{"id":21950,"date":"2023-04-20T10:56:28","date_gmt":"2023-04-20T03:56:28","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21950"},"modified":"2023-04-20T16:04:22","modified_gmt":"2023-04-20T09:04:22","slug":"he-thong-phan-giai-doan-ung-thu-gan-barcelona-bclc","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/he-thong-phan-giai-doan-ung-thu-gan-barcelona-bclc\/","title":{"rendered":"H\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC)"},"content":{"rendered":"

H\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC) l\u00e0 m\u1ed9t h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i ung th\u01b0 gan<\/a> d\u1ef1a tr\u00ean c\u00e1c y\u1ebfu t\u1ed1 l\u00e2m s\u00e0ng v\u00e0 ch\u1ee9c n\u0103ng gan c\u1ee7a b\u1ec7nh nh\u00e2n. H\u1ec7 th\u1ed1ng n\u00e0y \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n t\u1ea1i T\u00e2y Ban Nha v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i tr\u00ean to\u00e0n th\u1ebf gi\u1edbi \u0111\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n ung th\u01b0 gan. H\u1ec7 th\u1ed1ng BCLC ph\u00e2n lo\u1ea1i ung th\u01b0 gan th\u00e0nh 5 giai \u0111o\u1ea1n (0 \u0111\u1ebfn D).<\/strong><\/p>\n

\"H\u1ec7
H\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC) l\u00e0 m\u1ed9t h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i ung th\u01b0 gan<\/figcaption><\/figure>\n

1. T\u1ed5ng quan v\u1ec1 h\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC)<\/h2>\n
\n
\n
\n
\n
\n

H\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC) \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n b\u1edfi m\u1ed9t nh\u00f3m c\u00e1c chuy\u00ean gia v\u1ec1 ung th\u01b0 gan t\u1ea1i \u0110\u1ea1i h\u1ecdc Barcelona \u1edf T\u00e2y Ban Nha. H\u1ec7 th\u1ed1ng n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u l\u1ea7n \u0111\u1ea7u ti\u00ean v\u00e0o n\u0103m 1999 v\u00e0 \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t c\u00f4ng c\u1ee5 quan tr\u1ecdng trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 v\u00e0 qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n ung th\u01b0 gan.<\/p>\n

Tr\u01b0\u1edbc khi c\u00f3 BCLC, c\u00f3 nhi\u1ec1u h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i ung th\u01b0 gan kh\u00e1c nhau \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, bao g\u1ed3m h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i c\u1ee7a Okuda, CLIP, v\u00e0 TNM. Tuy nhi\u00ean, c\u00e1c h\u1ec7 th\u1ed1ng n\u00e0y c\u00f3 nh\u1eefng h\u1ea1n ch\u1ebf v\u1ec1 t\u00ednh ch\u00ednh x\u00e1c v\u00e0 s\u1ef1 ph\u00f9 h\u1ee3p trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 v\u00e0 qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n ung th\u01b0 gan.<\/p>\n

V\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a BCLC, c\u00e1c chuy\u00ean gia trong l\u0129nh v\u1ef1c ung th\u01b0 gan \u0111\u00e3 t\u00ecm ra m\u1ed9t c\u00e1ch ti\u1ebfp c\u1eadn m\u1edbi \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 v\u00e0 qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n ung th\u01b0 gan. H\u1ec7 th\u1ed1ng n\u00e0y kh\u00f4ng ch\u1ec9 x\u00e1c \u0111\u1ecbnh c\u00e1c y\u1ebfu t\u1ed1 li\u00ean quan \u0111\u1ebfn b\u1ec7nh nh\u01b0 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan v\u00e0 ch\u1ee9c n\u0103ng gan, m\u00e0 c\u00f2n xem x\u00e9t c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c nh\u01b0 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 v\u00e0 kh\u1ea3 n\u0103ng ch\u1ecbu \u0111\u1ef1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

BCLC \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn v\u00e0 s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i tr\u00ean to\u00e0n th\u1ebf gi\u1edbi trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 v\u00e0 qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n ung th\u01b0 gan. N\u00f3 \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadt v\u00e0 ho\u00e0n thi\u1ec7n theo th\u1eddi gian \u0111\u1ec3 \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c th\u00e1ch th\u1ee9c trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 gan.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

