Profil Karsinoma Nasofaring Di SMF THT-KL Rsup Haji Adam Malik Medan Periode Januari - Desember 2015

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ABSTRAK

Latar Belakang : Karsinoma nasofaring (KNF) merupakan keganasan di daerah
kepala dan leher yang selalu berada dalam kedudukan lima besar diantara
keganasan bagian tubuh lain bersama dengan kanker serviks , kanker payudara,
tumor ganas getah bening dan kanker kulit. Angka kejadian karsinoma nasofaring
paling tinggi ditemukan di Asia dan jarang ditemukan di Amerika dan Eropa.
Akan tetapi angka insiden cukup tinggi di sebagian di Eropa dan dipercaya faktor
genetik dan lingkungan pencetus karsinoma nasofaring.
Metode : Penelitian ini merupakan penelitian deskriptif, dimana pengumpulan
data dilakukan satu kali secara total sampling berdasarkan pengamatan rekam
medis pasien karsinoma nasofaring di RSUP Haji Adam Malik pada Tahun 2015.
Hasil : Hasil penelitian yang diperoleh adalah penderita karsinoma nasofaring
yang paling sering ditemukan adalah dari kelompok usia 46-60 sebanyak 28
pasien (40,0%). Jenis kelamin yang paling banyak menderita karsinoma
nasofaring adalah laki-laki sebanyak 49 orang (70,0%). Frekuensi penderita
karsinoma nasofaring tinggi terdapat pada berpendidikan lain-lain sebanyak 49
orang (70,0%). Frekuensi keluhan utama tertinggi penderita karsinoma nasofaring
adalah benjolan di leher sebanyak 45 orang (64,3%) diikuti dengan sakit kepala

sebanyak 12 orang (17,1%). Tipe histopatologi yang tertinggi pada penderita
karsinoma nasofaring adalah histopatologi karsinoma sel skuamosa berkeratinisasi
dengan jumlah 54 orang (77,1%). Berdasarkan jenis terapi, penderita karsinoma
nasofaring paling banyak mendapatkan terapi kemoterapi sebanyak 52 orang
(74,3%). Stadium karsinoma pada penderita karsinoma nasofaring kebanyakan
dijumpai pada stadium III sebanyak 44 orang (62,9%).
Kesimpulan : Dari hasil penelitian menunjukan bahawa pasien yang datang pada
Rumah Sakit Umum Haji Adam Malik yang sering mengalami karsinoma
nasofaring dari kelompok usia 46-60 tahun dengan jenis kelamin
laki-laki,berpendidikan SLTA dan SLTP,keluhan utama benjolan dileher, tipe
histopatologi karsinoma sel skuamosa berkeratinisasi dengan stadium 3 diberikan
terapi kemoterapi.
Kata kunci : Karsinoma nasofaring, Usia, Keluhan utama, Pendidikan

Universitas Sumatra Utara

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ABSTRACT


Background : Nasopharyngeal carcinoma (NPC) is a malignancy in the head and
neck are always in the position of the top five malignancies among other body
parts along with cervical cancer, breast cancer, malignant tumors of the lymph
and skin cancer. The incidence of nasopharyngeal carcinoma was highest in Asia
and is rarely found in the United States and Europe. But the incidence rate is
quite high in most of Europe and is believed to genetic and environmental factors
originator of nasopharyngeal carcinoma.
Methode : This research is descriptive, where data collection is done one time in
total sampling design is based on the observation of medical records of patients
with nasopharyngeal carcinoma in Haji Adam Malik General Centre Hospital,
Medan in the year of 2015.

Results : The results obtained are patients with nasopharyngeal carcinoma is the
most common of the 46-60 age group 28 patients (40.0%). Gender that suffered
most nasopharyngeal carcinoma is the man as much as 49 people (70.0%).
Nasopharyngeal carcinoma patients with high frequency contained in the other
educated as much as 49 people (70.0%). The main complaint highest frequency of
nasopharyngeal carcinoma patients is a lump in the neck as many as 45 people
(64.3%) followed by a bunch of headaches as many as 12 people (17.1%).
Histopathological types were highest in patients with nasopharyngeal carcinoma,

squamous cell carcinoma is histopathology keratinizing with a total of 54 people
(77.1%). Based on the type of therapy, most patients with nasopharyngeal
carcinoma getting chemotherapy as many as 52 people (74.3%). Stadium
carcinoma in patients with nasopharyngeal carcinoma stage III were mostly
found in as many as 44 people (62.9%).

Conclusion :From the results of research show that patients who came to the
General Hospital Haji Adam Malik, who often suffer from nasopharyngeal
carcinoma of the age group 46-60 years with male gender, and junior high school
education, the main complaint bump the neck,carcinoma, squamous cell
carcinoma is histopathology keratinizing with stage 3 are given chemotherapy.
Keywords : Nasopharyngeal carcinoma, Age, Main complaint, Education

Universitas Sumatra Utara