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7/23/2019 pengetahuan wanita mengenai ca seviks http://slidepdf.com/reader/full/pengetahuan-wanita-mengenai-ca-seviks 1/36 REFERAT PENGETAHUAN FAKTOR RESIKO, PERILAKU, DAN DETEKSI DINI KANKER SERVIKS Pembimbing : Dr. Sugeng Budi Drm!n, S".OG Dr. S#ni R$%u, S".OG Dr. &' Nugr$, S".OG Dr. G()i Ru*di, S".OG O)e$: N. Guru$ Dirg S"u+r, S.Ked SF ILU KEBIDANAN DAN KANDUNGAN RSUD NGAN&UK FAKULTAS KEDOKTERAN -I&AA KUSUA SURABAA /012 1

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REFERAT

PENGETAHUAN FAKTOR RESIKO, PERILAKU, DAN DETEKSI

DINI KANKER SERVIKS

Pembimbing :

Dr. Sugeng Budi Drm!n, S".OG

Dr. S#ni R$%u, S".OG

Dr. &' Nugr$, S".OG

Dr. G()i Ru*di, S".OG

O)e$:

N. Guru$ Dirg S"u+r, S.Ked

SF ILU KEBIDANAN DAN KANDUNGAN

RSUD NGAN&UK 

FAKULTAS KEDOKTERAN -I&AA KUSUA

SURABAA

/012

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DAFTAR ISI

DAFTAR ISI..................................................................................................................................2

BAB 1 PENDAHULUAN..............................................................................................................5

1.1 LATAR BELAKANG..............................................................................................................5

BAB 2 TINJAUAN PUSTAKA.....................................................................................................7

2.1 ETIOLOGI...............................................................................................................................7

2.2 FAKTOR RESIKO...................................................................................................................9

2.3 GEJALA DAN TANDA.........................................................................................................11

2.4 DIAGNOSIS..........................................................................................................................12

2.5 KLASIFIKASI STADIUM....................................................................................................132.6 KLASIFIKASI HISTOLOGIK..............................................................................................14

2.7 TATALAKSANA..................................................................................................................14

2.8 PENCEGAHAN....................................................................................................................21

BAB 3 RINGKASAN..................................................................................................................35

DAFTAR PUSTAKA...................................................................................................................36

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DAFTAR TABEL

T!"# 1 $$$$$$$$$$$$$$$$$$$$$$$$..13

T!"# 2 $$$$$$$$$$$$$$$$$$$$$$$$..23

T!"# 3 $$$$$$$$$$$$$$$$$$$$$$$$..25

T!"# 4 $$$$$$$$$$$$$$$$$$$$$$$$..27

T!"# 5 $$$$$$$$$$$$$$$$$$$$$$$$..29

T!"# 6 $$$$$$$$$$$$$$$$$$$$$$$$..32

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DAFTAR GABAR 

G%!& 1 $$$$$$$$$$$$$$$$$$$$$$.21

G%!& 2 $$$$$$$$$$$$$$$$$$$$$$.22

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BAB 1

PENDAHULUAN

1.1 LATAR BELAKANG

K'("& )"&*+() %"&,-(' ('("& - -"&"%-,' /'0 %"',,(+ ,&,'

"&) + I''")+ )"'0(' + '"0& %, ("+' ('("& )"&*+() %"'0#%+

 -"',&,''. P"&#'' -"'/(+ ('("& )"&*+() ), +(",+ "'0' !+(. I'"()+

HP  Human Papillomavirus &+)+( +'00+ %"&,-(' :# &+ -0"'")+) ('("& 

)"&*+(). HP &+)+( +'00+ %"&,-(' (&)+'0"' ('("& )"&*+() ' :# &+

 -&)") (&)+'0"'")+) ('("& )"&*+() ,"&+. P&)") (&)+'0"'")+) %"##,+ - #")+

 -&('("& /'0 "&+&+ &+ N"-#)+ I'&"-+"#+# S"&*+() NIS I II ' III. L")+

 -&('("& NIS I )"!0+' !")& (' %"'0#%+ &"0&")+ )"!0+' (";+# /'0

 !"&#', %"'+ NIS II ' ("%,+' !"&#', %"'+ ('("& +'*)+ )"&*+()

,"&,). P"'"%,' ' -"'0!' #")+ -&('("& (' %"';"0 "&+'/ ('("& 

)"&*+() 1 2.

 

K"#%-( !"&+)+( ,',( "&+'/ ('("& )"&*+() # :'+ + ) ,)+

3< ,' /'0 %"%+#+(+ !'/( '( ' "'0' -"&+#(, %"'0 (")"'

&"-&,()+ /'0 %)+ (,&'0. K"!+)' 0' 0'+ -)'0' )"(),# %"&,-('

)# ), (& ,% -"',#&' *+&,) HP -"'/"!! ('("& )"&*+() +'+ "&+. D+

I''")+ '/ 5 -"&)"' /'0 %"#(,(' -"'-+)' ('("& #""& &+% )"+'00

766 -"&)"' -)+"' ("+( "&""()+ ), %"%),(+ S+,% L', IIIB (" )

(&"' ('("& #""& &+% !+)'/ '- 0"# --,' - )+,% :#'/ 3.

