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NEOPLASMA. OBJECTIVES: To explain biocellular activity and pathology of bone tumor To understand the clinical and prevalence of bone tumor To assess bone tumor based on multidiciplin Should be able early detection of bone tumor To explain the principle and moran of bone tumor management.
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NEOPLASMA OBJECTIVES: To explain biocellular activity and pathology of bone tumor To understand the clinical and prevalence of bone tumor To assess bone tumor based on multidiciplin Should be able early detection of bone tumor To explain the principle and moran of bone tumor management
NEOPLASMA MALIGNANT BONE TUMOR BENIGN BONE TUMOR
NEOPLASMA ETIOLOGY • GENETIC • RADIATION • CHEMISTRY • TRAUMA • CHRONIC LYMPHEDEMA • INFECTION
SYMPTOM AND SIGN OF BONE TUMOR • IDENTIFICATION OF SYMPTOM AND SYMPTOM:Deep aching pain, pathologic fracture (osteoid osteoma) or keluhan benjolan. • AGE PATIENT > 40: Metastasis tumor (paru-paru, payudara, prostat, tiroid, and kidney • TUMOR IDENTIFICATION: Pain, location, mobilization, ROM decreasing, limping, body weight decreasing, and adenopathy. • RADIOGRAPHS DESCRIPTION: Circumcribed/uncircumscribed, periostela elevation, Codman triangle, calcification/blastic or lytic, eccentric/central
BONE TUMOR DIAGNOSIS • BONE TUMOR COMPLAINT • PHYSICAL EXAMINATION: LOOK, FEEL, AND MOVE • INVESTIGATION: RADIOGRAPHS AND LABORATORIES DATA, FNAB (Fine Needle Aspiration Biaopsy)
POPULASI RISK FACTOR EARLY DETECTION BENIGN MALIGNANT OBSEVATION HOSPITAL Armis - 2010
A History Add. Exam: lab,& X-ray Physic. Exam. Tumor suspected Refer B Expert/Hosp. (oncologic team) History, physical exam., lab. & X-ray reevaluation BIOPSI ASPIRASI DIAGNOSIS MALIGNA BENIGNA Second. tumor Additional Examination Primary tumor THERAPY • Observation • Surgery • Non-surgery: • Drugs • Chemotherapy • Terapi radiasi Armis 2004