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I. PENDAHULUAN

TUMOR KELENJAR LUDAH

Bedah Mulut

Tiap 100.000 orang = 6,5%

Tipe: ganas &jinak

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II. TINJAUAN PUSTAKAInsidensi

JenisLokasi Kelenjar Maor

!"0% # "5%$Kelenjar Minor

!15% #0%$

Kelenjar parotid"5% # &0% #

Kelenjarsu'(andi'ula 5% # 10% #

Kelenjar su'lingual jarang #

)alatu( # 55%

Bi'ir # 15%

Lain#lain # jarang

Tabel 1. Distib!si t!"# kelenja

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Klasi%kasi T!"# Kelenja

Tu(or Jinak Kelenjar Ludah!*ali+ar land -deno(a$

Tu(or anas Kelenjar Ludah!*ali+ar land -denoarino(a$

Benign Mi/ed Tu(or Muoepider(oidarino(a

Mono(orphi adeno(as -denoid sti arino(a

Basal ell adeno(a -ini ell arino(a

analiular adeno(a arino(a e/#(i/ed tu(or

Moepithelio(a pi(oepithelial arino(a

*e'aeous adeno(a )ol(orphous lo2 grade

adenoarino(a

3noto(a *ali+ar dut arino(a

)apillar stadeno(al(pho(atosu(

Basal ell adenoarino(a

4utal papillo(as *e'aeous adenoarino(a*ialadeno(a papillieru( 3nosti adenoarino(a

n+erted dutal papillo(a -denoarino(a

ntrodutal papillo(a

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Klasi%kasi en!!t Si'at(i#l#giLo2#grade nter(ediate#grade 7igh#grade

Muoepider(oid

arino(a

Muoepider(oid

arino(a

Muoepider(oid

arino(a

-ini ell arino(a pi(oepithelialarino(a

-denoid stiarino(a

)ol(orphous lo2gradeadenoarino(a

*e'aeousadenoar(o(a

arino(a e/#(i/ed tu(or

Basal elladenoar(o(a

*ali+ar dutarino(a

*8ua(ous ellarino(a

3iostiadenoar(o(a

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Pat#genesis

a('ar 1. Kelenjar ludah (aor. !)ut9, 1&&5$

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Pat#genesis

a('ar 1. Kelenjar ludah (aor. !)ut9, 1&&5$

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Pat#genesis

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TU)* JINAK KELENJA* LUDAH+SALI,A*- LAND ADEN)A/

4uktus epitel

Ko('inasi 'ahan (ukoid : pseudokartilago

Ko(ponen epitel dan (esenki(

k. parotis 60#;0% k.su'(andi'ula 1

1.Benign Mixed Tumor (Pleomophic Adenoma)

a('aran histopatologi

Ko('inasi sel epitel kelenjar

Jaringan ikat hialin g (enerupai kartilago

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*0 : Eksisi beda$ata! Ekstipasi

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.#n#"#%kAden#"a(asal sel aden#"a

Kanalik!la aden#"a

Papillai sistaden#"ali"p#"at#s!"

3nkosito(aMoepitelio(a

*e'aseus adeno(a

3. Ductal

PapilomaSialadenoma papilifeum

!ntadu"tal papiloma

!n#eted du"tal papiloma

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a('ar

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a('ar 6. - dan B

a('aran histopatologiWhartins tumor! *iu''a,1&&&D Ce+ille, 00$

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a('ar ;.3nkosito(a!*iu''a, 1&&&$

a('ar ".Myoepitelioma

!*iu''a, 1&&&$

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TU)* ANAS KELENJA* LUDAH+SALI,A*- LAND ADEN)A/

1 Mucoepidermoid Carcinoma

2 Adenoid cystic carcinoma

Acinic cell carcinoma

< arino(a /#(i/ed Tu(orEMalignant Mi/edTu(or

5 pi(oepitelial arino(a

! Polymorphous lo"#grade adenocarcinoma

$ %ali&ary duct carcinoma

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. )MB-7-*-C

Insidensi 12 kas!s0 133.3333ang

Eti#l#gi bisel!le ste" te#i 4

!ltisel!le ste" te#i 4T!"# jinak kel. L!da$ 5 diatas 63 t$5 7

T!"# ganas el. L!da$ 5 83 t$ 9 7

Angka Kejadian T!"# Kel. L!da$; Kel.Pa#tis

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?akt# pedisp#sisi :

*adiasi

Alk#$#l & #k#k

Teapi :

Tegant!ng jenis t!"#

Seing eksisi l!as ata!pengangkatan sebagian kel.

T!"# ganas *ND; adi#teapi ata!k#"binasi ketigan@a

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Tu(or anas Tu(or jinak

)ertu('uhanna epat la('at

Tidak dapat digerakkan dapat digerakkan4apat (eni('ulkan rasa

sakit : paralsis!F$

Tidak 'erkapsul 'erkapsul

Metastase !G$ !#$

Bersiat iniltrati kspansi !(endesak kejaringan sekita(a$

Tabel 6. Pebedaan t!"# jinak dant!"# ganas kelenja l!da$

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I,. KESIPULAN

T!"# jinak dan t!"# ganasdibedakan "elal!i ga"baan

"ik#sk#pis dan ga"baan klinis

enent!kan P#gn#sa.