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KANKER PAYUDARAEpidemiologi, Penyebab dan Faktor Resiko
Gejala dan Tanda ,tadi!m dan Tindak"anj!t
KANKER PAYUDARAEpidemiologi, Penyebab dan Faktor Resiko
Gejala dan Tanda ,tadi!m dan Tindak"anj!t
OLEHDr. DENY NATALIA
PUSKESMAS SEGALA MIDER
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Penda#!l!anPenda#!l!an
• Profil Kesehatan Indonesia !!" # – Ur$tan %erta&a '!!()!!*+
– "** ,as$s '-/"01+
– Insidens di Indonesia # 2/ %er -!!.!!!
%r den3an an3,a ,e&atian # -"/ %er
-!!.!!! %r. '!.!0 ,as$s+. Data olehGlo4al 5$rden of 6an7er/ !!".
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• RS6M # – Penelitian terhada% 2!! %asien 4edah/
'-8"8)-88+ ter4an9a, # ,an,er %a9$dara
lan:$t lo,al '1+. – -88")!! # */01/ teta%i stadi$& I;
&enin3,at '(*/(1+.
–
US # KPLL < 01
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10 KANKER TERBANYAK DI
INDONESIA
10 KANKER TERBANYAK DI
INDONESIA
Number ICD Location Relative Frequency
1.2.3.4.5.6.7.8.9.
10.
180174173147
183196154171
193
CervixWomen's breast
SkinNasopar!nx
"nkno#n$varies
%!mpoi& no&ese(t)m
So*t tiss)e
+!roi&
18,41 -11,57 -
8,24 -6,15 -5,16 -4,94 -4,91 -4,42 -3,50 -
3,38 -
Source: Bulletin of Pathology Based Cancer Registry, BRK-IAP, No. 4, !"!.
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Payudara normal Payudara normal
5reast %rofile
A ducts
B lobules
C dilated section of duct to hold milk
D nipple
E fat
F pectoralis major muscle
G chest wall/rib cage
#
Enlar3e&ent
A normal duct cells
B basement membrane (duct wall
C lumen (center of duct
Illustration $ %ary K. Bryson
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Ductal Carcinoma in situ (DCIS) Ductal Carcinoma in situ (DCIS)
&Illustration $ %ary K. Bryson
Ductalcancer cells
Normalducta
l cell
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! l l u s t r a t i o n "
# a r $ % &
B r $ s o n
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Adanya BENJOLAN
Penebalan kulit
Nyeri
Benjolan di
ketiak
Cairan puting suiksu
Putting tertarik kedalam
Kulit merah atau luka
Lesung kulit
Gejala dan tanda Kanker Pay!daraGejala dan tanda Kanker Pay!dara
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Kelenjar getah
bening
Kulit
Hati
injal
Otak
Paru
!ulang
Penyebaran ja!#$metastasis% kanker pay!daraPenyebaran ja!#$metastasis% kanker pay!dara
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DetectionDetection
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Ameri&an 'an&er o&iety Ameri&an 'an&er o&iety
• S,rinin3 ,an,er %a9$dara sedini
&$n3,in # – Pr = ! thn # sadari tia% 4$lan – Pr = !)(! thn # &e&eri,sa,an diri ,e
do,ter tia% 2 tah$n
–
Pr = (! thn # &e&eri,sa,an diri ,e do,tertia% tah$n
– Pr 20)(! thn # 4ase line &a&&o3rafi
– Pr = 0! thn # &a&&o3rafi tia% tah$n.
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BREAST CANCERBreast inspection
Skin dimpling
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BREAST CANCERBreast palpation
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BREAST CANCERRegional nodes assessment
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(REAT 'AN'ER !rgi&al options )
(REAT 'AN'ER !rgi&al options )
Lo7al e>7ision
mass
mass
?ide e>7ision
@... $adrante7to&9
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(REAT 'AN'ER !rgi&al options ))
(REAT 'AN'ER !rgi&al options ))
Modified radi7al &aste7to&9 Radi7al &aste7to&9
In7ision
E>7ised area
massmass
nodes
nodes
E>7ised area
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TERIMA KASIHTERIMA KASIH