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TUGAS HERR BEDAH

DIAGNOSIS BANDING CA MAMMAE

DAN

MAMMAE ABERRANS

VITA RAHMA FITRIA030.11.302

KETERAMPILAN KLINIK DASAR

FAKULTAS KEDOKTERAN

UNIVERSITAS TRISAKTIJAKARTA, 23 JUNI 2015

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I. Diagnosis Banding Tumor Payudara (1

1. !i"road#noma

Fibroa!"o#a aa$a% &'a(' ('#or )i"a* a" #!r'+a*a" o$o"a" (!rb!&ar

ari ('#or +a-'ara -ai(' 5,2/50 i RS Dr. So!(o#o S'*ar)a.

Fibroa!"o#a #a##a! FAM i"i &!4ara *$i"i& i*!(a%'i &!baai ('#or

i +a-'ara !"a" *o"&i&(!"&i +aa( *!"-a$, a+a( i!ra**a" ari

)ari"a" &!*i(ar"-a, b!rb!"('* b'$a( $o")o" a" b!rba(a& (!a&.

P!r('#b'%a""-a $a#ba(, (ia* aa +!r'ba%a" +aa *'$i(, a" (ia* i&!r(ai

ra&a "-!ri. FAM (!ra+a( +aa '&ia #'a -ai(' 1530 (a%'", a+a(

i)'#+ai bi$a(!ra$ a(a' #'$(i+!$ 15. S!baai ('#or )i"a*, (ia* aa

#!(a&(a&! r!io"a$ a" )a'%, +!"oba(a""-a 4'*'+ !"a" !*&i&i

('#or"-a.

$. P#nya%i& 'i"ro%is&i%

Fibrocystic disease FD bia&a"-a #'$(i+!$ a" bi$a(!ra$, i&!r(ai ra&a

"-!ri (!r'(a#a #!")!$a" %ai. U*'ra""-a a+a( b!r'ba%, (!ra&a $!bi%

b!&ar, +!"'% a" "-!ri #!")!$a" %ai a" a*a" #!"!4i$ &!r(a "-!ri

b!r*'ra" &!(!$a% %ai &!$!&ai. Ha$ i"i (!r)ai *ar!"a FD i+!"ar'%io$!% *!&!i#ba"a" %or#o"a$. T'#or )!"i& i"i '#'#"-a (ia* b!rba(a&

(!a& *!4'a$i *i&(a &o$i(!r. Ko"&i&(!"&i"-a +aa( *!"-a$, a+a( +'$a *i&(i*.

J!"i& -a" +aa( *aa"*aa" &'*ar ib!a*a" !"a" *a"*!r +a-'ara

i"i. K!$ai"a" i"i a+a( )'a i)'#+ai (a"+a #a&&a ('#or -a" "-a(a

%i"a )ari"a" +a-'ara (!raba +aa(, +!r#'*aa" ra"'$ar. P!"oba(a"

FD '#'#"-a aa$a% #!i*a#!"(o&a &i#+(o#a(i&. Na#'" a+abi$a

#!i*a#!"(o&a (ia* #!"%i$a"*a" *!$'%a" "-!ri"-a a" i(!#'*a"

+aa '&ia +!r(!"a%a" &a#+ai ('a i+!r$'*a" (!ra+i o+!ra(i6.

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3. Cystosarcoma philloides

7a#bara" *$i"i& Cystosarcoma philloidesa+a( &!+!r(i FAM -a" b!&ar.

8!"('*"-a b'$a( $o")o", +!r#'*aa" b!rb!")o$, ba(a& (!a&, '*'ra" bi&a

#!"4a+ai 2030 4#. Ko"&i&(!"&i"-a a+a( +aa( *!"-a$ (a+i aa baia"

-a" *i&(!'&. 9a$a'+'" '*'ra""-a b!&ar (ia* aa +!r$!*a(a" *! a&ar

a(a' *'$i(. K'$i( +a-'ara (!a", b!r*i$a( a" (a#+a* :!"!*(a&i.

Cystosarcoma philloides (ia* b!r#!(a&(a&! *ar!"a i"i aa$a% *!$ai"a"

)i"a* (a+i &!)'#$a% *!4i$ 2; i(!#'*a" a$a# b!"('* a"a& -a"

i&!b'( malignant cystosarcoma philloides.P!"oba(a""-a aa$a%simple

mastectomy '"('* #!"4!a% r!&ii6. Paa ora" #'a a(a' b!$'#

b!r*!$'ara a+a( i+!r(i#ba"*a" '"('* #a&(!*&(o#i &'b*'(a".

. Ga)a*&o*#)#

7a$a*(o*!$ b'*a" *!$ai"a" "!o+$aa a(a' +!r('#b'%a" bar' #!$ai"*a"

&'a(' #a&&a ('#or *i&(i* -a" (i#b'$ a*iba( (!r&'#ba("-a '*('&

$a*(i6!r'& +aa ib'ib' -a" &!a" a(a' bar' &!$!&ai #a&a $a*(a&i. T'#or

i"i b!rba(a& (!a&, b'$a( a" *i&(!'& *ar!"a b!ri&i air &'&' -a" #!"!"(a$.

+. Mas&i&isMa&(i(i& aa$a% &'a(' i"6!*&i +aa *!$!")ar +a-'ara -a" bia&a"-a

(!ra+a( +aa

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II. Mamma# A"#rrans1. D#'inisi Mamma# A"#rrans

Ma##a! ab!rra"& aa$a% (!ra+a("-a +a-'ara a(a' +a+i$$a #a##a!

-a" $!bi% ari 'a. L!(a*"-a ari a=i$$a &a#+ai *! i"'i"a$ (!(a+i $!bi%

ba"-a* i a=i$$a.

