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HOW TO DIAGNOSEPROSTATE CANCER

Aaron Tigor Sihombing, Urology Department, Bandu

Urology Center

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57 Th ,Keluhansulit buang air

kecil, nokturia !,

"rekuensi, urgensidan mengedan#$%SS 7&' Tidak

ada ri(ayatpenyakit

sebelumnya

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57 Th ,Keluhansulit buang air

kecil, nokturia !,

"rekuensi, urgensidan mengedan#$%SS 7&' Tidak

ada ri(ayatpenyakit

sebelumnya

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SCREENING ??

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) * + 5 7 - . )/

) * + 5 7 - . )/

Angka harapan hidup

StadiumI

Stadium

>> III

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Tumor Colon

Tumor %rostatperbandingan

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%emeriksaan

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0odalitas 1ain

PSA$n"eksi23akulasi

Tumor0asase%rostat

%SA 4Tumorspesik

%SA 6Tissuespesik

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+

+ 8 )/

9 )/

%SA

7

:

:

:

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Total %SA ! 6 %SA

sesungguhnya

d l

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Bandung UrologyDepartment

%SA density

Tot%S

;olupros#T

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N!E

??

TR"S#PR$STAT

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Biopsi

Adeno Ca %ro

#=& pada ) c

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%or men aged &'()*+ le,el - e,idenedemonstrates that PSA testing redues

prostate aner#spei. mortalit/ and theinidene o0 metastati prostate aner

Prostate aner diagnosis must be unoupled0rom prostate aner inter,ention

PSA testing should not be onsidered on itso1n+ but rather as part o0 a multi,ariable

approah to earl/ prostate aner detetion

2aseline PSA testing 0or men in their 3's isuse0ul 0or prediting the 0uture risk o0

prostate aner

$lder men in good health 1ith o,er ten /earli0e e4petan/ should not be denied PSA

testing on the basis o0 their age

k i l

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kesimpulan

Skrining kanker prostat san

penting

Deteksi kanker prosta

pada stadium dinimenurunkan kematian

meningkatkan umurharapan hidup

Kanker

prostatstadiumlan3ut

meningkatkan mortalitas

danmorbiditas

Kanker prostat dideteksidengan colok dubur, %SA

dan biopsi

%SA bukansuatutumor marker dan

dapat meningkat atau

menurun padaberbagai keadaan

Biopsi prostatmerupakan standar

baku emas untukdeteksi kanker prosta