{"id":27952,"date":"2023-04-27T22:31:24","date_gmt":"2023-04-27T15:31:24","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27952"},"modified":"2023-04-27T22:31:24","modified_gmt":"2023-04-27T15:31:24","slug":"not-mo-o-phoi-danh-gia-kha-nang-ac-tinh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/27\/not-mo-o-phoi-danh-gia-kha-nang-ac-tinh\/","title":{"rendered":"N\u1ed1t m\u1edd \u1edf ph\u1ed5i &#8211; \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng \u00e1c t\u00ednh"},"content":{"rendered":"<p><strong>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.<\/strong><\/p>\n<h2>1. \u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a n\u1ed1t m\u1edd \u1edf ph\u1ed5i tr\u00ean c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh.<\/h2>\n<h3>1.1. Tr\u00ean phim ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh.<\/h3>\n<p>Theo Fleischner Society, t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng n\u1ed1t \u1edf ph\u1ed5i \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 m\u1ed9t \u0111\u1eadm \u0111\u1ed9 h\u00ecnh tr\u00f2n gi\u1edbi h\u1ea1n t\u01b0\u01a1ng \u0111\u1ed1i r\u00f5, \u0110\u01b0\u1eddng k\u00ednh c\u00f3 th\u1ec3 \u0111\u1ebfn 3cm. T\u1ed5n th\u01b0\u01a1ng tr\u00ean 3cm \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 kh\u1ed1i u ph\u1ed5i v\u00e0 n\u00ean ngh\u0129 t\u1edbi ung th\u01b0 ph\u1ed5i cho \u0111\u1ebfn khi m\u00f4 h\u1ecdc cho k\u1ebft qu\u1ea3 ng\u01b0\u1ee3c l\u1ea1i.<\/p>\n<p>D\u1ef1a tr\u00ean \u0111\u1eadm \u0111\u1ed9 tr\u00ean CT, c\u00e1c n\u1ed1t \u1edf ph\u1ed5i c\u00f3 th\u1ec3 ph\u00e2n th\u00e0nh 3 lo\u1ea1i:<\/p>\n<ul>\n<li>N\u1ed1t \u0111\u1eb7c (th\u01b0\u1eddng g\u1eb7p nh\u1ea5t) c\u00f3 \u0111\u1eadm \u0111\u1ed9 \u0111\u1ed3ng nh\u1ea5t.<\/li>\n<li>\u00a0N\u1ed1t k\u00ednh m\u1edd, c\u00f3 \u0111\u1eadm \u0111\u1ed9 kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t, t\u0103ng \u0111\u1eadm \u0111\u1ed9 m\u1ed9t v\u00f9ng khu tr\u00fa \u1edf nhu m\u00f4 ph\u1ed5i.<\/li>\n<li>N\u1ed1t b\u00e1n \u0111\u1eb7c: v\u1eeba c\u00f3 \u0111\u1eadm \u0111\u1ed9 m\u00f4 \u0111\u1eb7c v\u1eeba c\u00f3 h\u00ecnh k\u00ednh m\u1edd.<\/li>\n<\/ul>\n<p>C\u00e1c n\u1ed1t \u1edf ph\u1ed5i c\u00f3 th\u1ec3 m\u1ed9t ho\u1eb7c nhi\u1ec1u n\u1ed1t.