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. . . . . .
kell
lGnkerro4ga mulut5,6 % dad sduruh kanker Ush>,f0bhun,d: 9 =1,5"1 Lokasiteratug: Udah (57%) Histooatohoisbrbanvak; KarsinornSelSkuarroa (KSS)
% Oali Xeganasah mr6ga mulut, 3(D 000 kmus perbhun di sduruh dunia. Masalahubttta:
90
Kedar$ahnpaslenrBncadperdongannedis
mng@sbdiumlanjut
2
ArUka lwapan hklup 5 bhun < 50 % (tidak ada penimkalan pda lebih dai dua dekade ini)
ffitHlErrr
thi"ent
l-Kgonoson
I
akibot
konker
l50Trrrt
lit"s
K
I
5O % sekrrele
PRECANCER LESTONS g s
o
irfeksi
disfignrmsi wqioh
wffiffi
A.lcnloplokic; B.Erirnoplokic; C.Eritrcla*oplokio
($ham
5,
plok rncnah/ prtih/ Diddrului oleh lari pnd<ordcr konbirrosi yorg tidok blso diorgkcr & fidok biso dikorotrteristiklcn secora klinis/palologik sebagoi pelrpkit/kondisi loin
LEUKOPLAKIA
. . . . .
S@ian
12-25%)dbplasia
Fmb
m,
TuloE E-
&rrfte
of
OFal
ilera)
$10%+
kasinoma
r bsdf,
bb.
. . .
strdarcoldd
l{bsiffka$(wtlo}: t('ltrogonelMtonpgen.
tnddd, iltdJar.
A, Bborryin dl
ibn{omgn:siboffiia, bdc*,
ERITROPl.AKIA
. .
.
Bercdt rnel.dt sepert bdrdu, amebp, yg trd( dapd digobngkansra il[nb sbg keerhan bh4agn
Secara
Benfuk homogen
merah memta
. .
hisbhgb
di#asbepild
Pemeriksan Eritro$akia:
Bi0p6i kehanrsan u/ sanualipeedEoplakia km 91% siboplakia mcnunjukkan displmia yg paah,
Fokfor yorg rncnrpaporuhi rcsiko tnsntfot'nasi kcgnmson - Eritrcplokiapodo lcsi la*ophkio - Tompilon rcrukoso pnolifcrctif - Lokosi pada bogion deqon rcsiko titggi
er
SpeclGd E
graula{rfluh putih rnerda di sduruj lsi. tflkopl*ia rend(@ ptolivedif ) le$ merdrptih
tesiJesi inisahg dhrfifiUkar dgn perdoft berd,
Untik-ttntik
L.sl
nultlpel
Riwcyctmenolok
dlohdsrc,
h$dc Udah
Polsft^un
R iP
E
6iryiw
4
5
hbksi rtmur {Crrfe dbansJ serilul(di rffudrr$a d$t speckled leukod*ia. tithm hub. Seb$*ibdya$kdike&hui C. dtiodu &rninar dihruk* d Saghn b6ar k6t s.
durun
N
(ls|
%
50 82.5
I
10
10 12.5
10
ORAL CANCER
lfurhtqsnc,sls
Tirgkd insidasi kanks mulut berhuhngan dgn -U$a bedorangnya kekeHar tubuh - Wdrhr yg tlihr[rhkan u/ akumul*i perub$ar
<cl :
"pNoses
berbhap di mana teriadi drumulai keiadian genetlk diddam selyag menyebabkar bmpilar sel displmtik progrcsif, dercgulmi pefumhhar sd
& akhimya kasinoma'
gstdik
- Durai bekspmnya fip inisidor {pemicu) - ftorndor (fidftr2 yg madukung/runperoepat ka*er, tnsk fdrtor ilihi kimia & fisik, virus,
peruwuh fuxm(xr, p$uaan sd, dar menurunnya kdrebalar fu hrh)
dalnubi
DNA oleh
Pathogenesis
. hvttwi
; menyebcbkon prokegonoson
irreversible.
. hwsit
pefumbuhqn
ll\enahon
ll&furry
tahop lcrsinogenesis
menperlonbat perkemboryan
konker
Molecular
*"-*l& &oHll
,r.,'r
+t
!s
tL
l *r'.,*t
illd
DrECili.
8ws
Pr!g[88lon ol Dysplaila
ktrr3s rds"lr
ffiffi__
rc
MEIANOMA
lll)
@E@E
k#ffieffiHffi
6{iq.'# @ cffiffiffi-,-'_hsffi M ffi tl* l*rdduhfff dl:w d0C rcqdzq ffilrlde
ffiffi-:-*ffi
Prooedur Diagnostik
. ' . .
Anamnesis krngkp
UkurnbJrorprnnet
KGByarlgHibet
EI(3Fi!{ dm
inneitrnc
k3
stddrskitar
TO
- $Sris3kdiilBsetopre{
TnbJttr lnvad
dstrritT(etadium
Prosedurlrnging
dal ksb}si hrnor Trnl(srmetasbi3Fil.fi
B
Sebab keterlambatan:
terhadap lesi prekankerdi rongga mulut Kebijakan pqnerintah yang longtgar (?)tentarg izin pengobatan altematif
tn
SqLoo. Et.ll|o
El*r
crlelrld
libt s
WITII
.
.
STJRGERY
RADIOTTIERAPY
CHEMOTHERAPY
-_L. t..!.'a#'
. !
,-!i/
. .
PondekatanMldttdisidinr
e .
.
