{"id":28340,"date":"2023-04-29T17:08:30","date_gmt":"2023-04-29T10:08:30","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28340"},"modified":"2023-04-29T17:34:01","modified_gmt":"2023-04-29T10:34:01","slug":"dieu-tri-ung-thu-vu-giai-doan-iii-tru-t3n1m0","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/dieu-tri-ung-thu-vu-giai-doan-iii-tru-t3n1m0\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa giai \u0111o\u1ea1n III (tr\u1eeb T3N1M0)"},"content":{"rendered":"

Ung th\u01b0 v\u00fa (UTV) 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. Vi\u1ec7c s\u1eed d\u1ee5ng m\u1ed9t hay nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00eau tr\u00ean c\u0103n c\u1ee9 v\u00e0o giai \u0111o\u1ea1n v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 b\u1ec7nh h\u1ecdc tr\u00ean t\u1eebng b\u1ec7nh nh\u00e2n c\u1ee5 th\u1ec3. H\u01b0\u1edbng d\u1eabn chi ti\u1ebft \u0111i\u1ec1u tr\u1ecb theo giai \u0111o\u1ea1n \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n

1. Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa<\/strong><\/h2>\n

\u0110i\u1ec1u tr\u1ecb UTV ph\u1ee5 thu\u1ed9c giai \u0111o\u1ea1n b\u1ec7nh l\u00fac ch\u1ea9n \u0111o\u00e1n, \u0111\u1eb7c \u0111i\u1ec3m b\u1ec7nh h\u1ecdc kh\u1ed1i u (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, HER2, ch\u1ec9 s\u1ed1 t\u0103ng sinh kh\u1ed1i u, c\u00e1c \u0111\u1ed9t bi\u1ebfn gen, c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 v\u1ec1 gen…), t\u1ed1c \u0111\u1ed9 ph\u00e1t tri\u1ec3n tr\u00ean l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh, s\u1ef1 \u01b0a th\u00edch c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 c\u00e1c b\u1ec7nh k\u00e8m theo.<\/p>\n

\u0110\u1ed1i v\u1edbi h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p, \u0111i\u1ec1u tr\u1ecb c\u1ea7n ph\u1ed1i h\u1ee3p \u0111a ph\u01b0\u01a1ng ph\u00e1p, bao g\u1ed3m ph\u1eabu thu\u1eadt, x\u1ea1 tr\u1ecb, v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ec7 th\u1ed1ng. Vi\u1ec7c s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p, thu\u1ed1c v\u1edbi th\u1eddi \u0111i\u1ec3m v\u00e0 li\u1ec1u l\u01b0\u1ee3ng c\u1ea7n \u0111\u01b0\u1ee3c c\u00e1 th\u1ec3 h\u00f3a theo t\u1eebng ng\u01b0\u1eddi b\u1ec7nh. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn sao cho k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cao nh\u1ea5t m\u00e0 \u0111\u1ed9c t\u00ednh, t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u1ea5p v\u00e0 m\u00e3n th\u1ea5p nh\u1ea5t, \u0111\u1ea3m b\u1ea3o ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng t\u1ed1t nh\u1ea5t. \u0110\u1ed3ng th\u1eddi, c\u1ea7n quan t\u00e2m \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c: th\u1ea9m m\u1ef9, t\u00e2m l\u00fd, kh\u1ea3 n\u0103ng quay l\u1ea1i c\u00f4ng vi\u1ec7c, \u0111\u1eddi s\u1ed1ng t\u00ecnh d\u1ee5c, sinh \u0111\u1ebb\u2026<\/p>\n

