tumor ginjal fix
DESCRIPTION
about renal tumorTRANSCRIPT
![Page 1: Tumor Ginjal Fix](https://reader035.vdocuments.pub/reader035/viewer/2022081504/55721446497959fc0b942a1b/html5/thumbnails/1.jpg)
LOGO
“ Add your company slogan ”
TUMOR GINJALArsil Radiansyah
Imaduddin Akmal
M. Kadavi
Cut Dwi
Irdiansyah
Mulya Gunawan
Pembimbing:
Dr. Dahril, Sp.UDr. Jufriady Ismy, Sp.U
![Page 2: Tumor Ginjal Fix](https://reader035.vdocuments.pub/reader035/viewer/2022081504/55721446497959fc0b942a1b/html5/thumbnails/2.jpg)
TUMOR GINJAL
EPIDEMIOLOGI
- Tumor urogenital ketiga terbanyak setelah Ca prostat dan buli.
- Dekade 5 – 6
- Laki-laki : wanita = 2 : 1.
![Page 3: Tumor Ginjal Fix](https://reader035.vdocuments.pub/reader035/viewer/2022081504/55721446497959fc0b942a1b/html5/thumbnails/3.jpg)
KLASIFIKASI
Primer :
Parenkim Jinak : Adenoma,Lipoma,Hamartoma,Onkositoma
Ganas : Adenokarsinoma, Nefroblastoma.
Saluran ginjalJinak : Papilloma.
Ganas :Tumor pelvis renalis.
Sekunder : Metastasis
![Page 4: Tumor Ginjal Fix](https://reader035.vdocuments.pub/reader035/viewer/2022081504/55721446497959fc0b942a1b/html5/thumbnails/4.jpg)
Adeno karsinoma ginjal(Grawitz,hipernefroma,karsinoma sel ginjal )
Tumor parenkim ginjal. Berasal dari tubulus proksimal ginjal.
Insiden :
Umur dekade 5 – 7.
3% dari tumor ganas dewasa.
![Page 5: Tumor Ginjal Fix](https://reader035.vdocuments.pub/reader035/viewer/2022081504/55721446497959fc0b942a1b/html5/thumbnails/5.jpg)
Etiologi
Multi faktor ?
Diduga tembakau.
Faktor lain :
1. Lingkungan/pekerjaan : bahan kimia.
2. Bahan/obat tertentu : kopi,analgetika,estrogen eksogen.
![Page 6: Tumor Ginjal Fix](https://reader035.vdocuments.pub/reader035/viewer/2022081504/55721446497959fc0b942a1b/html5/thumbnails/6.jpg)
Patologi : Clear sel 25%
Granular sel 25%
Mixed type ( tbyk.)
Sarkomatoid 2%
Staging : - TNM
- Robson
Grading : - Fuhrman.
![Page 7: Tumor Ginjal Fix](https://reader035.vdocuments.pub/reader035/viewer/2022081504/55721446497959fc0b942a1b/html5/thumbnails/7.jpg)
Gambaran klinisTrias : flank pain 40%
hematuria ( tersering.)
teraba massa abdomen 15%
Gejala lain : febris
hipertensi
anemis
varikokel
td metastase
paraneoplastik sind : (erithrositosis,hiperkalsemia,hipertensi dan ggn faal hati)
![Page 8: Tumor Ginjal Fix](https://reader035.vdocuments.pub/reader035/viewer/2022081504/55721446497959fc0b942a1b/html5/thumbnails/8.jpg)
Imaging : IVP,CT Scan,MRI,Angiografi
Laboratorium :
- Hematuria
- Anemia
- LED
Radiologi :- IVP : distorsi PCS
- USG : massa di ginjal
- CT Scan : massa di ginjal
Imaging : IVP,CT Scan,MRI,Angiografi
Laboratorium :
- Hematuria
- Anemia
- LED
Radiologi :- IVP : distorsi PCS
- USG : massa di ginjal
- CT Scan : massa di ginjal
11
![Page 9: Tumor Ginjal Fix](https://reader035.vdocuments.pub/reader035/viewer/2022081504/55721446497959fc0b942a1b/html5/thumbnails/9.jpg)
Terapi
1. Nefrektomi
2. Radioterapi
3. Kemoterapi
4. Imunoterapi
![Page 10: Tumor Ginjal Fix](https://reader035.vdocuments.pub/reader035/viewer/2022081504/55721446497959fc0b942a1b/html5/thumbnails/10.jpg)
12
![Page 11: Tumor Ginjal Fix](https://reader035.vdocuments.pub/reader035/viewer/2022081504/55721446497959fc0b942a1b/html5/thumbnails/11.jpg)
14
![Page 12: Tumor Ginjal Fix](https://reader035.vdocuments.pub/reader035/viewer/2022081504/55721446497959fc0b942a1b/html5/thumbnails/12.jpg)
Stadium I Tumor msh di dlm ginjal dg fasia gerota masih
utuh
Stadium II Invasi ke jaringan lemak perirenal, dg fasia
georta masih utuh
Stadium III Invasi ke vena renalis/ v. Kava / limfonudi
regional
Stadium IV Ekstensi ke organ sekitarnya/metastasi jauh (usus)
STAGING