<\/p>\n<p>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t c\u1ee7a n\u1ed1t m\u1edd ph\u1ed5i:<\/p>\n<p><strong>\u00a0 U t\u00e2n sinh<\/strong><br \/>\n<em>\u00a0 \u00a0 \u00c1c t\u00ednh\u00a0<\/em><br \/>\nUng th\u01b0 ph\u1ebf qu\u1ea3n ph\u1ed5i<br \/>\nLymphoma<br \/>\nCarcinoid<br \/>\nSarcoma<br \/>\nDi c\u0103n ph\u1ed5i<br \/>\n<em>\u2003 L\u00e0nh t\u00ednh<\/em><br \/>\nHamartoma<br \/>\nChondroma<br \/>\nLipoma<br \/>\nU h\u1ea1t \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p<br \/>\nU c\u01a1 tr\u01a1n di c\u0103n ph\u1ed5i l\u00e0nh t\u00ednh<br \/>\n<strong>Nhi\u1ec5m tr\u00f9ng<\/strong><br \/>\nLao<br \/>\nN\u1ea5m<br \/>\nVi\u00eam ph\u1ed5i tr\u00f2n<br \/>\n<strong>B\u1ec7nh t\u1ef1 mi\u1ec5n<\/strong><br \/>\nVi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/p>\n<p>Sarcoidosis d\u1ea1ng n\u1ed1t.<\/p>\n<p>Vi\u00eam ph\u1ed5i t\u1ed5 ch\u1ee9c h\u00f3a<\/p>\n<h3>1.2. Tr\u00ean phim X quang ng\u1ef1c:<\/h3>\n<div>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0C\u00e1c n\u1ed1t m\u1edd ph\u1ed5i (NMP) c\u00f3 k\u00edch th\u01b0\u1edbc \u1ed5n \u0111\u1ecbnh trong 2 n\u0103m tr\u00ean X quang ng\u1ef1c l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a l\u00e0nh t\u00ednh. Nh\u1eefng n\u1ed1t m\u1edd nh\u1ecf, b\u1edd kh\u00f4ng r\u00f5 r\u00e0ng, b\u1ecb che khu\u1ea5t b\u1edfi x\u01b0\u01a1ng s\u01b0\u1eddn ho\u1eb7c c\u00e1c c\u1ea5u tr\u00fac kh\u00e1c c\u00f3 th\u1ec3 kh\u00f3 \u0111\u00e1nh gi\u00e1 tr\u00ean X quang ng\u1ef1c. Gi\u1edbi h\u1ea1n thay \u0111\u1ed5i k\u00edch th\u01b0\u1edbc c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c tr\u00ean X quang ng\u1ef1c l\u00e0 3-5 mm, trong khi \u0111\u00f3 c\u1eaft l\u1edbp vi t\u00ednh (CLVT) \u0111\u1ed9 ph\u00e2n gi\u1ea3i cao l\u00e0 0,3 mm.<\/div>\n<div><\/div>\n<div>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Tham kh\u1ea3o phim X quang tr\u01b0\u1edbc \u0111\u00f3 r\u1ea5t quan tr\u1ecdng, gi\u00fap \u0111\u00e1nh gi\u00e1 t\u1ed1c \u0111\u1ed9 ph\u00e1t tri\u1ec3n c\u1ee7a n\u1ed1t m\u1edd. Th\u1eddi gian nh\u00e2n \u0111\u00f4i th\u1ec3 t\u00edch n\u1ed1t m\u1edd t\u01b0\u01a1ng \u1ee9ng v\u1edbi t\u0103ng \u0111\u01b0\u1eddng k\u00ednh kho\u1ea3ng 26%. V\u00ed d\u1ee5 4mm t\u0103ng 5mm: &lt; 1 th\u00e1ng: vi\u00eam &gt;18 th\u00e1ng l\u00e0nh t\u00ednh, \u00e1c t\u00ednh 1-18 th\u00e1ng (trung b\u00ecnh 8-10 th\u00e1ng).<\/div>\n<div><\/div>\n<h2>2. \u0110\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng \u00e1c t\u00ednh c\u1ee7a n\u1ed1t m\u1edd.<\/h2>\n<h3>2.1. Y\u1ebfu t\u1ed1 nguy c\u01a1 ung th\u01b0.