Upload
luai-rawhi
View
249
Download
0
Embed Size (px)
Citation preview
7/24/2019 2.Tumor Kelenjar Ludah
1/18
I. PENDAHULUAN
TUMOR KELENJAR LUDAH
Bedah Mulut
Tiap 100.000 orang = 6,5%
Tipe: ganas &jinak
7/24/2019 2.Tumor Kelenjar Ludah
2/18
II. TINJAUAN PUSTAKAInsidensi
JenisLokasi Kelenjar Maor
!"0% # "5%$Kelenjar Minor
!15% #0%$
Kelenjar parotid"5% # &0% #
Kelenjarsu'(andi'ula 5% # 10% #
Kelenjar su'lingual jarang #
)alatu( # 55%
Bi'ir # 15%
Lain#lain # jarang
Tabel 1. Distib!si t!"# kelenja
7/24/2019 2.Tumor Kelenjar Ludah
3/18
Klasi%kasi T!"# Kelenja
Tu(or Jinak Kelenjar Ludah!*ali+ar land -deno(a$
Tu(or anas Kelenjar Ludah!*ali+ar land -denoarino(a$
Benign Mi/ed Tu(or Muoepider(oidarino(a
Mono(orphi adeno(as -denoid sti arino(a
Basal ell adeno(a -ini ell arino(a
analiular adeno(a arino(a e/#(i/ed tu(or
Moepithelio(a pi(oepithelial arino(a
*e'aeous adeno(a )ol(orphous lo2 grade
adenoarino(a
3noto(a *ali+ar dut arino(a
)apillar stadeno(al(pho(atosu(
Basal ell adenoarino(a
4utal papillo(as *e'aeous adenoarino(a*ialadeno(a papillieru( 3nosti adenoarino(a
n+erted dutal papillo(a -denoarino(a
ntrodutal papillo(a
7/24/2019 2.Tumor Kelenjar Ludah
4/18
Klasi%kasi en!!t Si'at(i#l#giLo2#grade nter(ediate#grade 7igh#grade
Muoepider(oid
arino(a
Muoepider(oid
arino(a
Muoepider(oid
arino(a
-ini ell arino(a pi(oepithelialarino(a
-denoid stiarino(a
)ol(orphous lo2gradeadenoarino(a
*e'aeousadenoar(o(a
arino(a e/#(i/ed tu(or
Basal elladenoar(o(a
*ali+ar dutarino(a
*8ua(ous ellarino(a
3iostiadenoar(o(a
7/24/2019 2.Tumor Kelenjar Ludah
5/18
Pat#genesis
a('ar 1. Kelenjar ludah (aor. !)ut9, 1&&5$
7/24/2019 2.Tumor Kelenjar Ludah
6/18
Pat#genesis
a('ar 1. Kelenjar ludah (aor. !)ut9, 1&&5$
7/24/2019 2.Tumor Kelenjar Ludah
7/18
Pat#genesis
7/24/2019 2.Tumor Kelenjar Ludah
8/18
TU)* JINAK KELENJA* LUDAH+SALI,A*- LAND ADEN)A/
4uktus epitel
Ko('inasi 'ahan (ukoid : pseudokartilago
Ko(ponen epitel dan (esenki(
k. parotis 60#;0% k.su'(andi'ula 1
1.Benign Mixed Tumor (Pleomophic Adenoma)
a('aran histopatologi
Ko('inasi sel epitel kelenjar
Jaringan ikat hialin g (enerupai kartilago
7/24/2019 2.Tumor Kelenjar Ludah
9/18
*0 : Eksisi beda$ata! Ekstipasi
7/24/2019 2.Tumor Kelenjar Ludah
10/18
.#n#"#%kAden#"a(asal sel aden#"a
Kanalik!la aden#"a
Papillai sistaden#"ali"p#"at#s!"
3nkosito(aMoepitelio(a
*e'aseus adeno(a
3. Ductal
PapilomaSialadenoma papilifeum
!ntadu"tal papiloma
!n#eted du"tal papiloma
7/24/2019 2.Tumor Kelenjar Ludah
11/18
a('ar
7/24/2019 2.Tumor Kelenjar Ludah
12/18
a('ar 6. - dan B
a('aran histopatologiWhartins tumor! *iu''a,1&&&D Ce+ille, 00$
7/24/2019 2.Tumor Kelenjar Ludah
13/18
a('ar ;.3nkosito(a!*iu''a, 1&&&$
a('ar ".Myoepitelioma
!*iu''a, 1&&&$
7/24/2019 2.Tumor Kelenjar Ludah
14/18
TU)* ANAS KELENJA* LUDAH+SALI,A*- LAND ADEN)A/
1 Mucoepidermoid Carcinoma
2 Adenoid cystic carcinoma
Acinic cell carcinoma
< arino(a /#(i/ed Tu(orEMalignant Mi/edTu(or
5 pi(oepitelial arino(a
! Polymorphous lo"#grade adenocarcinoma
$ %ali&ary duct carcinoma
7/24/2019 2.Tumor Kelenjar Ludah
15/18
. )MB-7-*-C
Insidensi 12 kas!s0 133.3333ang
Eti#l#gi bisel!le ste" te#i 4
!ltisel!le ste" te#i 4T!"# jinak kel. L!da$ 5 diatas 63 t$5 7
T!"# ganas el. L!da$ 5 83 t$ 9 7
Angka Kejadian T!"# Kel. L!da$; Kel.Pa#tis
7/24/2019 2.Tumor Kelenjar Ludah
16/18
?akt# pedisp#sisi :
*adiasi
Alk#$#l & #k#k
Teapi :
Tegant!ng jenis t!"#
Seing eksisi l!as ata!pengangkatan sebagian kel.
T!"# ganas *ND; adi#teapi ata!k#"binasi ketigan@a
7/24/2019 2.Tumor Kelenjar Ludah
17/18
Tu(or anas Tu(or jinak
)ertu('uhanna epat la('at
Tidak dapat digerakkan dapat digerakkan4apat (eni('ulkan rasa
sakit : paralsis!F$
Tidak 'erkapsul 'erkapsul
Metastase !G$ !#$
Bersiat iniltrati kspansi !(endesak kejaringan sekita(a$
Tabel 6. Pebedaan t!"# jinak dant!"# ganas kelenja l!da$
7/24/2019 2.Tumor Kelenjar Ludah
18/18
I,. KESIPULAN
T!"# jinak dan t!"# ganasdibedakan "elal!i ga"baan
"ik#sk#pis dan ga"baan klinis
enent!kan P#gn#sa.