2. C\u00e1ch ph\u00e2n lo\u1ea1i giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC)<\/h2>\n

H\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i b\u1ec7nh ung th\u01b0 gan Barcelona (Barcelona Clinic Liver Cancer, BCLC) li\u00ean k\u1ebft c\u00e1c giai \u0111o\u1ea1n b\u1ec7nh v\u1edbi ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p. Theo h\u1ec7 th\u1ed1ng n\u00e0y, ung th\u01b0 gan \u0111\u01b0\u1ee3c chia l\u00e0m 5 giai \u0111o\u1ea1n: 0, A, B, C, v\u00e0 D d\u1ef1a tr\u00ean ch\u1ec9 s\u1ed1 Child-Pugh, ch\u1ec9 s\u1ed1 PS (Performance score), s\u1ed1 l\u01b0\u1ee3ng v\u00e0 t\u00ecnh tr\u1ea1ng u.<\/b><\/p>\n

Ch\u1ec9 s\u1ed1 PS<\/strong> (Performance score) l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 d\u00f9ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a nh\u1eefng b\u1ec7nh nh\u00e2n ung th\u01b0 ho\u1eb7c b\u1ec7nh nh\u00e2n trong giai \u0111o\u1ea1n cu\u1ed1i cu\u1ed9c \u0111\u1eddi. Ch\u1ec9 s\u1ed1 PS \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong l\u00e2m s\u00e0ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng ch\u1ecbu \u0111\u1ef1ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. Ch\u1ec9 s\u1ed1 PS \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 tr\u00ean thang \u0111i\u1ec3m t\u1eeb 0 \u0111\u1ebfn 5, v\u1edbi 0 l\u00e0 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u1ed1t nh\u1ea5t v\u00e0 5 l\u00e0 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u1ec7 nh\u1ea5t. C\u00e1c \u0111i\u1ec3m s\u1ed1 trung gian l\u00e0 1, 2, 3 v\u00e0 4. C\u00e1c y\u1ebfu t\u1ed1 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 \u0111\u1ec3 t\u00ednh \u0111i\u1ec3m PS bao g\u1ed3m:<\/p>\n

    \n
  • Ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y c\u1ee7a b\u1ec7nh nh\u00e2n, bao g\u1ed3m vi\u1ec7c t\u1ef1 ph\u1ee5c v\u1ee5, ch\u0103m s\u00f3c b\u1ea3n th\u00e2n v\u00e0 c\u00e1c ho\u1ea1t \u0111\u1ed9ng nh\u1eb9 nh\u00e0ng kh\u00e1c.<\/li>\n
  • Kh\u1ea3 n\u0103ng \u0111i l\u1ea1i c\u1ee7a b\u1ec7nh nh\u00e2n, bao g\u1ed3m vi\u1ec7c \u0111i l\u1ea1i trong nh\u00e0 v\u00e0 \u0111i l\u1ea1i ngo\u00e0i tr\u1eddi.<\/li>\n
  • M\u1ee9c \u0111\u1ed9 m\u1ec7t c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng.<\/li>\n<\/ul>\n

    \"\"<\/p>\n

    B\u1ec7nh nh\u00e2n giai \u0111o\u1ea1n 0, A, B, v\u00e0 C c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1eadn g\u1ed1c (0 v\u00e0 A) hay h\u1ed7 tr\u1ee3 (B v\u00e0 C) b\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ti\u00eau chu\u1ea9n. B\u1ec7nh nh\u00e2n giai \u0111o\u1ea1n D c\u1ea7n \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c nh\u1eb1m l\u00e0m gi\u1ea3m \u1ea3nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh.<\/p>\n

    –\u00a0<\/strong>G<\/strong>iai\u00a0\u0111o\u1ea1n\u00a0\u0111\u1ea7u\u00a0(BCLC\u00a00\u00a0hay\u00a0A)<\/strong>:<\/strong><\/p>\n

    Ph\u1eabu thu\u1eadt c\u1eaft gan l\u00e0 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u ti\u00ean v\u1edbi t\u1ec9 l\u1ec7 s\u1ed1ng s\u00f3t sau 5 n\u0103m l\u00e0 70%.
    \nGh\u00e9p gan l\u00e0 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t d\u00e0nh cho b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 c\u1eaft b\u1ecf th\u00f9y gan, nh\u01b0ng c\u00f3 t\u00ecnh tr\u1ea1ng u ph\u00f9 h\u1ee3p theo ti\u00eau chu\u1ea9n Milan.<\/p>\n

