{"id":24615,"date":"2023-04-19T11:55:28","date_gmt":"2023-04-19T04:55:28","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=24615"},"modified":"2023-04-20T10:18:50","modified_gmt":"2023-04-20T03:18:50","slug":"phac-do-chan-doan-ung-thu-vu-theo-bo-y-te-chan-doan-phan-biet-xac-dinh-va-giai-doan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/phac-do-chan-doan-ung-thu-vu-theo-bo-y-te-chan-doan-phan-biet-xac-dinh-va-giai-doan\/","title":{"rendered":"Ph\u00e1c \u0111\u1ed3 ch\u1ea9n \u0111o\u00e1n ung th\u01b0 v\u00fa theo b\u1ed9 Y t\u1ebf: Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t, x\u00e1c \u0111\u1ecbnh v\u00e0 giai \u0111o\u1ea1n"},"content":{"rendered":"<p>Ung th\u01b0 v\u00fa l\u00e0 m\u1ed9t trong nh\u1eefng lo\u1ea1i ung th\u01b0 ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf ph\u1ee5 n\u1eef tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n ung th\u01b0 v\u00fa l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 c\u1ea3i thi\u1ec7n c\u01a1 h\u1ed9i s\u1ed1ng s\u00f3t c\u1ee7a b\u1ec7nh nh\u00e2n. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd gi\u1edbi thi\u1ec7u ph\u00e1c \u0111\u1ed3 ch\u1ea9n \u0111o\u00e1n ung th\u01b0 v\u00fa c\u1ee7a b\u1ed9 Y t\u1ebf, bao g\u1ed3m c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t, x\u00e1c \u0111\u1ecbnh v\u00e0 giai \u0111o\u1ea1n.<\/p>\n<h2><a name=\"_Toc93202\"><\/a>1. \u0110\u1ea1i c\u01b0\u01a1ng v\u1ec1 ung th\u01b0 v\u00fa<\/h2>\n<p><a href=\"https:\/\/www.vinmec.com\/vi\/ung-buou-xa-tri\/thong-tin-suc-khoe\/ung-thu-vu-dau-hieu-nguyen-nhan-cach-phong-tranh-va-dieu-tri\/\">Ung th\u01b0 v\u00fa (UTV)<\/a> l\u00e0 lo\u1ea1i ung th\u01b0 th\u01b0\u1eddng g\u1eb7p v\u00e0 l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong h\u00e0ng \u0111\u1ea7u do ung th\u01b0 \u1edf ph\u1ee5 n\u1eef tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. M\u1ed7i n\u0103m n\u01b0\u1edbc ta c\u00f3 kho\u1ea3ng h\u01a1n 15.230 ph\u1ee5 n\u1eef m\u1edbi m\u1eafc v\u00e0 h\u01a1n 6.100 ng\u01b0\u1eddi t\u1eed vong do UTV. Ung th\u01b0 v\u00fa nam chi\u1ebfm kho\u1ea3ng 1% c\u00e1c tr\u01b0\u1eddng h\u1ee3p UTV. \u0110a s\u1ed1 UTV xu\u1ea5t ph\u00e1t t\u1eeb c\u00e1c t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 c\u1ee7a v\u00fa. B\u1ec7nh Paget c\u1ee7a v\u00fa c\u00f3 th\u1ec3 k\u00e8m theo UTV. Do v\u1eady, khi c\u00f3 th\u00e0nh ph\u1ea7n ung th\u01b0 tr\u00ean Paget v\u00fa c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb nh\u01b0 UTV th\u00f4ng th\u01b0\u1eddng v\u1edbi giai \u0111o\u1ea1n t\u01b0\u01a1ng \u1ee9ng.<\/p>\n<p>C\u00e1c y\u1ebfu t\u1ed1 ti\u00ean l\u01b0\u1ee3ng quan tr\u1ecdng bao g\u1ed3m: k\u00edch th\u01b0\u1edbc u nguy\u00ean ph\u00e1t, s\u1ed1 l\u01b0\u1ee3ng h\u1ea1ch di c\u0103n, th\u1ec3 m\u00f4 b\u1ec7nh h\u1ecdc, \u0111\u1ed9 m\u00f4 h\u1ecdc, t\u00ecnh tr\u1ea1ng th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft, t\u00ecnh tr\u1ea1ng th\u1ee5 th\u1ec3 y\u1ebfu t\u1ed1 ph\u00e1t tri\u1ec3n bi\u1ec3u b\u00ec ng\u01b0\u1eddi s\u1ed1 2 (human epidermal growth factor receptor-HER2), tu\u1ed5i.