KANKER PAYUDARA SLIDE.pptx

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KANKER PAYUDARAEpidemiologi, Penyebab dan Faktor Resiko

Gejala dan Tanda ,tadi!m dan Tindak"anj!t

KANKER PAYUDARAEpidemiologi, Penyebab dan Faktor Resiko

Gejala dan Tanda ,tadi!m dan Tindak"anj!t

OLEHDr. DENY NATALIA

PUSKESMAS SEGALA MIDER



Penda#!l!anPenda#!l!an

• Profil Kesehatan Indonesia !!" # – Ur$tan %erta&a '!!()!!*+

– "** ,as$s '-/"01+

– Insidens di Indonesia # 2/ %er -!!.!!!

%r den3an an3,a ,e&atian # -"/ %er

-!!.!!! %r. '!.!0 ,as$s+. Data olehGlo4al 5$rden of 6an7er/ !!".



• RS6M # – Penelitian terhada% 2!! %asien 4edah/

'-8"8)-88+ ter4an9a, # ,an,er %a9$dara

lan:$t lo,al '1+. – -88")!! # */01/ teta%i stadi$& I;

&enin3,at '(*/(1+.

–

US # KPLL < 01



10 KANKER TERBANYAK DI

INDONESIA

10 KANKER TERBANYAK DI

INDONESIA

Number ICD Location Relative Frequency

1.2.3.4.5.6.7.8.9.

10.

180174173147

183196154171

193

CervixWomen's breast

SkinNasopar!nx

"nkno#n$varies

%!mpoi& no&ese(t)m

So*t tiss)e

+!roi&

18,41 -11,57 -

8,24 -6,15 -5,16 -4,94 -4,91 -4,42 -3,50 -

3,38 -

Source: Bulletin of Pathology Based Cancer Registry, BRK-IAP, No. 4, !"!.



Payudara normal Payudara normal

5reast %rofile

A ducts

B lobules

C dilated section of duct to hold milk

D nipple

E fat

F pectoralis major muscle

G chest wall/rib cage

#

Enlar3e&ent

A normal duct cells

B basement membrane (duct wall

C lumen (center of duct

Illustration $ %ary K. Bryson



Ductal Carcinoma in situ (DCIS) Ductal Carcinoma in situ (DCIS)

&Illustration $ %ary K. Bryson

Ductalcancer cells

Normalducta

l cell



! l l u s t r a t i o n "

# a r $ % &

B r $ s o n



Adanya BENJOLAN

Penebalan kulit

Nyeri

Benjolan di

ketiak

Cairan puting suiksu

Putting tertarik kedalam

Kulit merah atau luka

Lesung kulit

Gejala dan tanda Kanker Pay!daraGejala dan tanda Kanker Pay!dara



Kelenjar getah

bening

Kulit

Hati

injal

Otak

Paru

!ulang

Penyebaran ja!#$metastasis% kanker pay!daraPenyebaran ja!#$metastasis% kanker pay!dara



DetectionDetection



Ameri&an 'an&er o&iety Ameri&an 'an&er o&iety

• S,rinin3 ,an,er %a9$dara sedini

&$n3,in # – Pr = ! thn # sadari tia% 4$lan – Pr = !)(! thn # &e&eri,sa,an diri ,e

do,ter tia% 2 tah$n

–

Pr = (! thn # &e&eri,sa,an diri ,e do,tertia% tah$n

– Pr 20)(! thn # 4ase line &a&&o3rafi

– Pr = 0! thn # &a&&o3rafi tia% tah$n.



BREAST CANCERBreast inspection

Skin dimpling



BREAST CANCERBreast palpation



BREAST CANCERRegional nodes assessment



(REAT 'AN'ER !rgi&al options )

(REAT 'AN'ER !rgi&al options )

Lo7al e>7ision

mass

mass

?ide e>7ision

@... $adrante7to&9



(REAT 'AN'ER !rgi&al options ))

(REAT 'AN'ER !rgi&al options ))

Modified radi7al &aste7to&9 Radi7al &aste7to&9

In7ision

E>7ised area

massmass

nodes

nodes

E>7ised area



TERIMA KASIHTERIMA KASIH

KANKER PAYUDARA SLIDE.pptx

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