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Page 1: Tugas Patologi Anatomi (Gambar & Essay)

la' Pa pi lo,', a .9el Skr'aJ',rao"1S

irg * Ve yr u'zvn 4 U X

-'.)

pt lrnlors .lrlh lC Y

F,: '.

It,,,

t-L-

p.i t"i'

Page 2: Tugas Patologi Anatomi (Gambar & Essay)

Sel-sel epitel anaplastik (pembesaran 40x10)

Tugas:1. Gambarkan papiloma rel skuamous dan ksrsinoma sel skuamous seperti yang anda lihat

dalam praktikum! Dan berikan petunjuk2. Apakah perbedaan dan persamaan antara papiloma dan karsinoma sel sktramous? Berikan

penjelasrn saeara terperinci perbedean tumorjinak dan ganas

3. Jelaskan apa ysng dimrksud dengan laju pertumbuhan, invasi lokal dan metastase!

JAWABAN TUGAS:

I b {>V' riv a tu> .fu I -S'Vu>tagoiar'

Pewb e5 >vzlt IC X

>€rr -' le {

r l-',-/i'. r'-ct. \.l-1

[1tns,';'' '')>1o. '.i::,rir;o1, *',

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Page 3: Tugas Patologi Anatomi (Gambar & Essay)

fewbe>rtavr 4o l

Krom"bnlnbr

Se I d"-1unf1,?osis-

Se l- s" I e pD' J ,4ru p l>'htSe\ P\e orruronfi-7 lnt,' hif"r h^*rhk Vurun

Zz" Paglu-a du K"wivowa Sel Sb-uznaq 5

lqv tzvn>tq

f ov-wtsnk f^^on Fp,telia | ( l4euuntt kzl hfr,gnng)Vevrs>l e?vt sizl -'sel Skqa{/'rotrs ( ngtet Skuious B"t-1ayis1

lov'bra,vul?z.glo*z terv,wsu| Tuonrov afuzp ( I'tenunt Sru Entginye )

S, M Ptrfuvnbuh'u' Iaw'b{,^T I drk' fuvnb uln ir'fifYabfT,:d" k adt Pt*ry7u'tl tnzbast>si'r

?s,u\qobtt ^ ekttsth"iV, Vsz*'buhrn b''11i seklttn a7*"xi '

Y>rsiv,oi7 fennanV Tuwor Gnvs9lF4 ?trtvmbuun a'PlE

Tun$uh \"rGIffitT saczrt lob{lp,wtz*rpnvn rWt>sbeoi rt"tlh vTndvh

Yuqobltth eWBi lr,'rn1V Vs*mbuhw' a"fu'J WsiAtlt r/j]'K;ldh oytnxi

Page 4: Tugas Patologi Anatomi (Gambar & Essay)

2-b. Vo,rbednYn Tuwor J htk

l>raktov'rsti"-

Di€zne vn s ias i,/ avra Pl'nia

Li, YevErwbuhtt

Invasr IoLa I

Meb. st>si-c

olzn 6mzS

Jin>k

Bevdi€er<wiasi- b*,Sbntkb"tr voungbrn r^atn P

Wrs jnt'1i as>l

biastnula pwqves, F )nlr-br( , ^iriVn bwhwrh

barn\ uh ;l"u" rt'rt'v,tot uLqrmbar>u vrt,b bt j*lJ)* ,rro*al

giacn,4a hlnpsif .lzw

eVspnn"st{ t w?sa labvbrt"i,t ynl 7^d7b1t4!/nqthVa-cl >tzu*4i\6lf,rasr' .i*\J*uovviz I "

Td* ad>

6antsSeb'4ian hdtkwwnftrfuatbm tkeustzid"i serlat zro Vlasia, st.yubl,,rrsafr'g bAzL' Eh>s'.

TdaE ler-duq> d>nwuulV-iu c{gtt ahul"vt6>I , 4z^'bztm -,l"htMuua qLivf b-,quE )>vrabnftwal. "

l_trvlsr loLal , ynlhtlbrns\j an\,pn )13ehl*vvr,B,"Warlq- hdmq w,un'qbin

t,apfL lotwsi€ a#ebs'yvnrif t"t"p; dqUniwvNi vnkro r koyk.

Sorn>1ol d.fu-wubon,szrn/b+', bes>r dansant{b.\ k':*o)b e'rd" &'r ernc:i aA buw o vVrlwor, anrk"u b$>7^

lanwlHhm v,wtastasts

Page 5: Tugas Patologi Anatomi (Gambar & Essay)

2c. ?e'u,e,,rlim t i' garh*"buh''Y1 , lvtvari- L"(ut dn Mebshasis

dizlarni Ar*otr,L" i" lw6"-buh>n-u{uu'Vt laiu ttz' Yta+at>' Y3

ge-c>r>' \;'nV/L w74PuY] @f{t '

bil.[no,r*on

Vt'1

torqntfunq WdaJ t'J l.

