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TUMOR HATI
Dr.Sudardjat Sp.B
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Tumor Ganas Hati
• Tumor ganas hati lebih bana! daritumor jina!
• Terbana! primer adalah jenis!arsinoma hepatoseluler
• Tumor ganas hati se!under "disebab!an metastase.
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Tumor ganas primer
• #arsinoma hepatoseluler.
• Bana! di A$ri!a" Asia Timur" Asia
tenggara• %ria & 'anita " ( & )
• *tiologi & ada hubungan dengan
hepatitis B dan Hepatitis +• A,ato-in & aspergilus ,aus dan
aspergilus $umigatus
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%tologi
• #arsinoma hepatoseluler merupa!an/01 dari semua !arsinoma primer
•Bentu! & masi$ uni$o!al" nodularmulti$o!al" di$us denganpertumbuhan in2ltrati$.
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Ca. Hepar primer
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Malignant Hepatoma
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Gejala !linis
• 3eri perut" distensi perut" rasalelah" penurunan berat badan"anore!sia.
• G4ang !adang ditemu!an & i!terus"ga'at abdomen" neri tulang" sesa!na$as" hematemesis melena.
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Diagnosis
• %emeri!saan !linis" laboratorium"pen5itraan" petanda tumor.
• Dete!si dini & penderita denganHBsAG 678" SGOT4SG%T tinggi" atausirosis hepatis" sebai!na dila!u!anpemeri!saan al$a $eto protein dan
USG hati
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%enanggulangan
• Segmente!tomi"lobe!tomi" atausegmente!tomi diperluas.
• %engobatan lain & !emoterapi intraarterial" embolisasi melalui arterihepati!a.
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#arsinoma hati se!under
• 90 : lebih sering dibanding!arsinoma primer
• %enebaran !e hati dapat melaluisir!ulasi umum" jarang melalui aliranlim$e.
• Metastase dari & Sal.5erna"paudara"paru" pan!reas" melanomamalignum"oarium dan uterus.
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%enanggulangan
• %embedahan" apabila masih bisadirese!si.
• #emoterapi bila sudah tida! dapatdirese!si.