karsinoma ovarium
TRANSCRIPT
5/14/2018 Karsinoma Ovarium - slidepdf.com
http://slidepdf.com/reader/full/karsinoma-ovarium-55a8233b61a10 1/7
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
5/14/2018 Karsinoma Ovarium - slidepdf.com
http://slidepdf.com/reader/full/karsinoma-ovarium-55a8233b61a10 2/7
KOMPLIKASITersering: obstruksi usus
PROGNOSIS:
Harapan Hidup 5 Tahun:- Std I : 70%- Std II-III: 30-60%
- Std IV: 0%
5/14/2018 Karsinoma Ovarium - slidepdf.com
http://slidepdf.com/reader/full/karsinoma-ovarium-55a8233b61a10 3/7
TUMOR OVARIUM G/ KLINIK
G/ & Tanda: (-)
G/ Akibat dari:
- Pertumbuhan
- Endokrin
- Komplikasi
misalnya: Meig Syndrome- Fibroma Ov.
- Asites
- Hidrotrorak
5/14/2018 Karsinoma Ovarium - slidepdf.com
http://slidepdf.com/reader/full/karsinoma-ovarium-55a8233b61a10 4/7
PENANGANAN
NON NEOPLASTIK (Ø< 5/7 cm)
Observasi 2-3 bln, bila hilang: Kistafungsional
NEOPLASTIK
OPERASISEBAIKNYA: Frozen section
5/14/2018 Karsinoma Ovarium - slidepdf.com
http://slidepdf.com/reader/full/karsinoma-ovarium-55a8233b61a10 5/7
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
5/14/2018 Karsinoma Ovarium - slidepdf.com
http://slidepdf.com/reader/full/karsinoma-ovarium-55a8233b61a10 6/7
Mikros:tumor tdd epit kubisStroma: Endapan kalsium(psamoma bodies)
TERAPI:
Angkat Tumor ⇛ Intoto
Ganas 30-35%
5/14/2018 Karsinoma Ovarium - slidepdf.com
http://slidepdf.com/reader/full/karsinoma-ovarium-55a8233b61a10 7/7
PATOLOGI
Dinding Putih abu abuSebagian kistik- padatMultilokulerMengandung: Rambut, gigi, dll
Bahan kental spt lemak
Ganas: 1,5%
TERAPI: Angkat Tumor