Gambaran Resektabilitas Tumor Kaput Pankreas di RSUP Haji Adam Malik Medan

Abstract

Pancreatic head carcinoma is the 4th leading cause of death from cancer. The diagnosis of this tumor is difficult to make using a standard diagnostic modality, especially in an early stage, and the treatment approach is usually based on the assumptive of clinicians. The International Association of Pancreatology (IAP) in 2016 recommends resectability criteria for pancreatic head tumors based on the results of a CT scan. Tumor detection and staging with resectability assessment and diagnostic imaging are important in planning treatment management, both conservative and non-conservative. Objective: To describe the resectability of pancreatic head tumors according to IAP criteria. Methods: This is an observational descriptive study with a case series design which was conducted at Rumah Sakit Umum Pusat Haji Adam Malik Medan from July to December 2021. The study sample consisted of patients diagnosed with pancreatic head tumors who met the inclusion and exclusion criteria. Furthermore, data were collected and data analysis was carried out. Results: Of the 14 patients, 2 patients aged 36-45 years (14.29%), 8 patients aged 46-55 years (57.14%), and 4 patients aged >56 years (28.57%), with a male predominance of 11 people (78.57%). Patients with resectable criteria were found in 3 people (21.43%), borderline resectable criteria in 11 people (78.57%), and no unresectable criteria. There was 1 patient (7.14%) with stage IB criteria, 2 patients with stage IIA (14.29%), and 11 patients with stage III (78.57%). There were no patients with the criteria for stage IA, stage IIB, and stage IV. Conclusion: Stage III criteria dominated this study with a total of 11 people.