<\/p>\n<figure id=\"attachment_24676\" aria-describedby=\"caption-attachment-24676\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-24676\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/unnamed-1-2136-1645583322-300x170.jpg\" alt=\"minh-hoa-ung-thu-vu-o-phu-nu\" width=\"300\" height=\"170\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/unnamed-1-2136-1645583322-300x170.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/unnamed-1-2136-1645583322-1024x579.jpg 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/unnamed-1-2136-1645583322-768x434.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/unnamed-1-2136-1645583322-1536x869.jpg 1536w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/unnamed-1-2136-1645583322.jpg 1600w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-24676\" class=\"wp-caption-text\">Ung th\u01b0 v\u00fa l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y t\u1eed vong do ung th\u01b0 \u1edf ph\u1ee5 n\u1eef<\/figcaption><\/figure>\n<h2>2. Nguy\u00ean nh\u00e2n \u2013 C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1<\/h2>\n<ul>\n<li>Ti\u1ec1n s\u1eed gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi m\u1eafc UTV, \u0111\u1eb7c bi\u1ec7t c\u00f3 t\u1eeb 2 ng\u01b0\u1eddi m\u1eafc tr\u1edf l\u00ean \u1edf l\u1ee9a tu\u1ed5i tr\u1ebb<\/li>\n<li>\u0110\u1ed9t bi\u1ebfn gen <em>BRCA1<\/em> v\u00e0 <em>BRCA2<\/em><\/li>\n<li>C\u00f3 kinh l\u1ea7n \u0111\u1ea7u s\u1edbm, m\u00e3n kinh mu\u1ed9n, ph\u1ee5 n\u1eef \u0111\u1ed9c th\u00e2n, kh\u00f4ng sinh con, kh\u00f4ng cho con b\u00fa, sinh con \u0111\u1ea7u l\u00f2ng mu\u1ed9n<\/li>\n<li>B\u00e9o ph\u00ec, ch\u1ebf \u0111\u1ed9 \u0103n gi\u00e0u ch\u1ea5t b\u00e9o, s\u1eed d\u1ee5ng r\u01b0\u1ee3u c\u0169ng g\u00f3p ph\u1ea7n t\u0103ng nguy c\u01a1 b\u1ecb b\u1ec7nh<\/li>\n<li>Vi\u00eam v\u00fa trong khi sinh \u0111\u1ebb v\u00e0 m\u1ed9t s\u1ed1 b\u1ec7nh v\u00fa l\u00e0nh t\u00ednh<\/li>\n<li>Tu\u1ed5i c\u00e0ng cao<\/li>\n<\/ul>\n<h2>3. Ch\u1ea9n \u0111o\u00e1n ung th\u01b0 v\u00fa<\/h2>\n<h3><strong>3.1. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t <\/strong><\/h3>\n<ul>\n<li>U x\u01a1 tuy\u1ebfn v\u00fa (fibroadenoma)<\/li>\n<li>Nang v\u00fa (cyst)<\/li>\n<li>C\u00e1c bi\u1ebfn \u0111\u1ed5i x\u01a1 nang (fibrocystic changes)<\/li>\n<li>Nang s\u1eefa (galactocele)<\/li>\n<li>Vi\u00eam tuy\u1ebfn v\u00fa, \u00e1p xe v\u00fa<\/li>\n<li>Ho\u1ea1i t\u1eed m\u1ee1 (fat necrosis)<\/li>\n<li>U phyllode l\u00e0nh<\/li>\n<li>U nh\u00fa trong \u1ed1ng d\u1eabn s\u1eefa<\/li>\n<li>U m\u1ee1 c\u1ee7a v\u00fa (hi\u1ebfm g\u1eb7p)<\/li>\n<li>Ung th\u01b0 m\u00f4 li\u00ean k\u1ebft (sarcoma) v\u00fa<\/li>\n<li>U lym ph\u00f4 t\u1ea1i v\u00fa<\/li>\n<li>C\u00e1c kh\u1ed1i u \u00e1c t\u00ednh t\u1eeb n\u01a1i kh\u00e1c di c\u0103n \u0111\u1ebfn v\u00fa<\/li>\n<\/ul>\n<h3><a name=\"_Toc93208\"><\/a><strong>3.2. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh <\/strong><\/h3>\n<ul>\n<li>L\u00e2m s\u00e0ng: kh\u1ed1i u v\u00e0 t\u00ednh ch\u1ea5t kh\u1ed1i u<\/li>\n<li>Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh tuy\u1ebfn v\u00fa (ch\u1ee5p X- quang tuy\u1ebfn v\u00fa, MRI tuy\u1ebfn v\u00fa&#8230;)<\/li>\n<li>M\u00f4 b\u1ec7nh h\u1ecdc: Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh ung th\u01b0 v\u00fa khi c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a c\u00e1c t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 \u00e1c t\u00ednh (UTBM). Sinh thi\u1ebft kim l\u00f5i ho\u1eb7c ch\u1ecdc h\u00fat kim nh\u1ecf \u0111\u1ec1u c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng. Tuy nhi\u00ean, ch\u1ecdc h\u00fat kim nh\u1ecf c\u1ea7n c\u00f3 nh\u00e0 gi\u1ea3i ph\u1eabu b\u1ec7nh-t\u1ebf b\u00e0o c\u00f3 kinh nghi\u1ec7m v\u00e0 c\u0169ng kh\u00f4ng ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c ung th\u01b0 x\u00e2m nh\u1eadp v\u00e0 kh\u00f4ng x\u00e2m nh\u1eadp. \u1ede nh\u1eefng n\u01a1i kh\u00f4ng c\u00f3 nh\u00e0 gi\u1ea3i ph\u1eabu b\u1ec7nh-t\u1ebf b\u00e0o c\u00f3 kinh nghi\u1ec7m, n\u00ean sinh thi\u1ebft kim l\u00f5i h\u01a1n l\u00e0 ch\u1ecdc h\u00fat t\u1ebf b\u00e0o kim nh\u1ecf. Ngo\u00e0i ra, sinh thi\u1ebft kim c\u00f2n \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft v\u00e0 HER2.<\/li>\n<\/ul>\n<h3><a name=\"_Toc93209\"><\/a><strong>3.3. Ch\u1ea9n \u0111o\u00e1n giai \u0111o\u1ea1n <\/strong><\/h3>\n<h4>3.3.1. X\u1ebfp giai \u0111o\u1ea1n TNM<\/h4>\n<p>Theo ph\u00e2n lo\u1ea1i TNM l\u1ea7n th\u1ee9 8 c\u1ee7a UICC (Union International Contre le Cancer) v\u00e0 AJCC (American Joint Committee on Cancer) n\u0103m 2017. Trong \u0111\u00f3, cTNM (x\u1ebfp giai \u0111o\u1ea1n l\u00e2m s\u00e0ng ban \u0111\u1ea7u) v\u00e0 pTNM (sau khi c\u00f3 m\u00f4 b\u1ec7nh h\u1ecdc) c\u00f3 chung \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a T v\u00e0 M, ch\u1ec9 kh\u00e1c v\u1ec1 \u0111\u1eb7c \u0111i\u1ec3m gi\u1eefa cN v\u00e0 pN.<\/p>\n<p>S\u1eed d\u1ee5ng ti\u1ec1n t\u1ed1 yc \u0111\u1ec3 x\u1ebfp giai \u0111o\u1ea1n khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb t\u00e2n b\u1ed5 tr\u1ee3 v\u00e0 ti\u1ec1n t\u1ed1 yp sau khi c\u00f3 m\u00f4 b\u1ec7nh h\u1ecdc \u1edf c\u00e1c b\u1ec7nh nh\u00e2n n\u00e0y.<\/p>\n<h5><strong>B\u1ea3ng 2. X\u1ebfp giai \u0111o\u1ea1n TNM ung th\u01b0 v\u00fa <\/strong><\/h5>\n<table width=\"586\">\n<tbody>\n<tr>\n<td colspan=\"3\" width=\"586\"><strong>U nguy\u00ean ph\u00e1t (T)<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"132\">Tx<\/td>\n<td colspan=\"2\" width=\"454\">Kh\u00f4ng \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c u nguy\u00ean ph\u00e1t.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">T0<\/td>\n<td colspan=\"2\" width=\"454\">Kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng u nguy\u00ean ph\u00e1t.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">Tis (DCIS)*<\/td>\n<td colspan=\"2\" width=\"454\">Ung th\u01b0 bi\u1ec3u m\u00f4 th\u1ec3 \u1ed1ng t\u1ea1i ch\u1ed7<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">Tis (Paget)<\/td>\n<td colspan=\"2\" width=\"454\">B\u1ec7nh Paget c\u1ee7a n\u00fam v\u00fa nh\u01b0ng kh\u00f4ng k\u00e8m theo ung th\u01b0 x\u00e2m l\u1ea5n v\u00e0\/ho\u1eb7c DCIS \u1edf nhu m\u00f4 ph\u00eda d\u01b0\u1edbi.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">T1<\/td>\n<td colspan=\"2\" width=\"454\">U c\u00f3 \u0111\u01b0\u1eddng k\u00ednh l\u1edbn nh\u1ea5t \u2264 20mm.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0 T1mi<\/td>\n<td colspan=\"2\" width=\"454\">U c\u00f3 \u0111\u01b0\u1eddng k\u00ednh l\u1edbn nh\u1ea5t \u2264 1mm.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0 T1a<\/td>\n<td colspan=\"2\" width=\"454\">U c\u00f3 \u0111\u01b0\u1eddng k\u00ednh l\u1edbn nh\u1ea5t &gt;1 mm nh\u01b0ng \u2264 5mm.