DAFTAR ISI

Halaman
KATA PENGANTAR ......................................................................................... i
DAFTAR ISI ................................................................................................... ii

BAB 1 LAPORAN KASUS ............................................................................. 1

1.2 Identitas Pasien ..................................................................................... 1
1.3 Anamnesis .............................................................................................. 1
1.4 Pemeriksaaan Fisik ................................................................................ 3
1.5 Modalitas Radiologi ............................................................................... 6
1.6 Diagnosa .............................................................................................. 12
1.7 Anjuran Pemeriksaan Penunjang ......................................................... 12
1.8 Terapi ................................................................................................. 12
1.9 Prognosis ............................................................................................. 12

BAB 2 TINJAUAN PUSTAKA ..................................................................... 13

2.1 Anatomi dan Fisiologi Paru .................................................................. 13
2.1.1 Anatomi Paru ............................................................................ 13
2.1.2 Fisiologi Paru ..................................................................................... 16
2.2 Keganasan yang Metastasis ke Paru ..................................................... 17
2.2.1 Karsinoma Tiroid .............................................................................. 17
2.2.2 Karsinoma Mamae ............................................................................. 18
2.2.3 Karsinoma Nasofaring ....................................................................... 20
2.2.4 Karsinoma Prostat .............................................................................. 25
2.2.5 Tumor Ovarium ................................................................................ 28
2.2.6 Osteosarkoma ..................................................................................... 31
2.3 Konsep Dasar Metastasis ke Paru ......................................................... 33
2.3.1 Cara Penyebaran Metastasis ke Paru ................................................. 35
2.3.2 Gejala Metastasis ke Paru ................................................................. 39
2.3.3 Frekuensi Tumor Ganas yang Metastasis ke Paru ............................. 40
2.4 Diagnosa Metastasis ke Paru ................................................................ 41
2.4.1 Pemeriksaan Klinis ............................................................................ 41
2.4.2 Pemeriksaan Radiologis .................................................................... 42
2.5 Tipe-tipe Metastasis ke Paru ................................................................. 43
2.6 Diagnosa Banding ................................................................................. 55

BAB 3 MODALITAS RADIOLOGI RONTGEN THORAX ...................... 63

3.1Rontgen Thoraks.................................................................................... 63
3.1.1 Indikasi Rontgen Thorax............................................................. 63
3.1.2 Posisi pemeriksaan foto thorax ................................................... 64
3.1.3 Syarat layak baca radiografi toraks ............................................. 65
3.1.4 Cara membaca foto thoraks ........................................................ 79

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BAB 4 GAMBARAN RONTGEN THORAX METASTASIS KE PARU DAN
DIAGNOSA BANDING ...................................................................... 81
4.1 Gambaran Rontgen Thorax Metastasis ke Paru pada
Carsinoma Tiroid ............................................................................ 81
4.2 Gambaran Rontgen Thorax Metastasis ke Paru pada
Carsinoma Ginjal ............................................................................ 81
4.3 Gambaran Rontgen Thorax Metastasis ke Paru pada
Kanker Colon .................................................................................. 81
4.4 Gambaran Rontgen Thorax Metastasis ke Paru pada
Karsinoma Testis ............................................................................ 82
4.5 Gambaran Rontgen Thorax Metastasis ke Paru pada
Osteosarkoma ................................................................................. 82
4.6 Gambaran Rontgen Thorax Metastasis ke Paru
Sarkoma Sel Spindel ....................................................................... 82
4.7 Gambaran Rontgen ThoraksMetastasis ke Paru pada
Kanker Colon .................................................................................. 83
4.8 Gambaran Rontgen Thorax Metastasis ke Paru pada
Karsinoma Mamae .......................................................................... 83
4.9 Gambaran Rontgen Thorax Metastasis ke Paru pada
SCC Nasofaring .............................................................................. 83
4.10 Gambaran Rontgen Thorax Metastasis ke Paru pada
Karsinoma Prostat........................................................................... 84
4.11 Gambaran Rontgen Thorax Metastasis ke Paru pada
Tumor Ovarium Ganas .................................................................. 84
4.12 Gambaran Rontgen Thorax Metastasis ke Paru pada
Kanker Payudara............................................................................ 84
4.13 Gambaran Rontgen Thorax Metastasis ke Paru pada
Kanker Payudara............................................................................ 85
4.14 Gambaran Rontgen Thorax TB Milia Anak 15 tahun .................... 85
4.15 Gambaran Rontgen Thorax Karsinoma Bronkogenik .................... 85
4.16 Gambaran Rontgen Thorax Pancoast Tumor ................................. 85
4.17 Gambaran Rontgen Thorax Tumor Mediastinum .......................... 86
4.18 Gambaran Rontgen Thorax Efusi Pleura........................................ 86
4.19 Gambaran Rontgen Thorax Peneumonia ....................................... 86

BAB 5GAMBAR RONTGEN THORAX METASTASIS KE PARU DAN

DIAGNOSA BANDING ...................................................................... 87
5.1 Beberapa contoh gambaran rontgen thorax metastasis keparu ........ 87
5.1.1Noduler ................................................................................... 87
5.1.2Limfangitis.............................................................................. 92
5.1.3 Efusi Pleura............................................................................ 93
5.1.4 Pneumonic ............................................................................. 94
5.2 Diagnosa Banding ............................................................................ 95

BAB 6KESIMPULAN ..................................................................................... 98

DAFTAR PUSTAKA ....................................................................................... 99

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