manajemen kista ovarium

16
DIAGNOSIS DAN TATALAKSANA KISTA OVARIUM

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DIAGNOSIS DAN TATALAKSANAKISTA OVARIUM

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Prinsip

• Untuk usia di bawah 40 tahun manajemen kista jinak prosedur mempertahankan ovarium

• Usia di atas 40 tahun oophorectomy • Ragu frozen section• Gold standar jika benign laparoskopi,

maligna laparotomi

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Novak’s gynecology

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Novak’s gynecology

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Recommended Management of Ovarian Masses Found with Imaging

Type of Ovarian Mass Recommendation

Simple Cyst + Hemorrhage

Premenopausal woman

* ≤ 3 cm diameter Invariably functional; no additional treatment required

* > 3 cm diameter Majority are functional; TVS repeated in 6-8 weeks; cyst may be removed if persistent

Postmenopausal woman

* ≤ 5 cm diameter Majority are benign; CA 125 measurement and repeat TVS recommended; may observe if normal CA 125 level and no interval cyst growth

* > 5 cm diameter Ovary may be removed if persistent or symptomatic

Complex mass

Displays any of the following:•Septation•Mural nodule•Irregular wall thickening•Shadowing echodensity•Regional, diffuse, bright echoes•Hyperechoic lines and dots

Malignancy difficult to exclude unless typical mature cystic teratoma or endometrioma identifiedIn post menopausal women complex masses are removed

Solid or predominantly sollid-appearing mass Recommend removal

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Penemuan Dopler tumor ovarium jinak dan ganas

Jinak Ganas

Distribusi pembuluh darah teratur Tidak teratur

Ukuran pembuluh darahnya relatif sama Diameter bermacam-macam

RI >0,45 RI < 0,45

Pulau tumor dengan Arterio-venous shunts