PA Respiratory
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Transcript of PA Respiratory
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PatPathology ofhology of
respirarespiratory systemtory systemDr. Muhartono, M.Kes, Sp.PAPathology anathomy departement
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TUBERU!"S#STUBERU!"S#S
M. Tu$er%ulosisMenularinhalasi $atu& $ersinPredisposisiimunitas menurunDM, al&ohol, malnuutrisi,penya&it paru &hronis'aringan granulasi ne&roti&
per&e(uan
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PatogenesisPatogenesis
Bahan lipid dan &ar$ohidratdinding MT)).menghalangifagolisosom dan mening&at
*irulensi+ipersensiti*itas tipe # -) mgTes PPD /mantou0 test1
2ranuloma /ne&rosis &aseosa1resistensi
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TB PrimerTB Primer
Belum pernah3o&us 2+"4 granuloma fo&us
tunggal
#nferior lo$us atas, superior lo$us$a5ahPenge%atan tahan asam
K2BKomple& 2+on'aringan parut dan &alsi&6&asiKompli&asi7 TB milier diseminata
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TB se&underTB se&under
#nfe&si a&tif pada penderita yangse$eleumnya telah tersensitisasiRea&ti*asiE&sogenApe& paru8- tinggi3i$ro&aseosa dengan &a*itas9 BP9TB M#!#ER
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K!#4#SK!#4#S
Asimtomati&Demam insidentilKeringat malamBB turunBatu& produ&tifSputum darahhemoptisis
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DiagnosisDiagnosis
Ditemu&an &uman MTBTABiopsi (aringanPrognosistergantung Beratnya
penya&it, KU
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TB desiminataTB desiminata
Penye$aran hematogenTB millierfo&us &e%il disemua
organ hati, sunsum, limfa, gin(alTB:terisolasigin(al, tulang,
genetalia femina
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Karsinoma $ron&ogeni&Karsinoma $ron&ogeni&
;8);
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PatogenesisPatogenesis
Mero&o& >Pero&o& hiperplasti& dan atipi&
pada epitel $ron&usRo&o& &arsinogeni& /polisi&li&
aromati& hidro&ar$on
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Radiasi $om atom9penam$ang uraniumAs$estosPolusi udara2eneti&K)ras /adeno%ar%inoma1
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Tipe histologi&Tipe histologi&
Karsinoma sel s&uamosaAdeno%ar%inomaKarsinoma sel &e%il/paling ganas1Karsinoma sel $esar
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Karsinoma sel s&uamosaKarsinoma sel s&uamosa
Berhu$ungan erat denganmero&o&De&at dengan hilusPriaBer&eratin $erdiferensiasi)
anaplasti&
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adeno%ar%inomaadeno%ar%inoma
Wanita
Mero&o&DiperiferMi&ros&opis7 &elen(ar9 musin
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Karsinoma sel &e%ilKarsinoma sel &e%il
Paling ganas+ilus?sentralMero&o&
Mi&ros&opis7 sel &e%il, miripgandum, sitoplasma sedi&it, dalamsarang)sarang atau &elompo&Ultrastru&tur7 granular
neurose&retoriusneuroendo&rinSindrom paraneoplasti&
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Karsinoma sel s&uamosaKarsinoma sel s&uamosa
Karsinoma sels&uamosa?adeno%ar%ioma yang$erdiferensiasi $uru&
Sel datia, sel (ernih
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2am$aran &linis2am$aran &linisa sela sels&uamosas&uamosaBatu&Berat $adan menurunSa&it dada
Sesa& napas
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Sindrom paraneoplasti& AD+
AT+ /sindrom ushing1
Kalsitonin /hipo&alsemi1 2onadotropin/gine&omastia1
serotinin /sindrom &arsinoid1
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Karsinoma $ron&oal*eolarKarsinoma $ron&oal*eolar
Bron&ioloal*eolar terminalPeriferma&ros&opis7 nodul single ?
multiple? &onsolidasi difusMi&ros&opis7 %iri &hassel tumor
tinggi, %olumner, musin,
sepan(ang septum al*eolus masihutuh, papil
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KlinisPria5anitaMero&o& tida&Prognosis$ai& tu nodul soliter
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Karsinoid $ron%hialKarsinoid $ron%hial
)
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Tumor se&underTumor se&under
SeringMetastasis dari
ar%inoma payudara
ar%inoma %er*i&s ar%inoma usus
ar%inoma o*arium
ar%inoma prostat
ar%inoma tyroid
dll
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Tumor pleuraTumor pleura
Mesotelioma (ina& /6$roma1Mesotelioma ganas
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Mesotelioma ganasMesotelioma ganas
'arang3leuraCperitoneumAs$estosis ;8=
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2am$aran &linis2am$aran &linis
4yeri dadaSesa& napasEfusi pleura $erulang
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MorfologiMorfologi
Ma&ros7 menye$ar difus padapermu&aan paru9 6surami&ros7
Sar%omatoid /-8=1Epiteloid /8=1Bipasi& /8=1
Papiler&elen(ar
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Sangat ganasBermetastasis luas+arapan hidup - tahun