$. E&io)ogi dan E,id#mio)ogi Mamma# A"#rrans

Do

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. )asi'i%asi Mamma# A"#rrans

Ma##a! ab!rra"& #!#i$i*i b!b!ra+a b!"('* a" (!$a% i*$a&i6i*a&i*a"

o$!% Ka)a:a &!baai b!ri*'( @

a. Pa-'ara $!"*a+ !"a" +'(i", ar!o$a, a" )ari"a" *!$!")arb. Jari"a" +a-'ara (a"+a ar!o$a (a+i !"a" +'(i" a" )ari"a"

*!$!")ar4. Pa-'ara (a"+a +'(i" (a+i !"a" )ari"a" ar!o$a a" *!$!")ar. Pa-'ara (a"+a +'(i" a(a' ar!o$a!. P&!'o#a##a! !"a" +'(i" a" ar!o$a (a+i (a"+a *!$!")ar )ari"a"

)ari"a" +a-'ara ia"(i*a" o$!% $!#a*6. Po$-(%!$ia Aa"-a +'(i" &a)a. Po$-(%!$ia ar!o$ari& *!b!raaa" ari ar!o$a &a)a%. Po$-(%!$ia +i$o&a *!%aira" %a"-a &!+!(a* ra#b'( 5

+. Mani'#s&asi )inis Mamma# A"#rrans 5

Ectopic breast tissue#'"*i" #'"4'$ &!baai &!&'a(' ari )ari"a"

&'b*'(a" a" #!#i$i*i 6'"&i +!"'%. S!4ara %i&(o$oi, &'+!r"'#!rar-

br!a&( #'"*i" #!#i$i*i &i&(!# '*(a$ -a" (!rora"i&ir +aa *'$i(

!*&(!r"a$, &!a"*a" !4(o+i4 br!a&( (i&&'! &!"iri (ia* #!#i$i*i

+!r*!#ba"a" '*('& (!r&!b'( a" (ia* (!r%'b'" *! +a-'ara

i+&i$a(!ra$. Jari"a" i"i #!"i*'(i *o"(ro$ %or#o" "or#a$ a" a+a(

#!")ai *$i"i& -a" )!$a& &aa( +!r!#+'a" #!#a&'*i #a&a +'b!r a(a'

&!$a#a *!%a#i$a". Pa-'ara !*(o+i* !"a" *o#+$!*& ar!o$ar $!"*a+

a*a" b!r6'"&i &!baai +a-'ara "or#a$, (!r#a&'* #!"-'&'i. 7!)a$a +aa

)ari"a" +a-'ara a*&i$a i$a+or*a" #!#b'r'* !"a" *!%a#i$a"

b!ri*'("-a, #!"-!bab*a" ra&a &a*i( #!"i"*a( a" iri(a&i $o*a$. Na#'",

b!b!ra+a &('i #!"'")'**a" ba%

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ob&(r'*(i6 a(a' '+$i*a&i ari &i&(!# !*&*r!(ori&. K!%aira" +'(i" !*&(ra

+aa a"a*a"a* %ar'& #!"i"*a(*a" *!4'riaa" *$i"i&i a"o#a$i i")a$.

U#'#"-a, #a##a ab!rra"& (!r)ai &!4ara &+orai&, (!(a+i *a&'&*a&'&

6a#i$ia$ i$a+or*a". Da$a# *!$'ara, #a##a ab!rra"& a+a( i$i%a( +aa

&a'ara *a"'". To'#bi&Ioa""o' a" o%!" #!"a#bar*a" &!ora"

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(!r+i&a% ari )ari"a" +a-'ara a*&i$ari& #!"-i#+a" i%a+'& '"('*

(')'a" *o!(i* #!"!#'*a" *a"*!r (ia* aa a$a# 2/ *a&'&

0. P#na&a)a%sanaan Mamma# A"#rrans 5

Ma##a! ab!rra"& '"('* &!baia" b!&ar *a&'& %air &!baai #a&a$a%

*o!(i* a" #'"*i" +!#b!a%a". M!r!*a )'a a+a( ib'a" *!(i*a

#!"-!bab*a" *!(ia*"-a#a"a" *ar!"a (!ra&a #!"a")a$,

#!"&!*&r!&i*a" 4aira" &'&' a(a' ba%*a" aa"-a *!*'a(ira" bi$a (!r)ai

*ar&i"o#a -a" (ia* #'a% i*!(a%'i . Da$a# *a&'& #a##a! ab!rra"&

!*(ir+a&i -a" ir!*o#!"a&i*a". O+!ra&i (!r&!b'( %ar'& i$a*'*a"

!"a" (!"a" a" &!ba$i*"-a !"a" "ar*o&! aar -a" ia"a+ b!"ar

b!"ar )ari"a" *!$!")ar +a-'ara -a" i#a*&', b'*a" )ari"a" $!#a*

&'b*'(a".

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DA!TAR PUSTAA

1. Ra#$i, M'4%$i&.Kanker Payudara. So!$ar(o R!*&o+ro)o ** !i(or. K'#+'$a"

K'$ia% I$#' 8!a%. Ei&i P!r(a#a. 8i"ar'+a A*&ara. 1??5. H$#@ 323B

2. La"#a" J@ M!i4a$ !#brio$o-, 5(% !. 9i$$ia#& C 9i$*i"&, 8a$(i#or!, MD.

1?/5

3. 8'ri4* AE. T%o#a& KA. 9!$&% E@ A=i$$ar- Po$-#a&(ia. Jo'r"a$ A# A4a

D!r#a(o$. ?@115B.2003

. Mar&%a$$ M, Mo-"i%a" J, Fro&( A, E:a"& R. E4(o+i4 8r!a&( a"4!r@ 4a&! r!+or(a" $i(!ra('r! r!:i!