2. \u0110i\u1ec1u tr\u1ecb giai \u0111o\u1ea1n III (tr\u1eeb T3N1M0) v\u00e0 ung th\u01b0 v\u00fa th\u1ec3 vi\u00eam<\/a><\/h2>\n
    \n
  • H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00e0y kh\u00f4ng m\u1ed5 \u0111\u01b0\u1ee3c v\u00e0 n\u00ean \u0111\u01b0\u1ee3c ho\u00e1 tr\u1ecb t\u00e2n b\u1ed5 tr\u1ee3 v\u1edbi c\u00e1c ph\u00e1c \u0111\u1ed3 nh\u01b0 \u0111i\u1ec1u tr\u1ecb b\u1ed5 tr\u1ee3. Khi b\u1ec7nh \u0111\u00e1p \u1ee9ng, ti\u1ebfp t\u1ee5c h\u00f3a tr\u1ecb cho \u0111\u1ee7 s\u1ed1 \u0111\u1ee3t c\u1ea7n thi\u1ebft. C\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 b\u1ed9c l\u1ed9 qu\u00e1 m\u1ee9c HER2 c\u1ea7n k\u1ebft h\u1ee3p trastuzumab v\u1edbi h\u00f3a tr\u1ecb t\u00e2n b\u1ed5 tr\u1ee3 (kh\u00f4ng d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi c\u00e1c \u0111\u1ee3t c\u00f3 anthracycline) ngo\u1ea1i tr\u1eeb c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh. C\u00f3 th\u1ec3 k\u1ebft h\u1ee3p pertuzumab v\u1edbi trastuzumab v\u00e0 h\u00f3a tr\u1ecb trong \u0111i\u1ec1u tr\u1ecb t\u00e2n b\u1ed5 tr\u1ee3 (kh\u1ed1i u> 2cm ho\u1eb7c h\u1ea1ch d\u01b0\u01a1ng t\u00ednh). \u0110i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft t\u00e2n b\u1ed5 tr\u1ee3 \u0111\u01a1n thu\u1ea7n ho\u1eb7c k\u1ebft h\u1ee3p \u0111i\u1ec1u tr\u1ecb \u0111\u00edch ch\u1ec9 d\u00e0nh cho m\u1ed9t s\u1ed1 \u00edt tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng th\u1ec3 h\u00f3a tr\u1ecb, th\u1ec3 l\u00f2ng \u1ed1ng nguy c\u01a1 th\u1ea5p.<\/li>\n
  • Sau ho\u00e1 tr\u1ecb, b\u1ec7nh chuy\u1ec3n th\u00e0nh m\u1ed5 \u0111\u01b0\u1ee3c, c\u00f3 th\u1ec3 ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf tuy\u1ebfn v\u00fa tri\u1ec7t c\u0103n k\u00e8m v\u00e9t h\u1ea1ch n\u00e1ch ho\u1eb7c ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n (c\u1eaft r\u1ed9ng u k\u00e8m v\u00e9t h\u1ea1ch n\u00e1ch). Sau ph\u1eabu thu\u1eadt c\u1ea7n x\u1ea1 tr\u1ecb th\u00e0nh ng\u1ef1c (ho\u1eb7c v\u00fa) v\u00e0 h\u1ea1ch v\u00f9ng bao g\u1ed3m c\u1ea3 th\u01b0\u1ee3ng \u0111\u00f2n. N\u1ebfu c\u00f3 di c\u0103n h\u1ea1ch v\u00fa trong, tr\u01b0\u1eddng x\u1ea1 n\u00ean bao g\u1ed3m c\u1ea3 h\u1ea1ch v\u00fa trong. N\u1ebfu kh\u00f4ng di c\u0103n h\u1ea1ch v\u00fa trong, c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc x\u1ea1 tr\u1ecb v\u00f9ng n\u00e0y ho\u1eb7c kh\u00f4ng tu\u1ef3 t\u00ecnh hu\u1ed1ng c\u1ee5 th\u1ec3. Th\u00f4ng th\u01b0\u1eddng c\u1ea7n x\u1ea1 tr\u1ecb theo giai \u0111o\u1ea1n cao nh\u1ea5t tr\u00ean l\u00e2m