Bening Tumour Of The Reproductive Organ

3,293 views

Published on

0 Comments
2 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
3,293
On SlideShare
0
From Embeds
0
Number of Embeds
37
Actions
Shares
0
Downloads
92
Comments
0
Likes
2
Embeds 0
No embeds

No notes for slide

Bening Tumour Of The Reproductive Organ

  1. 1. BENIGN TUMOR of THE REPRODUCTION ORGAN Dr. H. ASROL BYRIN, SpOG(K)
  2. 2. <ul><li>Tumor Kistik </li></ul><ul><li>Tumor Solid </li></ul><ul><li>Tumor Kistik </li></ul><ul><li>1. Inclution cyst </li></ul><ul><li>Caused by laceration of episiotomy laceration or tear, </li></ul><ul><li>located beneath the epithel of vulva, vagina, or perineum </li></ul><ul><li>2. Gartner Cyst </li></ul><ul><li>Came from the rest of mesonefric (Wolfii duct), witth thin </li></ul><ul><li>wall covered by cuboid or thorax epithelial, with clear </li></ul><ul><li>liquid </li></ul><ul><li>3. Nuck cyst (Hidrocele of the Nuck cyst) </li></ul><ul><li>Came from the rest of processus of peritonealis vagina </li></ul><ul><li>4. Bartholin cyst </li></ul><ul><li>Caused of inflammation </li></ul>
  3. 3. 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
  4. 4. A. Epithelial tumourTumor Epitel 1. Acuminatum condilom Cauliflower, hyperkeratosis, soliter or grouping 2. Carunculae urethrae Came from the posterior wall of ectropin from the distal urethrae 3. Pigmented nevus 40% become malignancy (malignant melanom) B. Mesodermal tissue tumour 1. Fibroma connective tissue, located at the labia mayora, soft to solid, greyish white 2. Lipoma From the fat tissue, the progression was slowly
  5. 5. MESODERMAL TISSUE TUMOUR 3. Leiomyoma From the element of the smooth muscle of Round ligament 4. Neurofibroma From the myelin, polypoid, colour like meat 5. 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
  6. 6. A. Cyst tumour 1. Inclution csyt 2. Gartner cyst 3. Endometriosis B. Solid tumour 1. Acuminate condyloma 2. Fibroma 3. Leiomyoma 4. Fibroma 5. Hemangioma 6. Adenosis Vaginae
  7. 7. UTERUS
  8. 8. <ul><li>Polyp : </li></ul><ul><li>1-2 % </li></ul><ul><li>Mostly 40-60 years old </li></ul><ul><li>soliter </li></ul><ul><li>Stalk </li></ul><ul><li>Protruding from the OUE </li></ul><ul><li>Flat surface </li></ul><ul><li>Soft consistention </li></ul><ul><li>Pink-maroon in colour </li></ul><ul><li>Etiology not exactly knnown </li></ul><ul><li>Sometimes leukorrhea, spotting intramenstrualand postcoital bleeding </li></ul>
  9. 9. Gambar Polip Serviks Uteri
  10. 10. <ul><li>PolYp : </li></ul><ul><li>Endometrial polyp </li></ul><ul><li>From the uterine myoma </li></ul><ul><li>Placental polyp </li></ul><ul><li>Endometrial polyp </li></ul><ul><li>From the endommetrium </li></ul><ul><li>pedunculated in the uterine cavity </li></ul><ul><li>Have a conection with </li></ul><ul><li>Malignancy was possibility : adaendometrial hyperplasia </li></ul>UTERINE BODY
  11. 11. <ul><li>Bening neoplasm from the uterine musccle </li></ul><ul><li>Uterine Fibroma, uterine leiomyoma or fibroid </li></ul><ul><li>Causa: </li></ul><ul><li>“ Theory of Estrogen Stimulation ” </li></ul><ul><li>Growing fast in pregnancy </li></ul><ul><li>Never found before menarche </li></ul><ul><li>Atrophy after the menopause </li></ul><ul><li>Often found together with endometrial hhyperplasia </li></ul><ul><li>“ Theory of Nest Cell ” </li></ul><ul><li>Immatur muscle cell that trigger all the time by oestrogen </li></ul>UTERINE MYOMA
  12. 12. <ul><li>Pathology : </li></ul><ul><li>Servix of the uterine (3%), uterine body(97%) </li></ul><ul><li>Intramural myoma, Submucous myoma, and subserous myoma </li></ul><ul><li>Pedunculated myoma or Geburt myoma , wandering fibroid </li></ul><ul><li>Mostly in nullipara, rarely in < 20 years and > 40 years </li></ul><ul><li>Secunder changing </li></ul><ul><li>Atrofi </li></ul><ul><li>Hyalin degeneration </li></ul><ul><li>Calciferous degeneration </li></ul><ul><li>Red degeneration </li></ul>UTERINE MYOMA
