Diagnosis dan Penatalaksanaan Tumor Ganas Laring

Abstrak <br />Laring berperan dalam koordinasi fungsi saluran aerodigestif atas seperti bernafas, berbicara dan menelan.<br />Laring terbagi tiga yaitu supraglotis, glotis dan subglotis. Laring merupakan daerah tersering kedua untuk kasus<br />karsinoma sel skuamosa kepala-leher, b...

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Bibliographic Details
Main Authors: Dolly Irfandy, Sukri Rahman
Format: Article
Language:English
Published: Universitas Andalas 2015-05-01
Series:Jurnal Kesehatan Andalas
Online Access:http://jurnal.fk.unand.ac.id/index.php/jka/article/view/310
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Summary:Abstrak <br />Laring berperan dalam koordinasi fungsi saluran aerodigestif atas seperti bernafas, berbicara dan menelan.<br />Laring terbagi tiga yaitu supraglotis, glotis dan subglotis. Laring merupakan daerah tersering kedua untuk kasus<br />karsinoma sel skuamosa kepala-leher, biasanya berhubungan dengan tembakau dan alkohol. Lebih dari 95% kasus<br />tumor ganas laring adalah karsinoma sel skuamosa. Pasien tumor ganas laring datang dengan berbagai keluhan<br />seperti disfonia, obstruksi jalan napas, disfagia, odinofagi dan hemoptisis. Diagnosis tumor ganas laring ditegakkan<br />berdasarkan anamnesis, pemeriksaan klinis menggunakan endoskopi kaku, serat optik dan biopsi. Penatalaksanaan<br />tumor ganas laring tergantung stadium dengan modalitas berupa operasi, kemoterapi, radiasi atau terapi kombinasi.<br />Dilaporkan kasus laki-laki 53 tahun dengan karsinoma glotis stadium III (T3N0M0) squamous cell ca keratinized well<br />differentiated. Penatalaksanaan pada pasien ini dengan melakukan laringektomi total.<br />Kata kunci: Tumor ganas laring, karsinoma, laringektomi, tembakau<br /> <br />Abstract <br />Larynx plays a certain role in coordinating functions of the upper aerodigestive tract, such as respiration,<br />speech, and swallowing. The larynx is divided into three region; supraglottic, glottic, and subglottic. Larynx is the<br />second most common site for squamous cell carcinoma in the head and neck and usually related to tobacco and<br />alcohol exposure. Primary malignant tumors of the larynx are squamous cell carcinomas can found more than 95% of<br />cases. Patients with laryngeal tumors usually present with complaints of hoarseness, respiratory obstruction,<br />dysphagia, odynophagia and hemoptysis. Diagnosis of laryngeal cancer is made by medical history, clinical<br />examination using a rigid or fiberoptic endoscope and biopsy. Management of laryngeal tumour depends on stadium<br />with various modality included surgery, chemotheraphy, radiotheraphy or combined therapy. Reported case of 53<br />years old male with Glottic carcinoma of the larynx stage III (T3N0M0) squamous cell ca keratinized well differentiated<br />is presented. The treatment undergoes with total laryngectomy.<br />Keywords:  Laryngeal cancer, carcinoma, laryngectomy, tobacco<br /><br />
ISSN:2301-7406