V^l Wlp^gw,bn' An iJ,"y yrnyA;"i"'otwhtulLfua1

lu,ttsi LoV>lgvi',tu pftsQ-g pw+-nnb,ah>T .il, $,"mof 1. br{k

^dorg-^ , _vnXn^LYsp"nsif ( r'clux , ro)',\'if .wwV'n i>nv7m wtqa*?)yaaJuwan lihr/lc / yn?"n

'*Y.*y"; yiUrf v,'*',f'rfiittvari,

trnm1'iltv;6, a^ wuybn' W W*-tu(t j'b a; td*,lnVwrry> p,dr Ti.or 6an>r ,

fvlzta sbvrts

?ouzvtuutavt turnon Y*t 6d/k Wrhubunjr", duSnhtmot yvlvet.

FibromaFibroma adalah turnor jinak mesenkimal yang berasal dari sel-sei fibroblast.

Tumor ini dapat tumbuh dimana saja dalam tubuh kita. Dapat ditemukan dibawal kulit,atau pada organ-dalam tubuh misalnya ovarium dll. Biasanya tumor ini padat, dengankonsistensi kenyal sampai keras, berbatas jelas, dan diliputi kapsul.Sediaan mikroskopik dalam praktikum menunjukkan adanya jaringan ikat fibrous dengansel-sel fibrosit. Sel-sel fibrosit berbentuk spindel memanjang serupa dengan sel-selfibrosit normal. Stroma jaringan adalah jaringan ikat fibrous.(lihat juga pada gambar fibroma).

Fibrosarkoma

Fibrosarkoma adalah tumor ganas berasal dari sel-sel fibroblast, yang dapattimbul dimana saja, namun paling sering pada retroperitonial.Perubahan mor{ologi:

Neoplasma ini tidak berkapsul, infrltratif, massa tumor lembut seperti dagingikan, dan sering ada fokus-fokus hemoragik dan nekrosis.

Pada pemeriksaan mikroskopik dari jaringan tumor dapat menunjukkan adanyasemua tingkatan deferensiasi dari tumor, mulai dari tumor yang mrip fibroma kaya selsampai pada tumor yang sangat hiperseluler (banyak sel-selnya), yang didominasi oleh

2l

Page 6: Tugas Patologi Anatomi (Gambar & Essay)

\a. Fibro*a

?.unrbosana'h l0x

\>-" - rA i

-t '1

F r b rc:lr

pe*besrv''r1 40 x

../-F-

\o: ,rtb "'L -

]:t,_.-i" . .,, ,,.

'r tf.---!,.'

Sc ra ir,r t

ll:, ,-'," q;1.

I lt'o,,.

-- Sl- ',- '.' .':r i

I L"-.i

!.iril

\:t

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I

l.li :i

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Page 7: Tugas Patologi Anatomi (Gambar & Essay)

lb. fibnosarl'owa

?ewVzsaran l0d

Pavvibe-s>r-zu 4 0 x

Te r "lzpa! se l- -ru I

Srrl"cnknk sgihe{tlde,^1z'vt infr- hi ye v-

Yroh>6k P"srr

)anwy", Tu*er 4*3*ianntrk sel { h1"' reluler)

dn; di Jujn se l >3ul<

f \zc r'' r'16', ,'I f;pr v"-

kro *th.k h"tor

lnbr -fcl ,a?ra,l

Hip<r Vio^'ah\

S€1. Pl.o-ovfi' deoqnnt*h sel t "1rt

r| - r /-h tpe r Frofi>h i kasrn

gs1 -selbenbznbnkrlivrdel-

, -

deu1"n rhO

h:,?i, Pro's''*Vus*

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Page 8: Tugas Patologi Anatomi (Gambar & Essay)

2 Fibro,n, levw>sul< tuwor;irr)< , seolz,Sbzn flbvosako^gLerwzsuk brwor g>n>s \*l ,>^r-gJ*,> bq*orl ;;w p-sewEin jrr'r3* fu+ a\ burrruznrya.

? a. lwkA>>u Di€nn*si.r',' dor, furplx;ia .

Di@rerrsi"sr'

f4e,,1't&rn uborq' b*ytk b*lAV"'' scl Ynktn im'

)l^)^ s.t izlihy" "a/7' vhi io't'il, b'* dil"^'h4"^onfrli1t.

