- 5 menit yang lalu
- #kanker
- #bincangkita
- #dokter
JAKARTA, KOMPAS.TV - Kanker kolorektal atau CRC menjadi salah satu ancaman kesehatan yang semakin banyak dihadapi masyarakat, di Indonesia setiap tahun puluhan ribu kasus baru terdeteksi dan sayangnya sebagian besar masih ditemukan pada stadium lanjut.
Padahal, deteksi dini dapat menyelamatkan nyawa melalui tes FIT atau kolonoskopi yang bisa menemukan polip sebelum menjadi kanker.
Pengobatan pun semakin berkembang, mulai dari bedah minimal invasif, kemoterapi hingga terapi terarah dan imunoterapi yang mampu memberikan harapan baru.
Di Singapura, kemajuan dalam program skrining dan teknologi medis memberikan akses pada perawatan yang lebih personal dan mutakhir.
Lalu, bagaimana deteksi dini dan terapi baru ini bisa menjadi harapan bagi pasien kanker kolorektal?
Selama 30 menit ke depan kita akan mengulasnya secara lengkap, bersama Dr Tan Hon Lyn, Senior Medical Oncologist, Oncocare Cancer Centre, Singapore dan Dr Lee Kuok Chung, Senior Consultant Surgeon, Mount Elizabeth, Singapore dalam Bincang Kita.
Baca Juga Gejala Kanker Ginjal yang Diidap Vidi Aldiano sebelum Meninggal, Ini Penjelasan Pakar UI di https://www.kompas.tv/info-publik/655537/gejala-kanker-ginjal-yang-diidap-vidi-aldiano-sebelum-meninggal-ini-penjelasan-pakar-ui
#kanker #bincangkita #dokter
_
Sahabat KompasTV, Mulai 1 Februari 2026 KompasTV pindah channel. Dapatkan selalu berita dan informasi terupdate KompasTV, di televisi anda di Channel 11 pada perangkat TV Digital atau Set Top Box. Satu Langkah lebih dekat, satu Langkah makin terpercaya!
Artikel ini bisa dilihat di : https://www.kompas.tv/advertorial/662636/ancaman-kanker-kolorektal-kenali-gejala-dan-pentingnya-deteksi-dini-melalui-tes-fit-bincang-kita
Padahal, deteksi dini dapat menyelamatkan nyawa melalui tes FIT atau kolonoskopi yang bisa menemukan polip sebelum menjadi kanker.
Pengobatan pun semakin berkembang, mulai dari bedah minimal invasif, kemoterapi hingga terapi terarah dan imunoterapi yang mampu memberikan harapan baru.
Di Singapura, kemajuan dalam program skrining dan teknologi medis memberikan akses pada perawatan yang lebih personal dan mutakhir.
Lalu, bagaimana deteksi dini dan terapi baru ini bisa menjadi harapan bagi pasien kanker kolorektal?
Selama 30 menit ke depan kita akan mengulasnya secara lengkap, bersama Dr Tan Hon Lyn, Senior Medical Oncologist, Oncocare Cancer Centre, Singapore dan Dr Lee Kuok Chung, Senior Consultant Surgeon, Mount Elizabeth, Singapore dalam Bincang Kita.
Baca Juga Gejala Kanker Ginjal yang Diidap Vidi Aldiano sebelum Meninggal, Ini Penjelasan Pakar UI di https://www.kompas.tv/info-publik/655537/gejala-kanker-ginjal-yang-diidap-vidi-aldiano-sebelum-meninggal-ini-penjelasan-pakar-ui
#kanker #bincangkita #dokter
_
Sahabat KompasTV, Mulai 1 Februari 2026 KompasTV pindah channel. Dapatkan selalu berita dan informasi terupdate KompasTV, di televisi anda di Channel 11 pada perangkat TV Digital atau Set Top Box. Satu Langkah lebih dekat, satu Langkah makin terpercaya!
Artikel ini bisa dilihat di : https://www.kompas.tv/advertorial/662636/ancaman-kanker-kolorektal-kenali-gejala-dan-pentingnya-deteksi-dini-melalui-tes-fit-bincang-kita
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BeritaTranskrip
00:10Intro
00:13Halo sadara apa kabar anda hari ini?
00:15Semoga selalu dalam keadaan yang sehat, semangat dan juga baik.
00:18Sadara kanker kolorektal atau CRC
00:20menjadi salah satu ancaman kesehatan yang semakin banyak dihadapi masyarakat.
00:25Di Indonesia setiap tahun puluhan ribu kasus baru terdeteksi
00:29dan sayangnya sebagian besar masih ditemukan pada stadium lanjut.
00:33Padahal deteksi dini dapat menyelamatkan nyawa
00:36melalui tes fit atau kolonoskopi yang bisa menemukan polip sebelum menjadi kanker.
00:42Nah pengobatan pun semakin berkembang mulai dari bedah minimal invasif,
00:46kemoterapi hingga terapi terarah,
00:48dan imuneterapi yang mampu memberikan harapan baru.
00:51Nah di Singapura kemajuan dalam program screening dan juga teknologi medis
00:54memberikan akses pada perawatan yang lebih personal dan juga mutahir.
00:59Lalu bagaimana deteksi dini dan terapi baru ini bisa menjadi harapan
01:02bagi pasien kanker kolorektal?
01:04Selama 30 menit ke depan kita akan mengulasnya secara lengkap
01:07bersama dengan saya Melisa Gadasari dalam bincang kita.
01:15Yang sudah hadir di Studio Kompas TV bersama dengan saya di sini
01:19ada dua orang dokter dari Singapura.
01:21Yang pertama, let me welcome or guest Dr. Tan Honlin,
01:26the Senior Medical Oncologist from OncoCare Cancer Center Singapore.
01:29Halo Dr. Tan, how are you?
01:31Hai, good morning.
01:32Thank you so much for coming to Kompas TV all the way from Singapore to Jakarta today.
01:36Thank you for having us.
