Saukani Gumay
Department of Anatomical Pathology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia

Published : 8 Documents
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Epiphyseal Preservation Surgery in Distal Femur Osteosarcoma Kamal, Achmad Fauzi; Prabowo, Yogi; Hutagalung, Errol U; Budiatmoko, Bambang; Gumay, Saukani; Muthalib, Abdul
Journal of the Indonesian Medical Association Vol. 59 No. 3 March 2009
Publisher : Journal of the Indonesian Medical Association

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Abstract

Conventional osteosarcoma is a primary intramedullar high grade malignant tumour in which the neoplastic cells produce osteoid Early diagnostic and accurate preoperative assessment of the extent of the tumor is crucial when a limb salvage procedure is being considered. More recent studies described the accuracy of magnetic resonance imaging for evaluation epiphyseal extension of osteosarcoma. With development of modern chemotherapy regimens, limb salvage procedure was developed. Most of surgical technique presently used to treat high grade metaphyseal osteosarcoma include resection of one or both epiphysis. If an osteoarticular allograft is used to reconstruct the joint, the epiphysis of the affected bone is lost, potentially creating anatomical mismatching or joint instability. Preservation of the epiphysis technique was potentially to maintain a nearly normal joint for several decades. The aim of this case is to report a case of a female, 12 years old, with osteosarcoma of distal femur to whom a Limb Salvage Surgery with Epiphseal Preservation technique was performed. After two years of follow up, no evidence of any metastasis was detected but the graft was fracture due to excessive load. Preservation of the epiphysis in distal femur osteosarcoma is an alternative surgery for tumor that does not extend to epiphysis. Extracorporeally irradiated autograft is a methode that can be used for reconstruction of distal femur osteosarcoma.Keywords: osteosarcoma, epiphyseal preservation, extracorporeally irradiated autograft
Ewing sarcoma of the left big toe with trans-articular skip lesion Kamal, Ahmad F.; Nagieb, Muhammad; Hutagalung, Errol U.; Budiatmoko, Bambang; Gumay, Saukani; Muthalib, Abdul
Medical Journal of Indonesia Vol 18, No 2 (2009): April-June
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

We report the case of the patient who had Ewing Sarcoma in whom radiological and hystopathological appearances revealed a tumor mass in the left big toe along with trans-artikular skip lesion on the left diaphysis of tibia. In Cipto Mangunkusomo Hospital since 1995 until 2004 we have found 20 Ewing sarcoma cases, but only one skip lesion Ewing sarcoma was found. The diagnosis of transarticular skip lesion in association of Ewing sarcoma was confirmed in clinicopathological conferrence. The initial evaluation of all patients included the recording of the medical history, physical examination, and hematological studies. Radiographs of the chest and the site of the primary tumor were made routinely. Systemic staging was performed with use of total-body bone scan. Ray amputation of left big toe and open biopsy from mass of mid-shaft of tibia had been done to confirm the diagnosis. The patient underwent induction chemotherapy and above knee amputation. Ten months after diagnosis, he died because of advanced-distant metastasis. (Med J Indones 2008; 18: 139-44)Key words: Ewing sarcoma, trans-articular skip lesion
Periosteal osteosarcoma: A case report Hutagalung, Errol U.; Librianto, Didik; Gumay, Saukani; Muthalib, Abdul; Budiatmoko, Bambang
Medical Journal of Indonesia Vol 12, No 3 (2003): July-September
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Periosteal osteosarcoma is a rare type of malignant bone neoplasm, with predominantly cartilaginous component and arising on the bone surface. Reports of the case in the literature were rare. Last case was reported by Mayo Clinic in 1999. We report a case of periosteal osteosarcoma in a 17-year-old male, who was treated surgically with a limb salvage procedure, neoadjuvant and adjuvant chemotherapy were also given to the patient. There was no local recurrence and lung metastases up to 14 months after surgery. (Med J Indones 2003; 12: 166-70) Keywords: osteosarcoma, periosteal osteosarcoma, limb salvage
Primary malignant giant cell tumor of the patella: report of a rare case Kamal, Achmad F.; Hutagalung, Errol U.; Gumay, Saukani; Prabowo, Yogi; Yanuarso, Yanuarso
Medical Journal of Indonesia Vol 22, No 4 (2013): November
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Primary malignant giant cell tumor (GCT) at the patella bone is a very rare case. It is a high-grade sarcoma characterized by a lesion in which there are areas of synchronous high-grade sarcomatous next to areas of benign GCT. A limb sparing approach is applicable to virtually any bone lesion, whether low grade or high grade. We report a case with primary malignant GCT at the patella, from diagnostic to detailed limb sparing surgery procedure. Fifteen months after surgery, the patient had a good functional outcome without local recurrence and distant metastasis. (Med J Indones. 2013;22:238-42. doi: 10.13181/mji.v22i4.607)Keywords: Limb sparing surgery, primary malignant GCT, total patellectomy
The safety and efficacy of feracrylum as compared to silver sulfadiazine in the management of deep partial thickness burn: A clinical study report Moenadjat, Yefta; Setiabudy, Rianto; Astrawinata, Dalima A.W.; Gumay, Saukani
Medical Journal of Indonesia Vol 17, No 4 (2008): October-December
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Instead of haemostatic effect, feracrylum provides antibacterial activity; wound improvement has been clinically proven. Feracrylum is a water soluble mixture of incomplete ferrous salt of polyacrylic acid containing 0.05 to 0.5% of iron in physiologic solution (0.85% solution of sodium chloride). A clinical study on safety and efficacy of feracrylum compared to silver sulfadiazine (SSD) was conducted in burn management, since with the widely use of SSD, the sulfadiazine’s disadvantages lead to wound healing impairment. In this open, randomized, controlled study, feracrylum and SSD were topically applied, each on different side of the burnt areas in parts of body for a treatment period of eleven days. Of eight enrolled patients, seven patients completed the study; one patient withdrew due to acute burn complication. On day 7th and 11th, the re-epithelialization in group receiving feracrylum increased as the raw surface area reduced. Mean percentages of epithelialization on both evaluation days in Feracrylum group were 70.53±24.298 and 81.71±28.922, respectively, which were higher than SSD group (66.15±25.080 and 64.64±74.684 respectively). Feracrylum was found to be safe and well tolerated. This study showed a clinical difference although it was not significant statistically. (Med J Indones 2008; 17: 259-71)Keywords: Feracrylum, silver sulfadiazine, wound management
Primary malignant mesenchymoma of bone Hutagalung, Errol U.; Gumay, Saukani; Budiatmoko, Bambang; Anggawidjaja, Suga
Medical Journal of Indonesia Vol 10, No 4 (2001): October-December
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Pimary malignant mesenchymoma of bone (PMMB) is an exceedingly rare neoplasm consisting of two or more unrelated malignant mesenchymal components other than fibrosarcoma or malignant fibrous histiocytoma. Review of the literature reports only 16 cases, most of which were composed of osteosarcoma and liposarcoma. We report a case af PMMB composed of liposarcoma,rhabdomyosarcoma and high grade chondrosarcoma arising within the left distal femur in a 52-year-old male, resulting in the patients death 3 months after presentation. (Med J Indones 2001;10: 235-41)Keywords: Bone tumor-malignancy, liposarcoma, dedifferentiated chondrosarcoma, rhabdomyosarcoma
Metastatic chondroblastoma Hutagalung, Errol U.; Gumay, Saukani
Medical Journal of Indonesia Vol 10, No 1 (2001): January-March
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

