Publications by authors named "Primariadewi Rustamadji"

Breast cancer is the predominant cause of cancer in developing nations, and screening through breast self-examinations and mammograms is crucial in mitigating morbidity and mortality. Nonetheless, geographic disparities in screening methods persist, attributable to sociodemographic variation and healthcare accessibility. This study aimed to analyze the influence of women's screening practices for breast cancer and other risks, stratified by urban and rural areas in Indonesia.

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Ovarian cancer is a major global health issue, ranking among the foremost causes of cancer-related death in women. Despite its prevalence, epidemiology data and survival analysis pertinent to Indonesia are few. This study seeks to address the information gap by analyzing the demographic characteristics, clinical aspects, and survival outcomes of ovarian cancer patients in Indonesia from 2010 to 2020.

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AKNA is identified as a gene that regulates inflammation, immune response, and Epithelial-Mesenchymal Transition (EMT), which plays an important role in the progression of epithelial ovarian cancer. In this study, we analyzed the genotype and allele distribution as well as 3D modeling of one of the AKNA rs10817595 (-1372 C>A). The distribution of genotypes and alleles was analyzed using the T-ARMS PCR method on 63 ovarian cancer samples and 65 controls.

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Mamary Paget's disease presents with subtle and insidious symptoms leading to late diagnosis that poses medical challenges. This uncommon pathology often has underlying ductal breast cancer, including in situ or invasive breast cancer, which makes early recognition crucial for better prognoses. A 78-year-old postmenopausal woman presented with progressive and persistent eczematous skin lesions of the nipple without breast lumps.

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Article Synopsis
  • Ovarian cancer often presents chemoresistance challenges due to the presence of cancer stem cells (CSCs) and specific protein expression patterns, which are linked to poor outcomes in patients.
  • A study involving 64 patients in Indonesia analyzed the expressions of CD44/CD24 (CSCs), RAD6, and DDB2 in ovarian cancer tissues to build a predictive scoring system for chemoresistance.
  • Results indicated a significant relationship between increased CSC and RAD6 expressions and decreased DDB2 expression with chemoresistance, leading to the development of the IHC-UNEDO scoring method as a potential predictive tool.
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Background: Response to neoadjuvant chemotherapy (NC) in individuals with invasive breast cancer (IBC) must be monitored, and biomarkers are needed. NC can activate an anti-tumour immune response in its microenvironment, known as Tumor-infiltrating Lymphocytes (TIL). TIL components believed to have great potential as predictors are CD4+, CD8+, and FOXP3+ TIL.

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Article Synopsis
  • - The study evaluated the role of sTIL (stromal tumor-infiltrating lymphocytes) intensity and expression as potential predictors of how well breast cancer patients at Cipto Mangunkusumo Hospital respond to neoadjuvant therapy, particularly considering the relevance of HIV-PD-1/PD-L1 immunotherapy.
  • - Conducted from 2014 to 2021, the research involved 60 female breast cancer patients, finding that 91.7% had invasive carcinoma of no special type, and most presented low sTIL intensity levels (≤10%).
  • - Results indicated that increased sTIL intensity, absence of lymphovascular invasion, and taxane chemotherapy appeared to predict a better response to treatment
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Background & Objective: Patients undergoing neoadjuvant chemotherapy (NC) for invasive breast cancer (IBC) therapy need biomarkers to track their progress. Because of the relationship between NFkB, Survivin, and Cyclin D1 with NC resistance, the different expression levels of each of these biomarkers can be different between pre- and post-NC in IBC. However, no research has examined the correlation between these biomarkers before and after the NC expression.

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Background: Patients undergoing neoadjuvant chemotherapy (NC) for invasive breast cancer (IBC) need indicators to track their progress during treatment. The goal of this research is to learn how cyclin D1 works in conjunction with taxane and non-taxane therapy for people with IBC.

Methods: There were 31 examples divided into two groups, based on: those using a different type of NC (taxane- or non-taxane-based), and NC administration time (before or after).

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Background & Objective: Invasive breast carcinoma of no special type (IBC-NST) is the most common type of breast cancer, which mainly causes axillary lymph-node metastasis (ALNM). Building on our previous research, we wanted to explore the optimal combination of AKT2, CD44v6, and MT1-MMP for the ALNM prediction.

Methods: The presence or absence of ALNM was used to separate 46 paraffin blocks containing IBC-NST primary tumors into two groups.

