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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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L
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