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7/25/2019 Kanker Payudara Kks

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KANKER PAYUDARA

Rahmita


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Kanker Payudara (WHO2012)


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De$nii Kanker Payudara

18. National Cancer Institute. Breast cancer definition. http://www.cancer.gov/cancertopics/types/breast (accessed 1 ec !"1#$1%. &'erican Cancer ociety. Breast cancer. http://www.cancer.org/cancer/breastcancer/detailedguide/breast)cancer)what)is)breast)cancer

(accessed 1 ec !"1#$
http://www.cancer.gov/cancertopics/types/breasthttp://www.cancer.gov/cancertopics/types/breasthttp://www.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-what-is-breast-cancerhttp://www.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-what-is-breast-cancerhttp://www.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-what-is-breast-cancerhttp://www.cancer.gov/cancertopics/types/breast


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Anat%mi Payudara

!erdiri dari &aringan g'anduar yangmemi'iki 120 '%*u may%r ter*agi &adi20"0 '%*u'u duktu ke+i' 10100a',e%'i ekret%ri

-%*u may%r dia'iri duktu 'akti.eru &adi inu 'akti.eru (am/u''a)#

Puting uu

ku'it *er/igmen danmem*entang ke'uar 12 +m untukmem*entuk are%'a#

aringan ikat /em*u'uh darah 'im. dan

ara. meru/akan tr%ma /ayudara#


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am*arP%t%ngan agitta' /ayudara

!". *andala*i s +,- et al. Breast. In: *andala*is +,- et al. (eds$. *andala*is urgical &nato'y. &thens: aschalidis 0edical ublications- td.2 !""#.


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Perdarahan

Arteri u*k'a,ia arteri t%rakika

interna

arteri mammaria interna Arteri aki'ari arteri t%raka'i

'atera'i arteri t%rak%d%ra'i dan

arteri t%rak%akr%mia'i 3ena mammaria 4 ,ena aki'ari

,ena +a,a u/eri%r

!". *andala*i s +,- et al. Breast. In: *andala*is +,- et al. (eds$. *andala*is urgical &nato'y. &thens: aschalidis 0edical ublications- td.2 !""#.


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am*ar5u/'ai Darah Payudara

A# +a*ang 'angung arteri aki'ari 6# +a*ang arteri t%raka'i'atera' 7# +a*ang /er.%rante arteri t%raka'i interna# Drainae

,ena di gam*ar kanan!". *andala*i s +,- et al. Breast. In: *andala*is +,- et al. (eds$. *andala*is urgical &nato'y. &thens: aschalidis 0edical ublications- td.2 !""#.


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Drainae -im.

A'iran 'im. ke'%m/%k aki'a (89:) dan ke'%m/%kmammaria interna(;:)

Ke'%m/%k aki'a &a'ur utama /enye*aran regi%na'kanker /ayudara#

Untuk memudahkan /em*agian menurut 6ergyaitu 'e,e' 1 /ada 'atera' muku'u /ekt%ra'i min%r

'e,e' 2 /ada /%teri%r muku'u /ekt%ra'i min%r dan'e,e' ; /ada media' muku'u /ekt%ra'i min%r#

Ke'%m/%k mammaria interna *erada di retr%terna' die/an&ang ,aa mammaria interna#2021

!". *andala*is +,- et al. Breast. In: *andala*is +,- et al. (eds$. *andala*is urgical &nato'y. &thens: aschalidis 0edical ublications- td.2 !""#.

!1. 3irby IB- et al. 4he Breast. In: Brunicardi 5C- et al. (eds$. chwart6s rinciples of urgery. %thed. New 7or*: 4he 0craw)9ill Co'panies2 !""%


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Bergs Level

Level I:

KGB Mammaria

eksterna

KGB Scapula

KGB v. Axillaris

Level II:

KGB Sentral

KGB Interpectoral

(Rotters noe!

