bening tumour of the reproductive organ
Post on 31-May-2015
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Dr. H. ASROL BYRIN, SpOG(K)
BENIGN TUMOR of THE REPRODUCTION ORGAN
A. Tumor KistikB. Tumor Solid
Tumor Kistik1. Inclution cyst Caused by laceration of episiotomy laceration or
tear, located beneath the epithel of vulva, vagina, or
perineum2. Gartner Cyst Came from the rest of mesonefric (Wolfii duct),
witth thin wall covered by cuboid or thorax epithelial, with
clear liquid3. Nuck cyst (Hidrocele of the Nuck cyst) Came from the rest of processus of peritonealis
vagina4. Bartholin cyst Caused of inflammation
5. Sebacea cyst from sebacea gland, mostly at labium mayora et
minora, epithelial wall, with cholesterol cystals inside
6. Hydradenoma Usually cyst, but could be solid, from the sweat
gland, in labia mayora et minora and perineum, similar to adenocarcinoma, rare become malignancy
7. Fox-Fordyce disease From the sweat gland, as retention cyst, located
in labia mayora and mons veneris, onset after the puberty, itchy
8. Paraurethralis cyst (Schene) Caused by inflammation, especially GO
A. Epithelial tumourTumor Epitel1. Acuminatum condilom Cauliflower, hyperkeratosis, soliter or grouping 2. Carunculae urethrae Came from the posterior wall of ectropin from the
distal urethrae3. Pigmented nevus 40% become malignancy (malignant melanom)
B. Mesodermal tissue tumour1. Fibroma connective tissue, located at the labia mayora, soft to
solid, greyish white2. Lipoma From the fat tissue, the progression was slowly
3. Leiomyoma From the element of the smooth muscle of
Round ligament4. Neurofibroma From the myelin, polypoid, colour like meat5. Hemangioma Not a real neoplasm, with blood inside and
endothel cell as the wall (cavernous hemangiona) 6. Limfangioma From the limph, no need for therapy
MESODERMAL TISSUE TUMOUR
A. Cyst tumour 1. Inclution csyt 2. Gartner cyst 3. EndometriosisB. Solid tumour 1. Acuminate condyloma 2. Fibroma 3. Leiomyoma 4. Fibroma 5. Hemangioma 6. Adenosis Vaginae
UTERUS
Polyp : 1-2 % Mostly 40-60 years old soliter Stalk Protruding from the OUE Flat surface Soft consistention Pink-maroon in colour Etiology not exactly knnown Sometimes leukorrhea, spotting
intramenstrualand postcoital bleeding
Gambar Polip Serviks Uteri
PolYp :1. Endometrial polyp2. From the uterine myoma3. Placental polyp
Endometrial polyp From the endommetrium pedunculated in the uterine cavity Have a conection with Malignancy was possibility : adaendometrial
hyperplasia
UTERINE BODY
Bening neoplasm from the uterine musccle Uterine Fibroma, uterine leiomyoma or
fibroid
Causa:“Theory of Estrogen Stimulation” Growing fast in pregnancy Never found before menarche Atrophy after the menopause Often found together with endometrial
hhyperplasia
“ Theory of Nest Cell” Immatur muscle cell that trigger all the time
by oestrogen
UTERINE MYOMA
Pathology :Servix of the uterine (3%), uterine body(97%)Intramural myoma, Submucous myoma, and subserous myomaPedunculated myoma or Geburt myoma, wandering fibroidMostly in nullipara, rarely in < 20 years and > 40 years
Secunder changingAtrofiHyalin degenerationCalciferous degenerationRed degeneration
UTERINE MYOMA
Berbagai Jenis Mioma Uteri
Bertangkai di vagina
Intraligamenter
Bertangkai di fundus
Subserosa
Submukosa
Mioma Submukosum diLahirkan ke Vagina
Complication : Growing of leiomyomatousTorsionNecrosis and infection
Sign and symptoms :Abnormal bleeding, mostly hypermenorrhea, buat sometime metrorrhagiaPain caused by pressure of the tumour to ureter, renal, rectum, venous system or torsion of the stalkInfertility and abortion
UTERINE MYOMA
Uterine myoma to pregnancy :No effectInfertilityAbortusmalpositionAvoidinh the lowest part to downwardInertia and atonia of the utrineHard to remove the placenta
Pregnancy to uterine myoma :Getting bigger in pregnancyRed degenerationTorsion
UTERINE MYOMA in PREGNANCY
Therapy :55% no need therapySymptomatic therapy while waiting definitif therapyOperatif : miomectomy dan hysteretomy
UTERINE MYOMAUTERINE MYOMA in PREGNANCY
I. Non neoplastic tumour :1. Tumour caused by inflammation2. Another tumour
2.1 Follicle cyst2.2 Corpus lutein cyst2.3 lutein cyst2.4 Germinal inclution cyst2.5 Endommetrial cyst2.6 Stein Leventhal cyst
BENIGN TUMOUR Of THE OVARIUM
II. Neoplastic beningn tumour A. Cyst
1. Simplex ovarian cyst2. Serous ovarian cystadenoma3. Mucinous ovarian cystadenoma4. endometrioid cyst5. dermoid csyt
B. Solid1. fibroma, leiomyoma, fibroadenoma, papilloma,
angioma, limfangioma2. Brenner tumour3. Masculinoblastoma
CAUSE OF GROW :abdominal enlargementPressure on the surrounding area disturbance of micturition, obstipation
RESULT of THE HORMONAL ACTIVITYdoesn’t change menstrual cycle, unless if the tumour produce hormone
COMPLICATIONBleeding intio the cysttorsion of the stalkinfection of the tumour laceration of cyst wallmalignancy chhanginng
SINDROM MEIGS40% case of ovarian fibroma, accompany with asccites and hydrothorax, this kasus fibroma ovarii ditemukan asites dan hidrotorak
Metode to diagnosis:
Laparoskopi: to know is the tumor came from ovarium or notfor to know the characteristisc of the tumor
Ultrasonografi :can fixed the place and the border of the tumor, does it came from uterus or ovarium
Foto Rontgen :to fixed the hidrothorak on dermoid cyst can see the teeth on tumor
Parasentesis :can fixed the ascites cause
Diagnosis of ovarian tumour
PRINCIPALNeoplastic ovarian tumour operationNonneoplastic ovarian tumour not operation
OPERATION :Non malignnat neoplastic tumour Recection on the part of ovarium which is tumor is biggest (salpingo-ooforektomi) durante operation, tumor ovarium as soon as posible have to opened malignant/notif worry frozen section if malignant histerektomi dan salpingo – ooforectomi bilateral
MANAGEMENT
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