1. This module provides two scenarios of patients presenting with breast lumps to aid 5th semester medical students in learning about breast cancer. 2. The module objectives are to explain the disease process, causes, signs and symptoms, diagnosis, management/therapy, and complications of breast cancer. 3. Students are expected to discuss the cases through problem-based learning, consulting experts if needed, and presenting their findings.

1. Editing terahir: 30 Agustus 2009
STUDENTS’ MODULE
ONCOLOGY
Given to 5th Semester Medical Students Of
Hasanuddin University
Created By
ONCOLOGY SYSTEM
MEDICAL FACULTY
HASANUDDIN UNIVERSITY
2009
BENJOLAN DI LEHER (MAHASISWA)

2. MODULE
INTRODUCTION
Oncology system has provided four modules for the 2008 academic year, which are
NECK LUMP, BREAST LUMP, CONTACT BLEEDING and LUMP OF THE TIGHT.
There are all given to the fifth semester students of oncology System. The study objectives
are provided inside the module in order to help the student to gain the overall picture of the
basic concept of infectious disease mechanism.
This module includes several scenarios showing some clinical signs and symptoms
which are possibly found in certain diseases. Discussion session will not merely talk about
the chief complain but also everything that is considered related to it. The students are
expected to be able to explain all aspects of the oncology based disease including basic
principle of the anatomy, histology, and physiology; pathomechanism of infection; microbes
causing the infection; cell, tissue and body fluid abnormalities due to infection; basic
mechanism of human body self-defense; infection transmission pathway; and infection
prevention Discussion has to follow 7 steps of problem solving process.
Prior to the PBL process, both students and tutors must read the goals and objectives
of the module to assure the process is accomplished according to the designated objectives,
as well as to achieve the desired competition. Discussion materials can be obtained either
from lecture handouts or other references provided by the lecturers or tutors.
We strongly hope that this module can be very useful in helping the students in
solving problems related to oncology system.
Makassar, July 2009
Oncology System
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3. STUDENTS’ TASKS
After reading the above scenarios thoroughly, the students must discuss the cases in a leader-
led group discussion. Both the leader and the secretary are chosen by the students
themselves.
1. Conducting a self study by providing data/information that will support the discussion
2. Conducting a self-coached group discussion (without tutor)
3. Consulting the problems revealed during the PBL to the experts for a better
understanding
4. Attending provided experts’ lecture for unsolved problems
STUDY STRATEGIES
1. A leader-led group discussion, facilitated by a tutor
2. A leader-led group discussion, without a tutor
3. Experts consultation
4. Experts lecture in a general class
5. Self-study activities in the library with books, magazines, slides, tape recorder,
video or the internet.
6. Conducting laboratory practical work in the laboratory
PROBLEM SOLVING PROCESS
In a leader-led group discussion, the students are expected to solve the problems in the
scenarios by conducting these following 7 jumps of problem solving process:
1. Clarifying the un-clear terms stated in the scenario, then defining the keywords/key
statement(s)
2. Identifying the basic problem of the scenario, by creating some leading important
questions
3. Analyzing the problems by answering the above questions
4. Classifying the answers
5. Developing study objectives that must be achieved by the students during the case
discussion
6. Looking for other supporting information related to the above cases
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4. 7. Reporting the result of discussion and synthesizing the other identified information
Important Notes:
• Step 1 to 5 are conducted during the first coached-tutorial with the tutor
• Step 6 is a self study; performed out of the class either by a group discussion or by
student solely, which will then be discussed together in an un-coached group
• Step 7 is conducted during the second coached-tutorial with the tutor
ACTIVITIES SCHEDULE
1. First meeting in a general class lecture; the lecture delivers a one way communication
of lecturing followed with asking question session
Objective:
• explaining the module and how to complete the provided tasks
• developing several discussion groups. During this first meeting, the modules will
also be distributed to the students.
2. Second meeting: self-study. Objectives:
• choosing a group leader and secretary
• brain storming for step 1 to 3
• distributing tasks for members of the group
3. Third meeting: a leader-led group discussion, facilitated by a tutor. Objective: to report
the self-study result and accomplish the PBL process to the fifth step
4. Self-study, either together with other students in a group discussion or solely.
Objective: Collecting other new necessary information
5. Fourth meeting: a leader-led group discussion, facilitated by a tutor. Objective:
reporting the last discussion result as well as for synthesizing the recently identified
information
6. Fifth meeting (last one): conducted in a general class, applying a panel discussion form,
in which students report the final results of each group’s discussion, and clarifying
things that remain unsolved by the groups.
