika lubis

Laki-laki

46

13
14
15

lubis
Ponirin
Seh Umar

Laki-laki
Laki-laki
Laki-laki

60
52
50

16

Yusra A

Perempuan

34

17

Nurminah Hrp

perempuan

70

Undifferentiated Squamous cell
carcinoma

18

Nuraimma

perempuan

34

Undifferentiated Squamous cell
carcinoma

19

Maria Sihotang

Perempuan

45

Undifferentiated Squamous cell
carcinoma

20

Erica Duha

Perempuan

57

21

Sormiah

perempuan

56

22

Husmail

Laki-laki

41

23

Samsul Bahri Hasibuan

Laki-laki

59

24

M. Jayan

Laki-laki

66

NO

WHO
Non- keratinizing SCC
undifferentiated SCC
keratinizing SCC
Undifferentiated Squamous cell
carcinoma
Undifferentiated Squamous cell
carcinoma
keratinizing SCC
Malignan smear
differentiated SCC
Undifferentiated Squamous cell
carcinoma
keratinizing SCC
Undifferentiated Squamous cell
carcinoma
Undifferentiated Squamous cell
carcinoma
Non-keratinizing SCC
Belum dilakukan biopsi
Non- keratinizing SCC
Undifferentiated Squamous cell
carcinoma

Undifferentiated Squamous cell
carcinoma
Non- keratinizing SCC
Undifferentiated Squamous cell
carcinoma
Undifferentiated Squamous cell
carcinoma
Non- keratinizing SCC

Universitas Sumatera Utara

tahun
41
tahun
55
tahun
35
tahun

25

Maras

Laki-laki

26

Rebo

Laki-laki

27

Serti

Perempuan

28

Ertidawati

Perempuan

20

Undifferentiated Squamous cell
carcinoma

29

M. Ali

Laki-laki

65

Undifferentiated Squamous cell
carcinoma

30

Fatania

Perempuan

49

Undifferentiated Squamous cell
carcinoma

31

Gibson tampubolon

laki-laki

32

Zaharuddin

laki-laki

33

Ramadan Lubis

laki-laki

34

Manggarerak Manik

laki-laki

35

Ramli

laki-laki

36

Tuani Hasundungan

Laki-laki

37

Suwardi

Laki-laki

38

Tugiran

Laki-laki

39

henas atmaja

Laki-laki

40

Juriati

Laki-laki

41

Edwin

Laki-laki

51

Undifferentiated Squamous cell
carcinoma

42

Nurhayati

Laki-laki

43
Tahun

Non- keratinizing SCC

43

Agus Salim

Laki-laki

50

44

dormiana br tarigan

laki-laki

39

45

amat sukardi

laki-laki

74

46

boslen simalamgo

laki-laki

47

sinta manurung

Perempuan

48

matlan

laki-laki

49
55
tahun
62

47
tahun
57
tahun
43
43
tahun
70
tahun
50
33
Tahun
66
Tahun
59
Tahun
41
Tahun

Non- keratinizing SCC
Non- keratinizing SCC
Non- keratinizing SCC

Non- keratinizing SCC (30/05/13)
Non- keratinizing SCC
Undifferentiated Squamous cell
carcinoma
Non- keratinizing SCC
Non- keratinizing SCC
Undifferentiated Squamous cell
carcinoma
Non- keratinizing SCC
SCC
Non- keratinizing SCC
Keratinizing SCC

Undifferentiated Squamous cell
carcinoma
Non- keratinizing SCC
Undifferentiated Squamous cell
carcinoma
Non- keratinizing SCC
Non- keratinizing SCC
Non- keratinizing SCC