    –\u00a0<\/strong>G<\/strong>iai\u00a0\u0111o\u1ea1n\u00a0gi\u1eefa\u00a0(BCLC\u00a0B)<\/strong><\/p>\n

    Transcatheter arterial chemoembolization (TACE) l\u00e0 li\u1ec7u ph\u00e1p ti\u00eau chu\u1ea9n v\u1edbi th\u1eddi gian s\u1ed1ng s\u00f3t t\u1eeb 26-40 th\u00e1ng.<\/p>\n

    –\u00a0<\/strong>G<\/strong>iai\u00a0\u0111o\u1ea1n\u00a0g\u1ea7n\u00a0cu\u1ed1i\u00a0(BCLC\u00a0C)<\/strong>:<\/strong><\/p>\n

    Thu\u1ed1c sorafenib cho ph\u00e9p n\u00e2ng cao r\u00f5 r\u1ec7t t\u1ec9 l\u1ec7 s\u1ed1ng s\u00f3t c\u1ee7a b\u1ec7nh nh\u00e2n ung th\u01b0 giai \u0111o\u1ea1n cu\u1ed1i.<\/p>\n

    3. \u1ee8ng d\u1ee5ng<\/h2>\n

    H\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 v\u00e0 qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n ung th\u01b0 gan. M\u1ed9t s\u1ed1 \u1ee9ng d\u1ee5ng quan tr\u1ecdng c\u1ee7a h\u1ec7 th\u1ed1ng BCLC bao g\u1ed3m:<\/p>\n

      \n
    • \u0110\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb: H\u1ec7 th\u1ed1ng BCLC gi\u00fap c\u00e1c b\u00e1c s\u0129 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p cho b\u1ec7nh nh\u00e2n ung th\u01b0 gan d\u1ef1a tr\u00ean t\u1eebng giai \u0111o\u1ea1n c\u1ee7a b\u1ec7nh. V\u00ed d\u1ee5, b\u1ec7nh nh\u00e2n \u1edf giai \u0111o\u1ea1n A th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1eabu thu\u1eadt ho\u1eb7c \u0111i\u1ec1u tr\u1ecb c\u1eadn l\u00e2m s\u00e0ng, trong khi b\u1ec7nh nh\u00e2n \u1edf giai \u0111o\u1ea1n B th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ho\u1eb7c ph\u01b0\u01a1ng ph\u00e1p x\u1ea1 tr\u1ecb.<\/li>\n
    • D\u1ef1 b\u00e1o d\u1ef1a tr\u00ean t\u1eebng giai \u0111o\u1ea1n: H\u1ec7 th\u1ed1ng BCLC cung c\u1ea5p th\u00f4ng tin v\u1ec1 d\u1ef1 b\u00e1o s\u1ed1ng s\u00f3t v\u00e0 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh nh\u00e2n ung th\u01b0 gan d\u1ef1a tr\u00ean t\u1eebng giai \u0111o\u1ea1n c\u1ee7a b\u1ec7nh. \u0110i\u1ec1u n\u00e0y gi\u00fap b\u1ec7nh nh\u00e2n v\u00e0 gia \u0111\u00ecnh c\u00f3 th\u1ec3 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 chu\u1ea9n b\u1ecb tinh th\u1ea7n cho t\u01b0\u01a1ng lai.<\/li>\n
    • Qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n: H\u1ec7 th\u1ed1ng BCLC \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 theo d\u00f5i s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh nh\u00e2n ung th\u01b0 gan v\u00e0 \u0111\u01b0a ra c\u00e1c \u0111\u1ec1 xu\u1ea5t \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n. \u0110i\u1ec1u n\u00e0y gi\u00fap \u0111\u1ea3m b\u1ea3o r\u1eb1ng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd t\u1ed1t v\u00e0 nh\u1eadn \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p \u0111\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng v\u00e0 t\u0103ng c\u01a1 h\u1ed9i s\u1ed1ng.<\/li>\n
    • Nghi\u00ean c\u1ee9u v\u00e0 ph\u00e1t tri\u1ec3n: H\u1ec7 th\u1ed1ng BCLC cung c\u1ea5p m\u1ed9t c\u01a1 s\u1edf cho c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 v\u00e0 ph\u00e1t tri\u1ec3n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi cho b\u1ec7nh nh\u00e2n ung th\u01b0 gan. C\u00e1c nghi\u00ean c\u1ee9u n\u00e0y c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng v\u00e0 t\u0103ng c\u01a1 h\u1ed9i s\u1ed1ng cho b\u1ec7nh nh\u00e2n ung th\u01b0 gan.<\/li>\n<\/ul>\n

