AKU KEGANASAN 191111.ppt

8/12/2019 AKU KEGANASAN 191111.ppt

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KeganasanKeganasanRongga MulutRongga Mulut

goeno subagyo


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Speaking

Chewing

Tasting

Swallowing

Laughing

Smilling

Kissing

Happiness

Socializing

C.Everett Koop: You are not healthy without good oral health.


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Inte!Relationships "etween #al

an$ S%stemic Health an$ &isease

SIST'MI

K

#R(

L


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dokter gigi mempunyai tanggung jawab

profesional dan moral untuk mempelajarikesehatan umum pasien sebelum

memberikan perawatan dental


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*

Wanita usia 65 tahun dengan

polimedikasi untuk penyakit

kardiovaskuler, dengan rampant aries!karies yang "erkem"ang epat

meli"atkan "e"erapa gigi#


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+

Mani,estasi Keganasan $i Mulut

Signs S%mptoms

Keganasan


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Mani,estasi Keganasan $i Mulut

Sistemik

Keganasan

Lokal


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Mani,estasi #al keganasan

$on%&odgkin lymphoma

!large uler on the so't

palate#


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Mani,estasi #al Keganasan

Chroni lymphoyti leukemia

!uler on the palate#


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Chroni lymphoyti leukemia!severe gingival enlargement and

ulerations#


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(lkus Kronis )))))))))


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Spontaneous gingial lee$ing o,

same patient with cihosis


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Swollen shin% lee$ing gingia o,a patient with acute m%elogenous leukemia


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KE*+$++$

+$E-+


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/aki%laki 60 tahun dengan

ulkus kronis pada sisi

lateral lidah kiri.

-empunyai ke"ia% saan

merokok dan minum

minuman keras.


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/aki%laki perokok 51th.

dg nonpain'ul lesion

pd dasar mulut

selama 1 "ln.

/eukoplakia

Candidiasis

/ihen

2lanus

3ral Caner


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#R(L C(4C'RSilent Kille


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#al Cance

5 #R#!6H(R748'(L C(4C'R

IS TH' 'L'9'4TH

M#ST C#MM#4 C(4C'R :#RL&:I&'

; :ol$ Health #ganization 200*


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#al Cance

30000 new cases $iagnose$ %eal%

.000 $eaths each %ea

* %ea suial ate< *0=

Oral cancer is the sixth most common cancer among

men

Inci$ence an$ Suial o, #al

o 6ha%ngeal Cance


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#al Cance

4 he overall survival rate 'or oral

aner in the general population is

50.

4 + survival rate 7orse than prostate,

uterine, "reast, "ladder and olonaners.


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#al Cance

5 ( * !%ea suial ate ,o (,ican (meican

men with oal cance is appo>imatel%

3)=?

5 :ith eal% $etection an$ teatment the *!

%ea %ea suial ate can incease up to

.*=?


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#al Cance

'al% &etection Saes Lies

5%year survival 'or loali8ed disease is95

5%year survival 'or metastati disease is;


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'al% Cance &etection

'al% #al Cance &etection is #,ten6ossile

issue hanges in the mouth that may

signal aner an o'ten "e seen and 'elt

easily


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Early detectionEarly detection ChemopreventionChemoprevention

High-risk:P53; ploidy

BDJ


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( 6ecanceous Lesion

( mophologicall% altee$ tissue in which

cance is moe likel% to occu than in itsappaentl% nomal countepat

@:H# pulication1//-AA


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Clinial /esions

+ssoiated 7ith 2remalignany

Leukoplakia'%thoplakiaLichen planus


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( pe$ominantl% white lesion o, the oalmucosa that cannot e chaacteize$ as an%

othe $e,inale lesion?

Leukoplakia

!W&3, ;;1#


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:hite Lesions

/ihen planus


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Leukoplakia< Clinical Beatues

5 Leukoplakia usuall% a,,ects people oe

the age o, )0 %eas @aeage age is +0

%easA?

5 6ealence inceases api$l% with age

paticulal% in males?

5 (ppo>imatel% . = o, the males oe the

age o, -0 %eas ae epote$l% a,,ecte$?


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Continue$

5 (ppo>imatel% -0 = o, the oal

leukoplakias ae ,oun$ on the lip emilion

uccal mucosa an$ gingia?

5 4ote< Lesions o, the tongue lip emilion

an$ ,loo o, the mouth account ,o moe

than /0 = o, those that show $%splasia o

cacinoma upon histologic e>amination?


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Continue$

5 In$ii$ual lesions a% in clinical appeaancean$ ten$ to change oe time?

5 'al%mil$ lesions usuall% appea as slightl%eleate$ ga% o ga%!white plaDues which ma%

appea tanslucent ,issue$ o winkle$ an$ aet%picall% so,t an$ ,lat?

5 'al%mil$ lesions ae usuall% well $emacate$ut ma% len$ into the suoun$ing nomal

mucosa?


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Continue$

5 'al%mil$ thin leukoplakia which sel$om shows$%splasia on iops% ma% $isappea o continueunchange$?

5I, the cause @sA o, the lesion ae not emoe$man% lesions will ga$uall% ecome thicke an$lage?

5 The clinical appeaance @sA o, leukoplakia an$

the anticipate$ un$el%ing histopathologicchanges ae pesente$ in the ,ollowing $iagam?


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3)


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3*


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3-


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)0


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Homogeneous leukoplakia


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+ predominantly 7hite lesion 7ithverruous,nodular, ulerated or erythematous

'eatures.


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4#4!H#M#8'4'#ES L'EK#6L(KI(

4o$ula @4A an$ eucous @9A leukoplakia

49


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Leukoplakia

5 Tans,omation to $%splasia ates

! Thick leukoplakia F 1!-=

! 8anula leukoplakia F )!1*=

5 Tans,omation to SCC ates

! Seee $%splasia F 20!3*=

! Esuall% 2!) %eas a,te onset o, leukoplakia

! Risk incease$ i,persistent lesion, female patient,

nonsmoker, FOM or ventral tongue site


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Leukoplakia5 Teatmentamination


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Sceening '>amination

,o #al Cance

Sceening e>am eDuies

AKU KEGANASAN 191111.ppt

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