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  • Algoritme Kanker Paru

    Diunggah oleh

    Yohanna Yohanna
    22 tayangan25 halaman
    The document outlines the procedures for diagnosing and staging lung cancer, including medical history, physical examination, imaging tests, biopsies, clinical staging, pre-treatment evaluation, neoadjuvant and initial therapies, re-staging after surgery, and adjuvant treatments. Key steps involve lab and pathology tests to identify non-small cell lung cancer, determining the cancer stage using scans and biopsies, evaluating for surgery or other therapies, and providing additional chemotherapy or radiation as needed post-operation.

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    algoritme kanker paru

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    The document outlines the procedures for diagnosing and staging lung cancer, including medical history, physical examination, imaging tests, biopsies, clinical staging, pre-treatment evaluation, neoadjuvant and initial therapies, re-staging after surgery, and adjuvant treatments. Key steps involve lab and pathology tests to identify non-small cell lung cancer, determining the cancer stage using scans and biopsies, evaluating for surgery or other therapies, and providing additional chemotherapy or radiation as needed post-operation.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai XLS, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    22 tayangan25 halaman

    Algoritme Kanker Paru

    Diunggah oleh

    Yohanna Yohanna
    The document outlines the procedures for diagnosing and staging lung cancer, including medical history, physical examination, imaging tests, biopsies, clinical staging, pre-treatment evaluation, neoadjuvant and initial therapies, re-staging after surgery, and adjuvant treatments. Key steps involve lab and pathology tests to identify non-small cell lung cancer, determining the cancer stage using scans and biopsies, evaluating for surgery or other therapies, and providing additional chemotherapy or radiation as needed post-operation.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai XLS, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 25

    PROSEDUR DIAGNOSIS

    Anamnesis, Pemeriksaan jasmani

    Curiga Kanker Paru

    Laboratorium dan histopatologi

    Kanker paru Karsinoma Bukan Sel Kecil (KPKBSK)

    Foto toraks PA/Lat, CT-scan toraks s/d suprarenal, PET CT-Brain/ MRI, Bone scan/bone survey, USG abdomen

    Bronkoskop; biopsi, TBLB, BAJ, TBNA, sikatan, kureting, bilasan, TTNA, TTB, BJH, Biopsi pleura, punksi pleura

    KLINIKAL STAGING

    EVALUASI PRE-TERAPI

    STAGE I T1-2, N0

    STAGE I, Perifer

    STAGE I, Sentral

    MEDIASTINOKOPI* PET SCAN**

    KGB MEDIASTINAL (-)

    KGB MEDIASTINAL (+)

    STAGE IIA T1-2, N1

    MEDIASTINOKOPI* PET SCAN**

    KGB MEDIASTINAL (-)

    KGB

    STAGE II T1-2, N1 OR T3, N0-1

    MEDIASTINAL (+)

    STAGE IIB T3, N0-1

    MEDIASTINOKOPI* PET SCAN**

    KGB MEDIASTINAL (-)

    KGB MEDIASTINAL (+)

    STAGE IIIA T1-2,N2

    STAGE III T1-3,N2 OR T4, any N

    STAGE IIIA T3, N2

    STAGE IIIB any T, N3 or T4, any N without efussion pleura

    STAGE IIIB T4, any N with efussion pleura

    STAGE IV any T, any N, M1

    NEOADJUVAN

    TERAPI INISIAL

    RESEKSI

    RESEKSI

    LIHAT STAGE IIIA

    RESEKSI

    LIHAT STAGE IIIA

    RESEKSI

    LIHAT STAGE IIIA

    KEMOTERAPI 2X

    CT-SCAN TORAKS

    STABIL

    RESEKSI

    2nd line
    PROGRESIF

    kemoterapi RESEKSI

    KEMOTERAPI 2X

    CT-SCAN TORAKS

    STABIL

    2nd line
    PROGRESIF

    kemoterapi

    PI INISIAL

    RE-STAGING

    FROZEN SECTION
    pT1-2,N0

    MARGIN SURGERY NEGATIVE (R0)

    MARGIN SURGERY POSITIVE (R1,2)

    pT1-2,N1

    LIHAT STAGE IIA LIHAT STAGE IIIA


    MARGIN SURGERY NEGATIVE (R0)

    pT1-2,N2

    FROZEN SECTION

    pT1-2,N0

    MARGIN SURGERY POSITIVE (R1,2)

    pT1-2,N1

    LIHAT STAGE IIA LIHAT STAGE IIIA

    pT1-2,N2

    FROZEN SECTION

    pT1-2,N2

    MARGIN SURGERY NEGATIVE (R0)

    MARGIN SURGERY POSITIVE (R1,2)

    pT3.N2

    PANCOAST TUMOR TUMOR SULCUS MARGIN TUMOR PRIMER BERSIH

    pT1-2,N2

    MARGIN SURGERY NEGATIVE (R0)

    FROZEN SECTION
    pT3.N1-3

    MARGIN SURGERY POSITIVE (R1,2)

    PANCOAST TUMOR TUMOR SULCUS MARGIN TUMOR PRIMER BERSIH

    pT1-2,N2

    PANCOAST TUMOR TUMOR SULCUS MARGIN TUMOR PRIMER BERSIH

    pT3,N1-2

    PANCOAST TUMOR TUMOR SULCUS MARGIN TUMOR PRIMER BERSIH

    pT1-2,N2

    PANCOAST TUMOR

    TUMOR SULCUS MARGIN TUMOR PRIMER BERSIH

    pT3,N1-2

    PANCOAST TUMOR TUMOR SULCUS MARGIN TUMOR PRIMER BERSIH

    ADJUVAN

    OBSERVASI OBSERVASI

    OBSERVASI OBSERVASI

    KEMOTERAPI + RADIOTERAPI KEMOTERAPI + RADIOTERAPI KONKUREN KEMOTERAPI

    KEMOTERAPI + RADIOTERAPI KEMOTERAPI + RADIOTERAPI KONKUREN KEMOTERAPI

    KONKUREN KEMOTERAPI

    KONKUREN KEMOTERAPI

    KONKUREN KEMOTERAPI

    KONKUREN KEMOTERAPI

    KEMOTERAPI 2X + KONKUREN

    KEMOTERAPI OR RADIOTERAPI PALIATIF

    KEMOTERAPI OR RADIOTERAPI PALIATIF

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