A case of chondroblastoma, which is a benign tumor of the bone, with distant metastases to the lung and abdominal wall is reported. The clinical course of the disease was progressive like that of malignant process. (Med J Indones 2001; 10:57-9)Keywords : chondroblastoma, bone tumor
Hubungan antara Microvessel Vessel Density (MVD) dengan Faktor Risiko Histopatologik Retinoblastoma Bitticaca, Valentina I; Siregar, Nurjati C; Gumay, Saukani
Majalah Patologi Indonesia Vol 22 No 3 (2013): MPI
Publisher : Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI)

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Abstract

ABSTRAK Latar belakang Retinoblastoma merupakan tumor ganas mata tersering pada anak, terutama usia di bawah 3 tahun. Penanganan kasus retinoblastoma didasarkan pada luasnya invasi sel tumor pada lapisan koroid, nervus optikus pre dan post laminar, sklera dan batas sayatan operasi yang merupakan faktor risiko histopatologi, dan dikelompokkan atas risiko rendah, menengah dan tinggi. Penilaian microvessel density (MVD) telah digunakan sebagai dasar terapi anti angiogenesis pada beberapa jenis karsinoma. Telah dilaporkan bahwa retinoblastoma dengan invasi koroid atau metastasis mempunyai nilai MVD yang lebih tinggi dibandingkan yang tanpa invasi lokal ataupun tanpa metastasis. Dalam penelitian ini dilihat hubungan antara MVD dengan faktor risiko histopatologik, selain itu dipelajari pula hubungan antara MVD dengan diferensiasi tumor dan usia. Metode Penelitian ini menggunakan metode potong lintang dan analitik terhadap 59 kasus retinoblastoma tanpa kemoreduksi di Departemen Patologi Anatomik FKUI-RSCM. Setelah dikelompokkan menurut risiko histopatologik, didapatkan 10 kasus risiko rendah, 17 kasus risiko menengah dan 32 kasus risiko tinggi. Dilakukan pulasan imunohistokimia CD31, dan selanjutnya dihitung MVD pada masing-masing kelompok, diikuti dengan analisis statistik antara MVD dan faktor risiko histopatologik. Hasil Didapatkan hubungan bermakna yang signifikan antara MVD dan faktor risiko histopatologik (p