D+ A)+ P)++( )"+- ,' +"%,(' )"(+& 266.<<< (),) ('("& #""& 

&+% 143.<<< + '&'/ %"'+'00# ,'+ + ,)+ -&,(+. D+ )"#,&, ,'+

)"+- ,''/ "&- (,&'0 #"!+ 4<<.<<< (),) !&, ('("& #""& &+% 8<

 -"&)"' + '&'/ "&+ - -"&"%-,' /'0 +,- + '"0& !"&("%!'0. D+

I''")+ ,%# (),) ('("& )"&*+() , #""& &+% %)+ ;,(,- +'00+. K'("& 

+'+ %"&,-(' "'+) ('("& "&!'/( /'0 +"&+ -"&"%-,' I''")+. S"+- &+

+-"&(+&(' %,';,# 4<=45 (),) !&, ' )"(+& 2<=25 -"&"%-,' %"'+'00# )"+-

&+'/ (&"' ('("& #""& &+%. M"',&, GLOBOCAN (IARC) ,' 2<12

+(",+ !: "&- )"(+& 14> (),) !&, ('("& )"&*+() + I''")+ '

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%"'/,%!'0 7> '0( ("%+' &+ )"#,&, "'+) ('("& - -"',,( 

 -"&"%-,'.

T"&!)'/ ()") +'&%)+ /'0 (,& +/(+'+ %"'+ )# ),

 -"'/"!! +'00+'/ (),) ('("& #""& &+% + I''")+. P"'/"!! #+' +'00+'/

(),) ('("& #""& R+% # (&"' %+'+%'/ (")&' ,',( %"#(,('

""()+ +'+. A(+!'/ )"!0+' !")& (),) /'0 +"%,(' ), %),( -

)+,% #', ' %"'/"!!(' ("%+' 3.

BAB /

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TIN&AUAN PUSTAKA

 /.1 ETIOLOGI

I'"()+ HP &+)+( +'00+ %"&,-(' (& "+#0+ ('("& )"&*+(). P"'-

+'+ +,''0 #" !"&!0+ -"'"#++'. P"'"#++' /'0 +#(,(' #"  International 

 Agency for Researc on Cancer IARC ) "&- 1<<< )%-"# &+ 22 '"0&

%"'-(' '/ +'"()+ HP - )",%# 997> ('("& )"&*+(). P"'"#++'

%"='#+)+) /'0 %"#+-,+ 1<.<<< (),) +-(' 8 +-" HP /'0 !'/( 

+"%,(' /+, +-" 16 18 45 31 33 52 58 ' 35. P"'"#++' (),) ('&#

"'0' 2.5<< (),) (&)+'% )"&*+() ' 2.5<< -"&"%-,' /'0 +( %"'"&+

('("& )"&*+() )"!0+ ('&# ""()+ +'"()+ HP - -"'"#++' "&)"!, "'0'

 -"%"&+()' PCR. T# -&"*#"')+ +'"()+ HP - -"'"&+ ('("& )"&*+() "'+)

(&)+'% )"# )(,%) # 941>. P&"*#"')+ +'"()+ HP - -"'"&+ ('("& 

)"&*+() "'+) "'(&)+'% ' "')(,%) # 93>. P"'"#++' - NIS

II?I++ %"'-(' +'"()+ HP /'0 +%+')+ #" +-" 16 ' 18. P&0&")+*+)

%"'+ NIS II?III )""# %"'"&+ +'"()+ HP !"&(+)& 2 ,' 1 2.

HP /'0 %"&,-(' (& +'+)+& &+ ('("& )"&*+() /'0 %"'/"!!('

"&+'/ 0'00,' )"# )"&*+(). O'(-&"+' E6 ' E7 /'0 !"&)# &+ HP%"&,-(' -"'/"!! "&+'/ "0"'"&)+ ("0')'. I'"0&)+ DNA *+&,) "'0'

0"'% )"# ,!, %"&,-(' :# &+ -&)") /'0 %"'0& &')&%)+. I'"0&)+

DNA *+&,) +%,#+ - "& E1=E2. I'"0&)+ %"'/"!!(' E2 +( !"&,'0)+

+( !"&,'0)+'/ E2 %"'/"!!(' &'0)'0' "&- E6 ' E7 /'0 ('

%"'0%! -53 ' -R!. H%!' (", TSG %"'/"!!(' )+(#,) )"# +( 

"&('&# -"&!+(' DNA +( "&+ ' --)+) +( "&+.  E6 ('

%"'0+( -53 )"+'00 !umor suppressorgene !"G -53 (' ("+#'0' ,'0)+'//+, ,',( %"'0"'+(' )+(#,) )"# - )" G1. S"'0(' '(-&"+'  #$ ('

%"'0+( !"G R%& +(' +'+ %"'/"!!(' "&#"-)'/ E2F /'0 %"&,-(' (& 

&')(&+-)+ )"+'00 )+(#,) )"# !"&#' '- ;'&# 4 .