s\u00e0ng \u0111\u00e1nh gi\u00e1 tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb, giai \u0111o\u1ea1n b\u1ec7nh h\u1ecdc v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m kh\u1ed1i u. C\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft d\u01b0\u01a1ng t\u00ednh ho\u1eb7c kh\u00f4ng r\u00f5 t\u00ecnh tr\u1ea1ng th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft nh\u01b0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u1edf giai \u0111o\u1ea1n s\u1edbm n\u00f3i tr\u00ean. C\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 HER2 d\u01a3\u01a1ng t\u00ednh \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb t\u00e2n b\u1ed5 tr\u1ee3 v\u1edbi trastuzumab, pertuzumab v\u00e0 h\u00f3a tr\u1ecb, n\u1ebfu kh\u00f4ng c\u00f2n b\u1ec7nh t\u00edch tr\u00ean m\u00f4 b\u1ec7nh h\u1ecdc sau m\u1ed5, duy tr\u00ec cho \u0111\u1ee7 1 n\u0103m v\u1edbi trastuzumab (c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p pertuzumab ho\u1eb7c kh\u00f4ng). C\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh c\u00f2n t\u1ed3n t\u1ea1i sau \u0111i\u1ec1u tr\u1ecb t\u00e2n b\u1ed5 tr\u1ee3, c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng T-DM1 (trastuzumab-emtansine) 14 \u0111\u1ee3t. N\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng dung n\u1ea1p \u0111\u01a3\u1ee3c v\u1edbi T-DM1, s\u1eed d\u1ee5ng trastuzumab (c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p pertuzumab ho\u1eb7c kh\u00f4ng) cho \u0111\u1ee7 1 n\u0103m.<\/li>\n<\/ul>\n
      \n
    • N\u1ebfu b\u1ec7nh kh\u00f4ng m\u1ed5 \u0111\u01b0\u1ee3c (gi\u1eef nguy\u00ean ho\u1eb7c ti\u1ebfn tri\u1ec3n), c\u00e2n nh\u1eafc chuy\u1ec3n ph\u00e1c \u0111\u1ed3 h\u00f3a tr\u1ecb kh\u00e1c ho\u1eb7c x\u1ea1 tr\u1ecb v\u00e0o t\u1ea5t c\u1ea3 c\u00e1c v\u1ecb tr\u00ed lan r\u1ed9ng c\u1ee7a u (50Gy), t\u0103ng c\u01b0\u1eddng li\u1ec1u v\u00e0o n\u01a1i b\u1ec7nh c\u00f2n l\u1ea1i (10-26Gy tu\u1ef3 thu\u1ed9c li\u1ec1u c\u01a1 quan c\u00f3 nguy c\u01a1). \u0110\u00e1nh gi\u00e1 trong khi x\u1ea1 tr\u1ecb \u0111\u1ec3 ch\u1ecdn ra c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 m\u1ed5 \u0111\u01b0\u1ee3c (sau 45-50Gy).<\/li>\n
    • M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh ti\u1ebfn tri\u1ec3n trong th\u1eddi gian ho\u00e1 tr\u1ecb, c\u1ea7n ph\u1eabu thu\u1eadt s\u1ea1ch s\u1ebd, sau \u0111\u00f3 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb to\u00e0n th\u00e2n.<\/li>\n<\/ul>\n
      \"Ung
      Ung th\u01b0 v\u00fa<\/figcaption><\/figure>\n

