ca ovarium ginekologi

Upload: hasanah24

Post on 22-Feb-2018

244 views

Category:

Documents


1 download

TRANSCRIPT

  • 7/24/2019 CA Ovarium Ginekologi

    1/39

    Tumor Uvarium

    Oleh

    DIDI ARIWIBOWO

    Pembimbing :

    dr. Ahmad Khuwailid Sp.OG

    FAKULTAS KEDOKTERAN UNIVERSITAS MALAHAYATI

    KEPANITERAAN KLINIK SENIOR SMF OBSTETRI DAN

    GINEKOLOGI RS. HAJI MEDAN 2!"

  • 7/24/2019 CA Ovarium Ginekologi

    2/39

    TUMOR OVARIUM E#i$%&'ia'

    S&rou( Mu)i*ou( E*+om&$rioi+ ,'&ar-)&''

    M&(o*%roi+ Br&**&r

    Mi&+ i$%&'ia' U*+i//&r&*$ia$&+ U*)'a((i/i&+

    No* E#i$%&'ia' G&rm-,&'' S& ,or+-S$roma' U*)ommo*

  • 7/24/2019 CA Ovarium Ginekologi

    3/39

    EPITHELIAL TUMORS I*(i+&*(i0-1 +ari (&'uru% $umor ovarium J&*i( 3%i($o'o4i5 6

    (&rou(

    mu)i*ou(

    &*+om&$rioi+

    Br&*&r

    ,'&ar )&''

  • 7/24/2019 CA Ovarium Ginekologi

    4/39

    EPITHELIAL TUMORS 7 0a 8 #o($m&*o#au(& 392 $a%u*5 A(im#$oma$i( M&*($rua(i ir&4u'&r

    T&ra:a a+a :&*;o'a* #a+a #&ru$ Ga*44ua* mi

  • 7/24/2019 CA Ovarium Ginekologi

    5/39

    Tipe serous Tipe mucinosum

  • 7/24/2019 CA Ovarium Ginekologi

    6/39

    GERM-,ELL ,AR,INOMA B&ra(a' +ari (&' :&*i% #rimor+ia' ovarium I*(i+&*(i*>a =! S&' m&*(&

