Professional Documents
Culture Documents
Supervisor:
dr. Putu Agus Suarta, Sp.OG (K) Onk
Presentation By:
Gabriela L. Y. Watilay
Introduction
The current therapeutic options are still limited to surgery, radiation and chemotherapy,
or a combination of these treatment modalities. However, this therapy is still a
"symptomatic therapy" because they have not touched the cause of cancer, that is a
change in cell behavior.
Determining the choice of therapy and prediction of prognosis or to compare the success
rate of a new therapy should be based on the extent of disease. Universally scientist
approved that determination of the extent of the spread of disease are through the
staging system.
Cervical Cancer
Definition
Cervical cancer is a primary cancer of the cervix
(cervical canal and or porsio). Cancer in pregnancy is
rare and cervical cancer is the most frequent
malignancy in pregnancy.
Etiology
The one reason is due to infection with human
papilloma virus (HPV) that stimulate behavioral changes
of cervical epithelial cells. Cervical cancer is caused by
infection with HPV types 16 and 18.
Clinical symptoms :
Bleeding after sex (contact bleeding)
Vaginal discharge (watery fluids) / Fluor Albus
Bleeding even after menopause phase
At a later stage will come out a smelly-yellowish liquid,
and sometimes mixed with blood.
Diagnose
Radiotherapy
Kemotherapy
Combination therapy
Combination of two or
more chemotherapy
agents in cancer therapy
Induction therapy
Therapies that aim to
shrink the tumor mass
as quickly as possible
or the number of
cancer cells
Neoadjuvant therapy
Usually given before
treatment such as surgery or
radiation.
Primary therapy
as a primary treatment
in malignant tumors
that were given only
for chemosensitive
cancer
Case Report
IDENTITAS PASIEN
Name
: Mm. E.K
Gender
:
Address
: Doyo, Sentani
Age
: 29 yo
Religion
: Christian
Occupation
: Housewife
Med Rec Number : 38 91 16
Hospital admission date: October 26, 2016
Main complaint
She was admitted to the hospital with complaints of dizziness and a feeling
of weakness in the body.
Social Disease
History
The patient had been
married twice, first
marriage was in
1998, and the
patients husband
has passed away. And
re-married in 2003
but until now the
patient himself
claimed not to have
children from both
the first and second
husbands.
Obstetrics History
G0P0A0
Menstruation
History
First menstruation: 12
years old, a regular
cycle,
menstruation
periode:
1
week,
patients
admitted
Menstrual
blood
increases. Menstrual
pain is undeniable.
Pemeriksaan Fisik
Consciousness
Compos mentis
Gynecology
Height
155 cm
Status
supple,
Berat Badan
63 kg
Blood Pressure
100/70 mmHg
Heart Rate
symmetrical
fundus
84 kali/ menit
Temperature
37,2C
Generalist
Conjungtiva
status
(+/+)
anemis
Result
examination
Examination
Result
212 mg/dl
Hb
8,1 g/dl
BUN
7,0 mg/dl
WBC
2.310
Kreatinin
0,76 mg/dl
Hematokrit
23,7 %
SGOT
39mg/dl
Trombosit
170.000
SGPT
23 mg/dl
Albumin
4,5 mg/dl
Cholesterol
194 mg/dl
Trigliserida
162 mg/dl
Final diagnosis
Cervical cancer St. III B (5th Chemo) with
Anemia and Leukopenia
Prognosis
Quo Ad Vitam
:
Dubia ad
malam
Quo Ad Fungtionam : Dubia ad malam
Quo Ad Sanationam: Dubia ad malam
Anamnesis
Bleeding from the genitals
that
occurs
after
intercourse
Bleeding even after
intercourse, typical on
servical cancer at an
advanced stage.
physical examination
Status ginekologis :
Pemeriksaan luar : Abdomen; flat,
supple, symmetrical , fundus
impalpable, mass (-), tenderness
(-), free fluid signs (-).
I : v/u : active bleeding (-).
Io : Portio soft, easy to bleed, flour
(+), fluksus (-), active bleeding(-)
VT : portio covering OUE, Uterus
looking normal, adnexalmass -/-,
stiffness of parametrium +/+,
vaginal wall smooth, bleeding(-),
fluor (-).
RT: Good anal sphincter reflex,
ampula collapse, smooth
mukosal., blood(-).
Supporting examination
\
The Patients had a predisposing factors that patients had
been married at the age of 13 years (young age),
patients have also been married twice as extrinsic factors
that cause the patient is infected with HPV. Multiparity
history and contraceptive use was not found in this case.
AKH-5 year
T1S
Almost 100 %
T1
70 85 %
T2
40 60 %
T3
30 40 %
T4
< 10 %