CA Prostat
-
Upload
denia-haritsa-apriliani -
Category
Documents
-
view
212 -
download
0
description
Transcript of CA Prostat
Slide 1
Carcinoma ProstatDr. Suharjendro, SpUCarcinoma of the ProstateKarsinoma Prostat :Kedua paling sering sdh kandung kemihBiasanya diatas 50 tahun
EtiologiUnknown Genetik HormonalDietary : high fat diets Environmental carcinogenic influencesA. Symptoms & Signs Gambaran klinik karsinoma prostat :Colok dubur ( RT / DRE ) : teraba nodulStadium awal tdk menampakkan gejala.Stadium lanjut : keluhan obstruksi & iritasi Metastatic disease : spt nyeri tulang,fraktur,hematuriaDiagnosa pasti : Biopsi dg TRUS Patologi Anatomi
B. Laboratory FindingsDL : anemia, RFT : azotemia, uremia, LFT : AF meninggi, PSA : meninggi
C. Imaging StudiesTRUS Trans Abdominal USCT ScanMRI lebih baik unt jaringan lunakBone Scaning / Bone Survey
Biopsi dg TRUSE. TreatmentA. Curative : Gejala iritasi & obstruksi : TURPRadical Prostatectomy
B. Palliative :Hormonal :Testosteron DHT Prostat 5 Alfa Reductase Hormonal terapi 2 cara :OrchidectomyHormon Sintetis
Pemeriksaan EndoscopyTUR-P