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Penatalaksanaan CA Nasofaring
Penatalaksanaan CA Nasofaring
Punagi, 2007
SUMATERA UTARA
Sinonasal Carcinoma
Nasopharyngeal
Angiofibroma
Oropharyngeal Carcinoma
(Tonsil / Tongue)
Ear Carcinoma
Thyroid Tumors
Parotid Tumors
NASOPHARYNGEAL CARCINOMA
• NPC is a squamous cell carcinoma originating from
nasopharyngeal epithelial cells
Brennan, 2016
EPIDEMIOLOGY
• Highest incidence in China (Guangdong Province): 20-30 / 100.000 (male)
and 15-20 / 100.000 (female)
• Also high incidence reports from regions throughout South East Asia
(Thailand, Vietnam, Malaysia, Indonesia)
• Poor prognosis
• Bimodal age incident: 15-25 years old AND 40-60 years old
• Male : Female is 3 : 1
ETIOLOGY
• Specific causes are still unkown
• Factors:
• Genetics
• Associated with HLA A2 and Bw46 (China)
• Susceptibility in Batak tribe: HLA-DRB1 *08 gene allele
• Epstein-Barr virus
• Environment: diet habit (salted fish), smoking, alcohol, workplace
SYMPTOMS
NPC DISTANT
NOSE SYMPTOMS METASTASIS
• Surgery
• Chemotherapy
• Radiotherapy
• Paliative Care
Radiotherapy: Linear Accelerator
(1 unit)
• Patients Services:
• Human resources improvements
• Additional faclities
• Very open for working together and developing relations with other scientific
body for better understanding and better patient services of Nasopharyngeal
Carcinoma cases globally
1st National Conference of NPC