TUMOR SERVIKS

JINAK
Endocervical polyps
Nabothian cyst
Condyloma accuminata
GANAS
Ca Serviks
Cervical intra Epithelial
Neoplasia (CIN)
CARCINOMA SERVIKS

Tipe :
Squamous cell : 85 - 90 %
Adenocarcinoma : 10 - 15 %
Manifestasi :
Perdarahan kontak atau spontan
Keputihan
Inspekulo : cauliflower, mudah berdarah
CARCINOMA SERVIKS

Terapi :
Micro invasive : Histerektomi, conization
(cold knife, LLETZ), trachelectomy
IB - IIA : Histerektomi radikal,
trachelectomy radikal, radioterapi
IIB - IV : kemo-radiasi
CARCINOMA SERVIKS
Stage O : Ca in situ, preinvasive
Stage I : Confined to the cervix
IA1 : depth < 3 mm, horizontal < 7 mm
IA2 : depth < 5 mm, horizontal < 7 mm
IB1 : > IA2, < 4 cm
IB2 : > 4 cm
Stage II : Extends beyond the cervix, not to pelvic wall
and or 1/3 distal vagina
IIA : No obvious parametrial involvement
IIB : Obvious parametrial involvement
Stage III : ~ pelvic wall, 1/3 distal vag.
IIIA : No extension to the pelvic wall.
IIIB : extension to the pelvic wall/ Hydroneph/
Nonfunct. Kidney
Stage IV: IVA : spread to adjecent organs
IVB : distant metastasis
Cervical Intraepithelial Neoplasma
(CIN)

Predileksi : serviks, vulva, vagina

Etiologi : HPV tipe 16, 18, 31, 33, 35
cellular immaturity
cellular disorganization
nuclear abnormality
mitotic activity

16, 18, 31, 33, 35 metaplasia

PLANT : VIRUS
SOIL
1 - 10 years
Cx Ca invasive CIN
 Ca in situ

Ca
CIN I C I N II C I N III Invasive

HPV HPV HPV

Cervical Intraepithelial Neoplasma
(CIN)
Faktor Risiko
Berganti-ganti pasangan seksual
Hubungan suami istri usia dini
Gejala : asimptomatis
Pemeriksaan :
Pap Smear
Kolposkopi
Biopsi
Terapi
LLETZ, Cryosurgery, Laser, Cauter
CARCINOMA OVARIUM
Epithelial tumours
Sex cord stomal tumor
Germ cell tumors
Lipid cell tumors
Gonadoblastoma
Soft tissue tumor (not specific)
Unclassified tumors
Secondary (metastatic) tumor
Tumor like conditions
- functional
- inflammatory
- endometrioma