P"'0"'+' )+(#,) )"# - )" G1 #" P53 !"&,,' %"%!"&+ (")"%-'

("- )"# ,',( %"%-"&!+(+ ("&,)(' /'0 +%!,#. S""# -"&!+(' )"#")+

%( )"#(' %),( (" )" S. -53 %"'0"'+(' )+(#,) )"# "'0' ;& %"'0%!

(%-#"() ;(=;/;#+' /'0 !"&,'0)+ %"&'0)'0 )+(#,) )"# ,',( %"%),(+ )"

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)"#','/. J+( -"'0"'+' )"# - )" G1 +( "&+ ' -"&!+(' +( 

"&+ %( )"# (' "&,) %),( (" )" S '- -"&!+('. S"# /'0 !'&%#

+'+ (' "&,) %"%!"# '!"&("%!'0 '- ('&#. S"#+' +, -53 ,0 !"&,'0)+

)"!0+ -"&'0)'0 --)+) /+, -&)") ("%+' )"# /'0 +%,#+ &+

("';,&' 0"' +'&)"#. A--)+) %"&,-(' ,-/ +)+#0+) ,!, ,',( 

%"%+(' )"# /'0 +( - +-"&!+(+. H+#'0'/ ,'0)+ -53 %"'/"!!('

 -&)") --)+) +( !"&#' 5 .

S"0,) et al 5 /'0 %"'"#++ -"&'' B;#=2 %"'-(' -"'+'0('

(+*+) +%,'#0+ B;#=2 - NIS III +!'+'0(' "'0' NIS I=II ' (&)+'%

+'*)+. P"'"#++' #+' "''0 B;#=2 ,0 %"'-(' -"',&,'' (+*+) B;#=2

 - (&)+'% )"&*+(). K"' +'+ %"',',(' !: -"',&,'' (+*+)--)+) - (&)+'% )"&*+() +)"!!(' -"'+'0(' (+*+) &+

'+--)+). P"'+'0(' B;#=2 !,(' !"&&+ "&+ -"',&,'' (+*+) --)+)

(&"' %"('+)%" --)+) +('&# #" !'/( 0"'. T"-+ +'"() --)+) -

(&)+'% )"# )(,%) - -"'"#++' '%-('/ ,)&, %"',&,'' +'+

+!,(+(' #" !"!"&- -"'"#++'. P -"'"#++' ,0 +,%-+ '/ -"',&,''

 !"!"&- ("#,&0 B;#=2'& #+' B( ;)-)" 3 ' ;)-)" 6 5 .

P&"+' E7 %"'0%! -&)") -"&!+(' )"# %"##,+ %"('+)%" /'0

 !"&!". P -&)") &"0,#)+ )+(#,) )"# + )" G ' G1 tumor suppressor gene

 -R! !"&+(' "'0'E2F +(' +'+ %"'/"!!(' E2F %"'+ +( (+ E2F

%"&,-(' 0"' /'0 (' %"&'0)'0 )+(#,) )"# %"##,+ (+*)+ -&='(0"' ;=

%/; ' N=%/;' P&"+' E7 %),( (" #% )"# ' %"'0+( -R! /'0

%"'/"!!(' E2F !"!) "&#"-) ##, %"&'0)'0 -&='(0"' ;=%/; ' N=%/;

)"+'00 (' "&+ -&)") &')(&+-)+ , -&)") )+(#,) )"#. K"(,' +(' -&"+' E7 "'0' -R! !"&!"=!" - !"!"&- +-" *+&,) HP %+)#'/@ +('

E7 HP 6 ' 11 (,&'0 (, +!'+'0(' "'0' HP 16 ,-,' 18.  P"'"#++'

/'0 +#(,(' - -)+"' "'0' (&)+'% )"&*+() + !"!"&- &,% )(+ +

I''")+ %"'"%,(' !: ("+' +'"()+ HP +-" 16 )"!")& 44> +-" 18

)"!")& 39> ' +-" 52 )"!")& 14>. S+)'/ )"!")& 14> "&""()+ +'"()+ HP

%,#+-"#.  P -"'"#++' +"'++()+ +-" HP - "' (&)+'% +-('

 !: -&"*#"')+ HP - "' (&)+'% "'+) %,)+'),% +'")+'#

"'%"&++ # 91> ' "'+) "')(,%) 1<<>. S"'0(' - ),!+-"

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nonmusinous clear cell& serous ' %")'"&+( +( +,%-+ +'"()+ HP. K"+'

HP +-" 16 18 45 52 ' 35 # !"&,&,=,&, 5<> 4<>1<> 2> ' 1> 5 .

HP +-" 16 ' 18 +"%,(' - )",%# 7<> ('("& )"&*+() )"'0('

+-" 16 18 33 45 31 58 52 ' 35 +"%,(' - )",%# 9<> ('("& )"&*+().

