1. BENIGN TUMOR of THE REPRODUCTION ORGAN Dr. H. ASROL BYRIN, SpOG(K)

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. 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. 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. 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. UTERUS

9. Gambar Polip Serviks Uteri

13. Berbagai Jenis Mioma Uteri Bertangkai di vagina Intraligamenter Bertangkai di fundus Subserosa Submukosa

14. Mioma Submukosum diLahirkan ke Vagina

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

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. Terima Kasih