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5. TIME-TABLE
PERTEMUAN
I II III IV V VI VII
1st Meeting 2nd Meeting; 1st Tutorial Self Lecture, 2ndTutorial Last
Explanation self study Collecting Study Consultation (Reporting Meeting
(Brain information, and (Reporting)
Storming) analyzing Practical discussing)
and Work,
synthesizing CSL
data
Lecturers
No. LECTURERS DEPARTMENT OFFICE NO. HP/FLEXI
1. Dr. Fachruddin Benyamin Penyakit Dalam 584461 0811440252
Sp.PD
2. DR.dr. Bakhtiar Murtala, Radiologi 581666 0811444920
Sp.Rad
3. Dr. Daniel Sampepayung, Bedah Onkologi 587107 5052867
Sp.B.Onk
4. Dr. Freddy Kuhuwael, Sp.THT THT 590737 08124212
5. Dr. William Hamdani, Bedah Onkologi 587107 08124229793
Sp.B.Onk
6. Dr. Haryasena, Sp.B.Onk Bedah Onkologi 587107 0816279483
7. Prof. dr. Farid Nurmantu, Bedah Anak 585771 0811467020
SpBA, FICS
8. Dr. A. Asadul Islam Tahir, Bedah Saraf 585771 0811442630
SpBS
9. Dr. Nuralim Mallapasi Bedah Thoraks 585771 0811418564
10. Dr. Syamsulhilal Salam. SpAn Anestesiologi 589777 08152545370
11. Dr. Syafruddin Gaus. Ph.D Anestesiologi 589777 08524217811
0
12. Dr. Syahrul Rauf, SpOG Obgin 585859 0811416070
13. Dr. Junus Patau, SpPD, SpP Penyakit Dalam 315415 0811414013
14. DR. dr. Dasril Daud, SpAK Anak 584461
15. Dr. Siswanto Wahab Kulit Kelamin 580345 5092625
16. Prof.dr. Suryani As’ad, MSc. Gizi 586010 08152535240
17. Dr. Gunawan, SpPA Patologi 324003 5092625
18. Dr. Azhier Gani Fisiologi 584730 434567
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6. MODULE 1
BREAST LUMP
STUDY GOAL
After learning the module, the students are expected to have the ability in explaining the
disease with breast lump; the cause, pathomechanism, signs and symptoms, how to diagnose,
the management/therapy as well as the complication.
CASES
Scenario 1.
A woman, 20 year old, came to PUSKESMAS with breast lump on the right
side, 2 cm in diameter. She has been having it for about a year, sometimes it felt sore.
History of breast cancer is recorded in the family.
Scenario 2.
A 60 year old woman, came to PUSKESMAS with lump on the left side of her
breast, 3 cm in diameter. Painless, undefined border, moveable.
OTHER SOURCE OF INFORMATION
Handouts/journal
1. Singletary SE, Robb GI. Advanced Therapy of Breast Disease, 2nd edition, BC Decker Inc.
Hamilton, london. 2004.
2. Harris JR, Lippman ME, Marrow M, Hellman S. Disease of Breast. Lippmlott Raven. 1996.
3. Sukarja IDG,. Onkologi Klinik, Edisi 2, Airlangga University Press. Surabaya, 2000.
4. Devita HT, Hellman S, Rosenberg SA. Cancer Principles & Practice of Oncology, 6th ed.,
Lippmcott Williams & Wilkins. 2001.
5. Syamsuhidajat R., de Jong W. Buku Ajar Ilmu Bedah. Edisi 2. EGC. 2003.
6. Guyton AC, Jall JE. Pregnancy and Lactation, in Textbook of Medical Physiology, 10th edition,
Saumnders Co., Harcourt Internacional Edition, Sydney, 2000. p. 944-957.
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7. MODULE 2
NECK LUMP
STUDY GOAL
After learning the module, the students are expected to have the ability in explaining the
disease with neck lump; the cause, pathomechanism, signs and symptoms, how to diagnose,
the management/therapy as well as the complication.
CASE
SKENARIO : NECK LUMP
A 40 year old man came to Puskesmas with lump on the lateral side of his
neck. She started experiencing the lump since 4 months ago. It started with a little
lump, then grew larger progressively, solid with palpation, painless. She also
complained oh headache.
OTHER SOURCE OF INFORMATION
A. Handouts and Journals
1. Adam GL, Boies Lr and Higler Peter A. : Fundamentals of Otolaryngology,
(Buku Ajar Penyakit THT), Penerbit Buku Kedokteran EGC, 1997.