01:37And also you have Dr. Lee Kwok Chung,
01:40the Senior Consultant Surgeon General and Colorectal Surgery
01:43from Crest Surgical Practice Singapore.
01:45Halo Dr. Lee.
01:47Halo, good morning.
01:48How are you today?
01:48I'm great.
01:49Thank you for having us here today.
01:50Thank you.
01:51We will discuss about colorectal cancer.
01:55Okay.
01:55As I've mentioned before,
01:56the CRC is becoming one of the most common health challenges today.
02:00So why is early detection of colorectal cancer is so important
02:04and what role does colonoscopy play in preventing cancer progression for you, Dr. Lee?
02:10So for when it comes to picking up colorectal cancer,
02:14for early stage of cancer,
02:16unfortunately it's asymptomatic,
02:18meaning patient do not have any signs or symptoms.
02:22Therefore, that's where the role of colonoscopy comes in,
02:25where the scope itself can help to detect any cancer.
02:29if they stay or even more importantly,
02:33it can help to pick up pre-cancerous lesions such as polyps
02:37where the scope,
02:38if you see the polyp,
02:39if we remove it,
02:41if taken it out,
02:43there can no chance to grow and become cancer.
02:45That's how I say colonoscopy can help to prevent cancer
02:48by removing all these early small polyps
02:50that has easily been removed through colonoscopy.
02:54Even a bit more advanced, slightly bigger polyps,
02:56sometimes we still can take it out through the colonoscopy,
03:00through advanced methods such as we call
03:02endoscopic mucosa dissection or EMR or ESD.
03:06So with that, we can help to prevent cancer from developing.
03:11Okay.
03:12So before they become in cancer,
03:14you already take it out,
03:15whether it's polyp or maybe simple things,
03:18you can do it before it's becoming cancer.
03:20Then what are the biggest challenges you place in practice
03:23when patients present with advanced stages
03:26compared to when cancer is detected earlier?
03:28So in general,
03:31for early colorectal cancer,
03:34the surgery-wise is very controlled.
03:39We will say that with minimal complication
03:42because it's an elective case
03:44and usually for early, like stage 1,
03:47cancer,
03:48surgery will be the only treatment.
03:49Patient do not need any other further treatment
03:51such as chemotherapy.
03:53As compared to advanced cancer,
03:55if patient presents late,
03:57one, it usually end up as an emergency case
03:59and emergency cases,
04:02patient usually a bit more sick.
04:04That already makes the case a bit more complicated.
04:07Two,
04:09during advanced cases,
04:11they usually may present
04:12like with symptoms such as
04:15blockage or obstruction.
04:17Then they come in with abdomen very distended.
04:20Such cases,
04:21we need to do open surgery.
04:23Okay.
04:24Open surgery for colon cancer
04:26and if the bowel sometimes
04:29not very healthy,
04:30we need to 1, remove more segment.
04:322,
04:33there are chances that patient end up with
04:35a stoma or back.
04:37there's a motion coming up here
04:38compared to elective cases
04:40where the chances of needing
04:42those stoma is a lot less.
04:44Okay.
04:46So before it becomes in cancer,
04:48we can treat it nicely.
04:49So if the cancer is knowing
04:52at early stage,
04:53you can do more better thing
04:54to help the patient.
04:56The cases usually nowadays
04:57we do keyhole surgery,
04:59laparoscopic or robotic surgery.
05:01For advanced,
05:02we still can do
05:02if we pick up as elective cases.
05:05It's presented as emergency,
05:06a lot of time is
05:07a lot more technically challenging.
05:09And sometimes we need to remove
05:11more organs.
05:13Meaning if the cancer has
05:14spread beyond the colon,
05:16for example,
05:17it plastered onto the bladder.
05:18In front,
05:19we may need to remove
05:20a segment of the bladder
05:21so it becomes
05:21more complicated surgery.
05:23I see.
05:25Okay.
05:25But unfortunately,
05:26the data shows that
05:27many cases in Indonesia
05:28are still diagnosed
05:30at an advanced stage.
05:31So what are the most
05:32effective strategies
05:33to raise public awareness
05:34about CRC screening,
05:36Dr. Tan?
05:37Yeah, indeed,
05:37many people in Indonesia
05:38are still diagnosed
05:39at a late stage
05:40when the cancer is already spread
05:42and it's more difficult
05:43to treat them.
05:44So as Dr. Lee discussed earlier,
05:47oftentimes we worry
05:48that late detection
05:49does lower,
05:50there's a possibility
05:51of more difficult treatment
05:53and also a possible
05:54lower chance
05:55of full recovery.
05:56But as we discussed just,
05:58fortunately,
05:59colorectal cancer
06:00can often be detected early
06:02or even prevented
06:03through screening.
06:04Okay.
06:05So the preventive measures-wise,
06:07public education is key
06:09through TV programs like this,
06:11social media maybe,
06:13school events,
06:14community events,
06:15so that people get to understand
06:17symptoms to look out for
06:18and understand that
06:19screening does save lives.
06:21Open conversations like this
06:23may help to reduce stigma
06:25about talking about
06:27difficult things like
06:28bowel habits
06:29or how the digestion feels
06:31and short reminders
06:33from doctors or nurses
06:34when patients visit them
06:36for different reasons
06:37could help encourage screening.
06:40And we also need to address
06:42fear and misconceptions.
06:45So FIT test,
06:46which is a stool test
06:47that we do for screening,
06:49is actually simple
06:50and not invasive.
06:51Colonoscopy is actually safe
06:53and effective
06:54with encouragement
06:56and support.
06:57Perhaps more people
06:58will come forward
06:59to allow us
07:00to detect problems earlier,
07:03have easier treatment
07:04and better outcomes.
07:06And with this,
07:07we hope to make a difference
07:08in the fight
07:08against colorectal cancer.
07:10Okay.
07:10So the screening
07:11are taking the most important thing
07:14if we're talking
07:15about colorectal cancer.
07:17So Dr. Tan,
07:17what are the benefits
07:18of molecular testing
07:20and also FIT tests
07:21in supporting
07:22more accurate early detection?
