Karakteristik Tumor Ganas Telinga Hidung Tenggorok Kepala dan Leher di SMF THT-KL RSUP H. Adam Malik Medan Periode Januari 2006 – Desember 2010

Abstract

Background: Ear Nose Throat Head and Neck malignant tumors, considered to be the highest five malignancies in the world, which more than 600,000 cases found annually and most of them were squamous cell carcinomas. Hidden location of Ear Nose Throat Head and Neck malignant tumors and non specific symptoms caused difficulties in early diagnosis. Purpose: Knowing the characteristics of Ear Nose Throat Head and Neck malignant tumors in ENT Department of H. Adam Malik Hospital Medan in January 2006 - December 2010. Methods: This study design is a descriptive study using case series design. Sampling is a retrospective study by looking at medical records of all patients with Ear Nose Throat Head and Neck malignant tumors who came to ENT Department of Medical Faculty University of Sumatera Utara / H. Adam Malik Hospital Medan from January 2006 to December 2010. Results: In this study, in January 2006 to December 2010, there were 589 patients with Ear Nose Throat Head and Neck malignant tumors and most often were found in men (72.84%), the largest age group was <50 years (51.44%) with the youngest age was 12 years old, the most common location were in the nasopharynx (56.88%), the most common histopathologic type were squamous cell carcinomas (68.93%), the most common stage were at advanced stage (III and IV) (91%), and mostly were manage with combination therapy (51.95%).

Latar Belakang : Tumor ganas Telinga Hidung Tenggorok Kepala dan Leher (THT-KL) termasuk dalam lima besar dari seluruh keganasan di dunia, dimana dijumpai lebih dari 600.000 kasus setiap tahunnya, dan yang paling banyak dijumpai adalah karsinoma sel skuamosa. Letak tumor ganas THT-KL yang tersembunyi dan gejala yang tidak khas menyebabkan sulitnya diagnosa dini pada tumor ganas ini. Tujuan: Mengetahui karakteristik tumor ganas THT-KL di Bagian THT-KL RSUP H. Adam Malik-Medan Periode Januari 2006 – Desember 2010. Metode: Rancangan penelitian bersifat deskriptif dengan menggunakan design case series. Pengambilan sampel penelitian adalah secara retrospektif dengan melihat rekam medik yaitu seluruh penderita tumor ganas THT-KL yang datang ke bagian THT-KL FK USU / RSUP H. Adam Malik Medan sejak bulan Januari 2006 sampai dengan Desember 2010. Hasil: Pada penelitian ini dijumpai penderita tumor ganas THT-KL pada Januari 2006 sampai Desember 2010 sebanyak 589 penderita dan paling banyak ditemukan pada laki-laki (72,84%), kelompok umur terbanyak adalah < 50 tahun (51,44%) dengan umur termuda adalah 12 tahun, lokasi tumor ganas tersering adalah nasofaring (56,88%), jenis histopatologi terbanyak adalah karsinoma sel skuamosa (68,93%), stadium terbanyak adalah stadium lanjut (III dan IV) (91%), penatalaksanaan terbanyak adalah terapi kombinasi (51.95%).