      4. H\u1ea1n ch\u1ebf c\u1ee7a h\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC)<\/h2>\n

      M\u1eb7c d\u00f9 h\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 v\u00e0 qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n ung th\u01b0 gan, nh\u01b0ng n\u00f3 c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf nh\u01b0 sau:<\/p>\n

        \n
      • Kh\u00f4ng th\u00edch h\u1ee3p cho t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 gan: H\u1ec7 th\u1ed1ng BCLC \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n d\u1ef1a tr\u00ean c\u00e1c y\u1ebfu t\u1ed1 l\u00e2m s\u00e0ng v\u00e0 ch\u1ee9c n\u0103ng gan c\u1ee7a b\u1ec7nh nh\u00e2n, do \u0111\u00f3 n\u00f3 kh\u00f4ng ph\u00f9 h\u1ee3p cho t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 gan. V\u00ed d\u1ee5, n\u00f3 kh\u00f4ng \u0111\u00e1nh gi\u00e1 t\u00e1c \u0111\u1ed9ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb v\u00e0 kh\u00f4ng ph\u00f9 h\u1ee3p cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 gan \u0111a ch\u1ee9c n\u0103ng ho\u1eb7c ung th\u01b0 gan li\u00ean quan \u0111\u1ebfn vi\u00eam gan virus.<\/li>\n
      • Kh\u00f4ng \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n: H\u1ec7 th\u1ed1ng BCLC ch\u1ec9 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng ung th\u01b0 gan c\u1ee7a b\u1ec7nh nh\u00e2n, kh\u00f4ng \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 b\u00e1o k\u1ebft qu\u1ea3 cho b\u1ec7nh nh\u00e2n.<\/li>\n
      • Kh\u00f4ng cho ph\u00e9p \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng gan: H\u1ec7 th\u1ed1ng BCLC kh\u00f4ng \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng gan, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 b\u00e1o k\u1ebft qu\u1ea3 cho b\u1ec7nh nh\u00e2n.<\/li>\n
      • S\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 \u0111\u00e1nh gi\u00e1 gi\u1eefa c\u00e1c chuy\u00ean gia: Vi\u1ec7c \u0111\u00e1nh gi\u00e1 v\u00e0 ph\u00e2n lo\u1ea1i theo h\u1ec7 th\u1ed1ng BCLC c\u00f3 th\u1ec3 kh\u00e1c nhau gi\u1eefa c\u00e1c chuy\u00ean gia, do \u0111\u00f3 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ef1 kh\u00e1c bi\u1ec7t trong quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 b\u00e1o k\u1ebft qu\u1ea3 cho b\u1ec7nh nh\u00e2n.<\/li>\n<\/ul>\n

        T\u00f3m l\u1ea1i, h\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC) l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 quan tr\u1ecdng trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 v\u00e0 qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n ung th\u01b0 gan. N\u00f3 gi\u00fap c\u00e1c b\u00e1c s\u0129 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p cho t\u1eebng giai \u0111o\u1ea1n c\u1ee7a b\u1ec7nh v\u00e0 cung c\u1ea5p th\u00f4ng tin quan tr\u1ecdng cho b\u1ec7nh nh\u00e2n v\u00e0 gia \u0111\u00ecnh.<\/p>\n","protected":false},"excerpt":{"rendered":"