Universitas Sumatera Utara

49
50
51

suwardi
gery simatupang
jamaludin

laki-laki
Laki-laki
laki-laki

tahun
34
45
58

52

Manaek Sianipar

laki-laki

49

53

Harun Rangkuti

laki-laki

46

54

Mangantar Pangaribuan

laki-laki

37

55

Darwin M. Sihotang

laki-laki

34

56

Thomson Saminar

laki-laki

56

57

M indra kurniawan

Laki-laki

39

58

Sampliat Hutabarat

Laki-laki

45

59
60
61
62
63

Supardi
Arbak Marpaung
Jurludin
Surianto
Legini

Laki-laki
Laki-laki
laki-laki
Laki-laki
Laki-laki

64

Lizarto Harefa

Laki-laki

65

Mangihut Lumban T

Perempuan

54
50
53
38
55
48
Tahun
42
Tahun

66

Mudiah Hasibuan

Perempuan

62

Undifferentiated Squamous cell
carcinoma

67

Perdamen Kataren

laki-laki

41

Undifferentiated Squamous cell
carcinoma

68

Abdullah

laki-laki

36

Undifferentiated Squamous cell
carcinoma

69

Anggiat M Simanjuntak

laki-laki

41
tahun

Non- keratinizing SCC

70

Brta Samosir

Perempuan

52

Undifferentiated Squamous cell
carcinoma

71

Sanggal

Laki-laki

79

Undifferentiated Squamous cell
carcinoma

72

Jenda Malem Br Ginting

Perempuan

65

Undifferentiated Squamous cell
carcinoma

73

Rio Maraden Sibarani

Laki-laki

39

Undifferentiated Squamous cell
carcinoma (6/9/12)

74

Ali Usman Nasution

Laki-laki

24

75

Dormiana br Tarigan

Perempuan

37

NLaki-laki
Non-keratinizing SCC
Non- keratinizing SCC
Undifferentiated Carcinoma
(19/12/13)
Undifferentiated SC-Carcinoma
(21/10/13)
Non-Keratinizing SCC (03/04/13)
Undifferentiated Squamous cell
carcinoma (31/12/13)
Keratinizing SCC
Undifferentiated Squamous cell
carcinoma
Undifferentiated Squamous cell
carcinoma
Non- keratinizing SCC
Non- keratinizing SCC
SCC
malignant smear
undifferentiated
Non- keratinizing SCC
Non- keratinizing SCC

Undifferentiated Squamous cell
carcinoma (19/12/12)
Non- keratinizing SCC (04/12/13)

Universitas Sumatera Utara

76

Manaik

perempuan

50

77

Rinaldi

laki-laki

54

78

Dormianna Br Tarigan

perempuan

39

79

Amat Sukardi

laki-laki

74

80
81
82
83
84
85

Boslen Simalang
Yoel Christian Hutabarat
Lukman Pasaribu
Novita heni Sinaga
Cipto Haryono
nursiam

laki-laki
laki-laki
Laki-laki
Perempuan
Laki-laki
Perempuan

49
17

87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103

Rosliana ginting
andra putra
maniar sitorus
arnol naibaho
sukiwan
lamsudin saragih
rosida damanik
halma sembiring
Markus Jordan
Angga Harahap
Makmur Nst
Jamet Mankur
Heppy Sitepu
Amansyah Tanjung
Abu Bakar
Jimut Saragih
Hafiz
Abdul Hamid Munthe

Perempuan
Laki-laki
Perempuan
Laki-laki
Laki-laki
Laki-laki
Perempuan
Perempuan
Laki-laki
Laki-laki
Laki-laki
laki-laki
laki-laki
laki-laki
laki-laki
perempuan
laki-laki
laki-laki