07:25Fecal immunochemical test
07:26is a test
07:27that detects
07:28small amount of stool
07:29in the blood,
07:30which is an early sign
07:31of cancer or polyps
07:32or more often
07:33non-cancerous issues.
07:36And basically,
07:38if you have no symptoms,
07:40the FIT test
07:40is a useful test
07:41for screening.
07:42But if there's blood
07:43in the stool
07:44or other symptoms,
07:45then you need
07:46to go for a scope.
07:47If the FIT test
07:48does show
07:49that there's blood
07:50in the stool
07:50but we can't see it
07:52with the eyes,
07:52regardless,
07:53the next step
07:54is for a colonoscopy
07:55to allow doctors
07:56like Dr. Lee
07:57to look directly
07:58at the colon
07:59to see what
08:00the issue might be.
08:01Molecular testing
08:02is a newer test
08:06trying to identify
08:07any gene markers
08:08in our blood
08:09for even earlier
08:11and more accurate detection.
08:13But for now,
08:14FIT testing remains
08:15one of the most
08:16practical tools
08:17for early detection.
08:18It is safe,
08:19simple,
08:20and effective
08:21when done regularly.
08:22Okay.
08:23It's a good news
08:24for all of us,
08:25right?
08:25Because many people
08:26may be feeling scared
08:27if you have to do
08:28the endoscopy
08:30or go into the doctors
08:32for screening.
08:33But nowadays,
08:34the screening
08:34is easier,
08:36simpler for people
08:37so they can come
08:38testing before.
08:40So if the polyp
08:42can be found,
08:43can be removed immediately
08:44before it becoming cancer then.
08:47Okay.
08:47There's a lot more
08:48to discuss
08:49but we have to take a break
08:50for a while.
08:51Kita harus tidak sebentar
08:52memirsa jangan kemana-mana.
08:53Kami segera kembali
08:53tetap di BINJANG KITA.
09:07Ada kembali di BINJANG KITA,
09:09saudara.
09:09Saya masih bersama dengan
09:10para dokter
09:11dari Singapura.
09:12kami sudah membahas
09:13mengenai colorectal cancer
09:14atau CRC.
09:16Okay.
09:17We are continuing
09:17our discussion.
09:18I'm going to start
09:19with Dr. Lee then.
09:21Dr.
09:22How have minimally invasive
09:23techniques such as
09:24laparoscopy and robotics
09:25impacted patient's quality
09:28of life after
09:28colorectal cancer surgery?
09:31So nowadays,
09:32we try to do
09:33most of the elective
09:34surgery for colorectal cancer
09:35through laparoscopy
09:37or robotic surgery
09:38mainly because
09:39it's for short-term
09:41outcome
09:42in terms of pain control
09:43is a lot better
09:44because for
09:46traditional surgery
09:48is a long
09:49midline cut.
09:50Can you imagine?
09:51It's like
09:51minimum at least
09:5220 to 35 cm long.
09:54Compared to
09:55laparoscopic surgery,
09:57usually there's
09:57a few small tiny
09:59port sites
09:59and the extraction site
10:01that varies
10:02from around
10:025 to 15 cm
10:04depending on
10:05the size of the tumour.
10:06So recovery times
10:07in terms of
10:08pain-wise
10:09is a lot better.
10:11So that translates
10:12to patient stays
10:12in hospital,
10:13shorter.
10:14They can
10:15ambulate faster
10:16than they can
10:17go home
10:17and
10:19with their family.
10:20So a lot better
10:21compared to
10:22traditional surgery
10:23and they can
10:24a lot of time
10:25we got patients
10:25that after even
10:26one week
10:27they're back to work
10:27especially
10:28doing this
10:28office work.
10:29Thank you to
10:31the technologist.
10:33Nowadays
10:34people can
10:34do simpler
10:36and not need
10:37to do the
10:38major open surgery
10:39because sometimes
10:40people got scared
10:41also to do
10:42the big surgery.
10:44What considerations
10:45do surgeons
10:46take into account
10:47when deciding
10:48whether a patient
10:49requires surgery alone
10:50or maybe combined
10:51with other
10:52therapist, doctor?
10:53So in order
10:54to understand
10:55whether patient
10:56needs just surgery
10:57or combination
10:58therapy
10:59in terms
11:00either
11:00chemotherapy
11:01or radiotherapy
11:02it
11:02basically
11:03boils down
11:04to the stage
11:04of the cancer
11:05so in terms
11:07of colorectal
11:08cancer broadly
11:09as for most
11:09cancer
11:10we divide
11:10into stage
11:11one,
11:11two,
11:12three,
11:13and four
11:13where stage
11:14one
11:15is earliest
11:16stage four
11:17is stage
11:17where
11:18spread to
11:18the rest of the
11:19body
11:19so typically
11:20for colon
11:21cancer
11:21in general
11:22speaking
11:23stage
11:23one
11:23and two
11:24we
11:24just do
11:25surgery
11:26will be sufficient
11:26in terms
11:27of the rest
11:28if I stage
11:30three
11:30meaning
11:30stage three
11:31means that
11:31the tumor
11:32has gone
11:32to the
11:32lymphatic
11:33drainage
11:34lymph nodes
11:34around
