{"id":29510,"date":"2023-04-29T18:57:46","date_gmt":"2023-04-29T11:57:46","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29510"},"modified":"2023-05-04T16:09:35","modified_gmt":"2023-05-04T09:09:35","slug":"chan-doan-ung-thu-buong-trung","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/chan-doan-ung-thu-buong-trung\/","title":{"rendered":"Ch\u1ea9n \u0111o\u00e1n ung th\u01b0 bu\u1ed3ng tr\u1ee9ng"},"content":{"rendered":"

Ung th\u01b0 bu\u1ed3ng tr\u1ee9ng<\/a> (UTBT) l\u00e0 m\u1ed9t trong nh\u1eefng ung th\u01b0 ph\u1ee5 khoa hay g\u1eb7p nh\u1ea5t v\u00e0 c\u0169ng l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong nhi\u1ec1u nh\u1ea5t cho n\u1eef gi\u1edbi. Theo GLOBOCAN 2018, tr\u00ean th\u1ebf gi\u1edbi, UTBT \u0111\u1ee9ng h\u00e0ng th\u1ee9 t\u00e1m \u1edf ph\u1ee5 n\u1eef v\u1edbi t\u1ef7 l\u1ec7 m\u1edbi m\u1eafc 6,6\/100.000 d\u00e2n. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y s\u1ebd h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n ung th\u01b0 bu\u1ed3ng tr\u1ee9ng c\u1ee5 th\u1ec3 l\u00e0 ung th\u01b0 bi\u1ec3u m\u00f4 bu\u1ed3ng tr\u1ee9ng<\/strong><\/p>\n

1. Gi\u1edbi thi\u1ec7u v\u1ec1 u<\/span>ng th\u01b0 bu\u1ed3ng tr\u1ee9ng<\/span><\/strong><\/h2>\n

\u01af\u1edbc t\u00ednh, m\u1ed7i n\u0103m c\u00f3 kho\u1ea3ng 185.000 tr\u01b0\u1eddng h\u1ee3p t\u1eed vong do UTBT. Ph\u1ee5 n\u1eef B\u1eafc M\u1ef9 v\u00e0 Ch\u00e2u \u00c2u c\u00f3 t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh UTBT cao nh\u1ea5t, t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh th\u1ea5p \u1edf Ch\u00e2u \u00c1.<\/span><\/p>\n

T\u1ea1i Vi\u1ec7t Nam, theo GLOBOCAN 2018, m\u1ed7i n\u0103m c\u00f3 kho\u1ea3ng 1.500 tr\u01b0\u1eddng h\u1ee3p m\u1edbi m\u1eafc v\u00e0 kho\u1ea3ng 850 ca t\u1eed vong do UTBT. T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh chu\u1ea9n theo tu\u1ed5i l\u00e0 2,7\/100.000 d\u00e2n. T\u1ef7 l\u1ec7 truy v\u1ea5n t\u0103ng d\u1ea7n theo tu\u1ed5i, ph\u1ea7n l\u1edbn \u1ee9ng d\u1ee5ng th\u01b0 bi\u1ec3u t\u01b0\u1ee3ng th\u1ea3 tr\u1ee9ng g\u1eb7p \u1edf tr\u1ebb s\u01a1 sinh h\u1eadu m\u00e3n kinh, v\u1ea5n \u0111\u1ec1 trung b\u00ecnh l\u00e0 63. Ng\u01b0\u1ee3c l\u1ea1i, \u1ee9ng d\u1ee5ng th\u01b0 t\u1ebf b\u00e0o b\u00f3ng \u0111\u00f3n th\u01b0\u1eddng g\u1eb7p \u1edf ph\u1ee5 n\u1eef tr\u1ebb, t\u1eeb 15 -20 tu\u1ed5i.<\/span><\/p>\n

UTBT l\u00e0 b\u1ec7nh kh\u00f3 ph\u00f2ng ng\u1eeba, kh\u00f3 ph\u00e1t hi\u1ec7n s\u1edbm v\u00ec bu\u1ed3ng tr\u1ee9ng l\u00e0 c\u01a1 quan n\u1eb1m s\u00e2u trong ti\u1ec3u khung, c\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng \u00e2m th\u1ea7m, m\u01a1 h\u1ed3, kh\u00f4ng \u0111\u1eb7c hi\u1ec7u d\u1ec5 nh\u1ea7m l\u1eabn v\u1edbi c\u00e1c b\u1ec7nh n\u1ed9i, ph\u1ee5 khoa kh\u00e1c, khi tri\u1ec7u ch\u1ee9ng \u0111\u00e3 r\u00f5 b\u1ec7nh th\u01b0\u1eddng \u1edf giai \u0111o\u1ea1n mu\u1ed9n.<\/p>\n

