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REFERAT

VAGINAL CANCERPresenter :

Rin Wahyu I

Consultant :

dr. Putu A. Suarta, Sp.OG (K.Onk)

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ANATOMI VAGINA

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DEFINITION & EPIDEMOLOGI

aner that starts in the !a"ina (pri#aryaner) and aner that has spread to the

!a"ina (seondary aner)

$ust %&' o "ynoolo"ial aner (%ases a#on" %**.*** +o#en)

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HISTOPATOLOGI

Sua#ous Cell Carino#a

Adenoarino#a

-elano#a -ali"na

Sarko#a

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WA/ AR0 /0 RISKS1 2a"inal

Interaepithelial

3eoplas#a (2AI3)

u#an Papilo#a2irus (P2

S#okin" /o4ao

A"e 56*&7* y.o Adenosis !a"ina

istory o

"ynaeolo"ial

aner

8iethylstil4oestrol(80S)

a!in" #any se9

partner

a!in" se9 at an

early a"e

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STAGING (FEDERATION INTERNATIONALE DEGYNECOLOGIE ET D'OBSTETRIQUE (FIGO) AND

AMERICAN JOINT COMMITTEE ON CANCER (AJCC)

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SYMPTOMS

loody !a"inal dishar"e not related to your #enstrualperiod (a#enore, hiper#enore)

Whih #ay ha!e an oensi!e or unusual odour

Pain durin" se9ual interourse

leedin" ater se9ual interourse

Pain in the pel!i and lu#4al area

A lu#p in the !a"ina.

e#aturia

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DIAGNOSE

Pel!i andphyal

e9a#ination

lood test

iopsy ;olposopy

I#a"in" (

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THREATMENT by st!"

Sta"e * (SCC)!a"ineto#y parial or total,therapy laser, and intra!a"inal he#oterapy.

Sta"e I (SCC or adenoarino#a)

radial!a"ineto#y, radial hystereto#y and re#o!alli#p, or radiasi

Sta"e II(Radiasi e9ternal +ith ke#oterapi

intertitial)

Sta"e III and Sta"e I2A (Ke#oterapi ;radiasi intertitial)

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RADIOTERAPY

Radiotherapy is the treat#ent o

aner usin" hi"h&ener"y 9&rays to

kill or destroy aner ells.%. 09ternal Radioterapy

=. Internal Radioterapy

(4rahytherapy)

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SURGERY

(2a"ina posterior ; !a"ina in situ) isterekto#i radikal, !a"inekto#y

#ini#al, ; li#adinekto#iSta"e %

(>istula reto!a"inal) ?i#adenokto#i pel!is and radiasiSta"e I2A

Sur"ery e9entrationReurene

aterradiation

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#EMOTERAPI

Che#otherapy is the use o anti&

aner (ytoto9i) dru"s to

destroy aner ells. /hey +ork4y disruptin" the "ro+th and

di!ision o the ells.

Che#otherapy or !a"inalaner is usually "i!en diretly

into a !ein (intra!enously).

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PROGNOSIS

A study o %@' patients ro# the -.8.

Anderson Caner Center in oustonreported 6&year disease&speii

sur!i!al rates o 6 or 6* patients

+ith Sta"e I, disease, 7 or @7

patients +ith Sta"e II, and 6 or Bpatients +ith Sta"es IIIDI2A

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PREVENTION

A!oid P2 e9posure :

%. a!in" se9 at an early a"e =. a!in" #any se9 partner

'. a!in" se9 +ith uniru#ised #ales B. ondo# an lo+er the P2 inetion

Get 2ainated (Gardasil) to pre!ent P2 typer ; %%

Pap S#ear

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