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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