      3. Gi\u1edbi thi\u1ec7u c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c <\/strong><\/h2>\n

      3.1\u00a0 C\u1eaft bu\u1ed3ng tr\u1ee9ng<\/strong><\/p>\n

        \n
      • Ph\u1eabu thu\u1eadt c\u1eaft bu\u1ed3ng tr\u1ee9ng \u1edf ph\u1ee5 n\u1eef ch\u01b0a m\u00e3n kinh c\u00f3 th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft d\u01b0\u01a1ng t\u00ednh l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a \u0111i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft. C\u00f3 th\u1ec3 ph\u1eabu thu\u1eadt m\u1edf hay n\u1ed9i soi.<\/li>\n
      • C\u1eaft bu\u1ed3ng tr\u1ee9ng b\u1eb1ng x\u1ea1 tr\u1ecb c\u0169ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft \u1edf b\u1ec7nh nh\u00e2n ch\u01b0a m\u00e3n kinh c\u00f3 th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft d\u01b0\u01a1ng t\u00ednh.<\/li>\n<\/ul>\n

        3.2 \u0110\u1eb7t catheter c\u00f3 bu\u1ed3ng ti\u00eam truy\u1ec1n d\u01b0\u1edbi da<\/strong><\/p>\n

        Trong tr\u01b0\u1eddng h\u1ee3p kh\u00f3 ti\u1ebfp c\u1eadn t\u0129nh m\u1ea1ch ngo\u1ea1i vi ho\u1eb7c c\u1ea7n truy\u1ec1n t\u0129nh m\u1ea1ch l\u00e2u d\u00e0i th\u00ec c\u00f3 th\u1ec3 \u0111\u1eb7t bu\u1ed3ng ti\u00eam truy\u1ec1n d\u01b0\u1edbi da.<\/p>\n

        4. D\u1ef1 ph\u00f2ng gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh c\u00f3 s\u1ed1t<\/h2>\n
          \n
        • Ngo\u00e0i c\u00e1c ph\u00e1c \u0111\u1ed3 h\u00f3a tr\u1ecb lu\u00f4n c\u1ea7n G-CSF d\u1ef1 ph\u00f2ng nguy\u00ean ph\u00e1t cho m\u1ecdi b\u1ec7nh nh\u00e2n, \u0111\u1ed1i v\u1edbi c\u00e1c ph\u00e1c \u0111\u1ed3 h\u00f3a tr\u1ecb c\u00f3 nguy c\u01a1 gi\u1ea3m b\u1ea1ch c\u1ea7u h\u1ea1t c\u00f3 s\u1ed1t t\u1eeb 1020%, n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 k\u00e8m theo \u2265 1 y\u1ebfu t\u1ed1 nguy c\u01a1 sau th\u00ec c\u0169ng ph\u1ea3i c\u00e2n nh\u1eafc d\u00f9ng G-CSF d\u1ef1 ph\u00f2ng nguy\u00ean ph\u00e1t:<\/li>\n<\/ul>\n

          + \u0110\u00e3 h\u00f3a tr\u1ecb ho\u1eb7c x\u1ea1 tr\u1ecb tr\u01b0\u1edbc \u0111\u00e2y<\/p>\n

          + Gi\u1ea3m b\u1ea1ch c\u1ea7u h\u1ea1t dai d\u1eb3ng<\/p>\n

          + Kh\u1ed1i u x\u00e2m l\u1ea5n t\u1ee7y x\u01b0\u01a1ng<\/p>\n

          + Ph\u1eabu thu\u1eadt ho\u1eb7c b\u1ecb v\u1ebft th\u01b0\u01a1ng h\u1edf g\u1ea7n \u0111\u00e2y<\/p>\n

          + Ch\u1ee9c n\u0103ng gan gi\u1ea3m (bilirubin >34,2\u00b5mol\/L)<\/p>\n

          + Ch\u1ee9c n\u0103ng th\u1eadn gi\u1ea3m (\u0111\u1ed9 thanh th\u1ea3i creatinine <50 mL\/ph\u00fat)<\/p>\n

          + Tu\u1ed5i >65, d\u00f9ng \u0111\u1ee7 li\u1ec1u h\u00f3a ch\u1ea5t m\u1ea1nh.<\/p>\n

            \n
          • C\u00e1c ph\u00e1c \u0111\u1ed3 c\u00f3 nguy c\u01a1 gi\u1ea3m b\u1ea1ch c\u1ea7u h\u1ea1t c\u00f3 s\u1ed1t 10-20% bao g\u1ed3m:<\/li>\n<\/ul>\n

