DAFTAR ISI

HALAMAN JUDUL ................................................................................... i

SURAT PERNYATAAN ........................................................................... ii
HALAMAN PERSETUJUAN ................................................................... iii
HALAMAN PENGESAHAN .................................................................... iv
MOTTO DAN PERSEMBAHAN ............................................................. v
KATA PENGANTAR ................................................................................ vi
DAFTAR ISI ............................................................................................... viii
DAFTAR TABEL ....................................................................................... ix
DAFTAR GAMBAR .................................................................................. x
DAFTAR LAMPIRAN ............................................................................... xii
DAFTAR LAMBANG DAN SINGKATAN.............................................. xiv

BAB 1 PENDAHULUAN
1.1 Latar Belakang .................................................................................. 1
1.2 Rumusan Masalah ............................................................................ 3
1.3 Tujuan Penulisan .............................................................................. 4
1.4 Manfaat Penulisan ...................................................................... 5
1.5 Metode Penulisan ............................................................................ 6
1.6 Sistematika Penulisan ...................................................................... 7

BAB 2 TINJAUAN PUSTAKA

2.1 Konsep Penyakit .............................................................................. 8
2.1.1 Anatomi Payudara ........................................................................... 8
2.1.2 Pengertian ........................................................................................ 10
2.1.3 Etiologi ............................................................................................ 11
2.1.4 Manisfestasi Klinis .......................................................................... 13
2.1.5 Tanda dan Gejala ............................................................................. 13
2.1.6 Patofisiologi ..................................................................................... 14
2.1.7 Klasifikasi Kanker ............................................................................ 16
2.1.8 Pemeriksaan Penunjang .................................................................... 19
2.1.9 Pencegahan ....................................................................................... 21
2.1.10 Penatalaksanaan ................................................................................ 24
2.2 Konsep dasar Kemoterapi ................................................................ 25
2.2.1 Pola proliferasi.................................................................................. 25
2.2.2 Siklus Sel Kanker ............................................................................. 26
2.2.3 Hipotesis .......................................................................................... 27
2.2.4 Efek Sitostatik ................................................................................. 29
2.2.5 Dasar Kombinasi ............................................................................. 30
2.2.6 Indikasi ............................................................................................ 30
2.2.7 Komplikasi Kemoterapi ................................................................... 32
2.2.8 Komplikasi Radiasi .......................................................................... 33
2.2.9 Komplikasi Diseksi Aksila .............................................................. 33
2.2.10 Komplikasi Tamoxifen ................................................................... 34
2.2.11 Komplikasi Trantuzumab ............................................................... 34
2.3 Konsep Nyeri ................................................................................. 35
2.3.1 Pengertian ....................................................................................... 35
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2.3.2 Klasifikasi Nyeri .............................................................................. 35
2.3.3 Intensitas Nyeri ............................................................................... 36
2.3.4 Respon Fisiologis ............................................................................ 37
2.4 Asuhan Keperawatan ....................................................................... 37

BAB 3 TINJAUAN KASUS

3.1 Pengkajian ....................................................................................... 51
3.1.1 Identitas .......................................................................................... 51
3.1.2 Keluhan Utama ............................................................................... 51
3.1.3 Riwayat Penyakit Sekarang ............................................................ 51
3.1.4 Riwayat Kesehatan Dahulu ............................................................ 52
3.1.5 Riwayat Kesehatan Keluarga ......................................................... 52
3.1.6 Genogram ....................................................................................... 52
3.1.7 Alergi ............................................................................................ 53
3.1.8 Observasi dan Pemeriksaan Fisik ................................................... 53
3.1.9 Pemeriksaan Penunjang .................................................................. 60
3.1.10 Daftar Terapi ................................................................................... 60
3.1.11 Analisa Data ................................................................................... 62
3.1.12 Prioritas Masalah ............................................................................ 65
3.2 Rencana Keperawatan .................................................................... 66
3.3 Tindakan Keperawatan ................................................................... 69

BAB 4 PEMBAHASAN
4.1 Pengkajian ....................................................................................... 86
4.2 Diagnosa Keperawatan ................................................................... 87
4.3 Perencanaan ..................................................................................... 89
4.4 Pelaksanaan ..................................................................................... 90
4.5 Evaluasi............................................................................................ 92

BAB 5 PENUTUP
5.1 Simpulan ................................................................................................ 94
5.2 Saran .......................................................................................... ........... 95

DAFTAR PUSTAKA
Lampiran 1................................................................................................... 98
Lampiran 2................................................................................................... 100

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 DAFTAR TABEL

Tabel 2.1 Klsifikasi nyeri ..................................................................... 36

Tabel 3.1 Laboratorium......................................................................... 60
Tabel 3.2 Daftar terapi ........................................................................ 60
Tabel 3.1.11 Analisa data ......................................................................... 62
Tabel 3.1.12 Prioritas masalah .................................................................. 65

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 DAFTAR GAMBAR

Gambar 2.1 Struktur Penyusun .................................................................. 9

Gambar 2.2 Diagram skematik dari payudara ........................................... 10
Gambar 2.3 Stadium IV Ca Mammae ....................................................... 12

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 DAFTAR LAMPIRAN

Lampiran 1 Standar Prosedur Operasional .................................................. 98

Lampiran 2 Standar Prosedur Operasional .................................................. 100

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 DAFTAR LAMBANG DAN SINGKATAN

TNI : Tentara Nasional Indonesia

SWT : Subhannahu wa ta’ala
USG : Ultrasonografi
SADARI : Pemeriksaan Payudara Sendiri
KGB : Kalenjar Getah Bening
WHO : World Health Organitation
ICD : International Statistical Classification of Disease
CA : Carcinoma
DCIS : Ductal Carcinoma In Situ
LCIS : Lobular Carcinoma In Situ
UICC : Union for International Cancer Control
PA : Patologi Anatomi
CT SCAN : Computerized Axial Tomografi Scan
TNM : Tumor Nodule Metastase
AJCC : American Joint Committee on Cancer
BCAA : Branched Chain Amino Acid
EAAs : Essential Amino Acids
BRCA 1 : Breast Cancer Genes 1
BRCA 2 : Breast Cancer Genes 2
MRI : Magnetic Resonance Imaging
SGOT : Serum Glutamic Oxaloacetic Transaminase
SGPT : Serum Glutamic Pyruvic Transaminase
BCS : Biopharmaceutical Classification System
DNA : Deoxyribose Nucleic Acid
BAB : Buang Air Besar
BAK : Buang Air Kecil
BB : Berat Badan
WIB : Waktu Indonesia Barat
MRS : Masuk Rumah Sakit
KRS : Keluar Rumah Sakit
UGD : Unit Gawat Darurat
RSAL : Rumah Sakit Angkatan Laut
CRT : Capillary Refill Time
ICS : Intra Costa
GCS : Glasgow Coma Skale
SMRS : Sebelum Masuk Rumah Sakit
IH : Imunohistokimia
WBC : White Blood Cell
HGB : Hemoglobin
HCT : Hematokrit
PLT : Platelet (angka trombosit)
IV : Intravena
Mg : Miligram
DS : Data Subyektif
DO : Data Obyektif
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SOAP : Subyektif Obyektif Assasment Planning
MmHg : Milimeter Hydrargyrum
TTV : Tanda Tanda Vital
Dx : Diagnosa
NaCl : Natrium Chlorida

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