<\/h3>\n<p>\u0110\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng \u00e1c t\u00ednh l\u00e0 b\u01b0\u1edbc \u0111\u1ea7u ti\u00ean trong ti\u1ebfp c\u1eadn ng\u01b0\u1eddi b\u1ec7nh c\u00f3 n\u1ed1t m\u1edd m\u1edbi ph\u00e1t hi\u1ec7n \u1edf ph\u1ed5i. Kh\u1ea3 n\u0103ng \u00e1c t\u00ednh n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o s\u1ef1 hi\u1ec7n di\u1ec7n c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1:<\/p>\n<ul>\n<li>H\u00fat thu\u1ed1c l\u00e1 hi\u1ec7n t\u1ea1i ho\u1eb7c tr\u01b0\u1edbc \u0111\u00e2y. \u0110\u00e2y l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 ch\u00ednh c\u1ee7a ung th\u01b0 ph\u1ed5i, xu\u1ea5t hi\u1ec7n \u1edf 85% t\u1eed vong li\u00ean quan ung th\u01b0. Nguy c\u01a1 ung th\u01b0 c\u1ee7a thu\u1ed1c l\u00e1 t\u00f9y thu\u1ed9c v\u00e0o l\u01b0\u1ee3ng thu\u1ed1c h\u00fat, c\u00e0ng nhi\u1ec1u nguy c\u01a1 c\u00e0ng cao.<\/li>\n<li>Cao tu\u1ed5i: tu\u1ed5i gi\u00e0 li\u00ean quan v\u1edbi t\u0103ng kh\u1ea3 n\u0103ng \u00e1c t\u00ednh \u1edf ng\u01b0\u1eddi b\u1ec7nh c\u00f3 n\u1ed1t m\u1edd \u1edf ph\u1ed5i. H\u01a1n m\u1ed9t n\u1eefa ung th\u01b0 bao g\u1ed3m ung th\u01b0 ph\u1ed5i, xu\u1ea5t hi\u1ec7n tr\u00ean tu\u1ed5i 70.<\/li>\n<li>Ngh\u1ec1 nghi\u1ec7p ti\u1ebfp x\u00fac v\u1edbi c\u00e1c ch\u1ea5t sinh ung: nhi\u1ec1u ch\u1ea5t b\u1ee5i, kim lo\u1ea1i v\u00e0 kh\u00ed th\u1ea3i li\u00ean quan nh\u00e2n qu\u1ea3 v\u1edbi ung th\u01b0 ph\u1ed5i. Ph\u01a1i nhi\u1ec5m \u0111\u1ed3ng th\u1eddi v\u1edbi kh\u00f3i thu\u1ed1c l\u00e1 hi\u1ec7p \u0111\u1ed3ng l\u00e0m t\u0103ng nguy c\u01a1 h\u01a1n.<\/li>\n<li>Ti\u1ec1n s\u1eed ung th\u01b0 tr\u01b0\u1edbc \u0111\u00f3. Ng\u01b0\u1eddi \u0111ang m\u1eafc ung th\u01b0 t\u0103ng nguy c\u01a1 xu\u1ea5t hi\u1ec7n ung th\u01b0 nguy\u00ean ph\u00e1t th\u1ee9 2. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 carcinoma t\u1ebf b\u00e0o l\u00e1t v\u00f9ng \u0111\u1ea7u c\u1ed5 ho\u1eb7c c\u00e1c u \u00e1c kh\u00e1c li\u00ean quan thu\u1ed1c l\u00e1 nh\u01b0 K b\u00e0ng quang, K t\u1ee5y c\u0169ng s\u1ebd t\u0103ng \u0111\u1ed3ng th\u1eddi nguy c\u01a1 ung th\u01b0 ph\u1ed5i.<\/li>\n<li>Ti\u1ec1n s\u1eed gia \u0111\u00ecnh c\u00f3 ung th\u01b0. Tr\u1ef1c h\u1ec7 th\u1ee9 nh\u1ea5t c\u1ee7a ng\u01b0\u1eddi m\u1eafc ung th\u01b0 t\u0103ng nguy c\u01a1 g\u1ea5p 2 l\u1ea7n xu\u1ea5t hi\u1ec7n ung th\u01b0 ph\u1ed5i.<\/li>\n<li>C\u00f3 b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh \u0111\u1ed3ng m\u1eafc. Nhi\u1ec1u nghi\u00ean c\u1ee9u ch\u1ec9 ra m\u1ed1i quan h\u1ec7 gi\u1eefa b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh v\u00e0 ung th\u01b0 ph\u1ed5i.<\/li>\n<\/ul>\n<div>\n<div id=\"sec2-3\" class=\"sec\">\n<div id=\"sec1-4\" class=\"tsec sec\">\n<div id=\"sec2-6\" class=\"sec sec-last\"><\/div>\n<\/div>\n<div id=\"sec1-5\" class=\"tsec sec\">\n<h3 class=\"goto jig-ncbiinpagenav-goto-container\">2.2. \u0110\u00e1nh gi\u00e1 \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a n\u1ed1t m\u1edd.