Do c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t c\u01a1 b\u1ea3n v\u1ec1 m\u00f4 b\u1ec7nh h\u1ecdc v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng c\u0169ng nh\u01b0 ti\u00ean l\u01b0\u1ee3ng, c\u00f3 th\u1ec3 chia UTBT ra c\u00e1c lo\u1ea1i sau: Ung th\u01b0 bi\u1ec3u m\u00f4 bu\u1ed3ng tr\u1ee9ng (hay g\u1eb7p nh\u1ea5t chi\u1ebfm 80-90%), ung th\u01b0 t\u1ebf b\u00e0o m\u1ea7m (5-10%), ung th\u01b0 c\u00f3 ngu\u1ed3n g\u1ed1c m\u00f4 \u0111\u1ec7m sinh d\u1ee5c, ung th\u01b0 b\u1eaft ngu\u1ed3n t\u1eeb trung m\u00f4, v\u00e0 c\u00e1c ung th\u01b0 di c\u0103n \u0111\u1ebfn bu\u1ed3ng tr\u1ee9ng. Ung th\u01b0 bi\u1ec3u m\u00f4 bu\u1ed3ng tr\u1ee9ng l\u00e0 lo\u1ea1i hay g\u1eb7p nh\u1ea5t, th\u01b0\u1eddng g\u1eb7p \u1edf ph\u1ee5 n\u1eef h\u1eadu m\u00e3n kinh, ti\u00ean l\u01b0\u1ee3ng x\u1ea5u; ung th\u01b0 t\u1ebf b\u00e0o m\u1ea7m \u00edt g\u1eb7p, \u0111\u1ea1i \u0111a s\u1ed1 g\u1eb7p \u1edf ph\u1ee5 n\u1eef tr\u1ebb (t\u1eeb d\u01b0\u1edbi 20 \u0111\u1ebfn 30 tu\u1ed5i), ti\u00ean l\u01b0\u1ee3ng r\u1ea5t t\u1ed1t, t\u1ef7 l\u1ec7 ch\u1eefa kh\u1ecfi cao v\u00ec r\u1ea5t nh\u1ea1y c\u1ea3m v\u1edbi \u0111i\u1ec1u tr\u1ecb ho\u00e1 ch\u1ea5t. V\u1ec1 s\u00e0ng l\u1ecdc ph\u00e1t hi\u1ec7n s\u1edbm UTBT k\u1ebft qu\u1ea3 c\u00f2n r\u1ea5t h\u1ea1n ch\u1ebf. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p th\u01b0\u1eddng d\u00f9ng l\u00e0 th\u0103m kh\u00e1m l\u00e2m s\u00e0ng, \u0111\u1ecbnh l\u01b0\u1ee3ng CA 125, HE4, si\u00eau \u00e2m \u0111\u1ea7u d\u00f2 \u00e2m \u0111\u1ea1o… G\u1ea7n \u0111\u00e2y \u0111ang nghi\u00ean c\u1ee9u ti\u1ebfn h\u00e0nh th\u00eam m\u1ed9t s\u1ed1 maker m\u1edbi nh\u01b0 M-CSF, LPA.<\/p>\n

2. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/strong><\/h2>\n

2.1 L\u00e2m s\u00e0ng<\/strong><\/p>\n

Ung th\u01b0 bu\u1ed3ng tr\u1ee9ng \u1edf giai \u0111o\u1ea1n s\u1edbm: tri\u1ec7u ch\u1ee9ng m\u01a1 h\u1ed3, kh\u00f4ng \u0111\u1eb7c hi\u1ec7u d\u1ec5 nh\u1ea7m l\u1eabn v\u1edbi c\u00e1c b\u1ec7nh n\u1ed9i khoa, s\u1ea3n ph\u1ee5 khoa kh\u00e1c: kh\u00f3 ti\u00eau, m\u1ec7t m\u1ecfi, ch\u00e1n \u0103n.<\/p>\n

M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng c\u1ee7a UTBT giai \u0111o\u1ea1n mu\u1ed9n h\u01a1n c\u00f3 th\u1ec3 g\u1eb7p:<\/p>\n