  • 7/24/2019 CA Ovarium Ginekologi

    7/39

    GERM-,ELL ,AR,INOMA Tum:u% )a$

    N>&ri +i #&'vi(

    P&r+ara%a* Pressure effect#a+a

  • 7/24/2019 CA Ovarium Ginekologi

    8/39

    DISGERMINOMA Pa'i*4 (&ri*4 #a+a u(ia !-@ $a%u*

    ,&*+&ru*4 :i'a$&ra'= (o'i+

  • 7/24/2019 CA Ovarium Ginekologi

    9/39

    Gejala Klinis

    Ti+a<

  • 7/24/2019 CA Ovarium Ginekologi

    10/39

    S$a+ium m&*uru$ International Federation of Gynecology andObstetrics3FIGO5

    STADIUM I7 #&r$um:u%a* $&r:a$a( #a+a ovarium

    STADIUM II7 P&r$um:u%a* #a+a (a$u a$au +ua ovarium +&*4a*#&r'ua(a*

  • 7/24/2019 CA Ovarium Ginekologi

    11/39

    TUMOR OVARIUM Kom#'i&ri a

  • 7/24/2019 CA Ovarium Ginekologi

    12/39

    TUMOR OVARIUM Dia4*o(i( Ba*+i*4

    K&%ami'a*

    A(i$&( P&ri$o*i$i( $u:&r

  • 7/24/2019 CA Ovarium Ginekologi

    13/39

    TUMOR OVARIUM P&m&ri

  • 7/24/2019 CA Ovarium Ginekologi

    14/39

    La#ara$omi Sur4i)a' ($a4i*4 3 LSS 5

    Hi($&r&

  • 7/24/2019 CA Ovarium Ginekologi

    15/39

    TUMOR OVARIUM O#&ra(i 3(a'#%i*4o-oo#%or&)$om> :i'a$Cu*i'a$=

    (ur4i)a' ($a4i*45=

  • 7/24/2019 CA Ovarium Ginekologi

    16/39

    STATUS PASIENNama 6 N> J C T* A

    Umur 6 "@ $% C 9 $%

    A'ama$ 6 J'. Ku$i'a*4 II

    P&

  • 7/24/2019 CA Ovarium Ginekologi

    17/39

    K&'u%a* U$amaN>&ri %ai+

  • 7/24/2019 CA Ovarium Ginekologi

    18/39

    A*am*&(a KU 6 P&ru$ M&m:&(ar T&'aa% 6Ha' i*i +ia'ami #a(i&* (&;a< ! $a%u* $&ra

  • 7/24/2019 CA Ovarium Ginekologi

    19/39

    Ria>a$ #&*>aa*4 m&mi'iai a'&r4i $&r%a+a# o:a$-

    o:a$a* +a* ma

  • 7/24/2019 CA Ovarium Ginekologi

    20/39

    Ria>a$ #&r

  • 7/24/2019 CA Ovarium Ginekologi

    21/39

    S$a$u( G&*&ra'i(

    KU 6 Kom#o( M&*$i(

    Ta*+a vi$a' 6 - T 6 !2C0 mmH4

    - N 6 00 Cm&*i$

    - R 6 2 Cm&*i$

    - S 6 @0=,

  • 7/24/2019 CA Ovarium Ginekologi

    22/39

    SL

    A:+om&* 6 So&'= #&ri($a'$i< *orma'

    PCV 6 - BAB 6

    BAK 6

  • 7/24/2019 CA Ovarium Ginekologi

    23/39

    S$a$u( Gi*&&ri $&

  • 7/24/2019 CA Ovarium Ginekologi

    24/39

    S$a$u( Pr&(&*(

    P&m&ri&ri 4o>a*4 3-5U$&ru( a*$&/'&

  • 7/24/2019 CA Ovarium Ginekologi

    25/39

    Pemeriksaan USG

    Har 6 B&(ar +a* :&*$u< *orma'= #&rmu

  • 7/24/2019 CA Ovarium Ginekologi

    26/39

    -ra> Si*u( )o($o#r&*i)u( *orma'. Dia4/ra4ma *orma'

    Ja*$u*4 6 :&(ar +a* :&*$u< +a'am :a$a( *orma'

    Paru 6 )ora

  • 7/24/2019 CA Ovarium Ginekologi

    27/39

    La:ora$orium

    Dara% 6

    - H: !!= 4rC+'

    -

    L !2.1 Cmm@

    - HT @2

    - Tr "9!. Cmm@

    -

    M,V .- M,H 2.9

    - M,H, @.1

    G'u

  • 7/24/2019 CA Ovarium Ginekologi

    28/39

    P&m&ri

  • 7/24/2019 CA Ovarium Ginekologi

    29/39

    Dia4*o(i( K&r;a

    Tumor Ovarium

  • 7/24/2019 CA Ovarium Ginekologi

    30/39

    Therapy

    IVFD RLC NA,L .1 2 4$$Ci

    I*;. ,&/$riao*& ! 4rC !2 ;am

    M&$ro*i+ao'& +ri#C 0 ;am

  • 7/24/2019 CA Ovarium Ginekologi

    31/39

    R&*)a*a $i*+a

  • 7/24/2019 CA Ovarium Ginekologi

    32/39

    Laporan Operasi

    ra:u $a*44a' 2!--2!"

    I:u +i:ari*4

  • 7/24/2019 CA Ovarium Ginekologi

    33/39

    D&*4a* m&*>i(i#a= /a()ia

    +i4u*$i*4

  • 7/24/2019 CA Ovarium Ginekologi

    34/39

    La'u +i#u$u(' *o. !.

    Su:

  • 7/24/2019 CA Ovarium Ginekologi

    35/39

    Ku$i( +i;a%i$ +&*4a* (u:

  • 7/24/2019 CA Ovarium Ginekologi

    36/39

    Hasil PA

    ,>($ A+&*o)ar)i*oma S&ro(um Pa##i''ar&

    Ovarii Du#'&

  • 7/24/2019 CA Ovarium Ginekologi

    37/39

    I*$ru

  • 7/24/2019 CA Ovarium Ginekologi

    38/39

    Follow up (!"#$"#!%&

    S 6 N>&ri 'u

  • 7/24/2019 CA Ovarium Ginekologi

    39/39

    TERIMA KASIH