{"id":27909,"date":"2023-04-26T14:41:00","date_gmt":"2023-04-26T07:41:00","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27909"},"modified":"2023-04-26T14:41:00","modified_gmt":"2023-04-26T07:41:00","slug":"not-mo-phoi-cap-nhat-khuyen-cao-ve-quan-ly","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/26\/not-mo-phoi-cap-nhat-khuyen-cao-ve-quan-ly\/","title":{"rendered":"N\u1ed1t m\u1edd ph\u1ed5i: c\u1eadp nh\u1eadt khuy\u1ebfn c\u00e1o v\u1ec1 qu\u1ea3n l\u00fd"},"content":{"rendered":"<div><strong>\u00a0\u00a0N\u1ed1t m\u1edd ph\u1ed5i l\u00e0 t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng n\u1ed1t m\u1edd khu tr\u00fa trong nhu m\u00f4 ph\u1ed5i, c\u00f3 k\u00edch th\u01b0\u1edbc t\u1ed1i \u0111a 30mm, b\u1edd \u0111\u1ec1u ho\u1eb7c kh\u00f4ng, bao g\u1ed3m c\u1ea3 h\u00ecnh \u1ea3nh k\u00ednh m\u1edd, n\u1ed1t m\u1edd \u0111\u1eb7c v\u00e0 t\u1ed5n th\u01b0\u01a1ng h\u1ed7n h\u1ee3p. T\u1ef7 l\u1ec7 ung th\u01b0 \u1edf b\u1ec7nh nh\u00e2n n\u1ed1t m\u1edd ph\u1ed5i t\u1eeb 10-70%, t\u1ed5n th\u01b0\u01a1ng l\u00e0nh t\u00ednh kho\u1ea3ng 80% u h\u1ea1t v\u00e0 10% u m\u00f4 th\u1eeba.\u00a0 \u1ede Vi\u1ec7t Nam, t\u1ef7 l\u1ec7 m\u1eafc v\u00e0o n\u0103m 2012 ung th\u01b0 ph\u1ed5i \u0111\u1ee9ng h\u00e0ng th\u1ee9 hai sau ung th\u01b0 gan \u1edf nam gi\u1edbi v\u00e0 sau ung th\u01b0 v\u00fa \u1edf n\u1eef gi\u1edbi. N\u1ed1t m\u1edd ph\u1ed5i \u0111\u01a1n \u0111\u1ed9c \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n t\u00ecnh c\u1edd tr\u00ean X quang trong 20-30% b\u1ec7nh nh\u00e2n ung th\u01b0 ph\u1ed5i.<\/strong><\/div>\n<div><\/div>\n<h2>1. \u0110\u1ecbnh ngh\u0129a v\u00e0 d\u1ecbch t\u1ec5 h\u1ecdc c\u1ee7a n\u1ed1t m\u1edd ph\u1ed5i.<\/h2>\n<h3>1.1. \u0110\u1ecbnh ngh\u0129a.<\/h3>\n<div>N\u1ed1t m\u1edd l\u00e0 m\u1ed9t t\u1ed5n th\u01b0\u01a1ng c\u00f3 \u0111\u1eadm \u0111\u1ed9 gi\u1edbi h\u1ea1n r\u00f5, k\u00edch th\u01b0\u1edbc d\u01b0\u1edbi 3cm, \u0111\u01b0\u1ee3c bao quanh b\u1edfi nhu m\u00f4 ph\u1ed5i th\u00f4ng kh\u00ed v\u00e0 kh\u00f4ng k\u00e8m h\u1ea1ch b\u1ec7nh l\u00fd ho\u1eb7c tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i. C\u00e1c n\u1ed1t ph\u1ed5i th\u01b0\u1eddng ph\u00e1t hi\u1ec7n t\u00ecnh c\u1edd qua ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT scan) do nhi\u1ec1u nguy\u00ean nh\u00e2n. Nh\u1edd s\u1ef1 ph\u00e1t tri\u1ec3n k\u0129 thu\u1eadt ch\u1ee5p CT li\u1ec1u tia th\u1ea5p (LDCT) trong t\u1ea7m so\u00e1t ung th\u01b0 ph\u1ed5i, t\u1ec9 l\u1ec7 c\u00f3 n\u1ed1t m\u1edd \u1edf ph\u1ed5i ng\u00e0y c\u00e0ng t\u0103ng. Ph\u1ea7n l\u1edbn n\u1ed1t m\u1edd kh\u00f4ng \u00e1c t\u00ednh; tuy nhi\u00ean, ch\u00fang th\u01b0\u1eddng t\u1ea1o ra m\u1ed9t th\u00e1ch th\u1ee9c ch\u1ea9n \u0111o\u00e1n cho b\u00e1c s\u0129 l\u00e2m s\u00e0ng v\u00e0 c\u00f3 th\u1ec3 g\u00e2y lo l\u1eafng cho b\u1ec7nh nh\u00e2n.