<\/h3>\n<ul>\n<li class=\"p p-first\">K\u00edch th\u01b0\u1edbc: li\u00ean quan v\u1edbi kh\u1ea3 n\u0103ng \u00e1c t\u00ednh c\u1ee7a n\u1ed1t. \u0110\u00e1nh gi\u00e1 k\u00edch th\u01b0\u1edbc l\u00e0 n\u1ec1n t\u1ea3ng trong c\u00e1c \u0111\u00e1nh gi\u00e1 n\u1ed1t m\u1edd theo c\u00e1c khuy\u1ebfn c\u00e1o. D\u1ef1a tr\u00ean c\u00e1c nghi\u00ean c\u1ee9u tr\u00ean ng\u01b0\u1eddi b\u1ec7nh nguy c\u01a1 cao ung th\u01b0 ph\u1ed5i, c\u00e1c khuy\u1ebfn c\u00e1o hi\u1ec7n nay \u0111\u01b0a ra m\u1ed1c &lt;6mm l\u00e0 ng\u01b0\u1ee1ng ch\u1ea5p nh\u1eadn nguy c\u01a1 ung th\u01b0 th\u1ea5p. \u0110i\u1ec3m c\u1eaft n\u00e0y \u00e1p d\u1ee5ng cho c\u1ea3 n\u1ed1t \u0111\u01a1n \u0111\u1ed9c v\u00e0 nhi\u1ec1u n\u1ed1t. \u0110i\u1ec3m c\u1eaft th\u1ee9 2 l\u00e0 &gt;8mm, x\u00e1c su\u1ea5t \u00e1c t\u00ednh l\u00e0 9.7% n\u1ebfu n\u1ed1t \u0111\u1eb7c c\u00f3 k\u00edch th\u01b0\u1edbc \u22658 mm.<\/li>\n<li>T\u1ed1c \u0111\u1ed9 t\u0103ng tr\u01b0\u1edfng c\u1ee7a n\u1ed1t. M\u1ed9t n\u1ed1t \u0111ang l\u1edbn d\u1ea7n th\u01b0\u1eddng l\u00e0 \u00e1c t\u00ednh. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n t\u00ecnh c\u1edd n\u1ed1t m\u1edd ph\u1ea3i \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn \u0111em theo k\u1ebft qu\u1ea3 h\u00ecnh \u1ea3nh h\u1ecdc l\u1ea7n tr\u01b0\u1edbc \u0111\u1ec3 so s\u00e1nh. N\u1ebfu trong m\u1ed9t kho\u1ea3ng th\u1eddi gian nh\u1ea5t \u0111\u1ecbnh, n\u1ed1t \u1ed5n \u0111\u1ecbnh v\u1ec1 k\u00edch th\u01b0\u1edbc s\u1ebd kh\u00f4ng c\u1ea7n l\u00e0m g\u00ec th\u00eam. Th\u1eddi gian th\u1ec3 t\u00edch n\u1ed1t t\u0103ng g\u1ea5p \u0111\u00f4i (Volume-doubling time) l\u00e0 ch\u1ec9 s\u1ed1 nh\u1ea1y nh\u1ea5t trong t\u00ednh to\u00e1n t\u1ed1c \u0111\u1ed9 t\u0103ng tr\u01b0\u1edfng, tuy nhi\u00ean \u00edt d\u00f9ng trong l\u00e2m s\u00e0ng.<\/li>\n<li>C\u00e1c y\u1ebfu t\u1ed1 d\u1ef1 \u0111o\u00e1n \u00e1c t\u00ednh kh\u00e1c: n\u1ed1t m\u1edd c\u00f3 b\u1edd nham nh\u1ee1, nhi\u1ec1u tua cho th\u1ea5y t\u01b0\u01a1ng quan v\u1edbi t\u0103ng nguy c\u01a1 \u00e1c t\u00ednh c\u1ee7a ung th\u01b0 ph\u1ed5i. Ph\u1ea7n l\u1edbn ung th\u01b0 ph\u1ed5i xu\u1ea5t hi\u1ec7n \u1edf th\u00f9y tr\u00ean, v\u00e0 m\u1ed9t n\u1ed1t \u1edf th\u00f9y tr\u00ean c\u0169ng \u0111\u01b0\u1ee3c xem l\u00e0 y\u1ebfu t\u1ed1 \u00e1c t\u00ednh.