2. Efiaty Soepardy, Nurbaiti Iskandar : Buku Ajar Ilmu Kesehatan THT, Ed 5,
Fakultas Kedokteran Universitas Indonesia, 2000.
3. Ballenger JJ. Disease of the Ear, Nose, Throat and Head and Neck, 13th ed.
Lea and Febiger , 1985
4. Lee K.J : Essential Otolaryngology Head and Neck Surgery, 8th ed, Mac Graw
Hill, 2003
5. Cameron John : Current Surgical Therapy-3, International Ed, BC Decker, 1989
B. Other Sources: The Internet, VCD, Tape, Slide
C. Lecturers
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8. MODULE 3
CONTACT BLEEDING
STUDY GOAL
After learning the module, the students are expected to have the ability in explaining diseases
with contact bleeding in vagina; the cause, pathomechanism, signs and symptoms, how to
diagnose, the management/therapy as well as the complication.
CASE
A 45 year old woman, came with spotted bleeding from her vagina particularly after
sexual intercourse with her husband. History of smelly fluor albus ever recorded before.
OTHER SOURCE OF INFORMATION
A.Handouts and Journals
1. Winkjosastro H, Saifuddin AB, Rachimhadhi T. Ilmu kandungan. Edisi ke-3. Jakarta.
Yayasan Bina Pustaka Sarwono Prawirohardho. 1997
2. Berek JS, Hacker NF, eds. Practical gynecologic oncology. 3rd ed. Philadelphia.
Lippincott Williams & Wilkins. 2000
3. Berek JS, Adashi EY, Hillard PA. Novak;’s gynecology. 12ed. Philadelphia. Williams &
Wilkins. 1996
4. Ransom SB, Dombrowski MP, McNeely SG, Moghissi KS, Munkarah AR, eds. Practical
strategies in obstetrics and gynecology. Philadelphia. W.B. Saunders Company.2000
5. Cotran. Cell injury and necrosis. In: Robbins pathologic basis of disease. 6th ed. 1999.
W.B.Saunders Company. Available from: http://www.home.mdconsult.das/book/body.
6. Lonky NM. Risk factors related to the development and mortality from invasive cervical
cancer: clinical utility and impact on prevention. Obstetrics and Gynecology Clinics 2002
December;29(4). Available from: http://home.
mdconsult/das/article/body/jorg=journal&source.
7. Lopez A, Kudelka AP, Edwards CL, Kavanagh JJ. Carcinoma of the uterine cervix.
Medical oncology: a comprehensive review. Available from : URL:
http://www.cancernetwork.com/textbook/morev24.htm. Acessed 10/1/02.
8. Andrijono. Sinopsis kanker ginekologi. Divisi Onkologi, Departemen Obstetri dan
Ginekologi Fakultas Kedokteran Universitas Indonesia. RSUPN dr. Cipto
Mangunkusumo. Jakarta. Januari 2004. hal.35-55.
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9. MODULE 4
LUMP ON THE TIGHT
STUDY GOAL
After learning the module, the students are expected to have the ability in explaining diseases
with lump symptoms on the tight; the cause, pathomechanism, signs and symptoms, how to
diagnose, the management/therapy as well as the complication.
CASE
Scenario 1
A 14 year old man, came to a hospital with lump on the upper side his left
tight. He has been having it for 2 months before hospital administration.
3 months ago he felt down from his school’s stairs, that is when the side
start to develop a swollen and painful lump particularly during the night. He
has no appetite, and kept loosing weight. In the age of 12 he underwent a 6
months regular therapy.
Scenario 2
A 20 year old girl, came to a hospital with lump on the lower side his right
tight. It started 4 years ago, initially just as size of a marble, but kept on
growing, solid, and painless.
OTHER SOURCE OF INFORMATION
1. Rasjad, Chairuddin : Pengantar Ilmu Bedah Ortopedi. Bintang Lamupatue : Makassar.
2003. 297-298.
2. Jacobs, McInerney and Middlemiss: Rontgen Sign In Diagnostic Imagine 2nd. W.B
Saunders Company : USA. 1985. 276-279, 297-298.
3. Brunning D Richard: Surgical Pathology 9th. Mosby: USA.2004. 2169-2272.
4. Neff, R James : Clinical Oncology 3rd. Elsevier : USA. 2004. 2546-2547.
5. Randall RL. Tumors in orthopedics in current. Diagnosis and treatment in orthopedic
3rd. McGrow-Hill:USA. 2003. 310-311.
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