57
37
49
26
44
61
41
52
31
42
20
82
47
40
27
66
42
54

104

Rohman Sinaga

laki-laki

41

105

Selamat Sujoko

laki-laki

72

Keratinizing Squamous Cell
carcinoma

106

Mangampiri Lumban
Tobing

laki-laki

50

Undifferentiated Squamous cell
carcinoma

107

Mashuri P

laki-laki

67

Non- keratinizing SCC

108

Juli Sinaga

perempuan

53

Non- keratinizing SCC

86

21
67
67

Non- keratinizing SCC
Undifferentiated Squamous cell
carcinoma
Non- keratinizing SCC
Undifferentiated Squamous cell
carcinoma
Non- keratinizing SCC
Non- keratinizing SCC
non keratinizing SCC
non keratinizing SCC
undifferentiated SCC
non keratinizing
non-keratining
non keratinizing
non keratinizing
non keratinizing
non keartinizing
undifferentiated
non keratinizing
non-keratinizing SCC
non-keratinizing SCC
undifferentiated SCC
non-keratinizing SCC
un-differentiated SCC
non-keratinizing SCC
non-keratinizing SCC
non-keratinizing SCC
non-keratinizing SCC
undifferentiated
Non- keratinizing SCC
Undifferentiated Squamous cell
carcinoma

Universitas Sumatera Utara

109

Ngemani

perempuan

74

Non- keratinizing SCC

110
111
112
113
114

Subah Pralogo
Giat P. Simanjuntak
M. Syarif Lubis
Marsad Padang
Pantul Liber Harianja

laki-laki
laki-laki
laki-laki
laki-laki
laki-laki

48
52
50
53
46

115

Faminudin Lauli

laki-laki

60

Non- keratinizing SCC
Non- keratinizing SCC
Non- keratinizing SCC
Non-keratinizing SCC
Non- keratinizing SCC
Undifferentiated Squamous cell
carcinoma

116

Paiman

laki-laki

66

117

Rahman Siregar

laki-laki

41

118

M. Syahrizal

laki-laki

24

Undifferentiated Squamous cell
carcinoma

119

Nurasnah

perempuan

43

Non- keratinizing SCC

120

Ruslin Tumanggor

laki-laki

41

Undifferentiated Squamous cell
carcinoma

121

Betsaida R. Sinaga

perempuan

31

122
123
124
125

Maruli Pardede
Sabar
Aripin
Maluddin Hamid

laki-laki
laki-laki
laki-laki
laki-laki

65
47
17
58

Melitina Dula

perempuan

45

Tarmizi Mahda

laki-laki

16

Robin Sitanggang
Rosmaniar

laki-laki
perempuan

53
42

dantur manik
manaf

Laki-laki
Laki-laki

60
41

132

samsul hanafiah

Laki-laki

44

133
134
135
136
137

jhon efendi
manan
nurainun
josti
erlidawoni

Laki-laki
Laki-laki
Perempuan
perempuan
perempuan

52
48
31
35
50

141

Undifferentiated Squamous cell
carcinoma
Non- keratinizing SCC

Keratinizing Squamous Cell
carcinoma
Non- keratinizing SCC
Non- keratinizing SCC
Non- keratinizing SCC
Non- keratinizing SCC
Undifferentiated Squamous cell
carcinoma
Undifferentiated Squamous cell
carcinoma
Non- keratinizing SCC
Non- keratinizing SCC
Keratinizing Squamous Cell
carcinoma
Non- keratinizing SCC
Undifferentiated Squamous cell
carcinoma
Non- keratinizing SCC
Non- keratinizing SCC
Non- keratinizing SCC
Non- keratinizing SCC
Non- keratinizing SCC

Universitas Sumatera Utara

138
139
140
141
142
143
144
145
146

m. ali
fataria
posman
ade aulia
tugirin
saksi
patimah
nurdiah hsb
pantur manik

Laki-laki
perempuan
Laki-laki
Laki-laki
Laki-laki
Laki-laki
perempuan
perempuan
Laki-laki

65
49
69
45
62
42
66
-

Undifferentiated
Non- keratinizing SCC
Undifferentiated
Non- keratinizing SCC
Non- keratinizing SCC
Undifferentiated
Undifferentiated
Undifferentiated
Non- keratinizing SCC

Universitas Sumatera Utara