11:35then
11:35this group
11:36of patient
11:36needs
11:37chemotherapy
11:38but
11:39in order
11:40to decide
11:40firmly
11:41which stage
11:41you are in
11:42unfortunately
11:42a lot of time
11:43depending
11:43on the
11:44final
11:44biopsy
11:45or the
11:46specimen
11:46that we
11:47send
11:47after the
11:47surgery
11:48because
11:48that one
11:49can only
11:49help us
11:49detect
11:50whether
11:50the
11:50patient's
11:51final
11:52specimen
11:52show
11:53the tumor
11:53has spread
11:54to the
11:54lymph node
11:56then
11:56you'll decide
11:57whether
11:57patient
11:57needs
11:58any more
11:59additional
11:59treatment
11:59and
12:00also
12:00a bit
12:02more
12:02in-depth
12:03is
12:04final
12:05histology
12:06in terms
12:06of
12:06tumor
12:07type
12:07and
12:08the
12:09differentiation
12:09whether
12:09this
12:10is
12:10very
12:10aggressive
12:10tumor
12:11versus
12:11a bit
12:13moderate
12:13to lower
12:14end
12:15of the
12:15stage
12:16they'll
12:16help us
12:17decide
12:17so
12:18in general
12:19early stage
12:20treatment
12:21the
12:22surgery
12:22later
12:23stage
12:23we need
12:24a combination
12:26so that's
12:26why it's
12:27more important
12:28for us
12:28to know
12:29the cancer
12:30in early
12:31stage
12:31so we
12:32can do
12:32the surgery
12:33alone
12:33no need
12:33to do
12:34the terapi
12:35again
12:35so
12:35do
12:36screening
12:37it's
12:37the best
12:38method
12:38to do
12:39yeah
12:39okay
12:39I'm going
12:40to Dr. Tan
12:41what is
12:41the role
12:42of
12:42chemotherapy
12:42radiotherapy
12:44and
12:44combination
12:44therapy
12:44in
12:45patients
12:45with
12:45intermediate
12:46to
12:46advanced
12:47colorectal
12:47cancer
12:48so
12:48chemotherapy
12:49uses
12:49drugs
12:50to
12:50kill
12:50cancer
12:50cells
12:51or
12:51to
12:51spread
12:51them
12:51from
12:52or
12:52to
12:53stop
12:53them
12:53from
12:53spreading
12:53and
12:54it
12:54may
12:54be
12:54given
12:55before
12:55or
12:55after
12:56surgery
12:56after
12:57surgery
12:57the aim
12:58is
12:58to
12:58remove
12:59or
12:59eliminate
12:59remaining
13:00cancer
13:00cells
13:00to
13:01reduce
13:01the
13:01risk
13:02of
13:02cancer
13:02recurrence
13:03and
13:04we
13:04sometimes
13:04give
13:05chemotherapy
13:05before
13:06operation
13:06to
13:07shrink
13:07cancers
13:07to
13:08make
13:08the
13:08surgery
13:09easier
13:09and
13:09more
13:10effective
13:10radiation
13:11therapy
13:12is
13:12particularly
13:13important
13:13for
13:13rectal
13:14cancer
13:14where
13:15focused
13:16high
13:16energy
13:16ways
13:17are
13:17used
13:17to
13:17target
13:17and
13:18destroy
13:18cancer
13:18cells
13:19in
13:19the
13:19rectum
13:20and
13:20nearby
13:20tissues
13:21it
13:21can
13:21be
13:22given
13:22alone
13:22or
13:22combined
13:23with
13:23chemotherapy
13:24and
13:24we
13:24call
13:25that
13:25chemo
13:25radiation
13:25to
13:26improve
13:26the
13:27effectiveness
13:27when
13:28given
13:28before
13:29surgery
13:29it
13:29can
13:30shrink
13:30the
13:30tumor
13:30and
13:31lower
13:31the
13:31chance
13:31of
13:32local
13:32recurrence
13:32and
13:34means
13:38that
13:38we
13:38deliver
13:39the
13:39full
13:39cost
13:40of
13:40chemotherapy
13:40and
13:41radiotherapy
13:42before
13:42surgery
13:43and
13:44this
13:44can
13:44shrink
13:45tumors
13:45more
13:45effectively
13:46and
13:46increase
13:47the
13:47chance
13:48of
13:48complete
13:48response
13:49meaning
13:49that
13:49at
13:50surgery
13:50we
13:51actually
13:51don't
13:51see
13:51cancer
13:52cells
13:52left
13:52behind
13:53and
13:53in
13:54certain
13:54cases
13:54this
13:55method
13:55even
13:56allows
13:56patients
13:56to
13:57avoid
13:57surgery
13:58if
13:58the
13:58tumor
13:59disappears
13:59completely
14:00and
14:00we
14:00can
14:01monitor
14:01the
14:01patient
14:02and
14:03the
14:03area
14:03of
14:03cancer
14:04safely
14:04in
14:05metastatic
14:06or
14:06stage
14:064
14:07colorectal
14:07cancer
14:08when
14:08the
14:08disease
14:09has
14:09already
14:09spread
14:09to
14:10other
14:10organs
14:10the
14:11treatment
14:11is
14:12focused
14:12on
14:13controlling
14:13the
14:13cancer
14:14improving
14:14symptoms
14:15maintaining
14:16quality
14:16of
14:16life
14:17and
14:17prolonging
14:18lifespan
14:19and
14:20colorectal
14:20cancer
14:20treatment
14:21can
14:22involve
14:22multiple
14:22different
14:23stages
14:23from
14:24surgery
14:25and
14:25chemotherapy
14:26and
14:26long-term
14:27follow-up
14:27so
14:28having
14:28a
14:28coordinated
14:29team
14:29allows
14:31our
14:31patients
14:31to receive
14:32the right
14:32treatment
14:33at
14:33every
14:33step
14:34so
14:35usually
14:35for
14:35the
14:35doctors
14:36we
14:36don't
14:36just
14:37work
14:37with
14:37surgeons
