View
229
Download
0
Category
Preview:
Citation preview
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
1/48
NKER SERVIKS, ENDOMETRIDAN OVARIUM
harry christama
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
2/48
PENDAHULUAN
Kanker : sat !enyakit yan" #itan#ai
#en"an !ertm$han #an !enye$aranse% secara a$n&rma%'
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
3/48
Se% #a%am t$h kita senantiasa #a%amkea#aan seim$an" :
(akt&r yan" menye$a$kan se%$er!r&%i)erasi *!r&t&+&nk&"en -
(i$r&$%ast .r&/th (act&r, Ins%in+%ike.r&/th (act&r, 0yt&kines'
(akt&r yan" men"ham$at!ertm$han se% *"en s!res&r -
Retin&$%ast&ma, !+12, 3R0A'
(akt&r yan" menye$a$kan se%+se%yan" rsak ata s#ah ta ntk
mati *"en a!&!t&sis - M40, AKT,
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
4/48
Interna% :Ke%ainan "en$a/aan,h&rm&n,imnitas,
meta$&%ismeEksterna% :In)eksi,Ra#iasi,Kimia/i #anTem$aka'
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
5/48
In#&nesia *Riskes#a 5672 :
Pre8a%ensi kanker : 7,9 ;
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
6/48
KANKER SERVIKS, ENDOMETRIUM DANOVARIUM
Le8e% k&m!etensi *SDKI 5675 :Ser8iks *5, En#&metrim *7 #anO8arim *7'
Da)tar masa%ah yan" terkait *SDKI5675 :
o Kanker Ser8iks
.an""an #aerah 8a"ina *"ata%' Per#arahan saat $erh$n"an'
Ke!tihan'
o Kanker En#&metrim
.an""an menstrasi'
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
7/48
o Kanker O8arim
S%it !nya anak'
3en>&%an #i #aerah !ert'
E!i#emi&%&"i
o USA 5679 :
KANKER KASUS 3ARU KEMATIAN
SERVIKS 75'2?6 9'656
ENDOMETRIUM 15'?26 @'16
OVARIUM 57'@6 79'5B6
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
8/48
o Insi#en kanker /anita #i USA :
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
9/48
DeCnisi :kanker !rimer #ari ser8iks'E!i#emi&%&"i :
HO :
o Kass $ar : 96'666;tahn #ise%rh #nia - @6 #i ne"ara$erkem$an"'
o Kass $ar : tia! 7 menit, kematian: tia! 5 menit'
o In#&nesia : 96+91 kass $ar;hari -56+51 /anita menin""a%'
KANKER SERVIKS
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
10/48
In#&nesia *Riskes#a 5672 :
SIRS 566B : se%rh !asien kankerra/at ina! - kanker !ay#ara*7?,@1 #an kanker ser8iks*77,B@'
Penye$a$ :- %ihat k%iah %esi!rakanker
HPV, )ami%i !a!&8a8irs, DNA+8irs'
Men"in)eksi mem$rana $asa%is !a#aF&na trans)&rmasi'
Sekensi "en&mnya akan tin""a% #ise% in#k - 0IN *e!is&ma% HPV ti#ak
terinte"rasi #en"an DNA se% in#k,
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
11/48
(akt&r Risik& :
Sen""ama !ertama ka%i #i sia m#a*7? tahn'
3anyak anak'
M%ti!%e seGa% !artners'
IMS %ainnya *0h%amy#ia, Her!es8irs'
Mer&k&k'
Imnitas yan" ren#ah'=enis :
Karsin&ma se% sam&sa'
A#en&karsin&ma'
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
12/48
Tan#a #an .e>a%a :
a' .e>a%a
Per#arahan #ari kema%an :!&stc&ita% $%ee#in" *!er#arahank&ntak - !er#arahan s!&ntan'
Ke!tihan - nekr&sis *$a' 3i%a tm&r s#ah $esar - nyeri
!an""%, s%it $ak;$a$'
3i%a metastase ke K.3 re"i&na% -nyeri !in""an", e#ema tn"kai'
$' Tan#a
Pemeriksaan Csik : !em$esaran
K.3 *metastase'
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
13/48
$' Tan#a
Ins!ek%& : %esi eks&Ctik;en#&Ctik#en"an nekr&sis #an m#ah$er#arah $i%a #isenth'
Perhatikan >"a #in#in" 8a"ina -
!enye$aran' Periksa #a%am : kemn"kinan
!enye$aran : !arametrim,%i"amentm kar#ina% #an %atm'
c' Pemeriksaan tam$ahan :
La$' : #arah;rine rtin, )n"sihati #an "in>a%'
Ra#' : )&t& th&raG, MRI -
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
14/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
15/48
sta#im
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
16/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
17/48
P&%a Metastase :
Serin" : trn ke $a/ah *8a"ina, ke
atas *ters $a"ian $a/ah #an!arametrim'
=aran" : 8esika rinaria #an rektm'
K.3 re"i&na%'Penan"anan
a' Ter"antn" sta#im *#ia"n&sa#en"an PA - 0%inica% Sta"in" -tera!i'
$' Pem$e#ahan *k&nisasi, sim!%ehysterect&my ata ra#ica%
hysterect&my'
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
18/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
19/48
c' Kem&ra#iasi
Kem&tera!i : 0is!%atin, 7 min""
seka%i' Ra#i&tera!i : ra#iasi eksterna%
*51G #an ra#iasi interna% *5G'
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
20/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
21/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
22/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
23/48
PEN0E.AHAN :
7' Primer */anita yan" $e%m