STRGERY
lhdalitae traft:
. .
fimctim
Cm affect eating swatlon'ing md cmtrol of saliva
becane the
brapi
harrye 3E% yang dioper4t, skrarva Stadium hniut rediotar8pi, kemtrrapi atau komum$ ked.Enya
Terapi Operatif
.
' .
/
.
crrEMorr{ERAPY
ko{no.bidi6 bret
growfi cancercells
Pgrtah.Io
Sdama operari: - Prnbrfil hrae tntl* mdtrd *#r8l tlrDr - Eibta.p invadtdag, rsseksi ft.Es (l-2crn bpi saydr b6bas
Bile d{rgfli invaBitdslgf rEsdqri lsas + rurd{$ tuldfgyilg - tnnvEat - Dir6lG$KGB Ggional Hhts.libat - Rd(o.l!ftIqfd*kyruwi
tfllor)
Can not distinguish normal cells of the body which are actively dividing; including cells liningthe rnoutlq bone mmow, mucosa ofthe GIT, hair follicles
Kemoterapi
RADIOTIIERAPY
xemaeraplpnmer
- k
'
. .
lrgpi
. l
n&rapi
Use of a beam of high ener$/ x-rays to stop cancercells firom growing and multiplying
.lGrderafi4wan
trU
theheadand neck
gbegei
- Db.il(grsdebhffiil opdsi d{t - Tuirraft nrargfitgi ri8il(oflr'kflle@aE Aftafidlpa(blarsil pcit'f - negintn Cilpletdil 54U
Radioterapi
. .
.
lndikasi:
onl problems
caused by
- Rdi$iirtuna
\l\laktupemberian:
Pa'c*a(bh: lu&ft T3 *, T4 yilg retsnr3 opr*i a.{it rnilr( dielisirdild, at4r bibad.l@ntflniDa{ rd l(gl(srdi l+ng
oporasi
ORALCOMPLICdTIONOF
CHEMOTHEN.AXY AND RADIOTHERAPT
ORALSEQUEIAE CI{EMOTTIENAPY RAI}IOTEENAFT
Follow Up
Tujuan:
Xcrmir
Mumiria
Infccrioos
x
x x x
x x x
x
'
Oattcmontegc
Yang dinilai selama follor up: - StilIsumum, koluhan pesion - tema hilup &n larrE bbas pnyakit
nedftruseis
Irirrnus
x
4t
rcek*f,
rffi#*D
STAGES OF CAI\ICER
THENAPT
Prcfefrnelrt
indu6 fie priod lirnefom medftrel drgnob ard hcpitd dndlciot b tp initbtion
Thb psiod
Dudnsbeattte|rt
Thb pqiod dfind by nignincant nryehsupprsbn and innruncupgession fiat is a cmsequence of aqgrcssitte
of
cancerbednent
Maintenance-of good oralhyglene
fierapy.
bnnhitU
2{g!f
utitt
lf
softbrush,flcoiry
Use of oommm oral dnrec (lsotottic saline, sodium
dfficdoradtuna
onl hygi,endand orfruori& rqim, reEtoND or l"mo\ro dlseed dentitsrand eliminab pobntial onl sources
trftHbonab), drlodp&tine
desease he risk, mntinue pescribed oralhygiene regimen, avoid ahohol based moutlnmdr,M lhuids, smoldng, ding had or rough fioods, plateld hanfinrion, ltcrtootaftic agent (ilunexanic acid, topical
Oral
hemsrfiee
@to
inddee long
raryes fiom
I yrarb
bm ftllo*np
of the
paiiat and
llfu-tim.
mually begin
thruntt'n)
Vltpn
resdve Patienb
.
.
lnfedion e4' {epsventusetodcalantisepdc agen6, anffi rngal, antivird Tdsmus er*pssiveiawopening exercice
theMr ad
fiChwup
stul6
continue to fullow a
selfsrc qimen
to
teep
gumc lml$y and facili@the rcpair of residual oral darmge, mainbin integdty d befi, freqtent
utTffidft"&ttrTflI
ll*naqrner olplim*rhdild md en9g' bconiln
$FmRI$l0sBljtcts
@rrHdft#tFlhil
tp*tnrtildHl*{F
At,
trfirotr4ub.ltru& hftdlrc*npahorfolheldadnxk sel T:x mm$cettd rd ild ad anry FlhG mt hfihGdr* b&*rq:
Ftrm*n
0f
U r plryrithn
r$q
taii $
ffiW{
sd
rF$eGryrEnrnNngcmit
rlfulirirtttd*opcrl
.Cl*id$ili*frd( d{rdadrdruryry rRr*duuelgy rtr*linsrpct rlqlE*tfi@t rP*ffill' rP*rdrwrmdi*xrpy rtliqno{krddog r$ilHindnsciqnn .l*rrt. mriiss rDE*bttJlnffintcs r tarmngrl f{*dd+lrad r0flHrdog rdffif,l .P{dirll rs*dgdffff*ri{trTl ;.ldqiiltffiiGr
.h*dcnltrllrldr
rXlo*nnEfiEtqnud
; Edsr.dhcinn . CrduplflEilB
'3n*htesraisn
N@{ .9rlFo{Y*
rt*$ahrycxr r$odm*adGmffir!flnfft
Cn
KESIMPUTAN
.
A
di,agncb
&
cans bednentban
derffi,
nuredffi
in
l&ntfililldan
ae knodedgede
tn
dcarcer tnrryy
dlagnocbdini penlfig untuk menirukaten tirykat kesdarnbn dan mencegdt,insttabsi komlikasi bnpi.
ard ord hedh mainhnance ild aile b coilerdhdy b feat patienb lmlisticdly
wt
mee,ygbarpngshmn.