14:38and
14:38oncologists
14:39and
14:39radiation
14:40oncologists
14:41we
14:41also
14:41need
14:41to
14:42involve
14:42nurses
14:43dietitians
14:44palliative care
14:45specialists
14:45and
14:45and
14:46many
14:46and
14:46many
14:47colleagues
14:48for
14:49optimal
14:49care
14:49at
14:50every
14:50stage
14:50okay
14:51thanks
14:52again
14:52to
14:52the
14:52technologies
14:53new
14:54things
14:54can
14:56be
14:56found
14:56not
14:57only
14:57for
14:58radiotherapy
14:58not
14:59only
14:59for
14:59chemotherapy
15:00surgery
15:01but
15:01also
15:01the
15:02targeted
15:02therapy
15:03and
15:03immunotherapy
15:04so
15:04the
15:05targeted
15:05therapy
15:05and
15:05immunotherapy
15:06are
15:06said
15:06to
15:06bring
15:07new
15:07hope
15:07what
15:08are
15:08the
15:08latest
15:08developments
15:09you
15:09can
15:09share
15:09with
15:10the
15:10public
15:10so
15:11targeted
15:11therapy
15:12and
15:12immunotherapy
15:13they
15:14are
15:14changing
15:14how
15:14we
15:15treat
15:15colorectal
15:15cancer
15:16targeted
15:16therapy
15:17really
15:18is
15:18meant
15:18to
15:18help
15:20the
15:20doctors
15:20choose
15:21the
15:21most
15:22effective
15:23treatment
15:23with
15:24the
15:24least
15:24side
15:24effects
15:24for
15:25our
15:25patients
15:25and
15:26this
15:26is
15:26by
15:26understanding
15:27the
15:27tumour
15:28specific
15:28changes
15:29and
15:30basically
15:31the
15:31aim
15:32is
15:32really
15:32for
15:32better
15:32tumour
15:33control
15:33with
15:34the
15:34least
15:35side
15:35effects
15:35better
15:36quality
15:36of
15:36life
15:37and
15:37possibly
15:38better
15:39survival
15:40outcomes
15:40meaning
15:41patients
15:41live
15:41longer
15:42immunotherapy
15:43works
15:43by
15:44helping
15:44the
15:44body's
15:45own
15:45immune
15:45system
15:46recognize
15:46and
15:46attack
15:47cancer
15:47cells
15:47and
15:48it's
15:49especially
15:49effective
15:50in
15:50certain
15:51types
15:51of
15:51cancers
15:51and
15:52in
15:53some
15:53rectal
15:53cancers
15:53with
15:54these
15:54special
15:55features
15:55like
15:56DMMR
15:56or
15:57MSI
15:58high
15:58your
15:58doctors
15:59will
15:59discuss
15:59this
15:59with
16:00you
16:00immunotherapy
16:01can
16:01sometimes
16:02even
16:02lead
16:02to
16:03the
16:03tumour
16:03completely
16:04disappearing
16:05such
16:05that
16:06they
16:06do
16:06not
16:06need
16:06to
16:06go
16:07for
16:07surgery
16:07or
16:08radiation
16:08therapy
16:09while
16:10that
16:10may
16:10be
16:10a
16:10small
16:11group
16:11but
16:11it
16:12is
16:12significant
16:12and
16:13helpful
16:13for
16:14those
16:14patients
16:14who
16:15can
16:15enter
16:15a
16:16long
16:16period
16:17of
16:17cancer
16:17control
16:18or
16:18remission
16:18for
16:20patients
16:20who
16:20don't
16:20yet
16:21fit
16:21into
16:21current
16:22treatment
16:23protocols
16:24understanding
16:25the
16:26gene
16:26markers
16:26or
16:27what
16:27targeted
16:28therapy
16:28might
16:29be
16:29helpful
16:29sometimes
16:30opens
16:31up
16:31opportunities
16:32for
16:33treatment
16:33on
16:33clinical
16:34trials
16:34which
16:35can
16:36also
16:36be
16:36helpful
16:37for
16:37the
16:37individual
16:37patient
16:38and
16:38also
16:39overall
16:40the
16:40medical
16:40view
16:40so
16:41in
16:41the
16:42end
16:42understanding
16:42cancer
16:43at the
16:44molecular
16:44or
16:45genetic
16:45level
16:45really
16:46helps
16:46the
16:47doctors
16:47provide
16:48more
16:48precise
16:49and
16:50effective
16:50treatment
16:50to
16:51improve
16:51the
16:52overall
16:52outcome
16:53and
16:53quality
16:53of
16:53life
16:54so
16:55not
16:55only
16:55helping
16:56the
16:56doctors
16:56to
16:57help
16:58the
16:58patients
16:58but
16:58the
16:58patients
16:59can
17:00live
17:01longer
17:01can
17:02more
17:03have
17:03more
17:04quality
17:04life
17:05like
17:05you've
17:05said
17:05before
17:06so
17:06it's
17:07good
17:07news
17:07for
17:07us
17:08to
17:08hear
17:08yeah
17:09okay
17:09so
17:10there's
17:10more
17:10to
17:10discuss
17:11but
17:11again
17:11we have
17:12to
17:12take
17:12a
17:12short
17:13break
17:13we're
17:13gonna
17:14be
17:14right
17:14back
17:15to
17:15discuss
17:15with
17:15you
17:15jadi
17:16anda
17:16jangan
17:16jangan
17:16ke
17:17mana
17:17-mana
17:17kami
17:18akan
17:18segera
17:18kembali
17:18tetap
17:34terima kasih
17:35saudara anda
17:36masih bersama
17:36dengan kami
17:37di bincang kita
17:38kami masih
17:38membahas
17:39mengenai
17:39kanker
17:39kolorektal
17:40atau
17:41kolorektal
17:41cancer
17:41CRC
17:42saat ini
17:42masih ada
17:43bersama
17:43dengan saya
17:44para dokter
17:45dari Singapura
17:45ada dokter
17:46Tan Honlin
17:47senior
17:47medical
17:48oncologist
17:48dari Oncocere
17:49Cancer Center
