KELAINAN JINAK PAYUDARA.ppt
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Transcript of KELAINAN JINAK PAYUDARA.ppt
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SURGERY DEPARTMENT FACULTY OF MEDICINE YARSI
UNIVERSITY JAKARTA 2012
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ANATOMY
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- Puberty
- Young adult
- Capsulated
- Not related to menstruation
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Physical Examination
MassCapsulatedMobileClear marginSingle, multipleUnilateral, bilateralSmooth surface
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Therapy
ObservationExtirpation/excision/lumpectomy
sent to Pathologic dept
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2. GIANT FAMGIANT FIBROADENOMA
PHYLLODES TUMORPHYLLOIDES TUMOR
CYSTOSARCOMA PHYLLODES TUMORCYSTOSARCOMA PHYLLODES TUMOR
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GIANT FAMMore than 5 cm Growing fast
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Phyllodes tumorGrowing fastIncidence 30-40 yo, older than FAMBut can occur at any age above
12yo1-2% from Ca mammae
Variant BenignBorderlineMalignant
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BiopsyFNAB
Imaging USGMammographyMRI
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TreatmentLumpectomy Wide local excision
1-2 cm margin from tumor BCT
Mastectomy
Not effective Radiation therapy Chemotherapy Hormonal therapy
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PrognosisHigh local recurrentDistant metastasesInfiltration to surrounding tissues
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Follow upFrequentEvery month, 6 month, year, 3 yearDepend on type
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3. MastopathyFibrocystic mastopathyMastitis chronica cysticaFibrocystic disease of the breastMammary dysplasiaFibroslerosis of the breast
30-60 % womenBreast lumpDiscomfort periodicallyHormonal?
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Not classic form of mastitis (inflammation)Not a disease?
Fibrous tissue, a lump, cobblestoneSmall cystsUpper outer quadrant
Breast feeding
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Hormonal level?Subside after menopause
Estrogen Progesterone Prolactine
USGMammographyBiopsy
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PA
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4. Mastitis infection
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4. Abses Mammae
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Resiko
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TerapiDrainase abses
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GINECOMASTIA
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ESTROGEN
MedicationSpironolactoneFurosemidDigoxin
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MAMMAE ABERANS
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Polithelia
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SADARI
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