Electronic Theses and Dissertation

Efusi pleura adalah penumpukan cairan dirongga pleura, baik itu transudat atau eksudat yang sering terjadi pada pasien kanker paru. Efusi pleura yang didapatkan sel ganas pada hasil sitologi atau biopsi pleura disebut efusi pleura ganas. Rendahnya publikasi yang membahas terkait karakteristik profil klinis dan outcome efusi pleura pada pasien kanker paru di Aceh menjadi alasan dilakukannya penelitian ini. Sehingga tujuan penelitian ini untuk mengetahui karakteristik profil klinis dan outcome efusi pleura dan kejadian efusi pleura ganas di Banda Aceh. Penelitian ini merupakan penelitian deskriptif dengan metode cross-sectional, menggunakan data sekunder rekam medis dari pasien kanker paru dan menggunakan teknik total sampling. Data dianalisis secara univariat, didapatkan hasil penelitian ini menunjukkan karakteristik pasien efusi pleura pada pasien kanker paru dengan mayoritas usia 46-65 tahun (65.1%), berjenis kelamin paling banyak laki-laki (79.2%), memiliki kebiasaan merokok (79.2%), dan mayoritas berasal dari Pidie Jaya (12.8%). Jenis kanker paru terbanyak adalah squamous cell carcinoma (57%). Gejala utama sesak napas (49%), mayoritas tanpa penyakit komorbid (69.1%). Tatalaksana utama paling sering dilakukan adalah punksi pleura dan WSD (37.6%), dengan 77.9% pasien pulang dalam kondisi perbaikan klinis (hidup). Sebagian besar hasil sitologi menunjukan non neoplastik 80.5%, hanya 19,5% berupa EPG.

Pleural effusion is the accumulation of fluid in the pleural cavity, which can be either transudate or exudate, and is commonly seen in patients with lung cancer. Pleural effusion that contains malignant cells in pleural cytology or biopsy is referred to as malignant pleural effusion. The limited publications discussing the clinical characteristics and outcomes of pleural effusion in lung cancer patients in Aceh motivated this study. The aim of this study was to determine the clinical profile characteristics, outcomes of pleural effusion, and the incidence of malignant pleural effusion in Banda Aceh. This was a descriptive study with a cross-sectional design, using secondary data from medical records of lung cancer patients and employing a total sampling technique. The data were analyzed univariately. The results showed that the characteristics of pleural effusion in lung cancer patients were as follows: the majority were aged 46-65 years (65.1%), predominantly male (79.2%), had a smoking habit (79.2%), and mostly came from Pidie Jaya (12.8%). The most common type of lung cancer was squamous cell carcinoma (57%). The main symptom was shortness of breath (49%), and most patients had no comorbidities (69.1%). The most frequently performed management was pleural puncture and WSD (37.6%), with 77.9% of patients discharged in improved clinical condition (alive). The majority of cytology results were non-neoplastic (80.5%), with only 19.5% showing malignant pleural effusion (MPE).