17:50Singapura
17:50dan ada
17:51juga
17:51Dr. Lee
17:52Kok Chong
17:52senior
17:53consultant
17:54surgeon
17:54general
17:55and
17:55carolorektal
17:56surgery
17:56dari
17:57CREST
17:57surgical
17:58practice
17:58Singapura
17:59baik
17:59kita
18:00ngobrol
18:00lagi
18:00we'll
18:02continue
18:02with
18:03Dr. Lee
18:04then
18:04you've
18:05mentioned
18:06before
18:06about
18:06the
18:07minimum
18:07invasive
18:08surgery
18:09then
18:09also
18:10there
18:10is
18:10organ
18:11preserving
18:11strategies
18:12is
18:12now
18:13increasingly
18:13being
18:13developed
18:14is
18:14it
18:14true
18:14that
18:15some
18:15patients
18:15can
18:15now
18:16avoid
18:16major
18:17surgery
18:18yes
18:19it's
18:19true
18:19in surgery
18:20we're
18:21always
18:21evolving
18:21we'll
18:22try to
18:23do
18:23same
18:24or
18:24better
18:25surgery
18:26with
18:26less
18:27invasive
18:27meaning
18:28less pain
18:28for patient
18:29we try
18:29preserve
18:30more
18:30organs
18:31in
18:32in
18:32colorectal
18:33especially
18:33in
18:34terms
18:34of
18:35early
18:36cancer
18:36we
18:37can
18:37try
18:37to
18:37avoid
18:38surgery
18:38we
18:39got
18:39specimen
18:40here
18:40we can
18:41see
18:41for
18:41example
18:43earlier
18:44I
18:44discussed
18:45about
18:45polyps
18:46if
18:46the
18:46polyp
18:48size
18:48is
18:49big
18:49usually
18:50last
18:51time
18:51traditionally
18:51cannot
18:52be
18:52removed
18:53from
18:54colonoscopy
18:55we'll
18:55need
18:55to
18:55do
18:55surgery
18:56to
18:56remove
18:56that
18:56segment
18:57of
18:57the
18:57colon
18:58nowadays
18:59we
18:59see
18:59that
19:00the
19:00polyp
19:01is
19:01just
19:01in
19:01the
19:02first
19:02layer
19:02or
19:02what
19:03call
19:03very
19:03early
19:03stage
19:04we
19:04can
19:05try
19:05to
19:05do
19:05from
19:06the
19:06scope
19:06to
19:06take
19:06it
19:07out
19:07we
19:07call
19:08ESD
19:09or
19:09EMR
19:10to
19:10remove
19:11it
19:11it
19:11takes
19:11a bit
19:12longer
19:12but
19:13at
19:13least
19:13if
19:14we
19:14can
19:14remove
19:14it
19:15successfully
19:15patient
19:16do
19:16not
19:16need
19:16a
19:16surgery
19:17to
19:17remove
19:17that
19:17segment
19:18of
19:18power
19:18so
19:19there
19:20is
19:20one
19:20advancement
19:20the
19:21last
19:21couple
19:21of
19:21years
19:22we
19:22try
19:22to
19:22do
19:22that
19:22more
19:23so
19:23patient
19:23do
19:24not
19:24need
19:24a
19:24major
19:25surgery
19:25to
19:25have
19:25their
19:26whole
19:26colon
19:26preserved
19:27right
19:28that's
19:28one
19:28then
19:29in terms
19:30of
19:30organ
19:30preserving
19:32particularly
19:33for
19:33cases
19:34of
19:34rectal
19:35cancer
19:35rectal
19:36cancer
19:37usually
19:38is
19:39involved
19:39the
19:39you can see
19:40a specimen
19:41here
19:41bottom
19:42part near
19:42the
19:42anus
19:43what's
19:43important
19:44organ
19:44here
19:44is
19:45organ
19:46important
19:46here
19:46is
19:47your
19:47muscle
19:48that
19:48control
19:49our
19:49anus
19:50so
19:51if
19:51the
19:51cancer
19:52here
19:52involving
19:52this
19:53area
19:53a lot
19:54time
19:54we
19:55need
19:55to
19:55remove
19:55the
19:56whole
19:56area
19:56so
19:57patient
19:57end
19:57up
19:57with
19:58permanent
19:58stomach
19:59so
20:00that
20:01prevents
20:02a lot
20:02of
20:02patient
20:02from
20:03going
20:03for
20:03surgery
20:03because
20:03they
20:04do not
20:04want
20:04the
20:04anus
20:05be
20:05taken
20:05out
20:05so
20:06this
20:06day
20:07and
20:07age
20:07we
20:07will
20:07try
20:07to
20:08do
20:08our
20:08best
20:09to
20:09preserve
20:09this
20:09that
20:10one
20:10is
20:11where
20:11the
20:12oncologist
20:12is
20:13helpful
20:13give
20:13us
20:14medication
20:14chemo
20:15radiotherapy
20:16to
20:16string
20:16the
20:16cancer
20:17to
20:18a
20:18size
20:18that
20:19we
20:20can
20:20remove
20:20it
20:21with
20:21good
20:21margin
20:22without
20:22sacrificing
20:23the
20:23anus
20:23the
20:24muscle
20:25to
20:26during
20:26surgery
20:26nowadays
20:27we
20:27use
20:27robot
20:28especially
20:29robotic
20:29surgery
20:30we
20:30can
20:30do
20:30very
20:30precise
20:31dissection
20:32we
20:32can
20:32go
20:32in
20:33along
20:33the
20:33plane
20:33until
20:34the
20:34area
20:35tumor
20:35go
20:35below
20:36slightly
20:36lower
20:36remove
20:37it
20:38without
20:38sacrificing
20:39the
20:39whole
20:39muscle
20:40sometimes
20:41we
20:41need
20:41to
20:41remove
20:41a
20:42bit
20:42of
20:42segment
20:42but
20:42we
20:43still
20:43can
20:43preserve
20:44patient
20:44still
20:45have
20:45a
20:45good
20:45functional
20:45outcome
20:46they
20:47still
20:47can
20:47control
20:47their
20:48anus
20:48without
20:49a
20:49permanent
20:50back
20:50they
20:51may
20:51have
20:51a
20:51temporary