        H\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC) l\u00e0 m\u1ed9t h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i ung th\u01b0 gan d\u1ef1a tr\u00ean c\u00e1c y\u1ebfu t\u1ed1 l\u00e2m s\u00e0ng v\u00e0 ch\u1ee9c n\u0103ng gan c\u1ee7a b\u1ec7nh nh\u00e2n. H\u1ec7 th\u1ed1ng n\u00e0y \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n t\u1ea1i T\u00e2y Ban Nha v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i tr\u00ean to\u00e0n th\u1ebf gi\u1edbi \u0111\u1ec3 \u0111\u01b0a […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6,33],"tags":[3],"yoast_head":"\nH\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC) - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC) l\u00e0 m\u1ed9t h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i ung th\u01b0 gan d\u1ef1a tr\u00ean c\u00e1c y\u1ebfu t\u1ed1 l\u00e2m s\u00e0ng v\u00e0 ch\u1ee9c n\u0103ng ...\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"H\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC) - Vinmec\" \/>\n<meta property=\"og:description\" content=\"H\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC) l\u00e0 m\u1ed9t h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i ung th\u01b0 gan d\u1ef1a tr\u00ean c\u00e1c y\u1ebfu t\u1ed1 l\u00e2m s\u00e0ng v\u00e0 ch\u1ee9c n\u0103ng ...\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/he-thong-phan-giai-doan-ung-thu-gan-barcelona-bclc\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-20T03:56:28+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-20T09:04:22+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1453758443-612x612-1-300x180.jpg\" \/>\n<meta name=\"author\" content=\"mitkaka mitkaka\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"mitkaka mitkaka\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/he-thong-phan-giai-doan-ung-thu-gan-barcelona-bclc\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/he-thong-phan-giai-doan-ung-thu-gan-barcelona-bclc\/\",\"name\":\"H\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC) - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-20T03:56:28+00:00\",\"dateModified\":\"2023-04-20T09:04:22+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c\"},\"description\":\"H\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC) l\u00e0 m\u1ed9t h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i ung th\u01b0 gan d\u1ef1a tr\u00ean c\u00e1c y\u1ebfu t\u1ed1 l\u00e2m s\u00e0ng v\u00e0 ch\u1ee9c n\u0103ng ...\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/he-thong-phan-giai-doan-ung-thu-gan-barcelona-bclc\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/he-thong-phan-giai-doan-ung-thu-gan-barcelona-bclc\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/he-thong-phan-giai-doan-ung-thu-gan-barcelona-bclc\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"H\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC)\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c\",\"name\":\"mitkaka mitkaka\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g\",\"caption\":\"mitkaka mitkaka\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/mitkaka2009mitkaka2009gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"H\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC) - Vinmec","description":"H\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC) l\u00e0 m\u1ed9t h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i ung th\u01b0 gan d\u1ef1a tr\u00ean c\u00e1c y\u1ebfu t\u1ed1 l\u00e2m s\u00e0ng v\u00e0 ch\u1ee9c n\u0103ng ...","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"H\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC) - Vinmec","og_description":"H\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC) l\u00e0 m\u1ed9t h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i ung th\u01b0 gan d\u1ef1a tr\u00ean c\u00e1c y\u1ebfu t\u1ed1 l\u00e2m s\u00e0ng v\u00e0 ch\u1ee9c n\u0103ng ...","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/he-thong-phan-giai-doan-ung-thu-gan-barcelona-bclc\/","og_site_name":"Vinmec","article_published_time":"2023-04-20T03:56:28+00:00","article_modified_time":"2023-04-20T09:04:22+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1453758443-612x612-1-300x180.jpg"}],"author":"mitkaka mitkaka","twitter_card":"summary_large_image","twitter_misc":{"Written by":"mitkaka mitkaka","Est. reading time":"7 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/he-thong-phan-giai-doan-ung-thu-gan-barcelona-bclc\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/he-thong-phan-giai-doan-ung-thu-gan-barcelona-bclc\/","name":"H\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC) - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-20T03:56:28+00:00","dateModified":"2023-04-20T09:04:22+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c"},"description":"H\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC) l\u00e0 m\u1ed9t h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i ung th\u01b0 gan d\u1ef1a tr\u00ean c\u00e1c y\u1ebfu t\u1ed1 l\u00e2m s\u00e0ng v\u00e0 ch\u1ee9c n\u0103ng ...","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/he-thong-phan-giai-doan-ung-thu-gan-barcelona-bclc\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/he-thong-phan-giai-doan-ung-thu-gan-barcelona-bclc\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/he-thong-phan-giai-doan-ung-thu-gan-barcelona-bclc\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"H\u1ec7 th\u1ed1ng ph\u00e2n giai \u0111o\u1ea1n ung th\u01b0 gan Barcelona (BCLC)"}]},{"@type":"WebSite","@id":"http:\/\/noithathoaphat.in\/ctv\/#website","url":"http:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c","name":"mitkaka mitkaka","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g","caption":"mitkaka mitkaka"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/mitkaka2009mitkaka2009gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/21950"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=21950"}],"version-history":[{"count":4,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/21950\/revisions"}],"predecessor-version":[{"id":25332,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/21950\/revisions\/25332"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=21950"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=21950"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=21950"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}