<\/li>\n<li>N\u1ed1t\u00a0 m\u1edd ph\u1ed5i c\u00f3 c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m d\u1ef1 b\u00e1o \u00e1c t\u00ednh tr\u00ean c\u1eaft l\u1edbp vi t\u00ednh ng\u1ef1c: k\u00edch th\u01b0\u1edbc c\u00e0ng l\u1edbn, b\u1edd kh\u00f4ng \u0111\u1ec1u, h\u00ecnh d\u1ea1ng \u0111a gi\u00e1c, v\u00f4i h\u00f3a l\u1ec7ch t\u00e2m ho\u1eb7c l\u1ea5m t\u1ea5m, ho\u1ea1i t\u1eed &#8211; hang h\u00f3a th\u00e0nh d\u00e0y kh\u00f4ng \u0111\u1ec1u; ch\u00e8n \u00e9p &#8211; c\u1eaft c\u1ee5t, x\u00e2m l\u1ea5n c\u00e2y ph\u1ebf qu\u1ea3n kh\u00ed; ng\u1ea5m thu\u1ed1c t\u01b0\u01a1ng ph\u1ea3n m\u1ea1nh.<\/li>\n<\/ul>\n<p><strong>Y\u1ebfu t\u1ed1 d\u1ef1 \u0111o\u00e1n nguy\u00ean nh\u00e2n l\u00e0nh t\u00ednh<\/strong>:<\/p>\n<ul>\n<li>N\u1ed1t n\u1eb1m \u1edf c\u1eadn r\u00e3nh li\u00ean th\u00f9y, ti\u1ebfp x\u00fac v\u1edbi r\u00e3nh ho\u1eb7c m\u00e0ng ph\u1ed5i th\u01b0\u1eddng l\u00e0 l\u00e1nh t\u00ednh, kh\u1ea3 n\u0103ng do h\u1ea1ch lymph trong ph\u1ed5i. Do \u0111\u00f3, khuy\u1ebfn c\u00e1o c\u1ee7a BTS cho r\u1eb1ng kh\u00f4ng c\u1ea7n theo d\u00f5i v\u1edbi c\u00e1c n\u1ed1t m\u1edd nh\u1ecf (&lt;10mm), \u0111\u1ed3ng nh\u1ea5t, b\u1edd tr\u01a1n l\u00e1n, n\u1eb1m \u1edf c\u1eadn r\u00e3nh li\u00ean th\u00f9y ho\u1eb7c m\u00e0ng ph\u1ed5i.<\/li>\n<li>C\u00e1c n\u1ed1i v\u00f4i h\u00f3a \u1edf ph\u1ed5i c\u0169ng \u00edt ngh\u0129 \u00e1c t\u00ednh. Tuy nhi\u00ean, c\u00f3 kho\u1ea3ng 10% v\u00f4i h\u00f3a c\u00f3 \u1edf c\u00e1c tr\u01b0\u1eddng h\u1ee3p ung th\u01b0. Ki\u1ec3u v\u00f4i h\u00f3a lan t\u1ecfa, trung t\u00e2m, t\u1ea1o phi\u1ebfn, l\u1ed5n nh\u1ed5n th\u01b0\u1eddng l\u00e0 l\u00e0nh t\u00ednh.\n<div>\u00a0 \u00a0 \u00a0 \u00a0+ V\u00f4i h\u00f3a l\u1ec7ch t\u00e2m ho\u1eb7c l\u1ea5m t\u1ea5m r\u1ea3i r\u00e1c th\u00ec r\u1ea5t g\u1ee3i \u00fd \u00e1c t\u00ednh.<\/div>\n<\/li>\n<li>\u0110\u1eadm \u0111\u1ed9 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng m\u1ee1 c\u1ee7a n\u1ed1t m\u1edd ph\u1ed5i r\u1ea5t g\u1ee3i \u00fd hamartoma v\u00e0 c\u00f3 th\u1ec3 lo\u1ea1i t\u1eeb ung th\u01b0 nguy\u00ean ph\u00e1t.<\/li>\n<\/ul>\n<h2>3. Thang \u0111i\u1ec3m \u0111\u00e1nh gi\u00e1 nguy c\u01a1 \u00e1c t\u00ednh c\u1ee7a n\u1ed1t m\u1edd \u0111\u01a1n \u0111\u1ed9c \u1edf ph\u1ed5i.