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Kanker Serviks: Tantangan Kesehatan Perempuan

This document discusses cervical cancer (kanker serviks) in Indonesia. It provides statistics showing that cervical cancer is the second most common cancer among women worldwide, with over 500,000 new cases and 270,000 deaths each year. In Indonesia, cervical cancer is one of the most common cancers. The document outlines that human papillomavirus (HPV) infection is the main cause of cervical cancer, with HPV types 16 and 18 causing about 70% of cases globally. It emphasizes that cervical cancer is preventable through HPV vaccination and screening programs.

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Doli P Hutauruk
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26 views19 pages

Kanker Serviks: Tantangan Kesehatan Perempuan

This document discusses cervical cancer (kanker serviks) in Indonesia. It provides statistics showing that cervical cancer is the second most common cancer among women worldwide, with over 500,000 new cases and 270,000 deaths each year. In Indonesia, cervical cancer is one of the most common cancers. The document outlines that human papillomavirus (HPV) infection is the main cause of cervical cancer, with HPV types 16 and 18 causing about 70% of cases globally. It emphasizes that cervical cancer is preventable through HPV vaccination and screening programs.

Uploaded by

Doli P Hutauruk
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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KANKER SERVIKS

(Kanker Leher Rahim)


Tantangan bagi
Kesehatan Perempuan
di Indonesia

Anatomi Serviks

TAMPILAN LEHER RAHIM

Normal
Normal

Kanker Serviks

KANKER ?

TUMOR
JINAK

TUMO
R

TUMOR
GANAS
KANKER

The Enemy

Kanker Leher Rahim


No 2 didi
antara
kanker pada
Dunia

perempuan,
Setiap 2 menit 1 meninggal akibat
US & Europe
Kanker
Serviks
75,000
Asia

36,000

266,000
143,000

Latin
72,000
33,000

Africa
79,000
62,000
Ferlay J et al. Globocan 2002, IARC 2004.

Incidence
Incidence // year
year 500,000
500,000

Deaths
Deaths // year
year
270,000
270,000

(~80% terjadi di Negara Berkembang

Epidemiology
10 Most Common Cancers in Indonesia
(Pathological Anatomy Based Registry, 2006)
3,000
2,500

2,429

2,181

2,000
1,500
1,000

Number

500

773
451

447

447

Types of Cancer

326

306

269

205

Ten Most Common Cancers in


Indonesia
(Pathological Anatomy Based Registry,
2008)
3500
4000

3000
2500
2000
1500
1000
500
0

Epidemiology
10 Most Common Cancers in Women in Jakarta

10 Most Common Cancers in Men in Jakarta

Skin 3.78%

Soft Tissue 1.94%

Thyroid Gland

4.18%

Liver 3.24%

Leukemia

4.42%

Leukemia 4.55%

Corpus Uteri

7.19%

Lymph Nodes

4.85%

Nasopharyngeal

7.29%

Skin

5.02%

Ovary

7.56%

Renal Pelvic-Bladder

5.05%

Bronchus and Lung

7.65%

Nasopharynx

7.93%

Types of Cancer

Colorectal
Cervix Uteri
Breast

11.68%
17.60%
31.10%

Types of Cancer

Colorectum

12.49%

Prostate Gland

13.47%

Bronchus and Lung

19.63%

Hospital Based Data,


Ministry of Health Republic of Indonesia, 2007

nker serviks

dapat dicegah

rena

kan diturunkan
ketahui penyebabnya : HPV ada Vaksin HPV
Metode deteksi dini cost effective
Paps Smear , IVA, HPV DNA
erjalanan penyakitnya lama

Perjalanan Penyakit Kanker Serviks

Cancer

Pracancer Lesion
HPV

Mild
Dysplasia

--------------------------------------

3-17 year

Moderate
Dysplasia

Severe
Dysplasia

Screeni

Carcinoma
Insitu
(=Stage 0)

CervicalC
ancer

Kanker Serviks
Dapat Dicegah

Laila Nuranna
Fak. Kedokteran Universitas Indonesia/
Yayasan Kanker Indonesia/
Inisiatif Pencegahan Kanker Serviks Indonesia

KTOR RISIKO
kena Kanker Serviks

Menikah muda (< 20 tahun )


Sering berganti pasangan seksual
Infeksi menular seksual
Merokok
Kekurangan Vit A/Vit C/Vit E

n
a
u
p
m a
s
e
k
r
i
n
v
e
e
r
k
p er
e
s
p
t
r
ia iko
e
t
k
e
n
s
a
S eri
k
b
b
a
b
e
y
n
e
p
V
P
H

1-4

GEJALA

Pendarahan pervaginam
Keputihan bercampur darah, berbau
Nyeri panggul
Tidak dapat
p
a
P
buang air kecil
s

u
a
at
u
g
g
n
nu

Te e
n
m
a
a an
k
p
u
k
n
h
a
a
t
L
u
l
e
A
k
V
I

Penvegahan Kanker Serviks


dengan VAKSIN HPV

Penyebab Kanker Serviks

HPV
(Human Papilloma Virus)

99,7% Kanker Serviks disebabka


oleh HPV onkogenik
(penyebab kanker).1
HPV 16 &18 penyebab utama
70 % kanker serviks di dunia
1. Wallboomers JH et al. J Pathol 1999; 189: 129;
24465.

2. Bosch FX et al. J Clin Pathol 2002; 55:

Ada 630 juta orang terinfeksi HPV di dunia

Sebagian perempuan (80%) akan terinfeksi HPV


pada usia 50 tahun .2

Infeksi HPV merupakan infeksi yang sering pada


usia muda 18 sd 28 tahun.3

HPV terbukti sebagai penyebab kanker serviks .4

g
n
a
y
s
u
r
i
V
V
HP
H

1. WHO data. 2003. Available at: http://www.who.int/vaccines/en/hpvrd/shtml. Accessed July 12, 2004. 2. CDC Fact Sheet. May 2004.
3. Koutsky L. Epidemiology of Genital Human Papillomavirus Infection. Am J Med 1997;102:3-8. .
4. KL Wallin et al. New Engl J Med 1999;341(22)1633

Kendala di Indonesia
Faktor Geografik >13.000 pulau
Kurangnya fasilitas sitologi
Kurangnya fasilitas terapi
Kurangnya kepatuhan pasien
Sebagian besar kasus ditemukan pada stadium lanjut
Rendahnya pengetahuan dan kemampuan ekonomi
Program deteksi dini tes Pap masih banyak kendala

..LIHAT,TEMUKAN dan TANGGULANGI,


JANGAN BIARKAN
MENIMBULKAN KESEDIHAN

Terima Kasih

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