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Article Synopsis
  • The standard treatment for ovarian cancer is often ineffective, highlighting the role of Cancer Stem Cells (CSCs) that express CD44/CD24 in contributing to chemoresistance and poor outcomes.
  • A study involving 64 patients underwent surgery and chemotherapy, assessing CSC expression through direct tissue analysis and blood tests, revealing a significant link between high CSC levels and treatment resistance.
  • The findings suggest that increased expression of CSCs is strongly associated with chemoresistance, and utilizing immunohistochemistry for CSC detection may improve predictive capabilities in ovarian cancer prognosis.
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Backgrounds: Ovarian cancer is the 8th deadliest common cancer in women around the world. Almost all ovarian cancer patients would experience chemoresistance, recurrence, and poor prognosis after cytoreductive surgery and platinum-based chemotherapy. Chemoresistant cancer cells have characteristic expressions of cancer stem cell proteins (CSCs) CD44/CD24, RAD6 and DDB2.

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Early detection and treatment of cervical intraepithelial neoplasia (CIN) through a "see and treat" approach is a pillar of cervical cancer prevention programs in developing countries such as Indonesia. One of the major challenges faced is the limited NO or CO gas supply for cryotherapy. Thus, an alternative therapeutic method such as trichloroacetic acid (TCA) topical application is needed as an alternative solution.

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Introduction And Importance: Mucinous cystadenoma occurs in 10-15% of all ovarian tumors. Diagnosis and treatment should be decided precisely as it has a chance to develop into pseudomyxoma peritonei (PMP). Management of PMP might be challenging especially when repeated surgery is needed.

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Background: Invasive breast carcinoma of no special type (IBC-NST) is the most widespread invasive carcinoma subtype causing primarily regional metastases of the lymphatic node (LNM). The capacity of CD44 variant exon 6 (CD44v6) expression as an LNM predictor biomarker in IBC-NST was explored.

Methods: We conducted a cross-sectional research with 48 paraffin blocks containing IBC-NST primary tumors that were divided into two groups by LNM.

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Background: Malaria is the second most life-threatening infectious disease in Indonesia, causing approximately 1-3 million deaths annually. Histopathologic studies assessing CD 68 and CD 34 protein expression in placental malaria and its association with maternal anemia are essential to determine the prognosis of malaria in pregnancy.

Materials And Methods: This cross-sectional study was carried out in 2017.

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Introduction: Granulosa cell tumor (GCT) is a rare neoplasm that is divided into adult GCT (AGCT) and juvenile GCT (JGCT). Generally, a patient will only have the AGCT or JGCT subtypes. Here, we presented the first case of AGTC accompanied by focal JGTC in a postmenopausal woman.

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Context: Chemoresistance is a major issue in patients with locally advanced oral squamous cell carcinoma (OSCC). In this study, we evaluated the effectiveness of melatonin in conjunction with neoadjuvant chemotherapy (NC) on hypoxia-inducible factor-1α (HIF-1α) expression and clinical response in locally advanced OSCC patients.

Aims: To study the effects of melatonin on HIF-1α expression and its effect on the clinical response of patients with locally advanced OSCC.

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Introduction: Placenta accreta syndrome is a significant cause of maternal mortality and morbidity. Therefore, a multidiscipline approach is essential to overcome this life-threatening disorder for the mother and fetus.

Presentation Of Case: A 32-year-old women gravida 3 parity 2, 34 weeks gestation come due to recurrent antepartum haemorrhage.

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Background: Invasive breast carcinoma of no special type (IBC-NST) is the most common type of breast cancer and mainly causes regional lymph-node metastasis (LNM). We investigated the potential for AKT2 expression as a predictive biomarker for LNM in IBC-NST.

Methods: Forty-eight paraffin blocks containing IBC-NST primary tumors were divided into two groups based on presence or absence of LNM.

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Background: Transverse Vaginal Septum (TVS) is a rare congenital abnormality, classified as the Mullerian duct anomaly development. TVS incidence range from 1:2.000 to 1:72.

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Introduction: Metastases in cervical cancer could be spread through direct local invasion, lymphatic dissemination, or hematogenous dissemination. The most common sites of distant metastases are lungs, bone, and liver. Skin metastases from cervical cancer are categorized as a rare occurrence of metastases.

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Cervical cancer is a leading cause of death among women worldwide, particularly in Indonesia. The main treatment of advanced-stage cervical cancer is radiation; however, the outcomes do not meet the required expectations. [1,7-Bis(4-hydroxy-3-methoxyphenyl)-1,6-heptadiene-3,5dione] has been reported in several studies for its potency in cancer therapy.

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Article Synopsis
  • The study investigates the effects of melatonin on patients with locally advanced oral squamous cell carcinoma (OSCC) undergoing neoadjuvant chemotherapy, focusing on its impact on miR-210 and CD44 expression, which are related to tumor resistance and hypoxia.
  • Results showed that melatonin administration led to a decrease in miR-210 and CD44 levels, as well as a reduction in the percentage of residual tumor, but these changes were not statistically significant.
  • The conclusion suggests that while adding melatonin to chemotherapy may reduce certain tumor markers and tumor residue in OSCC patients, the effects were not significant enough to draw definitive conclusions.
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