    \n
  • C\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu, \u1eadm \u1ea1ch v\u00f9ng b\u1ee5ng d\u01b0\u1edbi, \u0111au b\u1ee5ng<\/li>\n
  • B\u1ee5ng ch\u01b0\u1edbng<\/li>\n
  • S\u1edd th\u1ea5y kh\u1ed1i \u1ed5 b\u1ee5ng: c\u00f3 th\u1ec3 l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a vi\u1ec7c t\u00ecm th\u1ea5y kh\u1ed1i u ph\u1ea7n ph\u1ee5 khi kh\u00e1m v\u00f9ng ch\u1eadu \u0111\u1ecbnh k\u1ef3 ho\u1eb7c th\u1ea5y h\u00ecnh \u1ea3nh kh\u1ed1i u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n cho m\u1ed9t ch\u1ec9 \u0111\u1ecbnh kh\u00e1c. B\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh ti\u1ebfn tri\u1ec3n c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n m\u1ed9t kh\u1ed1i v\u00f9ng ch\u1eadu v\u01b0\u1ee3t ra ngo\u00e0i ph\u1ea7n ph\u1ee5.<\/li>\n
  • Ch\u1ea3y m\u00e1u \u00e2m \u0111\u1ea1o: M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n m\u1eafc ung th\u01b0 bu\u1ed3ng tr\u1ee9ng c\u00f3 bi\u1ec3u hi\u1ec7n ch\u1ea3y m\u00e1u sau m\u00e3n kinh, m\u1eb7c d\u00f9 b\u1ec7nh nh\u00e2n b\u1ecb ch\u1ea3y m\u00e1u sau m\u00e3n kinh n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn t\u1eed cung tr\u01b0\u1edbc khi ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 ung th\u01b0 bu\u1ed3ng tr\u1ee9ng. \u0110\u1ed1i v\u1edbi ung th\u01b0 bi\u1ec3u m\u00f4 \u1ed1ng d\u1eabn tr\u1ee9ng, trong khi ch\u1ea3y m\u00e1u sau m\u00e3n kinh c\u00f3 th\u1ec3 x\u1ea3y ra b\u1ed9 ba tri\u1ec7u ch\u1ee9ng c\u1ed5 \u0111i\u1ec3n bao g\u1ed3m ti\u1ebft d\u1ecbch \u00e2m \u0111\u1ea1o trong ho\u1eb7c c\u00f3 m\u00e1u, \u0111au v\u00f9ng ch\u1eadu v\u00e0 kh\u1ed1i v\u00f9ng ch\u1eadu.<\/li>\n
  • C\u00e1c tri\u1ec7u ch\u1ee9ng v\u1ec1 ru\u1ed9t, ti\u1ebft ni\u1ec7u (do u ch\u00e8n \u00e9p, x\u00e2m l\u1ea5n).<\/li>\n<\/ul>\n
    \"Ung
    Ung th\u01b0 bu\u1ed3ng tr\u1ee9ng<\/figcaption><\/figure>\n