terin)eksi HPV
- Imnisasi kanker ser8iks'
5' Me%ihat Ser8iks
a' Ins!eksi Visa% Asam Asetat$'Ins!eksi Visa% 0airan L"&%
*Schi%%er test'
c' K&%!&sk&!i2' Sit&%&"i
a'Pa! smear
$'Lii# $ase
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
24/48
DeCnisi :kanker !rimer #ari &8arim'Pat&"enese :
Kista ink%si - tm&r >inak - tm&r
$&r#er%ine - kanker &8arim'Kanker "inek&%&"i yan" san"at$erh$n"an #en"an )akt&r "en - !12,ARH7, PD.(R, HER+5 - !a%in"
$erh$n"an : 3R0A 7 #an 5 *kanker &8arim,
!ay#ara'
MLH7 ata MHS5 *Sin#r&ma Lynch II
KANKER OVARIUM
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
25/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
26/48
=enis :
Sema se% yan" a#a #i &8arim $isa
men>a#i kanker : Se% E!ite% *ter$anyak, sia ta'
Se% .ermina% *#is"ermin&ma #an
terat&ma Se% (&%ike% *seG c&r#+str&ma% tm&r'
Se% Str&ma *sark&ma'
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
27/48
(akt&r Risik& :
Menin"katkan resik& : $e#ak ta%k!a#a !erinem, !emakaian h&rm&nestr&"en, k%&mi)en sitrat, ri/ayatke%ar"a men#erita kanker &8arim,
!ay#ara ata en#&metrim' Menrnkan resik& : Li"asi t$a,
$anyak anak, !i% k&ntrase!si'
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
28/48
Tan#a #an .e>a%a :
a' .e>a%a
Ti#ak khas'
3i%a tm&r s#ah $esar - #istensi,s%it $ak;$a$'
.an""an menstrasi, in)erti%itas'
$' Tan#a
Pemeriksaan a$#&men : tera$a
massa #i !ert $a/ah *kran,k&nsistensi, !ermkaan,m&$i%e;imm&$i%e, nyeri;ti#ak,ascites'
Ins!ek%& : ti#ak a#a ke%ainan'
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
29/48
=INAK .ANAS
Uni%atera% 3i%atera%
Ka!s% th Ka!s% !ecah
3e$as #ari!er%en"ketan
Per%en"ketan #en"an&r"an sekitar
Permkaan %icin Pertm$hana$n&rma% #i
!ermkaan tm&r Ascites *+ Ascites hem&ra"ik
*
Perit&nem %icin A#a metastase #i
!erit&nem Se%rh !ermkaan
tm&r 8ia$%e A#a nekr&tik #an
$er#arah
Tm&r kistik Pa#at ata semis&%i#
Permkaan #a%am Pertm$han !a!i%er
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
30/48
P&%a Metastase :
Dia)ra"ma *B,?, Omentm *B,7,Perit&nem *,@, K.3 Pe%8is*@,, K.3 Para+a&rta *75,2,A!!en#iks *9,5, Sit&%&"i *7@,@'
Penan"anana' Pem$e#ahan - Dia"n&sis #an
Sr"ica% Sta"in" - Sta#im -tera!i'
$' Pem$e#ahan : as!irasi cairan!erit&nem, TAH3SO, $i&!si!erit&nem, &mentekt&mi,
a!!en#ekt&mi #an Lim)a#enekt&mi
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
31/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
32/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
33/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
34/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
35/48
Pem$e#ahan k&nser8ati)*)n"sih&rm&na% #an re!rksi -
tin""a%kan &8arim k&ntra%atera% #anters'
Usia m#a'
Sta#im 7A'
Tm&r $&r#er%ine, msin&sm,ser&sm #an en#&metri&i#'
Di)erensiasi tm&r $aik'
Skrinin" :ti#ak a#a *!em' .inek&%&"i,US.'
Tm&r Markers :0A+751 *e!ite%, 0A
B5+9 #an TA. B5 *msin&sm, M+0S(,
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
36/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
37/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
38/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
39/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
40/48
KANKER
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
41/48
DeCnisi :kanker !rimer #arien#&metrim'
E!i#emi&%&"i : B6 !en#erita a#a%ahmen&!ase'
(akt&r Risik& : &$esitas, in)erti%itas,!emakaian estr&"en, menars ter%a%#ini *J 75 tahn #an men&!ase
ter%a% ta, tem$aka, ri/ayat ke%ar"a*!ay#ara, k&%&n'
.e>a%a #an Tan#a :
Men&!ase : !er#arahan !askamen& ase'
KANKERENDOMETRIUM
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
42/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
43/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
44/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
45/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
46/48
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
47/48
DA(TAR PUSTAKA
7' American 0ancer S&ciety, 0ancer (acts an#(i"res 5679'
5' AFiF M(, An#ri>&n&, Sai)##in A3, 3kAcan Nasi&na% Onk&%&"i .inek&%&"i 566?'
2' Kementrian Kesehatan RI, Riset KesehatanDasar 5672'
9' 4ayasan Kanker In#&nesia, TOT Pa! Test#an IVA 5672'
1' An#ri>&n&, Sin&!sis Kanker .inek&%&"i5662'
?' Le8ine DA, Sant&s =(, 3arakat RR,Han#$&&k )&r Princi!%es an# Practice &).ynec&%&"ic Onc&%&"y 5676'
B' 3erek S 3erek an# N&8aks . nec&%&
7/25/2019 2kanker Serviks, Endometrium Dan Ovarium (1)
48/48
n"ky'
''''
Recommended