            + Docetaxel trong th\u00e0nh ph\u1ea7n c\u1ee7a ph\u00e1c \u0111\u1ed3 b\u1ed5 tr\u1ee3, t\u00e2n b\u1ed5 tr\u1ee3 ho\u1eb7c trong b\u1ec7nh di c\u0103n.<\/p>\n

            FEC ti\u1ebfp theo b\u1eb1ng docetaxel.<\/p>\n

            + Paclitaxel chu k\u1ef3 21 ng\u00e0y, trong th\u00e0nh ph\u1ea7n c\u1ee7a ph\u00e1c \u0111\u1ed3 b\u1ed5 tr\u1ee3, t\u00e2n b\u1ed5 tr\u1ee3 ho\u1eb7c trong b\u1ec7nh di c\u0103n.<\/p>\n

              \n
            • Nguy c\u01a1 gi\u1ea3m b\u1ea1ch c\u1ea7u h\u1ea1t c\u00f3 s\u1ed1t t\u0103ng l\u00ean khi h\u00f3a tr\u1ecb \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p v\u1edbi kh\u00e1ng th\u1ec3 \u0111\u01a1n d\u00f2ng.<\/li>\n<\/ul>\n

              C\u00e1c b\u1ec7nh nh\u00e2n xu\u1ea5t hi\u1ec7n gi\u1ea3m b\u1ea1ch c\u1ea7u h\u1ea1t c\u00f3 s\u1ed1t ho\u1eb7c gi\u1ea3m b\u1ea1ch c\u1ea7u h\u1ea1t \u1ea3nh h\u01b0\u1edfng t\u1edbi li\u1ec1u, li\u1ec7u tr\u00ecnh theo k\u1ebf ho\u1ea1ch c\u1ee7a ph\u00e1c \u0111\u1ed3 h\u00f3a tr\u1ecb m\u00e0 c\u00e1c chu k\u1ef3 tr\u01b0\u1edbc ch\u01b0a d\u00f9ng G-CSF d\u1ef1 ph\u00f2ng, c\u1ea7n d\u00f9ng G-CSF d\u1ef1 ph\u00f2ng \u1edf c\u00e1c chu k\u1ef3 t\u1edbi (d\u1ef1 ph\u00f2ng th\u1ee9 ph\u00e1t).<\/p>\n

              Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

              Ung th\u01b0 v\u00fa (UTV) 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 […]<\/p>\n","protected":false},"author":49,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[13,33],"tags":[],"yoast_head":"\n\u0110i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa giai \u0111o\u1ea1n III (tr\u1eeb T3N1M0) - Vinmec<\/title>\n<meta name=\"description\" content=\"Gi\u1edbi thi\u1ec7u c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa giai \u0111o\u1ea1n III (tr\u1eeb T3N1M0), UTV th\u1ec3 vi\u00eam bao g\u1ed3m ph\u1eabu phu\u1eadt\" \/>\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=\"\u0110i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa giai \u0111o\u1ea1n III (tr\u1eeb T3N1M0) - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Gi\u1edbi thi\u1ec7u c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa giai \u0111o\u1ea1n III (tr\u1eeb T3N1M0), UTV th\u1ec3 vi\u00eam bao g\u1ed3m ph\u1eabu phu\u1eadt\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/dieu-tri-ung-thu-vu-giai-doan-iii-tru-t3n1m0\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-29T10:08:30+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-29T10:34:01+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-14-1-300x300.png\" \/>\n<meta name=\"author\" content=\"Yen Cao Thi\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Yen Cao Thi\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 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\/29\/dieu-tri-ung-thu-vu-giai-doan-iii-tru-t3n1m0\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/dieu-tri-ung-thu-vu-giai-doan-iii-tru-t3n1m0\/\",\"name\":\"\u0110i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa giai \u0111o\u1ea1n III (tr\u1eeb T3N1M0) - 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