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0 T1b<\/td>\n<td colspan=\"2\" width=\"454\">U c\u00f3 \u0111\u01b0\u1eddng k\u00ednh l\u1edbn nh\u1ea5t &gt;5 mm nh\u01b0ng \u2264 10mm.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0 T1c<\/td>\n<td colspan=\"2\" width=\"454\">U c\u00f3 \u0111\u01b0\u1eddng k\u00ednh l\u1edbn nh\u1ea5t &gt; 10mm nh\u01b0ng \u2264 20mm.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">T2<\/td>\n<td colspan=\"2\" width=\"454\">U c\u00f3 \u0111\u01b0\u1eddng k\u00ednh l\u1edbn nh\u1ea5t\u00a0 &gt;20mm nh\u01b0ng \u2264 50mm.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">T3<\/td>\n<td colspan=\"2\" width=\"454\">U c\u00f3 \u0111\u01b0\u1eddng k\u00ednh l\u1edbn nh\u1ea5t\u00a0 &gt; 50mm.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">T4<\/td>\n<td colspan=\"2\" width=\"454\">U v\u1edbi m\u1ecdi k\u00edch th\u01b0\u1edbc nh\u01b0ng x\u00e2m l\u1ea5n tr\u1ef1c ti\u1ebfp t\u1edbi th\u00e0nh ng\u1ef1c v\u00e0\/ho\u1eb7c da (lo\u00e9t ho\u1eb7c n\u1ed1t tr\u00ean da); x\u00e2m l\u1ea5n v\u00e0o l\u1edbp h\u1ea1 b\u00ec \u0111\u01a1n thu\u1ea7n kh\u00f4ng \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n x\u1ebfp v\u00e0o T4.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0 T4a<\/td>\n<td colspan=\"2\" width=\"454\">U x\u00e2m l\u1ea5n t\u1edbi th\u00e0nh ng\u1ef1c, kh\u00f4ng t\u00ednh tr\u01b0\u1eddng h\u1ee3p ch\u1ec9 d\u00ednh\/x\u00e2m l\u1ea5n c\u01a1 ng\u1ef1c.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0 T4b<\/td>\n<td colspan=\"2\" width=\"454\">Lo\u00e9t v\u00e0\/ho\u1eb7c c\u00f3 n\u1ed1t v\u1ec7 tinh tr\u00ean da v\u00fa c\u00f9ng b\u00ean v\u00e0\/ho\u1eb7c ph\u00f9 da (bao g\u1ed3m \u0111\u1ecf da cam), m\u00e0 kh\u00f4ng \u0111\u1ee7 ti\u00eau chu\u1ea9n c\u1ee7a UTBM th\u1ec3 vi\u00eam.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0 T4c<\/td>\n<td colspan=\"2\" width=\"454\">Bao g\u1ed3m c\u1ea3 T4a v\u00e0 T4b.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0 T4d<\/td>\n<td colspan=\"2\" width=\"454\">Ung th\u01b0 bi\u1ec3u m\u00f4 th\u1ec3 vi\u00eam.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\" width=\"586\"><strong>H\u1ea1ch v\u00f9ng (N) <\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"132\"><strong><em>cN <\/em><\/strong><\/td>\n<td colspan=\"2\" width=\"454\"><\/td>\n<\/tr>\n<tr>\n<td width=\"132\">cNx<\/td>\n<td colspan=\"2\" width=\"454\">H\u1ea1ch v\u00f9ng kh\u00f4ng \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c (v\u00ed d\u1ee5: h\u1ea1ch \u0111\u00e3 \u0111\u01b0\u1ee3c l\u1ea5y b\u1ecf tr\u01b0\u1edbc \u0111\u00f3).<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">cN0<\/td>\n<td colspan=\"2\" width=\"454\">Kh\u00f4ng di c\u0103n h\u1ea1ch v\u00f9ng (x\u00e1c \u0111\u1ecbnh tr\u00ean ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh ho\u1eb7c kh\u00e1m l\u00e2m s\u00e0ng).<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">cN1 cN1mi**<\/td>\n<td colspan=\"2\" width=\"454\">Di c\u0103n h\u1ea1ch n\u00e1ch ch\u1eb7ng I, II c\u00f9ng b\u00ean, di \u0111\u1ed9ng.