86416809-Soft-Tissue-Sarcoma.ppt

7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt

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LONGCASE SUBDIVISI BEDAH ONKOLOGI


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Jaringan lunak jaringan selaintulang, epitel organ dala, epitel

!ulit, siste "eatopoeti!, dan SS#Sarkoma jaringan lunak tuor

ganas pada jaringan luna! $u!osa,sera%ut, lea!, otot polos, otot luri!,

esotel, sino&iu, jaringanesen!i li'angial(


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)ale * +eale ratio -,- * -,.Usia

/ 0. ta"un

1.,2 30.45. ta"un 12,5 3

6 5. ta"un 7-,2 3


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No Jaringan Asal Bentuk Maligna

1 Fibrous Fibrosarcoma

2 Fibrohistiocytic Malignant fibrous histiocytoma

3 Lipomatous Liposarcoma4 Smooth muscle Leiomyosarcoma

5 Skeletal muscle Rhabdomyosarcoma

!lood "essel #ngiosarcoma

$ Lymph "essel Lymphangiosarcoma

% &eri"ascular Malignant hemangio pericytoma

' Syno"ial Syno"ial sarcoma

1( &araganglionic Malignant paraganglioma

11 Mesothelial Malignant sch)annoma

12 *+tra skeletal cartilaginous andosseous

*+traskeletal chondrosarcoma*+traskeletal osteosarcoma

13 &luripotential mesenchymal Malignant mesenchymoma

14 ,eural - ,euroblastoma- *+traskeletal -s sarcoma

15 Miscellaneous - #l"eolar soft part sarcoma- *pithelioid sarcoma- Malignant e+tra renal rhabdoid

tumor.esmoplastic small cell tumor


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T Primary tumor8. No e&iden9e o' priar: tuor8- 8uor /7 9 in greatest diension8-a Super;9ial tuor8-% Deep tuor

81 8uor 67 9 in greatest diension81a Super;9ial tuor81% Deep tuor

N Regional lymph nodesN. No regional l:p" node etastasis

N-


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Stage IA Lo= grade 8-a N. ).Lo= grade 8-% N. ).

Stage IB Lo= grade 81a N. ).

Lo= grade 81% N. ). Stage IIAHig" grade 8-a No ).

Hig" grade 8-% N. ). Stage IIBHig" grade 81a N. ). Stage III Hig" grade 81% N. ). Stage IV An: An: 8 N- ).

An: An:8 An: N)-


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Kelu"an utaa tergantung predile!situor

N:eri, %enjolan, disertai perdara"an GI,gangguan neuro&as!uler

Seja! !apan gejala un9ulA=al un9ul, si'at pertu%u"an tuorKelu"an %er"u%ungan dengan in;ltrasi

> pene!anan jaringan se!itarKelu"an %er"u%ungan etastasis jau"pe%esaran KGB


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+oto polos enilai in;ltrasi tulang)


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Lesi etastasis tunggal opera%el >rese!ta%el !eoterapi

Dooru%i9in o%at tunggalKeoterapi !o%inasi Dooru%i9in

I'os'aideKo%inasi lain *

Dooru%i9in Da9ar%aine C:VADIC

Dooru%i9in I'os'aide )esna Da9ar%aine


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U!uran tuor 6 7 9 le%i" %uru! dan

sering etastasis Lo!asi e!streitas prognosis le%i" %ai!

Kedalaan le%i" super;sial prognosisle%i" %ai!

Stadiu "istologi G- prognosis le%i" %ai!

Lo= grade / -73 etastasisHig" grade 7.3 etastasis

86416809-Soft-Tissue-Sarcoma.ppt

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