7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt
1/19
LONGCASE SUBDIVISI BEDAH ONKOLOGI
7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt
2/19
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(
7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt
3/19
)ale * +eale ratio -,- * -,.Usia
/ 0. ta"un
1.,2 30.45. ta"un 12,5 3
6 5. ta"un 7-,2 3
7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt
4/19
7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt
5/19
7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt
6/19
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
7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt
7/19
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-
7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt
8/19
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)-
7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt
9/19
7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt
10/19
7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt
11/19
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
7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt
12/19
7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt
13/19
+oto polos enilai in;ltrasi tulang)
7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt
14/19
7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt
15/19
7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt
16/19
7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt
17/19
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
7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt
18/19
7/26/2019 86416809-Soft-Tissue-Sarcoma.ppt
19/19
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
Top Related