Download - Kuliah Ppds Mamma
-
5/22/2018 Kuliah Ppds Mamma
1/51
RADIOLOGI
-
5/22/2018 Kuliah Ppds Mamma
2/51
Mammografi:
Dg sinar X :ada radiasi.
Syarat:-.Untuk usia>35th.(Min 30th)
-.Saat mammo: 7hr mens bersih.
-.Maximal : 1X/thn,kec kead ttt.
-
5/22/2018 Kuliah Ppds Mamma
3/51
Mammo tdk dpt pd wanita
-
5/22/2018 Kuliah Ppds Mamma
4/51
Syarat mammografi:
Kontras antara glandular/putih
dan fat/hitam:jelas terlihat.
Mm Pectoralis jelas terlihat.
Kulit dan nipple jelas terlihat.
Alat:dedicated mammografi
Film Khusus. High quality.
-
5/22/2018 Kuliah Ppds Mamma
5/51
POSITIONING
Standard posisi adlh:
-.MLO/mediolateral oblique;
mm.pectoralis jelas.
-.CC/craniocaudal:nipple (+).
Posisi tambahan:
-.Cleavage:u/ lesi yg terll medial.
-.Cleopatra:u/lesi yg trll lateral.
-.Magnification/pembesaran:u/mikrokalsifikasi
-
5/22/2018 Kuliah Ppds Mamma
6/51
-
5/22/2018 Kuliah Ppds Mamma
7/51
-
5/22/2018 Kuliah Ppds Mamma
8/51
POSISI MLO
-
5/22/2018 Kuliah Ppds Mamma
9/51
-
5/22/2018 Kuliah Ppds Mamma
10/51
-
5/22/2018 Kuliah Ppds Mamma
11/51
-
5/22/2018 Kuliah Ppds Mamma
12/51
-
5/22/2018 Kuliah Ppds Mamma
13/51
Indikasi pem.mammo:
Screening: tanpa keluhan.
Ix:deteksi dini,mikrokalsifikasi.
Diagnostik;-lesi benign/maligna?.
-Mamma kontralateral.
Follow Up.
-
5/22/2018 Kuliah Ppds Mamma
14/51
Tanda2 primer malignancy:
1.Lesi irreguler.
2.Grouped/cluster
mikrokalsifikasi.
3.Speculatedsign:radiation dr
sel2 tumor atau
reaksi
jar.sekitarnya.
4.Stellate
sign.(hati-2 scar
post op).
-
5/22/2018 Kuliah Ppds Mamma
15/51
Tanda2 sekunder malignancy
1.Asymetry dari: glandular,struktur
ductal atau pembuluh darah.
2.Developing density:bandingkan.3.Late signs:
-.Retraksi papil.
-.Penebalan kulit.-.Lymph nodes axilla.(>10mm).
-
5/22/2018 Kuliah Ppds Mamma
16/51
-
5/22/2018 Kuliah Ppds Mamma
17/51
-
5/22/2018 Kuliah Ppds Mamma
18/51
-
5/22/2018 Kuliah Ppds Mamma
19/51
-
5/22/2018 Kuliah Ppds Mamma
20/51
Tanda-2 Benigna:
1.Lesi berbatas jelas,tepi rata.
(Well defined lesion)
2.Complete halo sign.(Lemak yg membatasi).
FAM: paling sering tdk telihat.Kista:pu.lesi opaque.Halo:jelas.
-
5/22/2018 Kuliah Ppds Mamma
21/51
BENIGN LESIONS.
-
5/22/2018 Kuliah Ppds Mamma
22/51
-
5/22/2018 Kuliah Ppds Mamma
23/51
-
5/22/2018 Kuliah Ppds Mamma
24/51
-
5/22/2018 Kuliah Ppds Mamma
25/51
-
5/22/2018 Kuliah Ppds Mamma
26/51
-
5/22/2018 Kuliah Ppds Mamma
27/51
-
5/22/2018 Kuliah Ppds Mamma
28/51
BI RADS/B t I i
-
5/22/2018 Kuliah Ppds Mamma
29/51
BI-RADS/Breast Imaging
Reporting and Data System.
By American College of Radiology
(1998)
1.C-0:Perlu tambahan imaging.
2.C-1:Negative finding/Normal.
3.C-2:Benign Finding.
4.C-3:Probably benign.(
-
5/22/2018 Kuliah Ppds Mamma
30/51
ULTRASONOGRAFI
-Standard probe : linear7,5MHZ
Goal :
Diagnostic Minimally surgery for benign
lesion.
Guiding in non palpable
lesions/FNA,Core biopsy.
Operator dependent.
Not for screening.
-
5/22/2018 Kuliah Ppds Mamma
31/51
-
5/22/2018 Kuliah Ppds Mamma
32/51
-
5/22/2018 Kuliah Ppds Mamma
33/51
-
5/22/2018 Kuliah Ppds Mamma
34/51
-
5/22/2018 Kuliah Ppds Mamma
35/51
-
5/22/2018 Kuliah Ppds Mamma
36/51
-
5/22/2018 Kuliah Ppds Mamma
37/51
-
5/22/2018 Kuliah Ppds Mamma
38/51
-
5/22/2018 Kuliah Ppds Mamma
39/51
-
5/22/2018 Kuliah Ppds Mamma
40/51
-
5/22/2018 Kuliah Ppds Mamma
41/51
-
5/22/2018 Kuliah Ppds Mamma
42/51
-
5/22/2018 Kuliah Ppds Mamma
43/51
-
5/22/2018 Kuliah Ppds Mamma
44/51
-
5/22/2018 Kuliah Ppds Mamma
45/51
-
5/22/2018 Kuliah Ppds Mamma
46/51
-
5/22/2018 Kuliah Ppds Mamma
47/51
-
5/22/2018 Kuliah Ppds Mamma
48/51
-
5/22/2018 Kuliah Ppds Mamma
49/51
-
5/22/2018 Kuliah Ppds Mamma
50/51
RINGKASAN
USG merupakan pemeriksaan yg penting
disamping pemeriksaan mammografi.
Dx.Benign simple cyst dng USG lebihakurat, shg tidak perlu biopsi.
Bila curiga mass solid USG dapat men-
dx. dng tepat, murah dan akurat sbgguidance imaging untuk interventional
procedure.
-
5/22/2018 Kuliah Ppds Mamma
51/51