T+0 !"#) +-" HP 16 18 31 58 33 52 35 51 56 45 39 66 6 -

%"'#+)+)+,%-+ - HSIL. P LSIL +"%,(' HP +-" 16 26> 31

12> 51 11> 53 1<>. 56 1<> 52 9> 189> 66 9> 58 8> ' +-"

#+''/ 5> 5 .

/./ FAKTOR RESIKO

I'"()+ HP  /'0 +( )"%!, !+) %"'/"!!(' ('("& )"&*+()

 - !"!"&- -"&"%-,'. HP # -"'/"!! &+ %-+& )"%, ('("& 

)"&*+().I'"()+ HP )"!"'&'/ # /'0 !+) "&+. +&,) +'++,#&(' &+

), &'0 (" &'0 #+' %"##,+ ('()"(),#. K"!'/(' &'0 ":) "#

"&+'"()+HP - ),, ) #% ("+,-' %"&"( "-+("!'/(' +'"()+

)"%!, "'0' )"'+&+'/.B"!"&- "'+) HP - %"'/"!!(' -"&,!')"#

+ #""& &+%. J+( -"&,!' +'+ +"%,(' #"!+:# ('("& )"&*+() -

+;"0 "'0' %"'0'0( , %"%!,', )"#=)"# /'0 !"&,! )"!"#,%

%"&"( !+)%"'+)"#=)"# ('("& 6 .

T"''0 HP ,%' --+##%*+&,)@• HP # *+&,) /'0 )'0 ,%,%.• A #"!+ &+ 1<< "'+) HP.• B"!"&- "'+) %"'/"!!(' (,+# +'( - &+ , ((+.• L"!+ &+ 3< "'+) - +,#&(' )";& )"(),#.• S"(+& 15 "'+) %"',#& )"(),# /'0 +)"!, +-" !"&+)+( +'00+ -

%"'/"!!(' ('("& )"&*+().• B"!"&- "'+) HP !"&+)+( +'00+ (&"' )'0 "&(+ "'0' ('("&

"&%),( ('("& *,#* #""& &+% ' ('("& *0+' - :'+ ('("&

 -"'+) - -&+' ('("& ,!,& ' %,#, - -&+ ' :'+.• J"'+) &+)+( +'00+ # HP 16 HP 18 HP 31 HP 33 ' HP 45.• S"(+& ,=-"&+0 &+ )"%, ('("& )"&*+() +)"!!(' #" HP 16 '

18.• B"!"&- "'+) %"',#& )"(),# #+''/ /'0 +)"!, +-" !"&+)+(

&"'%"'/"!!(' (,+# "()"&'# - # ("#%+' /'0 !,(' ('("&.

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K,&'0'/ T") P- S%"& )";& "&,& . K'("& #""& &+% #"!+ )"&+'0

"&+ - :'+ /'0 +( %"'#'+ ") P- "&,&. T") P- %"%!', ("& 

%"'"%,(' )"# !'&%#. M"'0-,) , %"%!,', )"#=)"# !'&%# !+)'/

%"';"0 ('("& )"&*+() 6 .

M"&((. D+ '& :'+ /'0 "&+'"()+ HP %"&(( )"+(+

%"'+'0((' &")+( ('("& #""& &+% 6.

M"#"%'/ )+)"% ("("!#' ,!,. I'"()+ HI *+&,) -"'/"!! AIDS

, %"'0('),%)+ ! /'0 %"'"(' )+)"% ("("!#' ,!, %"'+'0((' &+)+(

('("& )"&*+()6.

S"& ("+,-' )"(),#. A(+*+) ,!,'0' )"(),# - ,)+ %, 16

,' '+ /'0 %"%+#+(+ !'/( -)'0' )"(),# %"%+#+(+ &+)+( #"!+ +'00+

"&("' ('("& )"&*+(). J,0 )"&'0 :'+ /'0 "# !"&,!,'0' )"() "'0'

 -&+ /'0 %"%+#+(+ !'/( -)'0' )"(),# %"'0-+ &")+( #"!+ +'00+

%"'0#%+ ('("& )"&*+(). D#% (", (),) + ) &+)+( %"'"&+ ('("& #""& 

&+% #"!+ +'00+ (&"' :'+ %"%+#+(+ &+)+( /'0 #"!+ +'00+ +'"()+ HP 6.

M"%+#+(+ !'/( '(. P"'"#++' %"',',((' !: %"#+&(' !'/( 

'( 5 , #"!+ )"+(+ %"'+'0((' &")+( ('("& #""& &+% - :'+

"'0' +'"()+ HP 6.

DES +"+#)+#!")&#. DES - %"'+'0((' &+)+( ('("& )"&*+() "&"',

 - -"&"%-,' /'0 "&("' ! +'+ )"!"#,% ("#+&'. DES +!"&+(' ("-

 !"!"&- :'+ %+# + A%"&+( S"&+( '& )"(+& 194< ' 1971. S"(&'0! +'+ +( #0+ +!"&+(' ("- +!, %+# 6.

