144111741 kista endometriosis
DESCRIPTION
bbbbTRANSCRIPT
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DEFINISI
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Endometrioma Ovarium (kista coklat / kista endometriosis)
1. Kista ovarium berdinding licin coklat berisi cairan seperti cokelat
2. Unilokuler atau multilokuler3. Terbentuk dari invaginasi korteks ovarium
dan terkumpulnya debris menstruasi
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ENDOMETRIOSIS LOKALISASI
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PATOFISIOLOGI
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PATOFISIOLOGI• Teori Mestruasi Retrograde ( Sampson)
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PATOFISIOLOGI2. Teori Metaplasia Selomik ( Robert Meyer )
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PATOFISIOLOGI3. Teori Imunologik
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PATOFISIOLOGI4. Teori Penyebaran Limfatik dan Hematogen ( Halban)
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Hormonal Dependence• Factor berperan dalam perkembangan
endometriosis: estrogen• Meskipun estrogen kebanyakan di produksi oleh
ovarium, jaringan perifer juga membentuk estrogen• Estrogen yang di produksi dalam lesi endometriosis
menimbulkan efek biologis dalam jaringan atau sel yang sama dimana estrogen tersebut diproduksi→ intraktrin
• Endometrium normal : progesteron melawan efek estrogen selama fase luteal
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Extra ovarian tissues
ovaryadrenal
+
+
+
PGE
Cox 2
VEGF
IL-10
Arachidonic acid
a E2aromatase
ENDOMETRIOTIC IMPLANT
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Faktor risiko
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DIAGNOSIS
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GEJALA KLINIS
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PEMERIKSAAN FISIK
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PEM. PENUNJANG
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PEM. PENUNJANG
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Kista endometriosis pada ovarium kiri pada pemeriksaan USG Transvaginal.
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Endometrioma pada ovarium kiri
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Gambaran Laparoskopi Kista endometriosis
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Pemeriksaan histopatogi kista endometriosis, tampak epitel dan stroma endometrium. Pada latar tampak kontras dengan stroma ovarium
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KLASIFIKASI
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KLASIFIKASIThe American Fertility Society
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DIFFERENTIAL DIAGNOSIS
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PENATALAKSANAAN
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TERAPI EKSPEKTATIF
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Terapi Hormonal
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Terapi Pembedahan
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PROGNOSIS
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• TERIMA KASIH