pbl1 group b6 hodgkin disease (hd)

7/24/2019 Pbl1 Group b6 Hodgkin Disease (Hd)

1/12

HODGKIN DISEASE (HD)


2/12

INTRODUCTION:

- Background

*ma!gnan" #m$%oma

*un!&u' %!"oog!ca $!c"ur': REED-STERNBERG (RS) CESd!agno!

- S'+: ma','ma'

- Ag': .!moda d!"r!.u"!on

(!) #oung adu" : /0-12#r

(!!) od'r adu" : ,00 #r


3/12

CINICA:

3 H!"or#

-a#m$"oma"!c #m$%ad'no$a"%# (456)

-con"!"u"!ona #m$"om(256)

-c%'" $an7coug%7%or" o .r'a"%ung!n8o8'm'n"(9) m'd!a"!na ma (9)

-$rur!"u

-aco%o !nduc'd $a!n a" !"' o noda

d!'a':SESI;IC or HD (,/56)-!n"'rm!""'n '8'r (


4/12

3 H=SICA:

- $a$a.'7$a!n' #m$%ad'no$a"%#:C'r8!ca ar'a (>5-456)

A+!a (>-


5/12

3 Cau'

- UNKNON ETIOOG=


6/12

ORKU ;OR DIAGNOSIS

3 a. "ud!': .ood7;T

3 Imag!ng "ud!':

-CT can o c%'"7 a.dom'n7 and $'8!

'r# common !nd!ng:m'd!a"!na

mar'$r'n" m'd!a"!na #m$%ad'no$a"%#

o"%'r $o!.' a.norma !nd!ng: 'narg'd

#m$d nod'7%'$a"om'ga# F $'nom'ga#7ung nod' or !n!"ra"'7 and $'ura 'u!on


7/12

3 B!o$# $roc'dur':

- RECOENDED : '+c!!ona #m$% nod'

.!o$#

***I $a"!'n" $r''n" !"% n'ck

#m$%ad'no$a"%# "%a" A= .' du' "o a

%'ad and n'ck canc'r7 a ;NA ! ad8!'da "%' !n!"!a d!agno!"c "'$ "o '+cud'

a &uamou c' %!"oog# !

'+cud'doo'd .# '+c!!ona #m$%nod' .!o$#***

- B!a"'ra .on' marro .!o$!'


8/12

RS CE


9/12

3 H!"oog!c !nd!ng:

/Noduar c'ro! HD (>5-456)


10/12

TREATENT

3 Rad!a"!on "%'ra$#

3 C%'mo"%'ra$#

-"andard c%'mo r'g!m'n or HD :ABD L

Adr!am#c!n7.'om#c!n78!n.a"!n'7dacar.

aM!n')


11/12

METASTASES

LOCATION OF

PRIMARY HEAD &NECK TUMOR


12/12

DIAGNOSISBENJOLAN DI LEHER

NEOPLASMA

terapi : tergantung

stadium dan riwayatpenyait

pemerisaan :!pem "sis # pa$pasi%

end&s&pi% $aring&s&pi!radi&$&gi!'( s)an

ge*a$a $inisin+amasi #demam ds,

Anamnesis #riwayat penyaitse*a e)i$

(erapi :anti,i&ti) spe)trum

$uas # &,ser-asi ./0 mgg

tida pu$i1 # Pem23&t& t&ras% PPD

(u,er)u$in Sin test suspe (B'

ANOMALI4ONGENI(AL

IN5E4SI 6IN5LAMASI

Anamnesis#3at&r resi&

pbl1 group b6 hodgkin disease (hd)

Documents