K"%+)(+''. B'/( :'+ /'0 +( %%-, +( -,'/ ()") (" #/''=

#/'' %"+) /'0 %"%+ %+)#'/ ") P- S%"&. K"+( :'+ "&)"!,

%"'"&+ -&=('("& )"&*+() -"'/(+ !+)'/ "- +( "&+0') ' +( 

+!+ )%-+ -"'/(+ +, !"&("%!'0 %"'+ ('("& )"&*+() ' %"'/"!& ("

 !0+'=!0+' #+' &+ ,!,. '+ /'0 +( %%-, !+)'/ ("(,&'0' 0++

/'0 - %"'+'0((' &+)+( ('("& )"&*+() 6.

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K"!"&)+'. B"!"&- -"'"#++' /'0 !"&!" "# +#(,(' -

"'(&)+'% )"&*+() - :'+ /'0 "&)"&'0 HP. D&+ -"'"#++' -"'"&++'

+, +"%,(' !: &+)+( ('("& %"'+ %-+& )""'0'/ - :'+ /'0

%'+ 6 (#+ , #"!+ )"%+'00, !+# +!'+'0(' "'0' :'+ /'0 %'+

'/ 1 )%-+ 5 (#+ )"%+'00,. H)+# ),+ #+' %"',',((' !: &+)+( ('("& 

)"&*+() #"!+ +'00+ - :'+ "'0' ("!"&)+' /'0 %+'+% (&"' %"&"( #"!+

%,'0(+' ,',( %"'-(' +'"()+ HP !+ +( %"&"( "&("' *+&,) 6.

P"'/(+ %"',#& #+'. S,+ !&,=!&, +'+ %"',',((' !: &'0=&'0

/'0 %"'"&+ "&-") !"&)%=)% "'0' +'"()+ HP "&'/ %"'00'('

&+)+( ,%!,'/ )"# ('("& )"&*+(). S,+ #+' ,0 %"'0%+ &'0 /'0%"'"&++'"()+ HP ' !("&+ (#%++ ;#%/+. D&+ ),+ +'+ +"%,(' !: &+)+(

,%!,'/ )"# ('("& %"'+'0( )"(+& 8<> - :'+ /'0 %"'"&+ , +'"()+

"&)"!, 6.

P-&' !' (+%+. '+=:'+ /'0 !"("& + #'0 , -!&+( 

"&"', !+) "&--& !' (+%+ /'0 !+) %"'+'0((' &+)+( %"&"( "&)"&'0

('("& )"&*+(). P-&' !' (+%+ ,0 "&+ #'0),'0 - *0+' :'+ /'0%"'00,'(' -"%!#, "'0' !' ("&) ,& ,#'0 /'0 %"'#'+ -&)")

 -"%,+' 6.

/.3 GE&ALA DAN TANDA

T'=' +'+ ('("& )"&*+() %,'0(+' +( %"'+%!,#(' 0"#. T'=

' +'+ /'0 +( )-")++( )"-"&+ )";&" *0+' /'0 0( !"&#"!+' '

('0=('0 +)"&+ "'0' !"&;( -"&&'. G"# ,%,% /'0 )"&+'0 "&+ !"&,- -"&&' -"&*0+'% -);)"'00% -"&&' + #,& + '

("-,+' 6.

P -"'/(+ #', ("#,' !"&,- ("#,& ;+&' -"&*0+'% /'0 !"&!,

 !,),( '/"&+ -'00,# '/"&+ -+'00'0 ' -+'00,# )"&+'0 !"&("%+ !,'0 +& !")& 

, !,'0 +& (";+# /'0 )(+. G"# -"'/(+ /'0 &")++ !"&,- '/"&+ -+'00'0

""% ((+ ,'+#"&# ' !)&,()+ ,&""& 6.

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/.4 DIAGNOSIS

T") -- - ) +'+ %"&,-(' # )(&+'+'0 /'0 +'#('. L+% -,#,

 -"&)"' -)+"' !&, ('("& )"&*+() +( -"&' %"#(,(' ") --. T") --

+&"(%"')+(' - ) %,#+ %"#(,(' (+*+) )"(),# , )""# %"'+(.

S""# +0 (#+ -"%"&+()' ") -- +- ,' +'"&*# -"%"&+()' "-' #"!+

#% +- 3 ,' )"(#+. B0+ ("#%-( -"&"%-,' /'0 !"&+)+( +'00+ +'"()+

P HI ("+,-' )"(),# /'0 !"&+)+( +',&(' -"%"&+()' ") -- )"+-

,'. P"%)+' +0')+) +#()'(' "'0' !+-)/ )"&*+(). D+0')+) ('("& 

)"&*+() +-"&#" %"##,+ -"%"&+()' (#+'+) !"&,- '%'") -"%"&+()' +)+(

' 0+'"(#0+( "&%),( "*#,)+ ("#"'& 0" !"'+'0 -"%"&+()' -'00,# '

 -"%"&+()' &"(#. B+-)/ )"&*+() %"&,-(' ;& +0')+) -)+ &+ ('("& 

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CT );' %"&,-(' -"%"&+()' -"',''0 ,',( %"#+ -"&#,)' -"'/(+ )"&

%"'/+'0(+&(' '/ !)&,()+ ,&""& 6.

