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PATOLOGI PROSTAT Hadi Irawiraman SMF Patologi Anatomi  FK UGM Yogyakarta 2010
ANATOMI  ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Patologi Prostat ,[object Object],[object Object],[object Object]
Inflamasi ,[object Object],[object Object],[object Object],[object Object]
Prostatitis bakterialis akut ,[object Object],[object Object],[object Object],[object Object]
Prostatitis bakterialis kronik ,[object Object],[object Object],[object Object],[object Object]
Prostatitis nonbakterialis kronik ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prostatitis granulomatosa ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prostatitis akuta
Prostatitis kronis Dense lymphocytic infiltrate in prostatic stroma with focal infiltration into the epithelium
Prostatitis granulomatosa Granulomatous prostatitis. The inflammatory infiltrate, which contains scattered multinucleated cells, is characteristically centered on a prostatic acinus
Benign Prostatic Hyperplasia (BPH) Pembesaran Nodus kelenjar prostat karena hiperplasi dari komponen stroma dan kelenjarnya
BPH ,[object Object],[object Object],[object Object],[object Object],[object Object]
Patogenesis  ,[object Object],[object Object],[object Object],[object Object]
Patogenesis
Gejala klinik ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Komplikasi ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Makroskopis This is the gross appearance of nodular prostatic hyperplasia (benign prostatic hyperplasia, or BPH). The normal prostate is 3 to 4 cm in cross section, by comparison.
Makroskopis (TUR)
Morphologi ,[object Object],[object Object],[object Object]
 
 
Atypical Adenosis Hyperplasia (AAH) (Henry B Armah and Anil V Parwani, 2008) ,[object Object],[object Object],[object Object],[object Object]
Atypical Adenosis Hyperplasia (AAH) (Henry B Armah and Anil V Parwani, 2008) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Atypical Adenosis Hyperplasia (AAH) (Henry B Armah and Anil V Parwani, 2008)
Atypical Adenosis Hyperplasia (AAH)
IMMUNOSTAINING (AAH) (Henry B Armah and Anil V Parwani, 2008) 2A-B. AMACR,  2C. P63,  2D. CK903/34 betaE12
Atypical Small Acinar Proliferations (ASAP) ,[object Object],[object Object]
Atypical Small Acinar Proliferations (ASAP) (Bostwick and Isabelle, 2006)
Atypical Small Acinar Proliferations (ASAP)
Prostatic Intraepithelial Neoplasia  (PIN) ,[object Object],[object Object],[object Object],[object Object]
Prostatic Intraepithelial Neoplasia (PIN) ,[object Object],[object Object],[object Object],[object Object]
PIN Low grade and High grade  (Workshop on premalignant lesions of the prostate, 1989)
PIN Tufting Pattern
PIN Micropapillary pattern
PIN Cribriform pattern
PIN Flat Pattern
Tumor prostat ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tumor prostat ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tumor prostat ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adenokarsinoma prostat ,[object Object],[object Object],[object Object],[object Object]
Faktor resiko  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
STAGING ,[object Object],[object Object]
STAGING ,[object Object],[object Object],[object Object],[object Object]
STAGING ,[object Object],[object Object]
PEMERIKSAAN
Prostate Spesific Antigen  (PSA) ,[object Object],[object Object],[object Object],[object Object]
 
Spesimen
Grading
 
 
Gleason grade 2+1 = score of 3 Adenocarcinoma
Gleason grade 2+2=score of 4 Adenocarcinoma
Gleason grade 3+3=score of 6 Adenocarcinoma
Gleason grade 3+4=score of 7 Adenocarcinoma
Gleason grade 4+4=score of 8 Adenocarcinoma
Gleason grade 5+5=score of 10 Adenocarcinoma
Variant Prostatic carcinoma
Benign mimickers of prostatic adenocarcinoma
Histopatologi adenokarsinoma prostat ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
periganglional/neural invasion
Ductal Adenocarcinoma  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Mucinous adenocarcinoma ,[object Object],[object Object]
 
 
Pca Atrophic variant
Pca Foamy gland variant
Melanoma malignum in TUR
Benign mimickers of adenocarcinoma (John R.Srigley, 2004)
0701868 0701868
Prostatic hyperplasia Basal cell hyperplasia
Prostate hyperplasia Basal cell hyperplasia
AAH
AAH
AAH
Sclerosing adenosis
0605997 Cribriform hyperplasia
0605997 Cribriform hyperplasia
Cowper’s glands
Cowper’s glands
0701782 Seminal vesicles
0701782 Seminal vesicles
Rectal mucosa in prostate biopsy
[object Object]

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