HUBUNGAN EKSPRESI CCNE1 DAN KADAR CA-125 PASCAKEMOTERAPI BERBASIS PLATINUM PADA HIGH GRADE SEROUS CARCINOMA OVARIUM DI RS KEMENKES MOHAMMAD HOESIN PALEMBANG

FITRIANI, DIANLI and Wresnindyatsih, Wresnindyatsih (2025) HUBUNGAN EKSPRESI CCNE1 DAN KADAR CA-125 PASCAKEMOTERAPI BERBASIS PLATINUM PADA HIGH GRADE SEROUS CARCINOMA OVARIUM DI RS KEMENKES MOHAMMAD HOESIN PALEMBANG. Undergraduate thesis, Sriwijaya University.

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Abstract

Latar belakang: High grade serous carcinoma (HGSC) merupakan karsinoma ovarium tersering dengan angka kematian dan kekambuhan yang tinggi. Amplifikasi CCNE1 dan overexpression CCNE1 dikaitkan dengan penurunan kelangsungan hidup dan resiko kekambuhan pada pasien HGSC yang mendapat kemoterapi platinum. Cancer Antigen-125 (CA-125) sebuah epitope dari MUC 16 yang ditemukan pada permukaan sel tumor ovarium digunakan untuk menilai prognosis, monitoring pengobatan dan kekambuhan pascakemoterapi pada pasien HGSC. Penelitian ini bertujuan untuk mengetahui hubungan antara ekspresi CCNE1 dan kadar CA-125 pascakemoterapi platinum. Metode: Penelitian analitik dekskriptif dengan desain retrospektif menggunakan 31 sampel blok paraffin HGSC periode 1 Januari 2020 hingga 31 Mei 2024. Seluruh sampel dilakukan pulasan imunohistokimia dengan menggunakan antibodi CCNE1. Data usia, stadium FIGO klinis, CA-125 preoperatif dan CA-125 pascakemoterapi diperoleh dari rekam medik. Dilakukan analisis univariat, bivariat dan multivariat menggunakan SPSS 26.0. Hasil: Dari 31 pasien HGSC, subjek penelitian didominasi oleh pasien berusia di atas 50 tahun (61,3 %), stadium FIGO III (64,5%) dengan 71% overexpression CCNE1, 77,4% kadar CA-125 preoperatif ≥500 U/ml dan 58,1% kadar CA-125 pascakemoterapi <35 U/ml. Analisis bivariat menunjukkan hubungan yang bermakna antara ekspresi CCNE1(p=0,000), usia (p=0,012), stadium FIGO (p=0,005), CA-125 preoperatif (p=0,003) dengan kadar CA-125 pascakemoterapi. Analisis multivariat logistic regression menunjukkan hubungan yang bermakna antara ekspresi CCNE1 dan kadar CA- pascakemoterapi [( p=0,006), (OR 2,420)]. Kesimpulan: Peningkatan kadar CA-125 pascakemoterapi ≥35 U/ml lebih banyak ditemukan pada overexpression CCNE1 dibandingkan low expression CCNE1. Terdapat hubungan bermakna secara statistik antara ekspresi CCNE1 dengan kadar CA-125 pascakemoterapi pada HGSC ovarium. Kata kunci: HGSC, Ekspresi CCNE1, CA-125.

Item Type: Thesis (Undergraduate)
Uncontrolled Keywords: High grade serous carcinoma, CNNE1
Subjects: R Medicine > RB Pathology > RB24-33 Pathological anatomy and histology
Divisions: 04-Faculty of Medicine > 11718-Pathology Anatomy (Sp
Depositing User: Dianli Fitriani
Date Deposited: 19 Jul 2025 06:33
Last Modified: 19 Jul 2025 06:33
URI: http://repository.unsri.ac.id/id/eprint/179008

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