<\/p>\n<p>Vi di c\u0103n (x\u1ea5p x\u1ec9 200 t\u1ebf b\u00e0o, &gt; 0,2mm, nh\u01b0ng\u00a0 \u2264 2,0 mm)<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">cN2<\/td>\n<td colspan=\"2\" width=\"454\">Di c\u0103n h\u1ea1ch n\u00e1ch ch\u1eb7ng I, II c\u00f9ng b\u00ean nh\u01b0ng tr\u00ean l\u00e2m s\u00e0ng h\u1ea1ch d\u00ednh nhau ho\u1eb7c d\u00ednh t\u1ed5 ch\u1ee9c kh\u00e1c, ho\u1eb7c ch\u1ec9 di c\u0103n h\u1ea1ch v\u00fa trong c\u00f9ng b\u00ean nh\u01b0ng kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng tr\u00ean l\u00e2m s\u00e0ng di c\u0103n h\u1ea1ch n\u00e1ch.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0\u00a0 cN2a<\/td>\n<td colspan=\"2\" width=\"454\">Di c\u0103n h\u1ea1ch n\u00e1ch ch\u1eb7ng I, II c\u00f9ng b\u00ean nh\u01b0ng tr\u00ean l\u00e2m s\u00e0ng h\u1ea1ch d\u00ednh nhau ho\u1eb7c d\u00ednh t\u1ed5 ch\u1ee9c kh\u00e1c.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0\u00a0 cN2b<\/td>\n<td colspan=\"2\" width=\"454\">Ch\u1ec9 di c\u0103n h\u1ea1ch v\u00fa trong c\u00f9ng b\u00ean nh\u01b0ng kh\u00f4ng di c\u0103n h\u1ea1ch n\u00e1ch.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">cN3<\/td>\n<td colspan=\"2\" width=\"454\">Di c\u0103n h\u1ea1ch h\u1ea1 \u0111\u00f2n c\u00f9ng b\u00ean (h\u1ea1ch n\u00e1ch ch\u1eb7ng III) c\u00f3 ho\u1eb7c kh\u00f4ng k\u00e8m theo di c\u0103n h\u1ea1ch n\u00e1ch ch\u1eb7ng I, II; ho\u1eb7c di c\u0103n h\u1ea1ch v\u00fa trong c\u00f9ng b\u00ean c\u00f3 k\u00e8m di c\u0103n h\u1ea1ch n\u00e1ch ch\u1eb7ng I, II; ho\u1eb7c di c\u0103n h\u1ea1ch th\u01b0\u1ee3ng \u0111\u00f2n c\u00f9ng b\u00ean c\u00f3 ho\u1eb7c kh\u00f4ng k\u00e8m theo di c\u0103n h\u1ea1ch n\u00e1ch ho\u1eb7c h\u1ea1ch v\u00fa trong.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0 cN3a<\/td>\n<td colspan=\"2\" width=\"454\">Di c\u0103n h\u1ea1ch h\u1ea1 \u0111\u00f2n c\u00f9ng b\u00ean.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0 cN3b<\/td>\n<td colspan=\"2\" width=\"454\">Di c\u0103n h\u1ea1ch v\u00fa trong c\u00f9ng b\u00ean k\u00e8m theo di c\u0103n h\u1ea1ch n\u00e1ch.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0 cN3c<\/td>\n<td colspan=\"2\" width=\"454\">Di c\u0103n h\u1ea1ch th\u01b0\u1ee3ng \u0111\u00f2n c\u00f9ng b\u00ean.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\"><strong><em>pN <\/em><\/strong><\/td>\n<td colspan=\"2\" width=\"454\"><\/td>\n<\/tr>\n<tr>\n<td width=\"132\">pNx<\/td>\n<td colspan=\"2\" width=\"454\">H\u1ea1ch v\u00f9ng kh\u00f4ng \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c (v\u00ed d\u1ee5: h\u1ea1ch \u0111\u00e3 \u0111\u01b0\u1ee3c l\u1ea5y b\u1ecf tr\u01b0\u1edbc \u0111\u00f3 ho\u1eb7c \u0111\u00e3 l\u1ea5y \u0111\u1ec3 l\u00e0m m\u00f4 b\u1ec7nh h\u1ecdc).<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">pN0<\/td>\n<td colspan=\"2\" width=\"454\">Kh\u00f4ng di c\u0103n h\u1ea1ch v\u00f9ng tr\u00ean m\u00f4 b\u1ec7nh h\u1ecdc.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">pN0 (i+)<\/td>\n<td colspan=\"2\" width=\"454\">C\u00e1c t\u1ebf b\u00e0o \u00e1c t\u00ednh trong h\u1ea1ch v\u00f9ng kh\u00f4ng qu\u00e1 0,2 mm (ph\u00e1t hi\u1ec7n qua nhu\u1ed9m HE ho\u1eb7c IHC bao g\u1ed3m c\u1ea3 c\u00e1c t\u1ebf b\u00e0o u bi\u1ec7t l\u1eadp (isolated tumor cells-ITCs).