Level III

KGB Su"klavikula

'e,e' 1" '' pada dia'eter terbesarnya

41c 4u'or ?1" '' na'un > !" '' pada dia'eter terbesarnya

4! 4u'or ? !" '' na'un > @" '' pada dia'eter terbesarnya

4A 4u'or ? @" '' pada dia'eter terbesarnya

4#a ,*stensi *e dinding dada- tida* ter'asu* hanya perleng*etan/invasi 'us*ulus pe*toralis

4#b lserasi dan/atau nodul satelit ipsilateral dan/atau ede'a (ter'asu* peau d=orange$ pada *ulit-

yang tida* 'e'enuhi *riteria *arsino'a infla'atori

4#c 4#a dan 4#b

4#d 3arsino'a infla'atori

!!. &'erican +oint Co''ittee on Cancer. Breast Cancer taging !"1". https://cancerstaging.org/references)tools/uic*references/ocu'ents/Breast0ediu'.pdf
https://cancerstaging.org/references-tools/quickreferences/Documents/BreastMedium.pdfhttps://cancerstaging.org/references-tools/quickreferences/Documents/BreastMedium.pdfhttps://cancerstaging.org/references-tools/quickreferences/Documents/BreastMedium.pdf


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N%du'N; 3B regional tida* dapat diperi*sa ('isal- sudah diang*at sebelu'nya$

N" 4ida* ada 'etastase 3B

N1 0etastase *e 3B a*sila level I- II ipsilateral yang 'asih bisa digera**an ('obile$

N! 0etastase *e 3B a*sila level I- II ipsilateral yang secara *linis terfi*sir atau bergabung- atau secara *linis

terdete*si 3B 'a''aria interna ipsilateral dengan tida* ada bu*ti 'etastase 3B a*sila.

N!a 0etastase pada 3B a*sila level I-II ipsilateral terfi*sir satu dengan lain atau terfi*sir *e stru*tur lain

N!b 0etastase hanya 3B 'a''aria interna ipsilateral dan tida* ada bu*ti *linis 'etastase 3B a*sila level I- II

NA 0etastase 3B infra*lavi*ula ipsilateral (level III 3B a*sila$ dengan atau tanpa *eterlibatan 3B a*sila level

I- II atau secara *linis terdapat 3B 'a''aria interna ipsilateral dengan bu*ti 'etastase 3B a*sila level I- II

atau 'etastase 3B supra*lavi*ula ipsilateral dengan atau tanpa *eterlibatan 3B a*sila atau 'a''aria

interna

NAa 0etastase pada 3B infra*lavi*ula ipsilateral

NAb 0etastase pada 3B 'a''aria interna ipsilateral dan 3B a*sila

NAc 0etastase pada 3B supra*lavi*ula ipsilateral

!!. &'erican +oint Co''ittee on Cancer. Breast Cancer taging !"1". https://cancerstaging.org/references)tools/uic*references/ocu'ents/Breast0ediu'.pdf
https://cancerstaging.org/references-tools/quickreferences/Documents/BreastMedium.pdfhttps://cancerstaging.org/references-tools/quickreferences/Documents/BreastMedium.pdfhttps://cancerstaging.org/references-tools/quickreferences/Documents/BreastMedium.pdf


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>etatae

0" 4ida* ada bu*ti *linis atau radiologis 'etastase


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Diagn%iAnamnei

!1. 3irby IB- et al. 4he Breast. In: Brunicardi 5C- et a l. (eds$. chwart6s rinciples of urgery. %thed. New 7or*: 4he 0craw)9ill Co'panies2 !""%

!A. 7%n?en 5D et a'# 7an+er %. the 6reat#


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Pemerikaan

!1. 3irby IB- et al. 4he Breast. In: Brunicardi 5C- et a l. (eds$. chwart6s rinciples of urgery. %th

ed. New 7or*: 4he 0craw)9ill Co'panies2 !""%2"# Pur@ant% H Hand%&% D Hary%n% 5 Haraha/ WA# Panduan Penata'akanaan Kanker Payudara# akarta= PERA6O


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am*ar


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>atekt%mi Radika'>%di$kai

!#. urwanto 9- 9ando


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R>

!#. urwanto 9- 9ando


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5kin


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U'+er


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Ni//'e retra+ti%n


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5kin dim/'ing/eaud%range


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Ni//'e di+harge