^it^Y" €"^'ti' -

?rdt E*nor 1twtk, A^€a'ois'n'Y' 'I'tT )tt?-"tati!'q7 zsfl'w'P '(;J w;;v

"

A;'R(vrsiasit'Ye b-wur,i'si t,l!,Wd^Qr*wixi loz h r*ld gvn> EW bd?K

V'ra;€tnw'sixi '

y'P,,:*) 6a* ^Wa$*w'sia'' hn 66il e; try t"*'b'v

Scb>1>t" P't'>,,lz Panbr zt'u' 4Y"'^- yt^^|.Vri; Vyunolurta a^ br,fu li{+arp*,riati hlyi

V bt"JYe )'ffiireus rx t W d-6h' "

3b. Cri ' e\o ftna llasia lse"'n wor6logi )

?r"u*,.6r , iy:[^,* yfr,*'H,rl**] b'r)

-1j; ;t'#{, fiI-'', r,, vah-') tann viv'| : t t

Vtotm>ln1) N/C rz6-o l:l ztzu lt 6

Burtr-rrea Vnwt6n Vasw

N/ubteal i (nil. i,t) ) uTh / l^wMent? Milasis '" j"vtlth bt), besz't jn^d;dT,thu n&oci ,6pE

Hil*,1u,1, 1oi,';tw ' TJIY ovio'vrLxi r'ls1^n'vl s'l Atln'

JwtuSirn .

Page 9: Tugas Patologi Anatomi (Gambar & Essay)

\. Mixe4 Tr^or Kelenl''r Liur

?e w,b e- r? rtvt l0 x

Ka1<'o\l:+tvr+rnA

i x'c

Tul"'''3Raw> ur

H rall rn

\e-^besana 40x

) Kera*,nr

&.1- rr /E yt"1

Sat-se I

Mioep&l( Bu rhntr'KSlindel )

Tul*3K>wa'*H; a livt

-'--r..*fu$;lp.i"Y#;#,,,;,,,;."ri.-*ffi

iliTi ri'. \T*

jmif',iij'lffi

Page 10: Tugas Patologi Anatomi (Gambar & Essay)

Jawaban tugas:

2- Yllxed b^uror ( Aduro^a yle-oworfiT) d^ b,tta dcrws,-a)l(TenIowe W>Lur ) lerwtasuk tu*o , \iv,tk .

M"iXzd t^nnor benasal dzn' s6tu 6y& je.rwtnr{rvr,^texr,ttzun> lg.Wjtr )rl.P

Flsta d*^oi f bpont A.n' nlu l'7is^ 7w;nth'v,-t -tzrar:.oj1on,"1ifu szl-suf totr'lofznsraI TuJa 3o"d >tvu

e,nbiiuft.

3 a. FaVb ,r GooSvaf',k s>^ lsn jY*rvt1u

Y:bf r! V*jri;,W*,1""n 1n1 vvlov,fry,4 $lnn Wtlnzwrw, L%t-r,qypwr vdoWular vhpnu*'1rtui ."-1d61is 4!+ r;; wzd;i;""r1/rlhi"drtukrn Vahua fabtol t\f h^, qart wwr;e.;.#:;y;y;p,-';i,t'",rti;r*ffi &f#*,W,f'il;,J:7';4#^ir-,li p4,1e llhglrmr'gn,"alw {t"!t, s"4?"gYry frkt,, vfilu^a* rmrtqr,q,bna

3i5,xfJ^#lt##9ff ,!f,^Ya:#,Tw"t:*W'#,,gdVdh.W.N, b)'ni ?)'+ fm,D'o7a &bn"l"l'1bn l;1Ernq. S"hikiqt,\1V, Vwt6'*, vk4UA NTTsJau> lanbru,,'o1 PrJa blt(i dn puninpuJn ebii" " 'briuh Y61; Wt\tfumi d' le4-,1 da^'pzh'd^- ftl,,r4lh Se""H. Vriino^> pl hrh'rpl{hT .)*,1 4-{*,*, Sa;bA, thi rypfu k""k, Nt,nq p,a6f,7v1

{b*y!T.l1lit,s, dt Nvfra. tltn,pb tenu> .bubh ,^^t"'vtrivkh l6h^ bnklrm

27#Lii, W*'a a; &k.r,v 1zo.'tva67,h,k^ (*t{L-tl;ni 6y{i1i;;

'pa * d?^{,:{ffi MnitYJw r:Xni* ffif;:l^lyl .tan x[ frx^',"Ta U\1 ,tet/t,,(rlnt"A ffirffi; d;d;;;:'4h,

ffir, ; rk.du > zu 1bz tr,i*lut v*r,j >ai'n-,{h;" ;d"kA,'

t; ; ;;+W,

K u rsi u oi nn W1P*, p b nytk .di

tta,rkn - Ztt in i ^bupu, lo u r,,t t 4ry*, Lkdwq^rFW t f- ffi ,W._,i,,ffiffi glffi' e,ryffir[winlv,1r rsrbei),>Lvvi Wry, ld; Fh]i"J;',?t*b, .Ha L*t*v, 4*wnVfrilWr'T;:r t^wv'u "'^wf#li