<\/h2>\n<p>C\u00f4ng th\u1ee9c t\u00ednh to\u00e1n \u0111i\u1ec3m &#8220;<strong>Solitary Pulmonary Nodule Malignancy Risk<\/strong>&#8221; t\u00ednh to\u00e1n d\u1ef1a tr\u00ean d\u1eef li\u1ec7u t\u1eeb 629 ng\u01b0\u1eddi b\u1ec7nh \u1edf gi\u1eefa th\u1eadp ni\u00ean 80, \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n c\u00f3 n\u1ed1t m\u1edd \u0111\u01a1n \u0111\u1ed9c \u1edf ph\u1ed5i, \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 c\u00e1c n\u1ed1t 4 &#8211; 3omm. Quy t\u1eafc d\u1ef1 d\u1ef1 \u0111o\u00e1n c\u1ee7a Swensen \u0111\u00e3 \u0111\u01b0\u1ee3c ki\u1ec3m ch\u1ee9ng ngo\u1ea1i suy trong m\u1ed9t nghi\u00ean c\u1ee9u 106 b\u1ec7nh nh\u00e2n c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m t\u01b0\u01a1ng t\u1ef1, tuy nhi\u00ean t\u1ec9 l\u1ec7 ung th\u01b0 cao h\u01a1n. Nghi\u00ean c\u1ee9u sau \u0111\u00f3 \u0111\u00e3 ch\u1ee9ng minh vai tr\u00f2 c\u1ee7a PET c\u1ea3i thi\u1ec7n \u0111\u1ed9 ch\u00ednh x\u00e1c, cho ph\u00e9p \u0111\u01b0a ra y\u1ebfu t\u1ed1 hi\u1ec7u ch\u1ec9nh c\u1ee7a c\u00f4ng th\u1ee9c ban \u0111\u1ea7u d\u1ef1a theo k\u1ebft qu\u1ea3 PET.<\/p>\n<p>Nghi\u00ean c\u1ee9u c\u1ee7a Gould et al, 2007 \u1edf 375 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 n\u1ed1t m\u1edd t\u1eeb 7 &#8211; 30mm \u0111\u00e3 \u0111\u01b0a ra c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 \u0111\u00f3 l\u00e0:<\/p>\n<ul>\n<li>Tu\u1ed5i.<\/li>\n<li>Ti\u1ec1n s\u1eed h\u00fat thu\u1ed1c l\u00e1.<\/li>\n<li>Th\u1eddi gian t\u1eeb l\u00fac b\u1ecf thu\u1ed1c.<\/li>\n<li>\u0110\u01b0\u1eddng k\u00ednh c\u1ee7a n\u1ed1t.<\/li>\n<\/ul>\n<p>Nh\u01b0 v\u1eady thang \u0111i\u1ec3m d\u1ef1 \u0111o\u00e1n kh\u1ea3 n\u0103ng \u00e1c t\u00ednh c\u1ee7a n\u1ed1t tr\u00ean X quang bao g\u1ed3m c\u00e1c bi\u1ebfn s\u1ed1:<\/p>\n<ul>\n<li>Tu\u1ed5i.<\/li>\n<li>\u0110\u01b0\u1eddng k\u00ednh.<\/li>\n<li>H\u00fat thu\u1ed1c l\u00e1 hi\u1ec7n t\u1ea1i ho\u1eb7c tr\u01b0\u1edbc \u0111\u00e2y.<\/li>\n<li>Ung th\u01b0 ngo\u00e0i l\u1ed3ng ng\u1ef1c ch\u1ea9n \u0111o\u00e1n c\u00e1ch \u0111\u00e2y \u00a0\u22655 n\u0103m.<\/li>\n<li>N\u1eb1m \u1edf th\u00f9y tr\u00ean.<\/li>\n<li>N\u1ed1t nham nh\u1ee1.<\/li>\n<li>PET: Kh\u00f4ng th\u1ef1c hi\u1ec7n, kh\u00f4ng b\u1eaft x\u1ea1, b\u1eaft x\u1ea1 y\u1ebfu, b\u1eaft x\u1ea1 v\u1eeba, b\u1eaft x\u1ea1 nhi\u1ec1u.<\/li>\n<\/ul>\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>Loverdos K, Fotiadis A, Kontogianni C, Iliopoulou M, Gaga M. Lung nodules: A comprehensive review on current approach and management. Ann Thorac Med. 2019 Oct-Dec;14(4):226-238.<\/p>\n<p>Solitary Pulmonary Nodule (SPN) Malignancy Risk Score (Mayo Clinic Model).