This study aims to find out what are the judges of the Shariyya (Religious) Court of Banda Aceh rationale behind determination of the itsbat (confirmation of marriage) applications for siri (undocumented) marriage and its legal consequences from this decision. This juridicalempirical research employs two types of data sources: primary and secondary. The information was gathered through direct interviews with the respondents and informants who were selected from purposive sampling. Using qualitative descriptive analysis, it was concluded that the judge's decisions in determining the result of marriage itsbat applications including granting, rejecting, canceling, revoking, or declared inadmissible for the applications. The decision made by the judge has been carefully considered for the sake of maslahah (public benefit) and also examined its formal and material requirements. Therefore, judges have rights to grant proposals of marriage itsbat for siri marriage thus it becomes legal before the law. The applicants can also file a cassation if their applications were rejected and for the applications that were declared void/cancelled can make an attempt to reapply. There are some hopes to the government in regard to this matter: first, the government should make strong and firm laws to oblige the citizen to legalize their marriages based on the state law, second, the government needs to take action against illegal practice of Qadhi (Marriage Judge) and lastly, it is also urged to disseminate the information about the risk and negative effects of siri marriage through a massive campaign to the community.

Background: Non-Hodgkin’s lymphoma (NHL) is a primary malignancy in the lymphatic system and extranodal lymphoid tissue originating from B lymphocyte cells, T lymphocytes or natural killer (NK) cells. The incidence of NHL continues to increase with various characteristics. Objective: To find out the characteristics of NHL sufferers undergoing treatment in Otorhinolaryngology Head and Neck Surgery Department of dr. Zainoel Abidin Regional General Hospital (RSUDZA), Banda Aceh from January 2015 to December 2018. Method: This was an observational descriptive study conducted at Banda Aceh RSUDZA using retrospective secondary data collection from medical records that met the inclusion criteria, in total sampling method. Result: Found 32 research subjects, dominantly male (20), the highest age range was 56-65 years (10). The main complaints were neck lumps (10) and oropharynx lumps (11). The most common NHL was from B lymphocyte cells (6). The chemotherapy regimens used are cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) and rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP). The most frequent side effects are anemia, hypoalbuminemia, and leukopenia. Conclusion: The results showed that NHL was most common in men with an increased incidence in the fifth decade. Neck lumps are the most common complaint. The chemotherapy regimen used is CHOP and R-CHOP.Keywords : Non-Hodgkin’s Lymphoma, chemotherapy ABSTRAK Latar belakang: Limfoma Non-Hodgkin (LNH) adalah keganasan primer pada sistem limfatik dan jaringan limfoid ekstranodal yang berasal dari sel limfosit B, limfosit T atau sel natural killer (NK). Kejadian LNH terus meningkat dengan berbagai karakteristik. Tujuan: Melihat karakteristik penderita LNH yang menjalani pengobatan di Departemen THT-KL RSUD dr. Zainoel Abidin (RSUDZA), Banda Aceh pada periode Januari 2015 sampai Desember 2018. Metode: Penelitian deskriptif observasional dengan pengambilan data sekunder secara retrospektif dari rekam medis yang memenuhi kriteria inklusi, dengan metode total sampling. Hasil: Didapatkan total subjek penelitian 32 orang, dominan pada lakilaki (20), rentang usia tertinggi antara 56-65 tahun (10). Keluhan utama terbanyak adalah benjolan di leher (10) dan benjolan orofaring (11). LNH yang berasal dari sel limfosit B paling banyak dijumpai (6). Regimen kemoterapi yang digunakan adalah cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) dan rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP). Efek samping paling sering adalah anemia, hipoalbuminemia dan leukopenia. Kesimpulan: Hasil penelitian menunjukkan LNH paling sering pada laki-laki dengan angka kejadian meningkat pada dekade kelima. Keluhan yang paling sering adalah benjolan di leher. Regimen kemoterapi yang digunakan adalah CHOP dan R-CHOP.

Nasoethmoidal carcinoma is a malignant tumor found in the nasal cavity and ethmoidal sinuses. The early stage is rarely found due to the similarity of symptoms inflammatory process in sinonasal. The main modality for sinonasal cancer is surgery followed by radiation as adjuvant treatment. The prognosis for early-stage sinonasal malignancy is generally good, which found a low recurrence rate. This study aims to report the management of early-stage sinonasal carcinoma. A 44-years-old male with the main symptom of left nasal blockage and bleeding since 6 months ago, physical examination showed a solitary mass at the posterior nasal septum. Histopathology result was welldifferentiated squamous cell carcinoma and Paranasal sinuses CT-Scan showed a solid mass in left posterior nasal cavity extended to ethmoidal sinuses. He underwent transnasal endoscopic resection, and we suggested continuing with radiotherapy at central java. Follow-up 2 months after radiotherapy, we performed a biopsy, and histopathology revealed a chronic inflammatory process without malignancy, paranasal sinuses CT Scan n physical examination within normal limits. Transnasal endoscopic resection followed by radiotherapy is an appropriate and effective treatment for sinonasal carcinoma in the early stage. A case of limited-stage II sinonasal carcinoma with transnasal endoscopic resection surgery followed by radiotherapy has been reported with good result and need to be followed until the next five years.

Benign thyroid lesions are cellular differentiation into enormous sizes that can be seen from the outside without interfering with thyroid hormone. The FNAB and USG were used to diagnose thyroid lesions. Unilateral benign lesions may be treated with lobectomy or ithsmus lobectomy. Case report: A 40-year-old female patient presented with a lump in front of her neck that was enlarging to the left since seven years ago. Physical examination showed a firm lump in the front of the neck enlarging to the left. Multiple isohyphoechoic lesions with internal calcification and inhomogeneous nodules on the isthmus were seen on left thyroid ultrasound. A CT scan revealed left thyroid enlargement with several solid masses, one of which was cystic, and calcification. Impression of a benign lesion from FNAB. Ithsmus lobectomy was performed on the left lobe. Thyroid papillary adenocarcinoma was discovered as histopathology result. Methods: Evidence search was carried out through medline, pubmed and manual searches. Result: Ithsmus lobectomy is a safe and effective treatment for benign thyroid lesions. Conclusion: A case with an initial diagnosis of benign thyroid lesions who underwent a left isthmus lobectomy and postoperative histopathological findings of papillary adenocarcinoma will be evaluated for re-assessment for thyroid malignancies.

Advanced stage of sinonasal carcinoma that infiltrating skin of cheek is rarely found, surgery is still the main modality since the cancer has not penetrated the intracranial. Based on the distribution, Ohngren is divided into: suprastructure and infrastructure. To report the diagnosis and management of stage IVA sinonasal ccarcinoma. A 59-year-old female with a mass in the right nasal cavity since a year ago. Initially, cancer was in the right nasal cavity, then became progressively enlarged and infiltrated the skin of the right cheek. Computed tomography (CT) scan of paranasal sinuses revealed a mass infiltrating the right and left nasal cavities to the anterior cutis of the nasal region and destroying the nasal region and the medial wall of the maxillary right sinus, nasal bone and nasal septum. The histopathologic result was non-keratinizing squamous cell carcinoma. The patient had been managed by partial maxillectomy with Weber-Ferguson + Dieffenbach approach incision and wide excision. Using PubMed, Medline, manual research to search for the evidence and literature. The removal of the tumor had been performed maximally, closure of the defect using a paramedian forehead flap + cervicofacial flap was planned for adjuvant radiotherapy. Management of stage IVA suprastructure sinonasal carcinoma with the extensive defect is challenging, due to the difficulty of closing the defect and ensuring tumor-negative margins. .