Gambaran Radiologi Karsinoma Paru Sentral: Sebuah Laporan Kasus

Main Article Content

Inda Kania Meilani
Fransiskus Aryo Pratomo

Abstract

Lung carcinoma is a malignancy that originates in the respiratory tract and lung parenchyma. It is a type of lung malignancy that often leads to death, characterized by a high mortality rate globally. Based on radiological images, lung carcinoma is classified into central and peripheral types. Understanding the radiological characteristics of lung carcinoma will contribute to achieving swift and appropriate therapy. In this case study, a 46-year-old male patient with smoking history, complaints of breathlessness and a persistent cough is presented. The CT scan findings indicated that the patient had a centrally positioned lung carcinoma, in accordance with the attributes of the central type of lung carcinoma, the scan shows heterogeneous lesions larger than 3 cm situated in the hilum area. The boundaries are somewhat indistinct, displaying irregular edges, spicules, angiogram sign, narrowing and closure of the left main bronchus, the presence of surrounding atelectatic components, and is enhanced by contrast. These findings were corroborated by anatomical pathology examination. This case underscores the pivotal role of radiological modalities in both elucidating and establishing the diagnosis of lung carcinoma.

Article Details

How to Cite
Meilani, I. K., & Pratomo, F. A. (2023). Gambaran Radiologi Karsinoma Paru Sentral: Sebuah Laporan Kasus. PRIMER (Prima Medical Journal), 8(2), 42-47. https://doi.org/10.34012/pmj.v8i2.4255
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References

GLOBOCAN. Database Descriptive Epidemiology Group, IARC 2002. Diuduh tanggal : 13 Oktober 2015. Tersedia di : http://www-dep.iarc.fr/GLOBOCAN_frame.htm.

Hansel DH, Lynch DA, McAdam HP, Bankier AA. Imaging of Disease of The Chest. Edisi ke-5.Elsevier;2010. hlm. 787-864.

Christenson RD, Abbott, Martinez, Jimenez. Diagnostic Imaging Chest. Edisi ke-2.Mirst. hlm. 529-571.

Narayanaswamy I, Jayaram2 N, Ashwathappa S. Multidetector Row Computed Tomography (MDCT) Evaluation of Bronchogenic Carsinoma and Hostopatological Correlatinon. International Journal of Medical Imaging. 2015;3(4):82-8.

Thulkar S, Hari S, Gupto KA. Lung Malignancies. Dalam Chowdhury V (ed). Diagnostic Radiology Chest and Cardiovascular Imaging. Jaypee Brother Medical. 2010 : hlm. 79 – 235.

Christenson R D, Abbott, Martinez, Jimenez. Diagnostic Imaging Chest. Second editions. Amirst : hlm. 529-571.

Holling N, Shaw P. Diagnostic Imaging of Lung Cancer. Eur Respir J 2002; 19 : hlm. 722–742.

Swensen S J, Brown L R, Colby T V, Weaver L A, Midthun E D. Lung Nodule Enhancement at CT : Prospective findings. November 1996 ; Volume 201, issue 2. 194 : hlm. 399 - 455.

Lungs and Airways. Diuduh tanggal 18 November 2015. Tersedia di : http://www.radiologytutorials.com/main.cgi?tut=/main.cgi&frame=main&tt=1&t=14&s=2.

Ichsan A, Faisal R M, Elisna, Astowo P, Hidayat H, Prihartono J. Kriteria Diagnosis Kanker Paru Primer berdasarkan Gambaran Morfologi pada CT scan Toraks dibandingkan dengan Sitologi. Indonesian Jurnal of cancer, 2008 ; 1: hlm. 3-8.

Restinawati N M, Soehardiman D, Andarini L S. Modalitas Diagnostik Tumor Paru Perifer. J Respir Indo 2012: 31(3) : hlm. 178-187.

Ramadhaniah F, Mulawarman A, Suzanna E, Andalucia LR. Gambaran Kanker Paru Karsinoma Bukan Sel Kecil dengan Efusi Pleura. J Respir Indo. 2016; 36:60-6.

Dela Cruz CS, Tanoue LT, Matthay RA. Lung cancer: epidemiology, etiology, and prevention. Clin Chest Med. 2011 Dec;32(4):605-44.

Society AC. Lung Cancer (Non-Small Cell). 2016.

Webb WR, Higgins CB. Thoracic Imaging Pulmonary and Cardiovascular Radiology. Edisi ke-2. Philadelphia: Lippincott Williams & Wilkins;2011. hlm. 407-410.

Lange S, Walsh G. Radiology of Chest Diseases. Edisi ke-3. New York: Thieme 2007. hlm. 149-182.

Lee KS, Kim Y, Han J, Ko E, Park Ci-K, Primack SL. Bronchioloalveolar Carcinoma: Clinical, Histopathologic, and Radiologic Findings. RadloGraphics. 1997;17:1345-57.

Christenson RD, Abbott, Martinez, Jimenez. Diagnostic Imaging Chest. Edisi ke-2.Mirst. hlm. 529-571.

Panduan Nasional penanganan kanker. Kanker Paru. Komite Nasional Penanggulangan Kanker (KPKN). Kementerian Kesehatan Republik Indonesia. Versi 1.0 2015 : hlm. 1-13.

Takashima S. Lung Cancer Screening CT : From a Radiological Point of View.Recent Res. Devel. Radiol., 1 (2003): ISBN: 81-7895-074-X.

Haberst R, Heymach J V, Lippman S M. Molecular Origin of Cancer. Lung Cancer. The New Jurnal of Medicine 359;13. September 25, 2008 : hlm. 1367-1380.

Miller Y E. Pathogenesis of Lung Cancer. Am J Respir Cell Mol Biol. Vol 33. 2005 : hlm. 216-223.

Greenberg A K, Yee H, Room W N. Preneoplastic lesions of the lung. Respiratory research.2002; 3(1):20 : hlm 1-10.

Gimenez A, Tomas F, Prats R, Pilar Estrada, Villalba J, Bague S. Unusual Primary Lung Tumors : A Radiologic-Pathologic Overview. RSNA Radiographic. Vol.22, Issue 3. May 2002: hlm.601-619.

Rosando-de-Christenson M L, Templeton P A, Moran C A. Bronchogenic Carsinoma: Radiologic Pathologi Correlation. Radiographic. 1994 Mar ; 14(2): hlm. 429-446.

Amstrong P. Pulmonary Neoplasma. In: Grainger and Allison´s (editor). Diagnostic Radiology, a textbook of Medical Imaging. 3 rd ed. Churchill Livingston. 1997 : hlm. 82-375.

Saba O I, Chon D, Beck K, McLennan G, Sieren J, Reinhardt J, et al. Static VS Prospective Gated, Non Breath Hold Volumetric MDCT Imaging of The Lungs.Academic Radiology 12(11) : hlm. 1371-1384.

Uybico S J, Wu C C, Suh R D, Le N H, Brown K, Krishnam M S. Lung Cancer Staging Essentials: The New TNM Staging System and Potential Imaging Pitfalls. Radiographics Journals. RSNA 2010 ; 30 : hlm : 1163-11