bedah prostate carcinoma
TRANSCRIPT
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PROSTATE CARCINOMA
TERBANYAK SETELAH MELANOMA SKIN CANCER
TAHUN 2002 TERDIAGNOSA
189.000 KASUS
30.200 DIANTARANYA AKANMENINGGAL
TERDAPAT KECENDERUNGAN PENINGKATAN
KASUS
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PENYEBAB PENINGKATAN :
-BERTAMBAH LUAS PEMERIKSAAN SERUM PROSTATE
SPECIFIC AGENT (PSA)
KESADARAN MASYARAKAT
SCREENING YANG BERTAMBAH BANYAK
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PEMERIKSAAN SEBELUM PSA :
DIGITAL RECTAL E!AMINATION
-GANGGUAN URINARY SYMPTOM :
URGENCY .
NOCTURIA
FRE"UENCY
HESITANCY
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GE#ALANYA SAMA DENGAN BPH (BENIGN PROS
TATE HYPERTROPHY )
-DITEMUI KASUS CANCER PROSTATE DENGAN
PSA TINGGI TETAPI PEMERIKSAAN PROSTATE NORMAL
-HANYA 20$ PENDERITA CANCER PROSTATE MEMILIKI
ABNORMAL DIGITAL RECTAL E!AMINATION
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KENAIKAN KADAR PSA TANDA DINI KELAINAN PROSTATE
BPH DAN CANCER PROSTATE PSA NAIK %
TETAPI KENAIKAN PADA CANCER LEBIH TINGGI
-KEADAAN LAIN YANG MENAIKKAN KADAR PSA%
PROSTATE INFLAMATION DAN PERINEAL TRAUMA
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KADAR NORMAL PSA
-( &0 ' &9 ) *+, : ( 0 ' 2.- ) ,/
-(-0 ' -9 ) *+, : ( 0 ' 3.- ) ,/
-( 0 ' 9 ) *+, : ( 0 ' &.- ) ,/
-(0 ' 9 ) *+, : ( 0 ' .- ) ,/
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PROSTATE BIOPSI STANDARD PEMERIKSAAN
TRANSRECTAL BIOPSI
SIMPLE OFFICE
TANPA SEDASI ATAUPUN ANALGESIA
-BILA HASIL BIOPSI CARCINOMA
E4ALUATION ATAU CLINICAL STAGING
E!TEND OF SPREAD
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FAKTOR YANG DIPERTIMBANGKAN UNTUK TERAPI :
GENERAL MEDICAL CONDITION% AGE%
HISTOLOGIC GRADE (GLEASON SCORE)
PRETREATMENT PSA 4ALUE
DAN FAKTOR FAKTOR LAIN
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TREATMENT OPTION :
-SURGERY
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RADIATION
-HORMONAL THERAPY
-CHEMOTHERAPY
-5ACTHFUL 5AITING
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CONTOH KASUS SCREENING :
DIAGNOSE EARLY CANCER BEFORE THE ONSET OF SYMPTOM
&- YEARS OLD FAMILY HISTORY ( 6 )
-0 YEARS OLD USIA PEMERIKSAAN
-2 TEST : PSA BLOOD TEST
DRE (DIGITAL RECTAL E!AM)
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. DIGITAL RECTAL E!AM (DRE)
SI7E% SHAPE% SYMMETRY AND CONSISTENCY
CANCEROUS : IRREGULARLY ENLARGE AND HARD
. PROSTATE SPECIFIC ANTIGEN (PSA) TEST
SIMPLE BLOOD TEST LE4EL OF PSA (PROTEIN)
. COUNCELING
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TREATMENT BASE ON :
AGE OF PATIENT
PSA LE4ELBIOPSY LE4EL
STAGE OF DESEASE
TREATMENT OPTION :
SURGERY
RADIATION
HORMONAL THERAPY
CHEMOTHERAPY
5ATCHFULL 5AITING
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