<\/div>\n<h3>1.2. D\u1ecbch t\u1ec5 h\u1ecdc.<\/h3>\n<p>M\u1ed9t nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y cho th\u1ea5y n\u1ed1t m\u1edd c\u00f3 k\u00edch th\u01b0\u1edbc t\u1eeb 4 &#8211; 30mm \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh trong h\u01a1n 28% c\u00e1c phim CT ch\u1ea9n \u0111o\u00e1n. Trong h\u1ea7u h\u1ebft 69,000 ng\u01b0\u1eddi \u0111\u01b0\u1ee3c t\u00ecnh c\u1edd ph\u00e1t hi\u1ec7n n\u1ed1t m\u1edd, c\u00f3 3557 (5.2%) \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1edbi ung th\u01b0 ph\u1ed5i trong v\u00f2ng 2 n\u0103m.<\/p>\n<p id=\"hl0000492\">Th\u1eed nghi\u1ec7m t\u1ea7m so\u00e1t ph\u1ed5i qu\u1ed1c gia (NLST) \u0111\u00e3 gi\u1edbi thi\u1ec7u k\u0129 thu\u1eadt t\u1ea7m so\u00e1t ung th\u01b0 ph\u1ed5i b\u1eb1ng LDCT cho th\u1ea5y ti\u1ec1m n\u0103ng gi\u1ea3m t\u1ec9 l\u1ec7 t\u1eed vong do ung th\u01b0 ph\u1ed5i, nh\u01b0ng \u0111\u1ed3ng th\u1eddi c\u0169ng t\u1ea1o ra hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng c\u00e1c n\u1ed1t m\u1edd c\u1ea7n \u0111\u00e1nh gi\u00e1.<\/p>\n<p>M\u1ed9t ph\u00e2n t\u00edch g\u1ed9p 2012 cho th\u1ea5y, t\u1ec9 l\u1ec7 ng\u01b0\u1eddi c\u00f3 t\u1eeb 1 n\u1ed1t m\u1edd trong v\u00f2ng s\u00e0ng l\u1ecdc \u0111\u1ea7u ti\u00ean chi\u1ebfm \u0111\u1ebfn 20%.<\/p>\n<p>Trong c\u00e1c nghi\u00ean c\u1ee9u m\u1edbi nh\u1ea5t, ch\u1ec9 kh\u00f4ng qu\u00e1 5 &#8211; 10% c\u00e1c n\u1ed1t m\u1edd l\u00e0 \u00e1c t\u00ednh, do \u0111\u00f3 c\u00f3 t\u1edbi 90 &#8211; 95% c\u00e1c n\u1ed1t ph\u00e1t hi\u1ec7n qua t\u1ea7m so\u00e1t l\u00e0 d\u01b0\u01a1ng t\u00ednh gi\u1ea3.<\/p>\n<p>S\u1ef1 kh\u00e1c bi\u1ec7t trong t\u1ec9 l\u1ec7 ph\u00e1t hi\u1ec7n n\u1ed1t m\u1edd kh\u00e1c nhau do nhi\u1ec1u nguy\u00ean nh\u00e2n nh\u01b0 ng\u01b0\u1eddi \u0111\u1ecdc, \u0111\u1eb7c \u0111i\u1ec3m b\u1ec7nh nh\u00e2n (n\u1eef, l\u1edbn tu\u1ed5i, BMI &lt;30, h\u00fat thu\u1ed1c &gt;50 g\u00f3i &#8211; n\u0103m) l\u00e0m t\u0103ng t\u1ec9 l\u1ec7 ph\u00e1t hi\u1ec7n; m\u1ed9t y\u1ebfu t\u1ed1 kh\u00e1c l\u00e0 do \u0111\u1ecbnh ngh\u0129a d\u01b0\u01a1ng t\u00ednh kh\u00e1c nhau.<\/p>\n<ul>\n<li>Trong th\u1eed nghi\u1ec7m NLST, n\u1ed1t \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 d\u01b0\u01a1ng t\u00ednh khi c\u00f3 n\u1ed1t m\u1edd kh\u00f4ng v\u00f4i h\u00f3a k\u00edch th\u01b0\u1edbc \u00edt nh\u1ea5t 4mm \u1edf b\u1ea5t k\u1ef3 m\u1eb7t ph\u1eb3ng.