P"%"&+()' #!&&+,% (#+'+( !"&,- -"%"&+()' & "-+") ,'0)+

0+'# ' ") ,'0)+ + +-"&#,(' ,',( %"'0"*#,)+ ,'0)+ &0' -"'"&+

%"'"',(' "'+) -"'0!' /'0 (' +!"&+(' 6.

T") -- '+ !+) %"'0,&'0+ &+)+( "&)"&'0'/ ('("& )"&*+() "'0'

%"#(,(' P- S%"& )";& "&,&. T") P- ('0=('0 +)"!, P- )%"& ,

)%"& )"&*+() # ),, ") )""&' /'0 +0,'(' ,',( %"'0%+ )"# )"#

#""& &+%. T") P- - %"'"%,(''/ ('("& #""& &+% , )"# !'&%#

-&('("& /'0 - %"'/"!!(' ('("& )"&*+(). M"'"%,(' ' %"'0!+ )"#

!'&%# ("!'/(' - %"';"0 "&+'/ ('("& )"&*+(). J,0 ") P- -

%"%!', %"'"%,(' ('("& #"!+ +'+ ("+( -"'0!' %)+ !+) +#(,('"'0' ;,(,- ""(+. B0+ ("!'/(' :'+ ") P- +( %"'/(+('. T") +'+

 !+) +#(,(' + "%- -&("( ("& , (#+'+( )"#% -"%"&+()' -'00,#.

D("& , -"&: %"'0%!+# )%-"# )"# &+ #""& &+%. L!&&+,% ("%,+'

%"%"&+() )"#=)"# + !: %+(&)(- ,',( %"#+ -( -"&,!' )"#. '0

 -#+'0 )"&+'0 "&+ # )"# )"# !'&%# /'0 +"%,(' #" ") P- !,('#

)"# ('("&. S%-"# )"#=)"# /'0 )% - +-(+ ,',( -"'0,+' +'"()+ HP 6.

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/.2 KLASIFIKASI STADIU

S+,% ('("& )"&*+() +"-(' )";& (#+'+). S+,% (#+'+) %"',&, FIGO

%"%!,,(' -"%"&+()' -"#*+( &+'0' )"&*+() !+-)/ ('+))+ ,',( )+,%

IA ' !+-)/ &+'0' )"&*+() ,',( )+,% (#+'+( #+''/ -&,=-&,

 -+"#0&+ +'&*"'. U',( (),)=(),) )+,% #"!+ #', +-"&#,(' -"%"&+()'

)+)(-+ -&()(-+ ' !&+,% "'"% 7 8 9 .

Tbe) 1. K)*i5i'*i S+dium K)ini* enuru+ FIGO 7 8 9

< K&)+'% +' )+, (&)+'% -&"+'*)+

K&)+'% )"&*+() "&!) + ,"&,) "()"')+ (" (&-,) ,"&,) - +!+('IA K&)+'% +'*)+ ++0')+) '/ "'0' %+(&)(-.S"%, #")+ /'0 "&#+

)";& %(&)(-+( %")(+-,' +'*)+ '/ ),-"&+)+# +%),(('

IA1 I'*)+ )&% +( #"!+ &+ 3< %% ("#%''/ ' 7< %% ' +( #"!+ &+5< %% , (,&'0 ,(,&' )";& &+'#

IA2 I'*)+ )&% #"!+ &+ 3< %% '+(#"!+ &+ 5<%% "'0' -"'/"!&' 7<

%% , (,&'0IB L")+ "&#+ )";& (#+'+( ' "&!) + )"&*+() , )";& %+(&)(-+( #")+ #"!+

 !")& &+ IA2IB1 L")+ "&#+ )";& (#+'+( !"&,(,&' "'0' +%""& "&!")& 4< ;% , (,&'0IB2 L")+ "&#+ )";& (#+'+( !"&,(,&' "'0' +%""& "&!")& #"!+ &+ 4< ;%II I'*)+ ,%& ("#,& &+ ,"&,) "-+ +( )%-+ ("+'+'0 -'00,# , %"';-+

1?3 !: *0+'IIA T'- +'*)+ (" -&%"&+,%IIB I'*)+ (" -&%"&+,%III T,%& %"#,) (" +'+'0 -'00,#? , %"';-+ 1?3 !:*0+' '?,

%"'+%!,#(' +&'"&)+) , ,'0)+ 0+'#IIIA T,%& %"'0"'+ 1?3 !: *0+' "-+ +( %"';-++'+'0 -'00,#IIIB T,%& %"#,) )%-+ (" +'+'0 -'00,# '?,%"'+%!,#(' +&'"&)+) ,

,'0)+ 0+'#IA T,%& %"'0+'*)+ %,() (','0 ("%+ , &"(,% '?, %"#,) ("#,&

 -'00,# (";+# &," -"#*+)IB M"))+) ,

  /.6 KLASIFIKASI HISTOLOGIK

1.T+-" +)#0+ 1< .

