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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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