<\/li>\n<li>Lung &#8211; RADS x\u00e1c \u0111\u1ecbnh c\u00f3 n\u1ed1t \u1edf ph\u1ed5i khi c\u00f3 n\u1ed1t c\u1ee9ng kh\u00f4ng x\u00e1c \u0111\u1ecbnh tu\u1ed5i, k\u00edch th\u01b0\u1edbc t\u1eeb 6mm ho\u1eb7c n\u1ed1t m\u1edbi xu\u1ea5t hi\u1ec7n t\u1eeb 4mm d\u1ef1a theo phim ch\u1ee5p tr\u01b0\u1edbc \u0111\u00f3.<\/li>\n<\/ul>\n<p>Ph\u1ea7n l\u1edbn c\u00e1c t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng n\u1ed1t c\u00f3 \u0111\u1eadm \u0111\u1ed9 m\u00f4 \u0111\u1eb7c. Tuy nhi\u00ean, c\u00f3 m\u1ed9t s\u1ed1 nh\u1ea5t \u0111\u1ecbnh l\u00e0 m\u00f4 kh\u00f4ng \u0111\u1eb7c ho\u1eb7c b\u00e1n \u0111\u1eb7c. Theo m\u1ed9t nghi\u00ean c\u1ee9u, t\u1ec9 l\u1ec7 n\u1ed1t kh\u00f4ng ph\u1ea3i m\u00f4 \u0111\u1eb7c chi\u1ebfm 4.2% v\u00e0 m\u00f4 \u0111\u1eb7c b\u00e1n ph\u1ea7n chi\u1ebfm 5%.<\/p>\n<h2>2. \u0110\u00e1nh gi\u00e1 v\u00e0 qu\u1ea3n l\u00fd n\u1ed1t m\u1edd ph\u1ed5i.<\/h2>\n<p>Tuy \u0111a s\u1ed1 c\u00e1c n\u1ed1t m\u1edd l\u00e0 l\u00e0nh t\u00ednh, nh\u01b0ng m\u1ed9t nguy\u00ean nh\u00e2n ti\u1ec1m t\u00e0ng nguy hi\u1ec3m c\u1ee7a n\u00f3 l\u00e0 ung th\u01b0 ph\u1ed5i nguy\u00ean ph\u00e1t. Do \u0111\u00f3, khi \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh l\u00e2m s\u00e0ng v\u1ec1 \u0111\u00e1nh gi\u00e1 v\u00e0 qu\u1ea3n l\u00fd n\u1ed1t m\u1edd ph\u1ea3i d\u1ef1a v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1 nh\u01b0:<\/p>\n<ul>\n<li>Kh\u1ea3 n\u0103ng v\u00e0 mong mu\u1ed1n \u0111i\u1ec1u tr\u1ecb c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh (ph\u1eabu thu\u1eadt ho\u1eb7c x\u1ea1 tr\u1ecb).<\/li>\n<li>Nguy c\u01a1 c\u1ee7a c\u00e1c th\u1ee7 thu\u1eadt ch\u1ea9n \u0111o\u00e1n nh\u01b0 tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i, ch\u1ea3y m\u00e1u, l\u1ea5y ph\u1ea3i m\u00f4 kh\u00f4ng ch\u1ee9a t\u1ed5n th\u01b0\u01a1ng.<\/li>\n<li>Lo l\u1eafng c\u1ee7a b\u1ec7nh nh\u00e2n do s\u1ef1 kh\u00f4ng ch\u1eafc ch\u1eafn v\u00e0 ch\u1edd \u0111\u1ee3i ch\u1ea9n \u0111o\u00e1n.<\/li>\n<\/ul>\n<p>M\u1ed9t s\u1ed1 h\u01b0\u1edbng x\u1eed tr\u00ed \u0111\u01b0\u1ee3c \u0111\u01b0a ra khi ph\u00e1t hi\u1ec7n n\u1ed1t m\u1edd \u1edf ph\u1ed5i l\u1ea7n \u0111\u1ea7u:<\/p>\n<ul>\n<li>Kh\u00f4ng c\u1ea7n t\u1ea7m so\u00e1t th\u00eam.<\/li>\n<li>Gi\u00e1m s\u00e1t b\u1eb1ng c\u00e1ch ch\u1edd \u0111\u1ee3i m\u1ed9t th\u1eddi gian r\u1ed3i ch\u1ee5p l\u1ea1i phim CT.<\/li>\n<li>Ch\u1ee5p PET.<\/li>\n<li>Sinh thi\u1ebft m\u1eabu qua n\u1ed9i soi ph\u1ebf qu\u1ea3n ho\u1eb7c qua da.