*:: t.:rar'p: v# Di nhn kwp,

Tn;, iti 4"r ; di: #; ;:,#,Wd_ry"mT W dmiffr",mIffinff =mmn ;m -r::m:# * h' L * /' E;;vi vul''

^ P7iffi:1,3!,*'i ; *t; *" i i u,ffit7i,I

; J?, k tu o t sqo th

l*.,'q *_ rqr hlr frf : ix!;ry, #W#:*,1,,,

Yix tYl i& ffi, *sr, w,W ffi,^ilffi ; ;' h7- u L*,

Page 11: Tugas Patologi Anatomi (Gambar & Essay)

3b. Perjel>saz' 6en p53

f B >ddldln pvrtciv, l:.a"l d'fri&. ov)n 3evr P53( tuy..fi- $,tPs3Jfa/oblk qzdal Y*^oc"i t? p I 3. I - ', St ";lw^fry-

*h,^ ,?''t"Pt,'Vmg vtetd.?t yil, sel*% D^lA lzrqspsifi] dm wonyev/bF*t brtus->l.h'w,'j.;"rr$ qety ltlaqa fu7si ini lep'rw>crn-t4Atcv'vt Lc'tvnvul< fuqlru,A'n,gl/tas el , i1,o phsii dw vr-^g&n-ku Vu*b{h* twfuol"irro. . ph 'jrpAVu,'{l i)"r$ ,zllulr, #.b"f* >t"u tt',t TuaroL>u o€tlu g%"; {o*,Wrn w^Wli,p J'fhn tainqft\r VEpav-fetpon-dit*',qEX nlnti brhrlanti*brgn siuyh strus &,#,?t wi;dt4 W,r^rk n yin, pn atn ,',*lyn+

!rrg-f?dt t^hY W yiy+;- rftt"rrcl, pwdnln, \MAtdnp6n>,yr^urrr' lWziearl{) , Sol ,ne/iohloru dwt a,nt1 q;

Page 12: Tugas Patologi Anatomi (Gambar & Essay)

t. Kista Dev"Ynai'i

Pau,,rloesara'' l0 x

Kelev';er ,

Seba:eu-r

$ompo'xn-Ivrlzlrl Fzwan

lo^be5rv'>rn 10 xFf*"1 Skuamor,ls $erL"t'l'

Epitei Sk',ra'r,'aiar

EeYYatah

Yowyov,<nIul>n3 Rawarr

Kcw pone ur

lar,-hqzn len-ak

Fl:frar

Ke !ev'.; e r!gbase us

Yr^yor"n?ut n1at"itlatur

Lc r.uak

Page 13: Tugas Patologi Anatomi (Gambar & Essay)

JAWABAN TUGAS:

2a. Ter*>su! Iu,"or Jilr"k {tri venytartik2b-

YS**,12"[::WV: M!ff"t a'ur""'4" i*u 1-',,,t iy, y: r^;::, :*'ffr ,tr F#r%,T^'siF* sel olwan now'tul'r lliri^iril, *+ri Jpf fuov'uye

rtw,,or iiu,rb obt lo,lt ,.y vr_{e;i;i;" l;;;, yra {",-oV

in^".1o'l1i *t oto| l.ol1r: Y:: ;t' -

;;'i^-,ilr:,, a.r't"h'i,'h'{. ,rrq4&trzl d.n; Jfrl!.%:,ry| y'\)|f}u dt fi^'k' "n6uri

*)*y e)-i*y Iti/'* u'vnel'

3 t'trry,f*VWryffi'ffian:$ffhvr*E7'ot

7vld^'gorisiill>';U'*4k-'Vd'f;;t^)^in'daqttfunil'

'y#H'n6v ^'ti tu' ry- fl#,m\,f ' Y"V,' wn"o4'p V"trltow>. htlou' P4udzvzr u ' t gPC4 |

fu'ffi't';tu,i ;,n'r+ rt#V*ate/'5w'Yy 1iAa }PCfi: J*'J^Y;;|:;'y$'ni' )n o'nniu*' Fauili>l'

Sftlv'uw ?"*t'F lwto**'4 6^Yi-* f"rbnW Dt/n

- rr't Wiy yabnW 'J^iigslcn tucra fiowiun'galotowgokFedtltvrlT"i(P{"sffmttorowflszqahl'/-Vb{,r-;?"J'^tttk-' ";'; {6't'bilrt's kvworovn a6't DM'

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