<\/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<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>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 [&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 \u1edf ph\u1ed5i - \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng \u00e1c t\u00ednh - Vinmec<\/title>\n<meta name=\"description\" content=\"Kh\u1ea3 n\u0103ng \u00e1c t\u00ednh c\u1ee7a n\u1ed1t m\u1edd tr\u00ean Xquang d\u1ef1 \u0111o\u00e1n d\u1ef1a v\u00e0o ti\u1ec1n s\u1eed h\u00fat thu\u1ed1c l\u00e1, \u0111\u00e3 m\u1eafc ung th\u01b0, tu\u1ed5i cao, k\u00edch th\u01b0\u1edbc to, b\u1edd nham nh\u1ee1, th\u00f9y tr\u00ean\" \/>\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=\"N\u1ed1t m\u1edd \u1edf ph\u1ed5i - \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng \u00e1c t\u00ednh - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Kh\u1ea3 n\u0103ng \u00e1c t\u00ednh c\u1ee7a n\u1ed1t m\u1edd tr\u00ean Xquang d\u1ef1 \u0111o\u00e1n d\u1ef1a v\u00e0o ti\u1ec1n s\u1eed h\u00fat thu\u1ed1c l\u00e1, \u0111\u00e3 m\u1eafc ung th\u01b0, tu\u1ed5i cao, k\u00edch th\u01b0\u1edbc to, b\u1edd nham nh\u1ee1, th\u00f9y tr\u00ean\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/27\/not-mo-o-phoi-danh-gia-kha-nang-ac-tinh\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-27T15:31:24+00:00\" \/>\n<meta name=\"author\" content=\"Nguy\u1ec5n Ch\u00ed Nguy\u1ec7n\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Nguy\u1ec5n Ch\u00ed Nguy\u1ec7n\" \/>\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\/27\/not-mo-o-phoi-danh-gia-kha-nang-ac-tinh\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/27\/not-mo-o-phoi-danh-gia-kha-nang-ac-tinh\/\",\"name\":\"N\u1ed1t m\u1edd \u1edf ph\u1ed5i - \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng \u00e1c t\u00ednh - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-27T15:31:24+00:00\",\"dateModified\":\"2023-04-27T15:31:24+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b812b6273d037966dff4008e0eed896e\"},\"description\":\"Kh\u1ea3 n\u0103ng \u00e1c t\u00ednh c\u1ee7a n\u1ed1t m\u1edd tr\u00ean Xquang d\u1ef1 \u0111o\u00e1n d\u1ef1a v\u00e0o ti\u1ec1n s\u1eed h\u00fat thu\u1ed1c l\u00e1, \u0111\u00e3 m\u1eafc ung th\u01b0, tu\u1ed5i cao, k\u00edch th\u01b0\u1edbc to, b\u1edd nham nh\u1ee1, th\u00f9y tr\u00ean\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/27\/not-mo-o-phoi-danh-gia-kha-nang-ac-tinh\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/27\/not-mo-o-phoi-danh-gia-kha-nang-ac-tinh\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/27\/not-mo-o-phoi-danh-gia-kha-nang-ac-tinh\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"N\u1ed1t m\u1edd \u1edf ph\u1ed5i &#8211; 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