Neoplasma Ovarium Kistik [PDF]

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Neoplasma Ovarium Kistik Kelompok 6 Aprilia | David | Inayah | Kenny | Hafiz | Rishka | Markus | Fildzah



Modul Praktik Klinik Ilmu Kesehatan Perempuan FKUI-RSCM



Tanda dan Gejala NOK Nyeri pelvis (dapat disebabkan oleh kista



yang ruptur) Nyeri saat senggama (senggama dapat memicu kista folikular rupture Irregularitas menstruasi Dapat bersifat asimptomatik



Pemeriksaan Radiologi NOK USG Dapat membedakan jenis massa pada ovarium antara



massa kistik dan solid



CT Scan Menentukan staging N dan M pada keganasan Baik dalam menilai adanya hemorrhagic ovarian cyst dan hemoperitoneum pada ruptur kista MRI Dapat dilakukan untuk menunjang hasil USG Membedakan komponen lemak dan darah dari massa



USG (1) Simple cyst Anechoic lesion with posterior acoustic enhancement Unilocular Thin, smooth walls No solid or well-vascularized components Hemorrhagic ovarian cyst May contain a solid-appearing area with good through-



transmission, without internal flow at color Doppler, and typically with concave margins, consistent with a blood clot



USG (2) Endometrioma Homogeneous and hypoechoic mass Diffuse low-level echoes (ground-glass) No internal flow at color Doppler No enhancing nodules or solid masses In 30% echogenic foci are seen within cyst wall



Mature cystic terratoma Hypoechoic mass with hyperechoic nodule (Rokitansky nodule or dermoid plug) Usually unilocular (90%) May contain calcifications (30%) May contain hyperechoic lines caused by floating hair May contain a fat-fluid level, i.e. fat floating on aqueous fluid



MRI Simple ovarian cysts low signal intensity with T1-weighted images and high signal intensity with T2weighted images owing to the intracystic fluid. Hemorrhagic cysts high signal on T1-weighted images and



an intermediate to high signal on T2weighted images. Hemoperitoneum after cyst rupture appears bright on T2-weighted images and slightly hyperintense on T1weighted images.



1



• Ada massa di pelvis  Tentukan lokasi massa (ovarian atau non-ovarian)  CT Scan



2



• Konfirmasi massa di ovarium  Tentukan karakteristik massa  USG



3



• Tentukan penanganan lebih lanjut yang dibutuhkan pasien



Alur Diagnostik



Referensi Miller JC, Lee SI. Incidentally detected adnexal



masses. Radiology Rounds. 2007;5(3):1



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