CASE REPORT KARSINOMA TIROID PADA PEREMPUAN USIA 56 TAHUN

Authors

  • Alifia Mazaya Aliya Nugroho Program Studi Profesi Dokter, Universitas Muhammadiyah Surabaya
  • Denny Vianto Program Studi Profesi Dokter, Universitas Muhammadiyah Surabaya
  • Abdur Rohman Program Studi Profesi Dokter, Universitas Muhammadiyah Surabaya
  • Audy Meutia Ariana Program Studi Profesi Dokter, Universitas Muhammadiyah Surabaya

DOI:

https://doi.org/10.31004/jkt.v6i2.44569

Keywords:

benjolan leher, FNAB (Fine Needle Aspiration Biopsy), karsinoma tiroid, tiroidektomi

Abstract

Karsinoma tiroid merupakan tumor ganas yang berkembang pada kelenjar tiroid dan termasuk jenis kanker endokrin yang paling sering ditemukan, meskipun hanya mencakup sekitar 1% dari seluruh kasus kanker di populasi umum. Meski begitu, kasus karsinoma tiroid masih tergolong jarang dijumpai. Berdasarkan karakteristik histologisnya, karsinoma tiroid terbagi menjadi empat tipe utama, yaitu karsinoma papiler,karsinoma folikular, karsinoma meduler, dan karsinoma anaplastik. Penelitian ini ini disusun dalam bentuk studi laporan kasus dengan pendekatan deskriptif, yang bertujuan untuk menggambarkan secara rinci kondisi klinis, hasil pemeriksaan penunjang, serta penatalaksanaan pasien dengan diagnosis karsinoma tiroid. Hasil penelitian laporan kasus seorang perempuan berusia 56 tahun mengeluhkan adanya benjolan di bagian leher yang tidak disertai nyeri selama dua tahun terakhir. Hasil pemeriksaan ultrasonografi leher menunjukkan adanya massa padat sepenuhnya (completely solid), hipoekoik, dengan bentuk lebih tinggi daripada lebar (taller than wider), batas yang tidak teratur, serta terdapat fokus echogenik kecil (punctate echogenic foci). Ukuran massa terbesar sekitar 0,66 x 0,87 x 1,06 cm, dengan kesan adanya makrokalsifikasi di dalamnya. Pemeriksaan CDUS menunjukkan adanya peningkatan aliran darah di dalam lesi tersebut. Kesimpulan dari laporan ini  menekankan pentingnya deteksi awal pada karsinoma tiroid, karena identifikasi subtipe karsinoma sangat berperan dalam menentukan langkah penanganan yang tepat. Pasien yang terdiagnosis lebih awal dan menerima terapi yang menyeluruh berpotensi memiliki harapan hidup yang lebih baik.

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Published

2025-06-21

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