    2.2 C\u1eadn l\u00e2m s\u00e0ng <\/strong><\/p>\n

    a. Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh <\/strong><\/p>\n

      \n
    • Si\u00eau \u00e2m: ph\u00e1t hi\u1ec7n c\u00e1c kh\u1ed1i u bu\u1ed3ng tr\u1ee9ng, nh\u00e2n di c\u0103n gan, ph\u00fac m\u1ea1c, d\u1ecbch t\u1ef1 do \u1ed5 b\u1ee5ng<\/li>\n
    • Soi \u1ed5 b\u1ee5ng: ph\u00e1t hi\u1ec7n u nguy\u00ean ph\u00e1t v\u00e0 c\u00e1c nh\u00e2n di c\u0103n ph\u00fac m\u1ea1c, b\u1ec1 m\u1eb7t gan v\u00e0 ti\u1ebfn h\u00e0nh sinh thi\u1ebft l\u00e0m gi\u1ea3i ph\u1eabu b\u1ec7nh.<\/li>\n
    • Ch\u1ee5p Xquang ph\u1ed5i: c\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh di c\u0103n ph\u1ed5i, m\u00e0ng ph\u1ed5i.<\/li>\n
    • Ch\u1ee5p CT, MRI b\u1ee5ng: c\u00f3 th\u1ec3 th\u1ea5y kh\u1ed1i u bu\u1ed3ng tr\u1ee9ng, h\u1ea1ch \u1ed5 b\u1ee5ng, d\u1ecbch t\u1ef1 do, c\u00e1c t\u1ed5n th\u01b0\u01a1ng di c\u0103n ph\u00fac m\u1ea1c, gan\u2026<\/li>\n
    • X\u1ea1 h\u00ecnh x\u01b0\u01a1ng b\u1eb1ng m\u00e1y SPECT, SPECT\/CT v\u1edbi 99m<\/sup>Tc-MDP \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng di c\u0103n x\u01b0\u01a1ng, ch\u1ea9n \u0111o\u00e1n giai \u0111o\u1ea1n b\u1ec7nh tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb, theo d\u00f5i \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb, \u0111\u00e1nh gi\u00e1 t\u00e1i ph\u00e1t v\u00e0 di c\u0103n.<\/li>\n
    • X\u1ea1 h\u00ecnh th\u1eadn ch\u1ee9c n\u0103ng b\u1eb1ng m\u00e1y SPECT, SPECT\/CT v\u1edbi 99m<\/sup>Tc-DTPA \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1eadn tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb v\u00e0 sau \u0111i\u1ec1u tr\u1ecb. (KO GI\u00daP G\u00cc TRONG CH\u1ea8N \u0110O\u00c1N UTBT)<\/li>\n
    • Ch\u1ee5p PET\/CT v\u1edbi 18<\/sup>F-FDG tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n u nguy\u00ean ph\u00e1t, ch\u1ea9n \u0111o\u00e1n giai \u0111o\u1ea1n b\u1ec7nh; ch\u1ee5p sau \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 theo d\u00f5i \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb, \u0111\u00e1nh gi\u00e1 t\u00e1i ph\u00e1t v\u00e0 di c\u0103n; m\u00f4 ph\u1ecfng l\u1eadp k\u1ebf ho\u1ea1ch x\u1ea1 tr\u1ecb.<\/li>\n<\/ul>\n

      b. N\u1ed9i soi \u1ed5 b\u1ee5ng <\/strong><\/p>\n

      Ph\u00e1t hi\u1ec7n u nguy\u00ean ph\u00e1t v\u00e0 c\u00e1c nh\u00e2n di c\u0103n ph\u00fac m\u1ea1c, b\u1ec1 m\u1eb7t gan v\u00e0 ti\u1ebfn h\u00e0nh sinh thi\u1ebft l\u00e0m gi\u1ea3i ph\u1eabu b\u1ec7nh.<\/p>\n

      c. N\u1ed9i soi \u0111\u01b0\u1eddng ti\u00eau h\u00f3a <\/strong><\/p>\n

      \u0110\u1ee9ng tr\u01b0\u1edbc m\u1ed9t tr\u01b0\u1eddng h\u1ee3p u bu\u1ed3ng tr\u1ee9ng, c\u1ea7n ph\u1ea3i n\u1ed9i soi d\u1ea1 d\u00e0y, \u0111\u1ea1i tr\u1ef1c tr\u00e0ng th\u01b0\u1eddng quy \u0111\u1ec3 lo\u1ea1i tr\u1eeb c\u00e1c kh\u1ed1i u \u0111\u01b0\u1eddng ti\u00eau h\u00f3a di c\u0103n \u0111\u1ebfn bu\u1ed3ng tr\u1ee9ng (H\u1ed9i ch\u1ee9ng Krukenberg).<\/p>\n

      d. X\u00e9t nghi\u1ec7m t\u1ebf b\u00e0o h\u1ecdc, m\u00f4 b\u1ec7nh h\u1ecdc <\/strong><\/p>\n

        \n
      • Ch\u1ecdc h\u00fat d\u1ecbch \u1ed5 b\u1ee5ng, h\u1ea1ch, d\u1ecbch m\u00e0ng ph\u1ed5i n\u1ebfu c\u00f3 \u0111\u1ec3 l\u00e0m t\u1ebf b\u00e0o h\u1ecdc.<\/li>\n
      • M\u00f4 b\u1ec7nh h\u1ecdc: sinh thi\u1ebft qua n\u1ed9i soi \u1ed5 b\u1ee5ng ho\u1eb7c ph\u1eabu thu\u1eadt \u0111\u1ec3 x\u00e9t nghi\u1ec7m m\u00f4 b\u1ec7nh h\u1ecdc l\u00e0 x\u00e9t nghi\u1ec7m quy\u1ebft \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n.<\/li>\n<\/ul>\n

        e. \u0110\u1ecbnh l\u01b0\u1ee3ng ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m kh\u1ed1i u (Tumor marker) <\/strong><\/p>\n

