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CA COLORECTAL
Moore, K.L., Dalley, A.I. Clinically Oriented Anatomy. 6th edition. Philadelphia : Lippincott
Williams & Wilkins. 2009.
Definisi
Kanker kolorektal adalah keganasan yang berasal dari jaringan
usus besar, terdiri dari kolon (bagian terpanjang dari usus
besar) dan atau rektum (bagian kecil terakhir dari usus besar
sebelum anus).
Arnold M, et al. Global patterns and trends in colorectal cancer incidence and mortality. Gut 2016;0:1–9.
Epidemiology
• Ca coloretal merupakan keganasan ketiga terbanyak, dan merupakan
penyebab kematian keempat terbanyak. Terdapat sekitar 1,4 juta
kasus baru, dan hampir 700.000 kematian karena ca colorectal pada
tahun 2012.
• Kematian pada kasus ca colorectal ini banyak terjadi di negara
dengan pertumbuhan penduduk yang padat.
Arnold M, et al. Global patterns and trends in colorectal cancer incidence and mortality. Gut 2016;0:1–9.
Insidence and Mortality
Ferlay J, Soerjomataram I, Ervik M, et al. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality
Worldwide: IARC Cancer Base No. 11. Lyon, France: International Agency for Research on Cancer, 2013.
Risk factor
Faktor yang tidak dapat Faktor yang dapat dimodifikasi :
dimodifikasi :
Obesitas
Usia tua
Merokok
Laki laki
Alkohol
Riwayat inflamatory bowel
Kurangnya konsumsi serat
disease
Genetik
Chyke A. Doubeni,et al. Contribution of Behavioral Risk Factors and Obesity to Socioeconomic Differences in
Colorectal Cancer Incidence. J Natl Cancer Inst 2012;104:1353–1362
S. Ghazaleh Dashti, et al. Alcohol Consumption and the Risk of Colorectal Cancer for Mismatch Repair Gene
Mutation Carriers. Cancer Epidemiol Biomarkers Prev. 2017 March ; 26(3): 366–375.
Pathology
Grady WM, Markowitz SD. The molecular pathogenesis of colorectal cancer and its potential application to
colorectal cancer screening. Digestive diseases and sciences. 2015;60(3):762-772.
Klasifikasi
Grady WM, Markowitz SD. The molecular pathogenesis of colorectal cancer and its potential application to
colorectal cancer screening. Digestive diseases and sciences. 2015;60(3):762-772.
Staging
Grady WM, Markowitz SD. The molecular pathogenesis of colorectal cancer and its potential application to
colorectal cancer screening. Digestive diseases and sciences. 2015;60(3):762-772.
Grady WM, Markowitz SD. The molecular pathogenesis of colorectal cancer and its potential application to
colorectal cancer screening. Digestive diseases and sciences. 2015;60(3):762-772.
Clinical manifestation
BAB berdarah
Frekuensi BAB meningkat
Anemia
Lose weight
Nyeri perut
Bohorquez M, Sahasrabudhe R, Criollo A, et al. Clinical manifestations of colorectal cancer patients from a
large multicenter study in Colombia. Amornyotin. S, ed. Medicine. 2016;95(40):4883
Diagnosis
Pemeriksaan penunjang
1. Colonoscopy
2. Colon in Loop
3. PA
Kuipers EJ, Grady WM, Lieberman D, et al. COLORECTAL CANCER. Nature reviews Disease primers.
2015;1:15065
Pencegahan
Modifikasi gaya hidup
Skrining rutin
1. RT
2. Fecal test
3. Colonoscopy
Kuipers EJ, Grady WM, Lieberman D, et al. COLORECTAL CANCER. Nature reviews Disease primers.
2015;1:15065
Daftar pustaka
1. Moore, K.L., Dalley, A.I. Clinically Oriented Anatomy. 6th edition. Philadelphia : Lippincott
Williams & Wilkins. 2009.
2. Arnold M, et al. Global patterns and trends in colorectal cancer incidence and mortality. Gut
2016;0:1–9.
3. Ferlay J, Soerjomataram I, Ervik M, et al. GLOBOCAN 2012 v1.0, Cancer Incidence and
Mortality Worldwide: IARC Cancer Base No. 11. Lyon, France: International Agency for
Research on Cancer, 2013.
4. Chyke A. Doubeni,et al. Contribution of Behavioral Risk Factors and Obesity to Socioeconomic
Differences in Colorectal Cancer Incidence. J Natl Cancer Inst 2012;104:1353–1362
5. S. Ghazaleh Dashti, et al. Alcohol Consumption and the Risk of Colorectal Cancer for
Mismatch Repair Gene Mutation Carriers. Cancer Epidemiol Biomarkers Prev. 2017 March ;
26(3): 366–375.
6. Grady WM, Markowitz SD. The molecular pathogenesis of colorectal cancer and its potential
application to colorectal cancer screening. Digestive diseases and sciences. 2015;60(3):762-
772.
7. Bohorquez M, Sahasrabudhe R, Criollo A, et al. Clinical manifestations of colorectal cancer
patients from a large multicenter study in Colombia. Amornyotin. S, ed. Medicine.
2016;95(40):4883
8. Świderska M, Choromańska B, Dąbrowska E, et al. The diagnostics of colorectal
cancer. Contemporary Oncology. 2014;18(1):1-6.
9. Kuipers EJ, Grady WM, Lieberman D, et al. COLORECTAL CANCER. Nature reviews Disease
primers. 2015;1:15065
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