<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">pN0 (mol+)<\/td>\n<td colspan=\"2\" width=\"454\">X\u00e9t nghi\u1ec7m ph\u00e2n t\u1eed d\u01b0\u01a1ng t\u00ednh; kh\u00f4ng ph\u00e1t hi\u1ec7n di c\u0103n h\u1ea1ch v\u00f9ng tr\u00ean m\u00f4 b\u1ec7nh h\u1ecdc (c\u1ea3 HE v\u00e0 IHC)<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">pN1<\/td>\n<td colspan=\"2\" width=\"454\">Vi di c\u0103n; ho\u1eb7c di c\u0103n 1-3 h\u1ea1ch n\u00e1ch; v\u00e0\/ho\u1eb7c kh\u00f4ng di c\u0103n h\u1ea1ch v\u00fa trong tr\u00ean l\u00e2m s\u00e0ng k\u00e8m theo c\u00f3 di c\u0103n \u0111\u1ea1i th\u1ec3 ho\u1eb7c vi th\u1ec3 ph\u00e1t hi\u1ec7n b\u1edfi sinh thi\u1ebft h\u1ea1ch c\u1eeda.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0 pN1mi<\/td>\n<td colspan=\"2\" width=\"454\">Vi di c\u0103n (200 t\u1ebf b\u00e0o, &gt; 0,2 mm, nh\u01b0ng kh\u00f4ng qu\u00e1 2 mm)<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0 pN1a<\/td>\n<td colspan=\"2\" width=\"454\">Di c\u0103n 1 \u0111\u1ebfn 3 h\u1ea1ch n\u00e1ch, \u00edt nh\u1ea5t 1 h\u1ea1ch c\u00f3 di c\u0103n &gt;2mm.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0 pN1b<\/td>\n<td colspan=\"2\" width=\"454\">Di c\u0103n h\u1ea1ch g\u00e1c v\u00fa trong c\u00f9ng b\u00ean kh\u00f4ng bao g\u1ed3m c\u1ea3 c\u00e1c t\u1ebf b\u00e0o u bi\u1ec7t l\u1eadp (ITCs)<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0 pN1c<\/td>\n<td colspan=\"2\" width=\"454\">K\u1ebft h\u1ee3p c\u1ea3 pN1a v\u00e0 pN1b<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">pN2<\/td>\n<td colspan=\"2\" width=\"454\">Di c\u0103n 4-9 h\u1ea1ch n\u00e1ch; ho\u1eb7c di c\u0103n h\u1ea1ch v\u00fa trong c\u00f9ng b\u00ean ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c tr\u00ean ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh m\u00e0 kh\u00f4ng di c\u0103n h\u1ea1ch n\u00e1ch.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0 pN2a<\/td>\n<td colspan=\"2\" width=\"454\">Di c\u0103n 4-9 h\u1ea1ch n\u00e1ch (\u00edt nh\u1ea5t 1 h\u1ea1ch c\u00f3 v\u00f9ng di c\u0103n &gt;2mm).<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0 pN2b<\/td>\n<td colspan=\"2\" width=\"454\">Di c\u0103n h\u1ea1ch v\u00fa trong ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c tr\u00ean l\u00e2m s\u00e0ng c\u00f3 ho\u1eb7c kh\u00f4ng kh\u1eb3ng \u0111\u1ecbnh tr\u00ean vi th\u1ec3; v\u1edbi h\u1ea1ch n\u00e1ch \u00e2m t\u00ednh tr\u00ean m\u00f4 b\u1ec7nh h\u1ecdc<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">pN3<\/td>\n<td colspan=\"2\" width=\"454\">Di c\u0103n \u226510 h\u1ea1ch n\u00e1ch; ho\u1eb7c di c\u0103n h\u1ea1ch h\u1ea1 \u0111\u00f2n (h\u1ea1ch ch\u1eb7ng III); ho\u1eb7c di c\u0103n h\u1ea1ch v\u00fa trong c\u00f9ng b\u00ean ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c tr\u00ean ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh k\u00e8m theo \u2265 1 h\u1ea1ch n\u00e1ch ch\u1eb7ng I, II d\u01b0\u01a1ng t\u00ednh; ho\u1eb7c di c\u0103n \u2265 3 h\u1ea1ch n\u00e1ch k\u00e8m theo di c\u0103n h\u1ea1ch v\u00fa trong tr\u00ean vi th\u1ec3 ho\u1eb7c \u0111\u1ea1i th\u1ec3 ph\u00e1t hi\u1ec7n qua sinh thi\u1ebft h\u1ea1ch c\u1eeda nh\u01b0ng kh\u00f4ng ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c tr\u00ean l\u00e2m s\u00e0ng; ho\u1eb7c di c\u0103n h\u1ea1ch th\u01b0\u1ee3ng \u0111\u00f2n c\u00f9ng b\u00ean.