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb tr\u1ef1c ti\u1ebfp b\u1eb1ng li\u1ec7u ph\u00e1p \u0111\u1eb7c hi\u1ec7u.<\/li>\n<\/ul>\n<p id=\"hl0000526\">Nh\u00ecn chung, b\u00e1c s\u0129 v\u00e0 ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u1ea7n thi\u1ebft ph\u1ea3i x\u00e1c \u0111\u1ecbnh n\u1ed1t m\u1edd c\u00f3 ph\u1ea3i ung th\u01b0 kh\u00f4ng t\u1ea1i l\u00fac ph\u00e1t hi\u1ec7n. Nh\u01b0ng m\u1eb7t kh\u00e1c, b\u00e1c s\u0129 v\u00e0 ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ph\u00e1t hi\u1ec7n n\u1ed1t ung th\u01b0 tr\u01b0\u1edbc khi n\u00f3 t\u0103ng k\u00edch th\u01b0\u1edbc v\u00e0 di c\u0103n. \u1ece m\u1ed9t th\u00e1i c\u1ef1c ng\u01b0\u1eddi l\u1ea1i, \u0111i\u1ec1u tr\u1ecb v\u1ed9i v\u00e0ng s\u1ebd \u0111\u01b0a \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00f4ng c\u1ea7n thi\u1ebft nh\u01b0 nhi\u1ec5m tia, th\u1ee7 thu\u1eadt x\u00e2m l\u1ea5n, v\u00e0 ph\u1eabu thu\u1eadt ho\u1eb7c x\u1ea1 tr\u1ecb nh\u1ea7m cho n\u1ed1t l\u00e0nh t\u00ednh.<\/p>\n<p id=\"hl0000534\">C\u00e1c y\u1ebfu t\u1ed1 gi\u00fap d\u1ef1 \u0111o\u00e1n n\u1ed1t m\u1edd l\u00e0 l\u00e0nh t\u00ednh l\u00e0 c\u00f3 v\u00f4i h\u00f3a lan t\u1ecfa, trung t\u00e2m, \u0111\u1ed3ng tama v\u00e0 v\u00f4 h\u00f3a ki\u1ec3u b\u1eafp rang. Nh\u1eefng v\u00f4i h\u00f3a n\u00e0y do t\u1ea1o h\u1ea1t h\u1eadu nhi\u1ec5m tr\u00f9ng v\u00e0 u m\u00e1u. Ki\u1ec3u v\u00f4i h\u00f3a nham nh\u1ee1 ho\u1eb7c ly t\u00e2m th\u00ec g\u1ee3i \u00fd h\u01a1n cho b\u1ec7nh \u00e1c t\u00ednh.<\/p>\n<h2>3. Khuy\u1ebfn c\u00e1o v\u1ec1 ch\u1ea9n \u0111o\u00e1n n\u1ed1t m\u1edd ph\u1ed5i.<\/h2>\n<p id=\"hl0000578\">Khuy\u1ebfn c\u00e1o \u0111\u1ea7u ti\u00ean v\u1ec1 \u0111\u00e1nh gi\u00e1 c\u00e1c n\u1ed1t m\u1edd \u1edf ph\u1ed5i \u0111\u01b0\u1ee3c \u0111\u01b0a ra b\u1edfi Fleischner Society n\u0103m 2005. C\u00f3 2 quan \u0111i\u1ec3m ch\u00ednh \u0111\u01b0\u1ee3c \u0111\u01b0a ra bao g\u1ed3m (1) c\u00e1c n\u1ed1t nghi ng\u1edd ung th\u01b0 c\u1ea7n theo d\u00f5i s\u1edbm v\u00e0 th\u01b0\u1eddng xuy\u00ean h\u01a1n; v\u00e0 (2) do \u0111o l\u01b0\u1eddng kh\u00f4ng ch\u00ednh x\u00e1c, r\u1ea5t kh\u00f3 x\u00e1c \u0111\u1ecbnh s\u1ef1 l\u1edbn l\u00ean c\u1ee7a kh\u1ed1i u trong m\u1ed9t th\u1eddi gian ng\u1eafn. Do \u0111\u00f3, Khuy\u1ebfn c\u00e1o \u0111\u1ea7u ti\u00ean ph\u00e2n t\u1ea7ng n\u1ed1t m\u1edd theo k\u00edch th\u01b0\u1edbc v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 ung th\u01b0 ph\u1ed5i. N\u0103m 2013, nhi\u1ec1u khuy\u1ebfn c\u00e1o m\u1edbi \u0111\u01b0\u1ee3c th\u00eam v\u00e0o, \u0111\u1ec1 c\u1eadp c\u00e1c n\u1ed1t b\u00e1n \u0111\u1eb7c v\u00e0 \u0111\u1eb7c m\u1ed9t ph\u1ea7n.