 N"-#)+ +'&"-+"#+# )"&*+() D"& III

K&)+'% )"# )(,%) +' )+,

K&)+'% )"# )(,%)

K"&+'

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 N'("&+'

"&&,()

A"'(&)+'% +' )+,

A"'(&)+'% +' )+, +-" "')"&*+()

A"'(&)+'% "'%"&+

A"'(&)+'% )"# "&'+

K&)+'% "')(,%)

K&)+'% "'+ (+)+(

K&)+'% )"# (";+#

K&)+'% ,'+"&"')+)+

2. . D"& H+)#0+( 1<

G= D"& +( - +"',('G1= D+"&"')+)+ !+(

G2= D+"&"')+)+ )"'0

G3= D+"&"')+)+ !,&,( , ,'+"&"')+)+

/.7 TATALAKSANA

T"&-+ #")+ -& K'("& 11 @

1. LSIL@ = O!)"&*)+ ,#'0 ") 3 !#'@J+( '"0+ → )(&+'+'0 12 !#'

J+( -)++ LSIL?HSIL → K#-)(-+

= T") DNA HP@

J+( '"0+ → )(&+'+'0 &,+'

J+( -)++ → (#-)(-+

=K#-)(-+

2. HSIL@ K#-)(-+ %"%,)(' 11 @

J+( '"0+*" → !)"&*)+

 NIS I @ T") DNA HP '"0+ ?+( +#(,(' → !)"&*)+

T") DNA HP -)++ → "&-+ !#)+

 NIS II @ T"&-+ !#)+

 NIS III @ !" "()+)+

K#-)(-+ +( %"%,)(' → ('+))+

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T"&- !"!"&- %"" -"'0!' #")+ -&('("& )"&*+() 12 @

1. T"&-+ NIS "'0' D")&,()+ L(#

'0 "&%),( - %"" "&-+ +'+ # (&+"&-+ "#"(&(,"&

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%"%,)'(' "&="& "&-+#+ /'0 %"'0','0 "-+"# !'&%# /'0 ("#( 

(' +0'+(' "'0' "-+"# )(,%) /'0 !&,.

. K&+"&-+K&+"&-+ +# ),, ,) -"'/"%!,' -"'/(+ "'0' ;& %"'+'0+'('

 !0+' /'0 )(+ )%-+ "'0' ),, + !: '# "& C"#;+,). P ),,

)"(,&'0=(,&'0'/ 25 "& C"#;+,) )"#=)"# &+'0' "&%),( NIS ('

%"'0#%+ '"(&)+). S"!0+ (+! &+ -"%!"(,' "&)"!, "&+ -"&,!'= -"&,!' +'0( )"#,#"& ' *)(,#"& /+, 1 )"#‐)"# %"'0#%+ "+&)+ '

%"'0"&, 2 (')"'&)+ "#"(&#+ #% )"# "&0'00, 3 )/( "&%# '

"',&)+ (%-#"() #+-+ -&"+' 4 ),) ,%,% )+)"% %+(&*)(,#&. P

:#'/ +0,'(' ;+&' N+&0"' , 0) CO2 "-+ - ) +'+ %-+& 

)"%, # %"'00,'(' N2O.

 !. E#"(&(,"&M"" "#"(&(,"& - +#(,(' - -)+"' &: #'. P"'00,''

"#"(&(,"& %"%,'0(+'(' ,',( -"%,)'' &+'0' "'0' ("#%' 2

, 3 %%. L")+ NIS I /'0 (";+# + #()+ /'0 (")"#,&,''/ "&#+ -

,%,%'/ - +)"%!,(' "'0' ""(+.

;. D+"&%+ E#"(&(0,#)+ R+(#D+"&%+ "#"(&(0,#)+ - %"%,)'(' &+'0' #"!+ #,) ' ""(+ +(

+!'+'0(' "'0' "#"(&(,"& "-+ &,) +#(,(' "'0' '")")+,%,%. T+'(' +'+ %"%,'0(+'(' ,',( %"%,)'(' &+'0' )"&*+() )%-+

("#%' 1 ;% "-+ +)+#0+ )"&*+() - +-"'0&,+ "&,% +( #")+

"&)"!, )'0 #,). D+',&(' -"'00,'''/ '/ "&!) - (),) NIS

1?2 "'0' !) #")+ /'0 - +"',('.

. CO2 L)"&P"'00,'' )+'& #)"& ligt amplication %y stimulation emission of raiation

),, %,' #+)&+( +#"-)(' #% ),, !,'0 /'0 !"&+)+ ;%-,&' 0)

"#+,% 0) '+&0"' ' 0) CO2 )"+'00 (' %"'+%!,#(' )+'& #)"& /'0

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%"%-,'/+ -''0 0"#%!'0 1<6,. P"&,!' -#0+) /'0 "&- -

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 &+'0' /'0 %"'0,- , )"!'+'0 "'0' ("(,' ' #% -"'/+'&'.

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A !"!"&- +)+# +-"&0,'(' ,',( LEEP +'+. C&+"& "'0' %"'00,'('

(: #- (";+# ,',( !+-)+ - ) (#-)(-+ /'0 %"'/"!,'/ "'0' +)+#

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3. T#()' K'("& S"&*+() S"),+ S+,% 12 @S+,% <?CIS

K'+))+ Col an ot +nife.

