179177105 Tumor Abdomen
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Transcript of 179177105 Tumor Abdomen
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SELAMAT PAGI
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TUMOR ABDOMEN
Disusun Oleh :Lucky Fitvita Eka Brillyanti, S.Ked
09700124Pembimbing :
dr. Ririn Poerwandira, Sp.Rad
REFERAT
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Tumor abdomen merupakan sepertiga dari seluruh tumor ganas. Berbeda dengan jenis tumor lainnya yang mudah diraba ketika mulai mendesak jaringan disekitarnya. "Itu karena sifat rongga tumor abdomen yang longgar dan sangat fleksibel”.
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DEFINISI
Tumor abdomen adalah suatu massa yang padat dengan ketebalan yang berbeda-beda, yang disebabkan oleh sel tubuh yang yang mengalami transformasi dan tumbuh secara autonom lepas dari kendali pertumbuhan sel normal, sehingga sel tersebut berbeda dari sel normal dalam bentuk dan strukturnya.
Kelainan ini dapat meluas ke retroperitonium, dapat terjadi obstruksi ureter atau vena kava inferior. Massa jaringan fibrosis mengelilingi dan menentukan struktur yang dibungkusnya tetapi tidak menginvasinya.
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ETIOLOGI
•Karsinogen•Hormon•Faktor gaya hidup •Parasit •Genetik •infeksi•trauma •hipersensivitas terhadap obat
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GEJALA KLINIS
Sulit untuk dideteksi, karena sifat rongga tumor abdomen yang longgar dan sangat fleksibel.
Dapat diketahui setelah perut tampak membuncit dan mengeras. Tentukan pula apakah letak tumornya intraperitoneal atau retroperitoneal
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SIMPTOM
•Konsistensi padat atau keras.•Hiperplasia,Hipertrofi, dan Hipervaskularisasi•Pengerutan, Retraksi.•Edema disebabkan infiltrasi ke pembuluh limfa.•Konstipasi.•Nyeri.•Anoreksia, mual, lesu.•Penurunan berat badan.•Pendarahan.
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KLASIFIKASIDewasa : •Tumor hepar•Tumor limpa / lien•Tumor lambung / usus halus•Tumor colon•Tumor ginjal (hipernefroma)•Tumor pankreas•Tumor Buli-buli•Tumor cavum pelvis yang masuk ke cavum abdomenAnak-anak :•Tumor wilms (ginjal)
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CONTOHGAMBARAN RADIOLOGI
TUMOR ABDOMEN
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Hepatoma Difuse dan Hepatoma Noduler
1. HEPAR
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Gambaran USG Hepatoma Lanjut berupa hyperechoic
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Hepatoma dengan Ct Scan
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Metastase di heparTampak adanya metastase yang ditandai multiple nodul pada hepar. Nodul tampak hypodens
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KISTA HEPAR
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Spiral CT scan dipotong 7 mm, dengan limpa sangat membesar (di sebelah kanan pemirsa), menunjukkan massa tumor kurang radiodense dengan limpa agak padat normal berdekatan
2. LIEN/LIMPA
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Hodgkin's disease and malignant lymphoma: Malignant lymphoma with a vascularized hypoechoic splenic lesion
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Chronic lymphatic leukemia: Splenomegaly with compression of the left kidney in a patient with chronic
lymphatic leukaemia
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Polypoid Carcinoma lambung. Radiografi dengan kontras Foto Upper GI menunjukkan kelainan yang mengisi lobulated (panah) di antrum lambung
3. LAMBUNG DAN USUS
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Tumor jinak stroma gastrointestinal dalam Duodenum
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Pedunculated polip pada kolon descenden
Gambaran “apple core” pada colon sigmoid
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Kanker caecum. Massa polipoid mendesak lipatan iliocaecal sehingga menyebabkan obstruksi
Polypoid carcinoma. Massa berlobus besar di rectosigmoid junction
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CT scan bayi dengan massa ginjal yang besar (panah). Jaringan ginjal normal adalah ditunjukkan di sebelah kanan tumor Wilms (panah kepala, struktur berwarna putih)
4. GINJAL
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TUMOR GRAWITZ
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Gambaran filling defect (panah) di ureter adalah karakteristik dari polip fibroepithelial
5. URETER
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Transisi Cell Carcinoma. Radiografi dari urogram ekskretoris menunjukkan massa lobulated (panah) yang menyebabkan kelainan di dasar kandung kemih
6. BULI-BULI
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CT Scan Tumor Pankreas Endoskopi Tumor pancreas
7. PANKREAS
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Tumor Caput Pankreas Tumor Cauda Pankreas
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8. Tumor pada cavum pelvis yang masuk ke cavum abdomen
Myoma Uteri
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Kista Ovarium Polikistik
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KET Abdominal
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