Ca Prostat

Manifestasi - Diagnosis

MANIFESTASI KLINIS
Segera setelah berkemih, biasanya air kemih masih menetes-netes Nyeri ketika berkemih Nyeri ketika ejakulasi Nyeri punggung bagian bawah Nyeri ketika buang air besar Nokturia (berkemih pada malam hari) Nyeri tulang atau tulang nyeri jika ditekan Hematuria (darah dalam air kemih) Nyeri perut (Hipogastric)

Diagnosis (Anamnesa dan pemeriksaan fisik)

Diagnosis
Anamnesa :
Keluhan utama, lamanya keluhan, riwayat pemeriksaan , pengobatan dan rujukan Gejala obstruksi infravesikal; Tanda-tanda metastasis

Diagnosis
Pemeriksaan klinis:
Status umum : tanda vital, berat badan, status penampilan Status urologi :
a) Inspeksi : tanda pembesaran kelenjar regional, tanda metastasis b) Palpasi : Kelenjar inguinal, kelenjar hipogastrika, kelenjar Virchow, massa tumor di supra pubik c) Colok Dubur : nodul, konsistensi prostat berdungkul keras, mobilitas, invasi perkontinuitatum ke vesika seminalis, rektum

STAGING
Prostate Cancer Stage I In stage I, prostate cancer is found in the prostate only. Stage I prostate cancer is microscopic; it cant be felt on a digital rectal exam (DRE), and it isnt seen on imaging of the prostate.

STAGING
Prostate Cancer Stage II In stage II, the tumor has grown inside the prostate but hasnt extended beyond it. Prostate Cancer Stage III Stage III prostate cancer has spread outside the prostate, but only barely. Prostate cancer in stage III may involve nearby tissues, like the seminal vesicles.

STAGING
Prostate Cancer Stage IV In stage IV, the cancer has spread (metastasized) outside the prostate to other tissues. Stage IV prostate cancer commonly spreads to lymph nodes, the bones, liver, or lungs.