<\/p>\n<p id=\"hl0000583\">Khuy\u1ebfn c\u00e1o m\u1edbi nh\u1ea5t 2017 \u00e1p d\u1ee5ng cho c\u00e1c n\u1ed1t m\u1edd ph\u00e1t hi\u1ec7n t\u00ecnh c\u1edd \u1edf ng\u01b0\u1eddi l\u1edbn tr\u00ean 35 tu\u1ed5i v\u00e0 kh\u00f4ng suy gi\u1ea3m mi\u1ec5n d\u1ecbch, kh\u00f4ng c\u00f3 ung th\u01b0 ngo\u00e0i ng\u1ef1c \u0111\u00e3 bi\u1ebft. Khuy\u1ebfn c\u00e1o c\u00f3 thay \u0111\u1ed5i quan tr\u1ecdng trong theo d\u00f5i c\u00e1c n\u1ed1t d\u01b0\u1edbi 6 mm: n\u1ebfu kh\u00f4ng c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1, kh\u00f4ng c\u1ea7n theo d\u00f5i th\u00eam.<\/p>\n<table>\n<thead>\n<tr>\n<td colspan=\"3\">Size<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Lo\u1ea1i n\u1ed1t<\/td>\n<td>&lt;6 mm (&lt;100 mm\u00a0<sup>3\u00a0<\/sup>)<\/td>\n<td>6\u20138 mm (100\u2013250 mm\u00a0<sup>3\u00a0<\/sup>)<\/td>\n<td>&gt;8 mm (&gt;250 mm\u00a0<sup>3\u00a0<\/sup>)<\/td>\n<td>B\u00ecnh lu\u1eadn<\/td>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td colspan=\"5\">N\u1ed1t \u0111\u1eb7c<\/td>\n<\/tr>\n<tr>\n<td colspan=\"5\">\u0110\u01a1n \u0111\u1ed9c<\/td>\n<\/tr>\n<tr>\n<td>Nguy c\u01a1 th\u1ea5p<\/td>\n<td>Kh\u00f4ng theo d\u00f5i th\u01b0\u1eddng quy<\/td>\n<td>CT l\u00fac 6\u201312th, sau \u0111\u00f3 xem x\u00e9t CT l\u00fac 18\u201324th<\/td>\n<td>Xem x\u00e9t CT l\u00fac 3 th, PET\/CT, ho\u1eb7c sinh thi\u1ebft<\/td>\n<td>N\u1ed1t &lt;6 mm \u1edf ng\u01b0\u1eddi b\u1ec7nh nguy c\u01a1 th\u1ea5p kh\u00f4ng c\u1ea7n theo d\u00f5i th\u01b0\u1eddng quy.<\/td>\n<\/tr>\n<tr>\n<td>Nguy c\u01a1 cao<\/td>\n<td>T\u1ed1i \u01b0u l\u00e0 ch\u1ee5p CT sau 12 th\u00e1ng<\/td>\n<td>CT l\u00fac 6\u201312th, sau \u0111\u00f3 CT l\u00fac 18\u201324th<\/td>\n<td>Xem x\u00e9t CT l\u00fac 3 th, PET\/CT, ho\u1eb7c sinh thi\u1ebft<\/td>\n<td>M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 n\u1ed1t nguy c\u01a1 cao v\u1ec1 h\u00ecnh d\u1ea1ng, v\u1ecb tr\u00ed th\u00f9y tr\u00ean, c\u1ea7n theo d\u00f5i sau 12<sup>th<\/sup>.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"5\">Nhi\u1ec1u n\u1ed1t<\/td>\n<\/tr>\n<tr>\n<td>Nguy c\u01a1 th\u1ea5p<\/td>\n<td>Kh\u00f4ng theo d\u00f5i th\u01b0\u1eddng quy<\/td>\n<td>CT l\u00fac 3\u20136 th, sau \u0111\u00f3 CT l\u00fac 18\u201324 th sau<\/td>\n<td>CT l\u00fac 3\u20136 th, sau \u0111\u00f3 CT l\u00fac 18\u201324 th sau<\/td>\n<td>Theo d\u00f5i v\u00e0 qu\u1ea3n l\u00fd theo n\u1ed1t nghi ng\u1edd nh\u1ea5t. Th\u1eddi gian theo d\u00f5i t\u00f9y v\u00e0o k\u00edch th\u01b0\u1edbc v\u00e0 nguy c\u01a1.