Profil Penderita Angiofibroma Nasofaring Juvenile di RSUP H Adam Malik Medan

Abstract

lntroduction: Juvenile nasopharyngeal angiofibroma (JNA) is a combined vascular and fibrous neoplasm arising in the nasopharynx that histopathologically benign but have destructive ability to the surrounding tissue and occurs frequently in males from 5 to 25 years. The incidence of JNA is 0,05% of all head and neck neoplasms. The Diagnosis of JNA is essentially based on careful history and nasal endoscopic examination, supplemented by imaging studies using computed tomogram (CT) and Magnetic Resonance lmaging (MRl). Diagnosis was confirmed by angiography. Up to tis time, has not been obtained data on the profile of juvenile nasopharyngeal angiofibroma in H. Adam Malik General Hospital Medan. Purpose: To identify the profile of juvenile nasopharyngeal angiofibroma at H. Adam Malik General Hospital Medan in October 2010 - October 2015. Methods: This research is a case series descriptive study. This study uses secondary data obtained from the JNA patients medical records at H. Adam Malik General Hospital Medan in Oktober 2010 - Oktober 2015. Result: A total of 20 JNA patients had been evaluated. ANJ Patients most commonly found in men (95%), age group 14-16 years (45%), complaints of massive bloody nose (100%) and nasal congestion (95%), complaints >12 months (40%), ENT examination visible mass in the nasopharynx and extends into the nasal cavity (95%) and the encouragement to the palate (45%), the location of the tumor by CT scan were in the nasopharynx (100%) and nasal cavity (90%), Chandler stage ll (50% ), the surgical technique degloving midfacial (65%). The embolization was 10%

Pendahuluan: Angiofibroma nasofaring juvenile (ANJ) merupakan tumor fibrovaskuler nasofaring yang secara histopatologi adalah jinak akan tetapi memiliki kemampuan mendestruksi jaringan sekitarnya yang banyak menyerang laki-laki muda usia 5-25 tahun. Kejadian ANJ sebesar 0,05% dari tumor kepala dan leher. Diagnosis ANJ ditegakkan berdasarkan pemerikaan klinis, yaitu anamnesis yang lengkap, pemeriksaan THT dan nasoendoskopi, ditambah pemeriksaan penunjang seperti CT scan dengan kontras dan MRl. Diagnosa dikonfirmasi dengan pemeriksaan angiografi. Sampai dengan saat ini belum pernah diperoleh data mengenai profil penderita angiofibroma nasofaring juvenile di RSUP H. Adam Malik Medan. Tujuan: Mengetahui profil penderita angioflbroma nasofaring juvenile di RSUP H. Adam Malik Medan dari Oktober 2010 - OKober 2015. Metode: Penelitian ini bersifat deskriptif dengan desain case sen'es. Penelitian ini menggunakan data sekunder yang diperoleh dari pencatatan rekam medis penderita angiofibroma nasofaring juvenile di RSUP H. Adam Malik Medan dari Oktober 2010 - Oktober 2015. Hasil Penelitian: Sebanyak 20 penderita dengan diagnosa angiofibroma nasofaring juvenile diteliti. Penderita ANJ paling banyak ditemukan pada laki-laki (957q), kelompok umur 14-16 tahun (45%), keluhan hidung berdarah masif (100%) dan hidung tersumbat (95%), lama keluhan >12 bulan (40%), pemeriksaan THT tampak massa di nasofaring dan meluas ke rongga hidung (95o/o) dan pendorongan ke palatum (457o), Iokasi tumor berdasarkan CT scan berada di nasofaring (100%) dan rongga hidung (900/o), stadium ll (50%), teknik operasi degloving midfacial (657o). Tindakan embolisasi sebanyak 10%