A.

INTRODUCTION
Cervical cancer is a cancer that is present in the cervix or uterus, which is the
area that connects the bottom of the uterus uterus with the vagina. (Emilia, 2010). In
2003, WHO declared that cancer is a very serious health problem because of the
number of patients increased by about 20% per year. Breast cancer is the second in
Indonesia types of cancer affecting women after cervical cancer (cervix). In other
words, the first order cervical cancer is the most affecting women in Indonesia.
(Azamris, 2006).

Around the world, cases of cervical cancer has been experienced by 1.4
million women. The data obtained from the World Health Organization (WHO) finds
that there are 493 243 inhabitants per year of new cervical cancer patients with a
mortality rate as much as 273 505 inhabitants per year. (Emilia, 2010). Until now,
cervical cancer remains a health problem for women in Indonesia in connection with
the incidence and mortality from cervical cancer is high. Delay in diagnosis at an
advanced stage, the general state of the weak, low socioeconomic status, limited
resources, lack of facilities and infrastructure, histopathological types and degrees of
education to participate in determining the prognosis of patients. (Rasjidi, 2007).

In Vietnam, cervical cancer is the first cause of death of women while in

Indonesia and the Philippines, cervical cancer ranks second leading cause of death in
women, while in Thailand and Malaysia, cervical cancer occupies the third leading
cause of death of women. In Indonesia alone, an estimated 15,000 new cases of
cervical cancer occur each year, while the number of deaths estimated 7,500 cases per
year. Every day is estimated to occur 41 new cases of cervical cancer and 20 women
died of the disease. In 2009, new cases of cervical cancer amounted to 2,429, or about
25.91% of all cancers found in Indonesia. With the incidence of this, cervical cancer
is second only to breast cancer in women of childbearing age 15 -44 years. (Wijaya,
2010). The average age of the incidence of cervical cancer is 52tahun, and the
distribution of cases reached the summit two times at the age of 35-39 years and 60-
64 years.

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Cancer of the cervix itself is a malignancy that can be prevented due to:

1. Have a period of pre-invasive (before becoming a malignancy) long

2. Cytology (cell) for early detection of cervical cancer have been available
3. Therapeutic pre-invasive lesions (seed malignancy) is quite effective
The results showed that the problem of cancer in Indonesia, among others,
nearly 70% of patients with this disease were found in the advanced stages. The
highest tumor prevalence by province Daerah Istimewa Yogyakarta is at 9.66% and
the lowest was 1.95% North Maluku. While the order of the type of cancer or tumor
Indonesia is the highest in ovarian cancer and cervix uteri. (Oemiati, 2011).

Visual Inspection with Acetic Acid (VIA) is a visual examination of the cervix
using acetic acid to the naked eye to detect abnormalities after application of 3-5%
acetic acid (MOH, 2009). Based on research conducted by Sankaranarayanan, et.
altentang comparison of patients with cervical cancer who died in the group that
performed 3 early detection by IVA and the group that did not do early detection of
developing countries (India) showed that those who have been screened IVA, 35%
less likely to die than those who do not get screening IVA.

The majority of women diagnosed with cervical cancer usually do not do early
detection (screening) or do not follow up after it was discovered the abnormal results.
No early detection regularly are the biggest factors causing the outbreak of cervical
cancer in a woman, especially because it has not become a mandatory program of
health services. (Emilia, 2010). Scope of examination for early detection of cervical
cancer using the Pap felt not to include the goals. Currently IVA early detection
method is a recommended practice for facilities with low resources compared with
other types of screening. When combined with the Pap smear, visual inspection after
the cervix is swabbed with acetic acid for one minute increase detection to 30%.
Study in South Africa found that the IVA will detect more than 65% of early lesions
and invasive cancer that investigators recommended as alternatifskrining cytology.
For comparison, in Zimbabwe screening IVA by midwives had a sensitivity of 77%
and a specificity of 64%, while the Pap smear has a sensitivity of 43% and a
specificity of 91% . According these results, it can be seen that the sensitivity IVA
better despite lower specificity. ( Emilia, 2010).

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 Data from 2007 show that the visual examination of the cervix using acetic
acid (VIA) at least equal efficacy with the pap smear test to detect the disease and can
be done by a trained midwife and with fewer logistical and technical barriers, low cost
and can be done to control cancer the cervix with the facilities and resources are
limited. In developing countries such as Indonesia where resources are limited, the
methods of IVA (Visual Inspection with Acetic Acid) are most suitable to be applied
as a screening method for cervical cancer. (MOH, 2009).

All women are at risk for developing cervical cancer. However, several risk
factors that increase the chances of cervical cancer include age, women aged 35-50
years are still sexually active and vulnerable to cervical cancer. The age of first
intercourse is also a risk factor for cervical cancer, about 20% of cervical cancers
found in women who are sexually active before the age of 16 years. Number of sexual
partners contribute to the spread of cervical cancer, the greater number of sexual
partners that also increase the risk of cervical cancer in women. The frequency of
pregnancy also increases the risk of cervical cancer because of a history of infection
in the genital area. Women who smoke or second-hand smoke also increases the risk
of cervical cancer. Besides the use of the contraceptive pill in the time period
lamajuga increase the risk of cervical cancer. (Wijaya, 2010).

