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DAFTAR ISI

Halaman
HALAMAN JUDUL............................................................................................i
KATA PENGANTAR..........................................................................................ii
DAFTAR ISI ..................................................................................................iii

BAB 1 PENDAHULUAN.................................................................................1
BAB 2 LAPORAN KASUS
2.1 Identitas Pasien .............................................................................3
2.2 Anamnesis...............................................................................................3
2.2 Pemeriksaaan Fisik........................................................................4
2.4 Modalitas Radiologi......................................................................8
2.5 Diagnosa......................................................................................12
2.6 Anjuran Pemeriksaan Penunjang................................................13
2.7 Terapi...............................................................................................
13
2.8 Prognosis ....................................................................................13

BAB 3 TINJAUAN PUSTAKA


3.1 Pengertian dan Epidemiologi Karsinoma Mammae.............................14
3.2 Faktor Risiko dan Pencegahan Karsinoma Mammae...........................15
3.2.1 Faktor risiko................................................................................15
3.2.2 Prevensi dan deteksi dini....................................................................................15
3.3 Diagnosis Karsinoma Mammae............................................................17
3.3.1 Anamnesis dan pemeriksaan fisik................................................17
3.3.2 Pemeriksaan laboratorium...........................................................20
3.3.3 Pemeriksaan pencitraan...............................................................20
3.4 Stadium Karsinoma Mammae..............................................................27
3.5 Tatalaksana Karsinoma Mammae.........................................................30
3.5.1 Pembedahan ................................................................................30
3.5.2 Terapi sistemik.............................................................................36
3.5.3 Terapi target.................................................................................38
3.5.4 Radioterapi...................................................................................39
3.5.4.1 Radioterapi kuratif ajuvan...............................................39
3.5.4.2 Target radiasi...................................................................40
3.5.4.3 Dosis radiasi....................................................................42
3.5.4.4 Tekhnik radiasi eksterna .................................................42
3.5.5 Radioterapi pasca mastektomi.....................................................43
3.5.6 Radioterapi paliatif .....................................................................45
3.5.6.1 Indikasi atau tujuan.........................................................45
.......................................................................3.5.6.2 Target radiasi
.....................................................................................................46
3.5.6.3 Dosis radiasi....................................................................46
3.5.6.4 Tekhnik radioterapi eksterna......................................47

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3.6 Tatalaksana Menurut Stadium .......................................................49
3.7 Dukungan Nutrisi Karsinoma Mammae.........................................52
3.8 Definisi Metastasis .........................................................................53
3.8.1 Gejala metastasis ..................................................................56
3.8.2 Tekhnik pemeriksaan radiologi metastasis ..........................57

BAB 4 MODALITAS RADIOLOGI..............................................................60


4.1 Foto Polos Thorak .................................................................................60
4.2 CT-Scan74
4.2.1 Indikasi pemeriksaan CT-Scan....................................................75
4.2.2 Manfaat CT-Scan .......................................................................75
4.2.3 Keuntungan dan kerugian CT-Scan............................................75
4.2.4 Persiapan pemeriksaan ...............................................................76
4.2.5 Tekhnik pemeriksaan .................................................................78
4.3 MRI ..................................................................................................85
4.3.1 Tujuan dan indikasi pemeriksaan ...............................................86
4.3.2 Manfaat MRI...............................................................................87
4.3.3 Tipe-tipe MRI..............................................................................87
4.3.4 Keuntungan menggunakan MRI.................................................88
4.3.5 Kerugian menggunakan MRI......................................................88
4.3.6 MRI sebagai salah satu modalitas diagnostik.............................89
4.3.7 Persiapan pemeriksaan................................................................91

BAB 5 GAMBARAN RADIOLOGI METASTASIS PARU........................94


5.1 Klasifikasi Gambaran Metastasis .........................................................94
5.1.1 Nodular.......................................................................................94
5.1.2 Limfangitis metastasis................................................................97
5.1.3 Pleural metastasis .......................................................................98
5.1.4 Tipe alveolar atau pneumoik atau peribronkial...........................98
5.2 Computed Tomography........................................................................107
5.2.1 Temuan radiologis.....................................................................107
5.2.2 Tekhnik pemeriksaan ...............................................................108
5.2.2.1 Nodul pada paru............................................................108
5.2.2.2 limfangitis karsinomatosa..............................................110
5.3 Magnetic Resonance Imaging .............................................................115
5.3.1 Temuan radiologis ....................................................................115
5.4 Ultrasonography..................................................................................116
5.5 Nuclear Imaging .................................................................................116

BAB 6 KESIMPULAN...................................................................................119
DAFTAR PUSTAKA......................................................................................120