B+# %&0+' &"" ('+))+ ), "(, - /'0 %)+ %"%"&#,('

"&+#+).

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B+# )+# ('+))+ "&'/ +'*)+ "&-+ )"),+ #()' ('("& +'*)+.

S+,% IA1 LSI '"0+

K'+))+ Col ,nife !+# &"" %&0+' "&-+ "(, -!+# "&+#+)

+-"&'('. T+'0( "*+"') B

B+# +(  free margin +#(,(' &"('+))+ , )+%-#" +)"&"(%+.

H+)"&"(%+ T# -!+# "&+#+) +( +-"&'('

S+,% IA1 LSI -)++

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+-"&'('.

B+# -"&)+ +( - +#(,(' (&"' ('&+'+()+ %"+( -

+#(,(' &+"&-+

S+,% IA2IB1 IIA1

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P+#+' @

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H+)"&"(%+ &+(# "'0' #+%"'"(%+ -"#*+( T+'0( "*+"') 1 ?

R"(%"')+ A

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%"))+) KGB

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invasion LSI ' (& &+)+( #+''/.

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S+,% IB2 ' IIA2

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1. N",*' ("%"&-++0 )"&+ +#',(' &+(# +)"&"(%+ ' -"#*+( #+%"'"(%+.

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,#'0 -)( ("%"&-+ '",*' ,',( -"&!+#+)'/

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P"%!"&+' &+"&-+ RT? K"%&+)+ ,*' (#, "&-

(& &+)+( /+, %"))+) KGB %"))+) -&%"&+,%!)

)/' +( !"!) ,%&""- )&%# +'*)+' LSI ' (& &+)+( #+''/.

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, ("%&+)+ "'0' ;+)-#+' %+'00,' , ("%&+)+

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+0 )"&+ +#',(' &+(# +)"&"(%+ ' -"#*+( #+%"'"(%+.

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S+,% IIIA IIIB

K"%&+)+

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)"'?'"&)%+ ' "%+#+).

S+,% I A

R+)+ ' , ("%&+)+ %+'00,'? 3 %+'00,'

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R")-' ‐ @ T"&-+ +"'+('

C' @

B+# "&- !)&,()+ ,&""& +#(,(' -"%)'0'DJ )"'?N"&)%+

' "%+#+)

S+,% I B

T"&-+ P#++@

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T"&-+ '/"&+ '#0"+( step laer  neural %loc+ 

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B+# "&- !)&,()+ ,&""& +#(,(' -"%)'0' DJ )"'?N"&)%+

' "%+#+).

B+# "&- ",)+ -#",& +#(,(' -,'()+ , -"%)'0' SD B+#

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P)+"' "'0' )+,% 4 ' ,)+ %, 4< ,' )"!+('/

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J+( !&(+"&-+ +( - +#(,(' &+)+ "()"&' +#',(' "'0' )%## +"# ,

3D C'&%# RT

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/.8 PEN9EGAHAN

2.8.1 S(&+'+'0

D&+ -"'"#++' /'0 +#(,(' #" E* S,#+)+:+ A'' M&+ S+&+.

P,) T"('#0+ T"&-' K")"' ' E-+"%+#0+ K#+'+( P '+ +

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Gmbr 1. Penge+$un HPV *ebgi "en%ebb 'n'er *eri'*

H)+# '#+)+) %"',',((' !: -"'0",' :'+ "''0 HP

)"!0+ -"'/"!! ('("& )"&*+() &"' G%!& 1. F"'%"' )"&,- ,0

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+;"0 "'0' %"'0+'&+ (& &+)+( ,',( %"'0(,+)+)+ +'"()+ HP

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(& &+)+( -"',#&''/ 13 .

D&+ 33<3 &")-'"' "&)"!, -"'0",' &")-'"' "''0 (& 

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Gmbr /. Ting'+ "enge+$un +en+ng 5'+#r ri*i'# 'n'er *eri'*

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D#% '#+)+) +'+ +-(' -"'0",' :'+ "''0 (& &+)+(

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Kr'+eri*+i

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Penge+$un +en+ng 5'+#r ri*i'# 'n'er *eri'* P

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B,&,( 978 18 <3 65< 1<<S"'0 983 17 << 1134 1<<B+( 981 17 <2 464 1<<T# 981 17 <1 2248 1<<

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"''0 IA )'0 +!,,(' ,',( %"'+'0((' -"'0",' 0,'

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D&+ 1<55 &")-'"' +( +#(,(' -"%"&+()' IA -&-&)+ "&+'00+

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()+')+ HP

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Tbe) 6. Ped#mn V'*in*i HPV >Dim#di5i'*i dri Ped#mn V'*in*i

HPV %ng Di*u*un HOGI?

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 -"%!"&+' *()+' HP - #(+=#(+E5e'+ii+* P -"'"#++' )" II -&"()+ NIS 2?3 (&"'

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