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0 pN3a<\/td>\n<td colspan=\"2\" width=\"454\">Di c\u0103n\u2265 10 h\u1ea1ch n\u00e1ch (\u00edt nh\u1ea5t 1 h\u1ea1ch c\u00f3 v\u00f9ng di c\u0103n &gt;2mm); ho\u1eb7c di c\u0103n h\u1ea1ch h\u1ea1 \u0111\u00f2n (h\u1ea1ch n\u00e1ch ch\u1eb7ng III).<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0\u00a0 pN3b<\/td>\n<td colspan=\"2\" width=\"454\">pN1a ho\u1eb7c pN2a k\u00e8m theo cN2b (h\u1ea1ch v\u00fa trong d\u01b0\u01a1ng t\u00ednh tr\u00ean ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh) ho\u1eb7c pN2a k\u00e8m theo pN1b.<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">\u00a0 pN3c<\/td>\n<td colspan=\"2\" width=\"454\">Di c\u0103n h\u1ea1ch th\u01b0\u1ee3ng \u0111\u00f2n c\u00f9ng b\u00ean.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\" width=\"586\"><strong>Di c\u0103n xa (M) <\/strong><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"160\">M0<\/td>\n<td width=\"426\">Kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng l\u00e2m s\u00e0ng ho\u1eb7c h\u00ecnh \u1ea3nh c\u1ee7a di c\u0103n<\/p>\n<p>xa.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"160\">cMo(i+)<\/td>\n<td width=\"426\">Kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng l\u00e2m s\u00e0ng ho\u1eb7c h\u00ecnh \u1ea3nh c\u1ee7a di c\u0103n xa, nh\u01b0ng ph\u00e1t hi\u1ec7n qua vi th\u1ec3 ho\u1eb7c k\u1ef9 thu\u1eadt ph\u00e2n t\u1eed c\u00f3 c\u00e1c t\u1ebf b\u00e0o u ho\u1eb7c c\u1ee5m t\u1ebf b\u00e0o u (deposits)c\u00f3 k\u00edch th\u01b0\u1edbc \u22640,2 mm trong m\u00e1u, trong t\u1ee7y x\u01b0\u01a1ng hay c\u00e1c m\u00f4 kh\u00e1c ngo\u00e0i h\u1ea1ch v\u00f9ng \u1edf b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c d\u1ea5u hi\u1ec7u di c\u0103n.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"160\">cM1<\/td>\n<td width=\"426\">Di c\u0103n xa ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c b\u1eb1ng l\u00e2m s\u00e0ng v\u00e0 c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"160\">pM1<\/td>\n<td width=\"426\">Di c\u0103n t\u1edbi b\u1ea5t k\u1ec3 c\u01a1 quan xa n\u00e0o \u0111\u01b0\u1ee3c ch\u1ee9ng minh b\u1eb1ng m\u00f4 h\u1ecdc; ho\u1eb7c trong tr\u01b0\u1eddng h\u1ee3p ch\u01b0a di c\u0103n h\u1ea1ch v\u00f9ng m\u00e0 c\u00f3 di c\u0103n k\u00edch th\u01b0\u1edbc &gt;0,2 mm.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Ch\u00fa th\u00edch:\u00a0 <\/strong><\/p>\n<p>* Ung th\u01b0 bi\u1ec3u m\u00f4 ti\u1ec3u th\u00f9y t\u1ea1i ch\u1ed7 (LCIS) \u0111\u00e3 \u0111\u01b0\u1ee3c lo\u1ea1i ra kh\u1ecfi h\u1ec7 th\u1ed1ng x\u1ebfp giai \u0111o\u1ea1n TNM c\u1ee7a AJCC l\u1ea7n th\u1ee9 8 do t\u00ednh ch\u1ea5t l\u00e0nh t\u00ednh.<\/p>\n<p>** cN1mi hi\u1ebfm \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0ng c\u00f3 th\u1ec3 ph\u00f9 h\u1ee3p trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 l\u00e0m sinh thi\u1ebft h\u1ea1ch c\u1eeda tr\u01b0\u1edbc khi l\u1ea5y b\u1ecf kh\u1ed1i u, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n trong tr\u01b0\u1eddng h\u1ee3p \u0111i\u1ec1u tr\u1ecb t\u00e2n b\u1ed5 tr\u1ee3.