  13. 13. Berbagai Jenis Mioma Uteri Bertangkai di vagina Intraligamenter Bertangkai di fundus Subserosa Submukosa
  14. 14. Mioma Submukosum diLahirkan ke Vagina
  15. 15. UTERINE MYOMA <ul><li>Complication : </li></ul><ul><li>Growing of leiomyomatous </li></ul><ul><li>Torsion </li></ul><ul><li>Necrosis and infection </li></ul><ul><li>Sign and symptoms : </li></ul><ul><li>Abnormal bleeding, mostly hypermenorrhea, buat sometime metrorrhagia </li></ul><ul><li>Pain caused by pressure of the tumour to ureter, renal, rectum, venous system or torsion of the stalk </li></ul><ul><li>Infertility and abortion </li></ul>
  16. 16. UTERINE MYOMA in PREGNANCY <ul><li>Uterine myoma to pregnancy : </li></ul><ul><li>No effect </li></ul><ul><li>Infertility </li></ul><ul><li>Abortus </li></ul><ul><li>malposition </li></ul><ul><li>Avoidinh the lowest part to downward </li></ul><ul><li>Inertia and atonia of the utrine </li></ul><ul><li>Hard to remove the placenta </li></ul><ul><li>Pregnancy to uterine myoma : </li></ul><ul><li>Getting bigger in pregnancy </li></ul><ul><li>Red degeneration </li></ul><ul><li>Torsion </li></ul>
  17. 17. <ul><li>Therapy : </li></ul><ul><li>55% no need therapy </li></ul><ul><li>Symptomatic therapy while waiting definitif therapy </li></ul><ul><li>Operatif : miomectomy dan hysteretomy </li></ul>UTERINE MYOMA UTERINE MYOMA in PREGNANCY
  18. 18. <ul><li>Non neoplastic tumour : </li></ul><ul><li>1. Tumour caused by inflammation </li></ul><ul><li>2. Another tumour </li></ul><ul><li>2.1 Follicle cyst </li></ul><ul><li>2.2 Corpus lutein cyst </li></ul><ul><li>2.3 lutein cyst </li></ul><ul><li>2.4 Germinal inclution cyst </li></ul><ul><li>2.5 Endommetrial cyst </li></ul><ul><li>2.6 Stein Leventhal cyst </li></ul>BENIGN TUMOUR Of THE OVARIUM
  19. 19. <ul><li>II. Neoplastic beningn tumour </li></ul><ul><li>Cyst </li></ul><ul><li>1. Simplex ovarian cyst </li></ul><ul><li>2. Serous ovarian cystadenoma </li></ul><ul><li>3. Mucinous ovarian cystadenoma </li></ul><ul><li>4. endometrioid cyst </li></ul><ul><li>5. dermoid csyt </li></ul><ul><li>Solid </li></ul><ul><li>1. fibroma, leiomyoma, fibroadenoma, papilloma, </li></ul><ul><li>angioma, limfangioma </li></ul><ul><li>2. Brenner tumour </li></ul><ul><li>3. Masculinoblastoma </li></ul>
  20. 20. CAUSE OF GROW : abdominal enlargement Pressure on the surrounding area  disturbance of micturition, obstipation RESULT of THE HORMONAL ACTIVITY doesn’t change menstrual cycle, unless if the tumour produce hormone COMPLICATION Bleeding intio the cyst torsion of the stalk infection of the tumour laceration of cyst wall malignancy chhanginng SINDROM MEIGS 40% case of ovarian fibroma, accompany with asccites and hydrothorax, this kasus fibroma ovarii ditemukan asites dan hidrotorak
  21. 21. <ul><li>Metode to diagnosis: </li></ul><ul><li>Laparoskopi: </li></ul><ul><li>to know is the tumor came from ovarium or not </li></ul><ul><li>for to know the characteristisc of the tumor </li></ul><ul><li>Ultrasonografi : </li></ul><ul><li>can fixed the place and the border of the tumor, does it came from uterus or ovarium </li></ul><ul><li>Foto Rontgen : </li></ul><ul><li>to fixed the hidrothorak </li></ul><ul><li>on dermoid cyst can see the teeth on tumor </li></ul><ul><li>Parasentesis : </li></ul><ul><li>can fixed the ascites cause </li></ul>Diagnosis of ovarian tumour
  22. 22. MANAGEMENT PRINCIPAL Neoplastic ovarian tumour  operation Nonneoplastic 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/not if worry  frozen section if malignant  histerektomi dan salpingo – ooforectomi bilateral
  23. 23. Terima Kasih

×