20:52back
20:52for
20:52a
20:52while
20:52but
20:53we
20:53can
20:53close
20:53it
20:53eventually
20:54then
20:54still
20:55got
20:55normal
20:55function
20:56so
20:56in
20:57that
20:57terms
20:58we
20:59can
20:59preserve
20:59the
21:00normal
21:00function
21:01of
21:01anus
21:01which
21:02is
21:02very
21:03important
21:04for
21:04a lot
21:04of
21:04patient
21:05yeah
21:05because
21:06sometimes
21:07maybe
21:07people
21:07don't
21:08want
21:08to
21:08do
21:08the
21:08screening
21:09because
21:09they
21:09scared
21:10if
21:10they're
21:10sick
21:11they're
21:11going
21:11to do
21:11a lot
21:12of
21:12surgeries
21:12their
21:13quality
21:13of
21:13life
21:14is
21:14going
21:14to
21:14be
21:14lost
21:15maybe
21:16like
21:16that
21:16but
21:16if
21:17you
21:17can
21:17preserve
21:17the
21:18organs
21:18and
21:19can
21:19do
21:19life
21:20normally
21:20of
21:20course
21:21it
21:21is
21:21good
21:21news
21:22for
21:22everybody
21:22right
21:23so
21:25the
21:25patients
21:26from
21:26Indonesia
21:27also
21:28interesting
21:28I
21:29believe
21:29to go
21:30to
21:30Singapore
21:30what
21:31would
21:31you
21:32advise
21:32if
21:32a
21:32patient
21:33wants
21:33to
21:33seek
21:34the
21:34colon
21:35cancer
21:35surgery
21:35in
21:36Singapore
21:36what
21:37you
21:37advise
21:37so
21:38in
21:38general
21:38a
21:39patient
21:39calls
21:39up
21:40to
21:40ask
21:40for
21:41appointment
21:41for
21:41like
21:42to
21:43see
21:43us
21:43or
21:43for
21:43surgery
21:44first
21:45thing
21:45first
21:45we
21:45tell
21:46them
21:46if
21:46whatever
21:46report
21:47you
21:47have
21:47you
21:48pass
21:48to
21:49us
21:49in
21:50colon
21:50cancer
21:51surgery
21:51especially
21:52you
21:53want
21:53if
21:54the
21:54patient
21:54have
21:54colonoscopy
21:55done
21:55that's
21:55how
21:55they
21:55detected
21:56the
21:56tumor
21:57we
21:57want
21:57that
21:57report
21:58if
21:58you
21:59can
21:59see
21:59the
21:59photo
22:00even
22:00better
22:01of
22:01video
22:02biopsi
22:03the
22:03report
22:04and
22:04the
22:04lastly
22:05is
22:05a
22:05scan
22:05either
22:06a
22:06CT
22:06scan
22:07MRI
22:07or
22:07PET
22:08scan
22:08so
22:08all
22:09this
22:09thing
22:09help
22:09us
22:10to
22:10help
22:11to
22:11go
22:11through
22:11it
22:12and
22:12see
22:12what
22:12is
22:12the
22:13best
22:13surgery
22:15for
22:15patient
22:16or
22:16patient
22:16may
22:16need
22:17other
22:17treatment
22:17first
22:18like
22:18for
22:18example
22:18Dr. Tan
22:19may
22:19need
22:19to
22:19give
22:20chemo
22:20before
22:21the
22:21surgery
22:21at
22:22least
22:22we
22:22can
22:22explain
22:23to
22:23patient
22:25and
22:25anticipate
22:25how
22:26long
22:26they
22:26need
22:26to
22:26be
22:26Singapore
22:27so
22:28in
22:28typically
22:28for
22:29example
22:34stay
22:35in
22:35hospital
22:35for
22:35surgery
22:36they
22:36usually
22:37on
22:37average
22:37for
22:38colon
22:38cancer
22:38they
22:39stay
22:39around
22:393
22:40days
22:40to
22:415
22:41days
22:41on
22:41average
22:41in
22:42hospital
22:42ok
22:43so
22:44but
22:44after
22:45that
22:45usually
22:45we
22:45still
22:46want
22:46to
22:46monitor
22:46them
22:47for
22:47a
22:48couple
22:48of
22:48days
22:48before
22:48they
22:49come
22:49back
22:49to
22:49Indonesia
22:50so
22:50they
22:50can
22:51stay
22:51at
22:51hotel
22:51for
22:51another
22:52week
22:52where
22:53we
22:53will
22:54review
22:54them
22:55in
22:55the
22:55clinic
22:55and
22:56we
22:56go
22:57through
22:57the
22:58result
22:58usually
22:59by
22:59them
22:59got
23:04treatment
23:04yeah
23:05unfortunately
23:06later
23:06stage
23:07for
23:07example
23:07stage
23:083
23:08cancer
23:08that's
23:09way
23:09we
23:09need to
23:10refer
23:10to
23:11oncology
23:11to have
23:12further
23:13treatment
23:13in order
23:14to achieve
23:15a full
23:15cure
23:16ok
23:16so
23:18it
23:18depends
23:19on what
23:19stage
23:20you are
23:20not right
23:21now
23:21but
23:21you
23:22just
23:22bring
23:23all
23:23the
23:23test
23:24just
23:24prepare
23:24for
23:24like
23:253
23:25to
23:255
23:26days
23:26it's
23:26so
23:26short
23:27on
23:28average
23:28usually
23:29yes
23:29but
23:30usually
23:30we
23:30advise
23:31them
23:31to stay
23:31in
23:32Singapore
23:32for
23:33at least
23:332
23:33weeks
23:33for
23:34this
23:34to
23:34be
23:34done
23:35it's
23:36still
23:36short
23:37for
23:38doing
23:38surgery
23:39like
23:39this
23:39ok
23:40it's
23:40a good
23:40news
23:40for
23:41the
23:41audience
23:42from
23:42Indonesia
23:42so
23:43Dr.
23:44Tan
23:44how does
23:45personalised
23:45treatment
23:46through
23:46molecular
23:47testing
23:47can help
23:48in selecting
23:49the best
23:49therapy
23:49for
23:50each
23:50patient
23:50so
23:51like
23:51Dr.
