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KARSINOMA OVARIUM

EPIDEMIOLOGI:

8% Dari Tu/ Gin

60% pd Usia 50 th

30% pd Usia Reproduksi

10% pd Usia lebih muda

15% dari Tu. Ov. Ganas

KLASIFIKASI: (who 1973)

I Epitelial (90%)

- Serosum (75%), Musinosum, Endometrioid, dll.

II Sex Cord-Stromal Tumor (5%)- Granulosa sel tu.,Androblastoma, Ginandroblastoma, dll

III Sel Germinal (Germ Cell Tu/.) (5%)

- Disgerminoma (30-40%), Endodermal Sinus Tu/., Kar.

Embrional, dll

 

TUMOR GANAS ALAT GENETALIA

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KOMPLIKASITersering: obstruksi usus

PROGNOSIS:

Harapan Hidup 5 Tahun:- Std I : 70%- Std II-III: 30-60%

- Std IV: 0%

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TUMOR OVARIUM G/ KLINIK

G/ & Tanda: (-)

G/ Akibat dari:

- Pertumbuhan

- Endokrin

- Komplikasi

misalnya: Meig Syndrome- Fibroma Ov.

- Asites

- Hidrotrorak 

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PENANGANAN 

NON NEOPLASTIK (Ø< 5/7 cm) 

Observasi 2-3 bln, bila hilang: Kistafungsional

NEOPLASTIK

OPERASISEBAIKNYA: Frozen section

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KISTA STEIN LEVENTHAL SINDROMA:

1. Kista Ovarium

Pucat

Dinding tebal

Polikistik

2. Infertil3. Sekunder Oligo/Amenore

4. Gemuk

5. Hirsutisme

TERAPIKlomifen Sitrat

Punksi

Wedge reseksi

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Mikros:tumor tdd epit kubisStroma: Endapan kalsium(psamoma bodies) 

TERAPI:

Angkat Tumor ⇛ Intoto

Ganas 30-35%

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PATOLOGI

Dinding Putih abu abuSebagian kistik- padatMultilokulerMengandung: Rambut, gigi, dll

Bahan kental spt lemak 

Ganas: 1,5%

TERAPI: Angkat Tumor