REFERAT CA Recti Sekar Rahma Tesha
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Transcript of REFERAT CA Recti Sekar Rahma Tesha
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L/O/G/OL/O/G/O
REFERATPENATALAKSANAAN KARSINOMA REKTI
Rahmah Fitri Utami G1A212042
Sekar Niti Wijayanti G1A212059
Theresia Apsari 0210221093
Pembimbing :dr. Lopo Triyanto. Sp.Bonk (K)
SMF BEDAHRSUD PROF. DR. MARGONO SOEKARJO
FAKULTAS KEDOKTERAN DAN ILMU-ILMU KESEHATANUNIVERSITAS JENDERAL SOEDIRMAN
PURWOKERTO2013
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BAB I
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LATAR BELAKANG
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TUJUAN
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BAB II
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ANATOMI RECTUM
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VASKULARISASI ARTERI RECTUM
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VASKULARISASI VENA RECTUM
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Inervasi
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EPIDEMIOLOGI KANKER REKTUM
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ETIOLOGI
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PATOFISIOLOGI KANKER REKTUM
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DIAGNOSA KLINIS
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• Perbedaan gejala dan karsinoma kolorektal berdasarkan letaknya
Kolon kanan Kolon kiri Rektum
Aspek klinis Kolitis Obstruksi Proktitis
Nyeri Karena penyusupan Karena obstruksi Tenesmus
Defekasi Diare Konstipasi progresif Tenesmi terus-menerus
Obstruksi Jarang Hampir selalu Tidak jarang
Darah pada feses Samar Samar atau makroskopis Makroskopis
Feses Normal Normal Perubahan bentuk
Dispepsia Sering Jarang Jarang
Memburuknya KU Hampir selalu Lambat Lambat
Anemia Hampir selalu Lambat Lambat
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2. Pemeriksaan Fisik
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3. Pemeriksaan penunjang
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4. Klasifikasi karsinoma rektum
• Stadium :– 0 : carcinoma in situ.– I : Dukes A rectal cancer.– II: Dukes B rectal cancer.
– III: Dukes C rectal cancer. – IV:Dukes D rectal cancer
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TNM
Stadium
Modified
Dukes
Stadium
Deskripsi
T1 N0 M0 A Tumor terbatas pada submucosa
T2 N0 M0 B1 Tumor terbatas pada muscularis propria
T3 N0 M0 B2 Penyebaran transmural
T2 N1 M0 C1 T2, pembesaran kelenjar mesenteric
T3 N1 M0 C2 T3, pembesaran kelenjar mesenteric
T4 C2 Penyebaran ke organ yang berdekatan
Any T, M1 D Metastasis jauh
*Modified from the American Joint Committee on Cancer (1997)
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Penatalaksanaan
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Pembedahan
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Low anterior resection (LAR)
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Abdominal perineal resection
(Miles procedure)
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Radiasi
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Kemoterapi
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Penanganan Jangka Panjang
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Prognosa
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TERIMA KASIH