23:51mentioned
23:52we
23:52want
23:52to
23:52know
23:52everything
23:53about
23:53the
23:54tumor
23:54so
23:55besides
23:55the
23:55reports
23:56he
23:56discussed
23:56earlier
23:58sometimes
23:58we
23:59send
23:59the
23:59tumor
23:59sample
24:00for
24:00extra
24:00testing
24:01to
24:01understand
24:02the
24:02tumor
24:02better
24:02because
24:03every
24:03person's
24:04cancer
24:04is
24:05unique
24:05even
24:06two
24:06people
24:06with
24:06the
24:07same
24:07part
24:07of
24:07cancer
24:07can
24:08have
24:08different
24:08genetic
24:09changes
24:09that
24:10makes
24:11their
24:11disease
24:11happen
24:12so
24:12when
24:12we
24:13send
24:13the
24:13tumor
24:13for
24:13extra
24:14testing
24:14it
24:15helps
24:15us
24:15look
24:15at
24:16what
24:17the
24:17underlying
24:17gene
24:17patterns
24:18are
24:18and
24:19sometimes
24:19we
24:19can
24:20adjust
24:20or
24:21add
24:21treatment
24:21according
24:22to
24:22what
24:22we
24:22find
24:23and
24:24basically
24:26there are
24:27targeted
24:27drugs
24:27that
24:28we
24:28can
24:28use
24:28in
24:29certain
24:29situations
24:30to
24:30help
24:30allow
24:31the
24:31cancer
24:31to
24:32be
24:32treated
24:33better
24:33with
24:33less
24:34side
24:34effects
24:34and
24:35at
24:36the
24:36end
24:36of
24:36the
24:36day
24:36our
24:37aim
24:37really
24:37is
24:38to
24:38try
24:38to
24:38have
24:39the
24:40best
24:40outcomes
24:41with
24:41the
24:41least
24:41side
24:41effects
24:42to
24:42allow
24:43patients
24:43to
24:43live
24:44with
24:45treatment
24:46comfortably
24:47as much
24:48as
24:48possible
24:48okay
24:49so
24:49the
24:49molecular
24:50test
24:50is
24:51so
24:51helpful
24:52for
24:52the
24:53screening
24:53and
24:53also
24:54for
24:54the
24:54treatment
24:55for
24:55the
24:55patients
24:55in
24:56the
24:56end
24:56okay
24:57for
24:57looking
24:57ahead
24:57what
24:58is
24:58your
24:58greatest
24:58hope
24:59for
24:59colorectal
25:00cancer
25:00management
25:00in
25:01Indonesia
25:01for
25:02maybe
25:02over
25:02the
25:03next
25:0310
25:03years
25:03so
25:05the
25:05aim
25:06really
25:06is
25:06that
25:07colorectal
25:07cancer
25:08while it
25:09sounds
25:09really
25:09scary
25:09it
25:10is
25:10something
25:10that
25:11can
25:11be
25:12treated
25:12and
25:14actually
25:14even
25:14preventable
25:15so
25:16we
25:16hope
25:16that
25:16there
25:17will
25:18be
25:18overall
25:19greater
25:19public
25:19awareness
25:20all the
25:22doctors
25:22as well
25:23as the
25:23multidisciplinary
25:24care team
25:24meaning
25:25the
25:25different
25:25doctors
25:26different
25:27allied
25:27and
25:27support
25:28teams
25:28we
25:29can
25:29help
25:29to
25:30achieve
25:30widespread
25:31early
25:31detection
25:32and
25:33even
25:33if
25:33the
25:34disease
25:34is
25:34at
25:35a
25:35later
25:35stage
25:35there
25:36is
25:36very
25:36good
25:36and
25:36effective
25:37treatment
25:37and
25:38even
25:38personalized
25:39therapy
25:39based
25:40on
25:40molecular
25:41testing
25:41to
25:42allow
25:42more
25:43and
25:43more
25:43patients
25:43to
25:44get
25:44timely
25:45effective
25:46and
25:46life-saving
25:47treatment
25:47such
25:48that
25:48overall
25:48outcomes
25:49are
25:49better
25:49okay
25:50thank
25:51you
25:51so
25:51much
25:51doctor
25:52for
25:52our
25:52discussions
25:53today
25:53I
25:54hope
25:54our
25:54discussions
25:54can
25:55do
25:56what
25:56we
25:56want
25:56to
25:57do
25:57in
25:57the
25:58beginning
25:58giving
25:59the
25:59awareness
26:00to
26:00the
26:02watching
26:02our
26:02show
26:03today
26:03they
26:03can
26:04do
26:04the
26:05regular
26:05testing
26:06because
26:06knowing
26:07that
26:07if
26:07you
26:08do
26:08the
26:09testing
26:09earlier
26:10you
26:10can
26:10save
26:10more
26:11lives
26:11you
26:11can
26:12have
26:12a
26:12better
26:12quality
26:13of
26:13life
26:13and
26:14you
26:14can
26:14go
26:15to
26:15Singapore
26:15easily
26:15right
26:16now
26:16you
26:17can
26:17meet
26:17Dr.
26:17Tan
26:18and
26:18Dr.
26:18Li
26:18also
26:18thank
26:19you
26:19so
26:19much
26:19for
26:20your
26:20time
26:20good
26:21luck
26:21for
26:21everything
26:22you
26:22do
26:22in
26:22the
26:23future
26:23ya
26:24saudara
26:24melalui
26:24perbincangan
26:25hari
26:32deteksi dini
26:32dan terapi modern
26:33yang terus berkembang
26:34bagi anda yang mungkin
26:36tertarik mengenai
26:36informasi yang kami
26:37bicarakan hari ini
26:38anda bisa mengunjungi
26:40website atau
26:41akun media sosial
26:41yang tertera di
26:42layar kaca anda
26:43untuk bisa mengetahui
26:44lebih lanjut
26:44mengenai
26:45pengobatan kanker
26:46kolorektal
26:46yang tersedia di
26:47Singapura
26:48semoga informasi ini
26:49membuka mata kita semua
26:50tentang pentingnya
26:51pencegahan dan penanganan
26:53yang lebih baik di masa depan
26:54saya Melissa Gandasari
26:55sampai tendu diri
26:55kita jumpa lagi
26:56di lain kesempatan
26:57sampai jumpa
26:57selamat menikmati
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