B. CASE
This cancer can strike anyone and any age. As experienced singer and
composer of the legendary Mrs. TP. Met after undergoing intensive treatment at
Mount Elizabeth Hospital in Singapore since December 13, 2009, suffering from
cervical cancer stage 2, Mrs. TP seemed cheerful, even in a state of mourning. Women
who are now 72, was carefree when communicating the beginning of the disease
lodged in his body.
Its appearance is slightly different than usual. She was more fertile than before
convicted sick. "It weighs 11 kilograms adds. I ate a lot there, "said Titik who now
weighs 77 kilograms was to Indonesia Monitor.
She admitted that initially, pain that is felt in the stomach because of
menopause. But, the longer you feel there is something less tasty. As it turned out, the
results of medical examination, Mrs. TP cancer of the uterus. She was faced with a
difficult choice, namely operations with the risk of losing her female organs. "Just
take it. For me it's okay, not a necessity, "said Keen Girl cast of this hamlet.

3
 During his stay in Singapore, she claimed, the activity is only two, namely
back and forth to the hospital from Monday to Friday, while Saturday and Sunday
rest. "Teler too, was exhausted. Can not anymore the streets, "said Mrs. TP.
In Singapore, Mrs. TP underwent four stages of chemotherapy and radiation
28 times along with other supporting processes. And, while undergoing the second
chemotherapy, Titik almost desperate. Due feel excruciating pain, to cry and asked to
be picked up. "I think it would finito (finish, red). But, after that, normal again, " she
said.
Women born in South Kalimantan on 1 November 1937 admitted that she had
appeared the mind will die. She was remembering the past, because it has been 55
years she wrestled in the music world. "So, maybe run out sick," run out "me too. I
tahunya, during the illness, even gave birth to the song again. That is, the 60 so many
songs, " she said.
During treatment, Mrs. TP created about 60 songs in the form of notation.
Four songs of which is equipped with a poem. "So, I actually felt new wake up God.
'You do not sleep alone. Come on, wake up, "said Mrs. TP.
Makes 60 songs in the shortest time it eventually becomes a separate record
for Mrs. TP. "Before the pain, really want to make a concert 55 years on stage. But, in
contact with (cancer), it continues to be delayed. Told to hurt first. Maybe I'll only be
56 years or 57 years on stage, " she said.
Despite the most severe risks occurred, Mrs. TP never despair. She continues
to struggle to recover. Apparently, Mrs. TP indeed afford to go through the treatment
and was given a longevity. Tugeno couple's daughter Mrs. SMP and then think, if she
still needed a lot of people in the world.
Even when convicted of cancer, she was not surprised. Therefore, there is a
history of the descendants of his father and older brother had cancer. For Mrs. TP, just
need to think clearly for the purpose of his life, because life is not to complain. "Do
what can be done with all their energy, thoughts, moral, and material. If we use all of
it, nature will support" said Mrs. TP.
Currently Mrs. TP actually get an additional form of meditation healing
program. "So, my son, Petty, had a friend who could be cured of paralysis due to
stroke. Though doctors found the disease, until she had to be crazy. But through
meditation, she recovered, "said Mrs. TP.
Until now, Mrs. TP already undergone eight out of 13 times of meditation that
must be followed. Meditation is done every day in two stages. Lunch two hours, three
hours a night. Tonight, meditation after six o'clock.

4
 The training in the form of breathing, then the tongue bent upwards.
Furthermore, closed her eyes, sitting cross-legged, and must not be moved or lean.
The breathing exercises can not be done haphazardly. For example, once inhaled,
exhaled breath may not be until the sound to the ear.
Apparently, after undergoing meditation, belly confessed point that is often
painful if bent, now no longer. So, when she wanted to go to the toilet, she had to
drink a laxative. Now do not need anymore, feces come out by it self. "In fact, my
vision was blurred, it could see the light," she explained.
After 13 times of meditation under the direction of instructors, will Mrs. TP
meditation itself until about six months, in order to perfect condition. She also restrict
food. One of them, do not eat red meat and seafood, as well as a fizzy drink.
Current champion Radio Star Entertainment type level in Central Java in 1954
it would remain consistent lead a healthy life. One of them, Mrs. TP have to eat less
red meat.

C. CONCLUSION
1 Cervical cancer is cancer ranks first in Indonesia and ranked second in the world
suffered by women. All over the world every two minutes or every hour in
Indonesia woman dies from cervical cancer. From the above data it is very
important for women to know well what is cervical cancer, so it can take
appropriate preventive measures.
2 The cervix is the lower, narrow part of the uterus or womb. Cervical form a
channel that leads to the vagina, and the outside of the body. Cervical cancer is a
disorder that occurs in the cells of the body, in this case the cells of the cervix,
which is expanding rapidly and uncontrollably.
3 The uterus neck cancer is cancer that occurs in the neck area that is part Rahim
Rahim Rahim connecting the upper vagina. The average age of uterus neck cancer
incidence is 52 years, and the distribution of cases reached the summit two times
at the age of 35-39 years and 60-64 years.
4 Rahim own neck cancer is a malignancy that can be prevented because it has a
pre-invasive period (before becoming a malignancy) long, sitology examination
(cells for early detection of cervix cancer is already available, pre-invasive lesions
therapy (seed malignancy) is quite effective.

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 REFERENCES

http://mahasiswaperantau.blogspot.co.id/2012/11/makalah-kanker-serviks.html,
Accessed on 27 April 2017

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https://samaggi-phala.or.id/multimedia/titiek-puspa-sembuh-dari-kanker-setelah-
meditasi-2/ Accessed on 27 April 2017

http://digilib.esaunggul.ac.id/public/UEU-Undergraduate-1063-BABI.pdf Accessed
on 27 April 2017