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Transcript of PATOLOGI PARU.pptx
7/23/2019 PATOLOGI PARU.pptx
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PATOLOGI PARU
Dr. Resti Arania Sp.PA
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Anatomi-histologik paru
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Penyakit Paru Obstruksi
• m!sema
• "ronkitis kronik
•
Asma• "ronkiektasis
• bronkiolitis # ge$ala mirip bronkitis
kronik
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"ronkitis kronik
• Lokasi : bronkus
• Patologi % &u'ous glan( hyperplasia)hyperse'retion
• tiologi % Toba''o smoke) airpollutants
• Ge$ala % *ough) sputum pro(u'tion
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"ronkiektasis
• lokasi % bronkus
• Patologi % Air+ay (ilation an( s'arring
•
tiologi % Persistent or se,ereine'tions
• Ge$ala % *ough) purulent sputum)e,er
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Asthma
• Patologi % "ron'hus Smooth mus'lehyperplasia) e'ess mu'us)in/ammation
• tiologi % Immunologi' or un(e!ne('auses
• ge$ala % piso(i' +hee0ing) 'ough)(yspnea
• lokasi % bronkus
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mphysema
• Lokasi % A'inus1 al,eoli
• Patologi % Airspa'e enlargement2 +all(estru'tion
• tiologi % Toba''o smoke
• Ge$ala utama % Dyspnea
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3 $enis em!sema
sentriasiner 4 panasiner
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em!sema
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Pato!siologi em!sema
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m!sema bulosa
•
Diameter 5 6 'm• subpleura
• eek ge$ala sisatuberkulosis
• pe'ah % komplikasipneumotorak
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,olusi bronkitis kronik ,s em!sema
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Pato!siologi Asma "r
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" % bronkiektasis
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Ra(ang
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*ausa
• tersering %
• pa(a imunokompromis %
-
Tuberkulosis 7en(emis8- p. 'arini
- kriptokokus
-
kan(i(a- aspergilus
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9lasi!kasi
9anker Paru) :;O
• S<uamous 'ell 'ar'inoma
• Small 'ell 'ar'inoma
• ==*ombine( small 'ell 'ar'inoma
• A(eno'ar'inoma
• ==A'inar2 papillary) bron'hioloal,eolar) soli() mie( subtypes
• Large 'ell 'ar'inoma
• ==Large 'ell neuroen(o'rine 'ar'inoma
• A(enos<uamous 'ar'inoma
• *ar'inomas +ith pleomorphi') sar'omatoi() or sar'omatouselements
• *ar'inoi( tumor
• ==Typi'al) atypi'al
• *ar'inomas o sali,ary glan( type
• Un'lassi!e( 'ar'inoma
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9anker Paru
• usia >?-@? th
• Pun'ak ?1 B? tahun
•
9arsinogen % asap rokok 6? lipatRR
• hea,y smoker % >? batang1 hari % B?lipat RR
• Rokok % 63?? 0at ra'un karsinogen
• inisiator %
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9anker Paru
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9lasi!kasi praktis) terapi
• 3 subgrup klinik
• small cell dan non small cell
•
Proporsi Cenis %• - 9SS % 3->?
• - a(enokarsinoma % 3->?
•
- small 'ell 3?-3• - sel besar 6?-6
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• genetik 2 mutasi
onkogen % '-&E*) 9-RAS) GFR) ;R-3
supressor gene % p) R") p6B
• Lingkungan % asbestos7mesotelioma8)pabrik
• polusi u(ara % ra(ioakti ra(on
• prekursor % (isplasia epitel)hiperplasia
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• 9SS % sering laki3) rokok ) lokasi (ihilus1 bronkus
• A(enokarsinoma %
- Sering pa(a +anita
- Ter$a(i (i perier paru
Cenis 9SS (an small 'ell (ihubungkan(engan rokok
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ge$ala
• insi(ious) agresi
• batuk
•
penurunan ""• nyeri (a(a
• sesak
•
sin(rom para neoplastik• Pan'oast tumor
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(iagnosis
• ra(iologi (a(a
• bronkoskopi) sitologi bron'hial+ashing1 brushing) biopsytransthora'al
• pemeriksaan sitologi sputum) biopsi $arum halus ben$olan yang teraba
7kgb regional8
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Prognosis
• 6 (iagnosis (ini % lebih baik
• $enis small 'ell % prognosis lebihburuk
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Thank you
Sumber %
• Robbins and Cotran PATHOLOGICBASIS OF DISEASE
Seventh Edition
• VIA! "#$AR $BBS% $D%FRCPath
• AB#L "& ABBAS $BBS
• ELSO FA#STO $D