<\/p>\n<h4>3.5.2. Nh\u00f3m giai \u0111o\u1ea1n<\/h4>\n<p><strong><em>B\u1ea3ng 3. Nh\u00f3m giai \u0111o\u1ea1n ung th\u01b0 v\u00fa <\/em><\/strong><\/p>\n<table width=\"588\">\n<tbody>\n<tr>\n<td width=\"147\"><strong>Giai \u0111o\u1ea1n <\/strong><\/td>\n<td width=\"158\"><strong>T <\/strong><\/td>\n<td width=\"151\"><strong>N <\/strong><\/td>\n<td width=\"132\"><strong>M <\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"147\">0<\/td>\n<td width=\"158\">Tis<\/td>\n<td width=\"151\">N0<\/td>\n<td width=\"132\">M0<\/td>\n<\/tr>\n<tr>\n<td width=\"147\">IA<\/td>\n<td width=\"158\">T1<\/td>\n<td width=\"151\">N0<\/td>\n<td width=\"132\">M0<\/td>\n<\/tr>\n<tr>\n<td width=\"147\">IB<\/td>\n<td width=\"158\">T0<\/p>\n<p>T1<\/td>\n<td width=\"151\">N1mi<\/p>\n<p>N1mi<\/td>\n<td width=\"132\">M0<\/p>\n<p>M0<\/td>\n<\/tr>\n<tr>\n<td width=\"147\">IIA<\/td>\n<td width=\"158\">T0<\/p>\n<p>T1<\/p>\n<p>T2<\/td>\n<td width=\"151\">N1<\/p>\n<p>N1<\/p>\n<p>N0<\/td>\n<td width=\"132\">M0<\/p>\n<p>M0<\/p>\n<p>M0<\/td>\n<\/tr>\n<tr>\n<td width=\"147\">IIB<\/td>\n<td width=\"158\">T2<\/p>\n<p>T3<\/td>\n<td width=\"151\">N1<\/p>\n<p>N0<\/td>\n<td width=\"132\">M0<\/p>\n<p>M0<\/td>\n<\/tr>\n<tr>\n<td width=\"147\">IIIA<\/td>\n<td width=\"158\">T0<\/p>\n<p>T1<\/p>\n<p>T2<\/p>\n<p>T3<\/p>\n<p>T3<\/td>\n<td width=\"151\">N2<\/p>\n<p>N2<\/p>\n<p>N2<\/p>\n<p>N1<\/p>\n<p>N2<\/td>\n<td width=\"132\">M0<\/p>\n<p>M0<\/p>\n<p>M0<\/p>\n<p>M0<\/p>\n<p>M0<\/td>\n<\/tr>\n<tr>\n<td width=\"147\">IIIB<\/td>\n<td width=\"158\">T4<\/p>\n<p>T4<\/p>\n<p>T4<\/td>\n<td width=\"151\">N0<\/p>\n<p>N1<\/p>\n<p>N2<\/td>\n<td width=\"132\">M0<\/p>\n<p>M0<\/p>\n<p>M0<\/td>\n<\/tr>\n<tr>\n<td width=\"147\">IIIC<\/td>\n<td width=\"158\">B\u1ea5t k\u1ef3 T<\/td>\n<td width=\"151\">N3<\/td>\n<td width=\"132\">M0<\/td>\n<\/tr>\n<tr>\n<td width=\"147\">IV<\/td>\n<td width=\"158\">B\u1ea5t k\u1ef3 T<\/td>\n<td width=\"151\">B\u1ea5t k\u1ef3 N<\/td>\n<td width=\"132\">M1<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ung th\u01b0 v\u00fa l\u00e0 m\u1ed9t trong nh\u1eefng lo\u1ea1i ung th\u01b0 ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf ph\u1ee5 n\u1eef tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n ung th\u01b0 v\u00fa l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 c\u1ea3i thi\u1ec7n c\u01a1 h\u1ed9i s\u1ed1ng s\u00f3t c\u1ee7a b\u1ec7nh nh\u00e2n. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd gi\u1edbi thi\u1ec7u ph\u00e1c \u0111\u1ed3 [&hellip;]<\/p>\n","protected":false},"author":43,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ph\u00e1c \u0111\u1ed3 ch\u1ea9n \u0111o\u00e1n ung th\u01b0 v\u00fa theo b\u1ed9 Y t\u1ebf: Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t, x\u00e1c \u0111\u1ecbnh v\u00e0 giai \u0111o\u1ea1n - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y s\u1ebd gi\u1edbi thi\u1ec7u ph\u00e1c \u0111\u1ed3 ch\u1ea9n \u0111o\u00e1n ung th\u01b0 v\u00fa c\u1ee7a b\u1ed9 Y t\u1ebf, bao g\u1ed3m c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t, x\u00e1c \u0111\u1ecbnh v\u00e0 giai \u0111o\u1ea1n.\" \/>\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=\"Ph\u00e1c \u0111\u1ed3 ch\u1ea9n \u0111o\u00e1n ung th\u01b0 v\u00fa theo b\u1ed9 Y t\u1ebf: Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t, x\u00e1c \u0111\u1ecbnh v\u00e0 giai \u0111o\u1ea1n - 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