Professional Documents
Culture Documents
Gbr : Schorge J, Hoffman B, Bradshaw K, Halvorson L, Schaffer J, Corton M. Williams gynecology. 3rd ed. United States;p.650-58
Etiology
It is now well established that HPV (human papillomavirus) infection is
the necessary cause of cervical cancer and its immediate precursor
cervical intraepithelial neoplasia.
HPV
LR HR
Type 6 & 11 Type 16,18, 45
HPV Invasion
Precancer lesion
IVA Test
Inadequate screening
Pap Smear
Cervical cancer
ANAMNESIS DAN PF
Anamnesis Pem. Fisik
Margin lesi
tegas
PAPANICOLAOU
SMEAR
Tiap tahun untuk wanita 30-
50 tahun
Bila sudah 3 kali pap smear
>> 3 tahun sekali
Wanita risiko tinggi >> tiap
tahun
Swab mukosa
Sensitivitas 30-50%
Secara signifikan menurunkan
insidensi dan mortalitas
kanker serviks
STADIUM MENURUT FIGO (THE INTERNATIONAL
FEDERATION OF GYNECOLOGY AND OBSTETRICS)
HISTOPATOLOGI DISPLASIA EPITEL SERVIKS
KARSINOMA SKUAMOSA
DAN ADENOKARSINOMA
GUIDELINE DIAGNOSIS
CERVICAL INTRAEPITHELIAL NEOPLASIA TREATMENT Ablasi / Eksisi
Cold-knife conization
CRYOTHERAPY
Laser Conization
14
Surgery + radiation + chemotherapy
Surgery :
Total/radical hysterectomy, conization
+ palliative
High parity and hormonal contraception... (PDF Download Available). Available from:
https://www.researchgate.net/publication/274336016_High_parity_and_hormonal
_contraception_use_as_risk_factors_for_cervical_cancer_in_East_Kalimantan
[accessed May 10 2018].
William’s
Robbins pathology
FIGO guideline