<\/td>\n<\/tr>\n<tr>\n<td>Nguy c\u01a1 cao<\/td>\n<td>T\u1ed1i \u01b0u: CT l\u00fac 12 th<\/td>\n<td>CT l\u00fac 3\u20136 th, sau \u0111\u00f3 CT l\u00fac 18\u201324 th sau<\/td>\n<td>CT l\u00fac 3\u20136 th, sau \u0111\u00f3 CT l\u00fac 18\u201324 th sau<\/td>\n<td>Theo d\u00f5i v\u00e0 qu\u1ea3n l\u00fd theo n\u1ed1t nghi ng\u1edd nh\u1ea5t. Th\u1eddi gian theo d\u00f5i t\u00f9y v\u00e0o k\u00edch th\u01b0\u1edbc v\u00e0 nguy c\u01a1.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>B\u1ea3ng khuy\u1ebfn c\u00e1o c\u1ee7a Fleischner Society 2017 v\u1ec1 qu\u1ea3n l\u00fd c\u00e1c n\u1ed1t m\u1edd ph\u1ed5i.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o:\u00a0<\/strong><\/p>\n<p>Murray &amp; Nadel&#8217;s textbook of respiratory medicine.<\/p>\n<p>MacMahon H, Naidich DP, Goo JM, Lee KS, Leung ANC, Mayo JR, Mehta AC, Ohno Y, Powell CA, Prokop M, Rubin GD, Schaefer-Prokop CM, Travis WD, Van Schil PE, Bankier AA. Guidelines for Management of Incidental Pulmonary Nodules Detected on CT Images: From the Fleischner Society 2017. Radiology. 2017 Jul;284(1):228-243.<\/p>\n<div id=\"disease-detail-page-title\">\n<div class=\"mask\">\n<div class=\"container\">\n<p><a href=\"https:\/\/www.vinmec.com\/vi\/benh\/ung-thu-phoi-3039\/\">Ung th\u01b0 ph\u1ed5i: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"disease-detail\">\n<nav class=\"sticky-nav smooth-scroll-link\">\n<div class=\"container\">\n<div class=\"inner\"><\/div>\n<\/div>\n<\/nav>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0\u00a0N\u1ed1t m\u1edd ph\u1ed5i l\u00e0 t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng n\u1ed1t m\u1edd khu tr\u00fa trong nhu m\u00f4 ph\u1ed5i, c\u00f3 k\u00edch th\u01b0\u1edbc t\u1ed1i \u0111a 30mm, b\u1edd \u0111\u1ec1u ho\u1eb7c kh\u00f4ng, bao g\u1ed3m c\u1ea3 h\u00ecnh \u1ea3nh k\u00ednh m\u1edd, n\u1ed1t m\u1edd \u0111\u1eb7c v\u00e0 t\u1ed5n th\u01b0\u01a1ng h\u1ed7n h\u1ee3p. T\u1ef7 l\u1ec7 ung th\u01b0 \u1edf b\u1ec7nh nh\u00e2n n\u1ed1t m\u1edd ph\u1ed5i t\u1eeb 10-70%, t\u1ed5n th\u01b0\u01a1ng l\u00e0nh [&hellip;]<\/p>\n","protected":false},"author":69,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>N\u1ed1t m\u1edd ph\u1ed5i: c\u1eadp nh\u1eadt khuy\u1ebfn c\u00e1o v\u1ec1 qu\u1ea3n l\u00fd - Vinmec<\/title>\n<meta name=\"description\" content=\"N\u1ed1t m\u1edd l\u00e0 t\u1ed5n th\u01b0\u01a1ng gi\u1edbi h\u1ea1n r\u00f5, k\u00edch th\u01b0\u1edbc &lt;3cm. 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