          \n
        • CEA; CA 125; HE4, CA 72-4, Inhhibin B, AMH, LH: Th\u01b0\u1eddng t\u0103ng cao, c\u00f3 gi\u00e1 tr\u1ecb \u0111\u00e1nh gi\u00e1 \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i t\u00e1i ph\u00e1t di c\u0103n.<\/li>\n
        • Alpha-fetoprotein (AFP) v\u00e0 Human chorionic gonadotropin (HCG) t\u0103ng trong ung th\u01b0 t\u1ebf b\u00e0o m\u1ea7m.<\/li>\n<\/ul>\n

          f. X\u00e9t nghi\u1ec7m gen <\/strong><\/p>\n

            \n
          • X\u00e9t nghi\u1ec7m gen BRCA1\/BRCA2, MLH1, MSH2, MSH6, PMS2, EPCAM, MUTYH, TP53, STK11, PALB2 … gi\u00fap ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh, l\u1ef1a ch\u1ecdn c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb nh\u1eafm tr\u00fang \u0111\u1ecbch, \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng m\u1eafc b\u1ec7nh ung th\u01b0 bu\u1ed3ng tr\u1ee9ng di truy\u1ec1n.<\/li>\n
          • Gi\u1ea3i tr\u00ecnh t\u1ef1 nhi\u1ec1u gen.<\/li>\n<\/ul>\n

            3. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h2>\n
              \n
            • C\u00e1c b\u1ec7nh l\u00fd vi\u00eam nhi\u1ec5m, \u00e1p xe v\u00f9ng ti\u1ec3u khung.<\/li>\n
            • Lao sinh d\u1ee5c, lao m\u00e0ng b\u1ee5ng.<\/li>\n
            • C\u00e1c kh\u1ed1i u kh\u00e1c c\u01a1 quan sinh d\u1ee5c (u t\u1eed cung, u l\u00e0nh bu\u1ed3ng tr\u1ee9ng).<\/li>\n
            • C\u00e1c kh\u1ed1i u \u0111\u01b0\u1eddng ti\u00eau ho\u00e1, \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u, u sau ph\u00fac m\u1ea1c, u m\u1ea1c treo\u2026<\/li>\n
            • C\u00e1c ung th\u01b0 di c\u0103n \u0111\u1ebfn bu\u1ed3ng tr\u1ee9ng: ph\u1ea3i \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

              Ung th\u01b0 bu\u1ed3ng tr\u1ee9ng (UTBT) l\u00e0 m\u1ed9t trong nh\u1eefng ung th\u01b0 ph\u1ee5 khoa hay g\u1eb7p nh\u1ea5t v\u00e0 c\u0169ng l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong nhi\u1ec1u nh\u1ea5t cho n\u1eef gi\u1edbi. Theo GLOBOCAN 2018, tr\u00ean th\u1ebf gi\u1edbi, UTBT \u0111\u1ee9ng h\u00e0ng th\u1ee9 t\u00e1m \u1edf ph\u1ee5 n\u1eef v\u1edbi t\u1ef7 l\u1ec7 m\u1edbi m\u1eafc 6,6\/100.000 d\u00e2n. B\u00e0i vi\u1ebft […]<\/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":"\nCh\u1ea9n \u0111o\u00e1n ung th\u01b0 bu\u1ed3ng tr\u1ee9ng - Vinmec<\/title>\n<meta name=\"description\" content=\"Ch\u1ea9n \u0111o\u00e1n ung th\u01b0 bu\u1ed3ng tr\u1ee9ng d\u1ef1a v\u00e0o l\u00e2m s\u00e0ng v\u00e0 c\u00e1c c\u1eadn l\u00e2m s\u00e0ng ph\u1ed5 bi\u1ebfn nh\u01b0 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, n\u1ed9i soi \u1ed5 b\u1ee5ng\" \/>\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=\"Ch\u1ea9n \u0111o\u00e1n ung th\u01b0 bu\u1ed3ng tr\u1ee9ng - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Ch\u1ea9n \u0111o\u00e1n ung th\u01b0 bu\u1ed3ng tr\u1ee9ng d\u1ef1a v\u00e0o l\u00e2m s\u00e0ng v\u00e0 c\u00e1c c\u1eadn l\u00e2m s\u00e0ng ph\u1ed5 bi\u1ebfn nh\u01b0 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, n\u1ed9i soi \u1ed5 b\u1ee5ng\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/chan-doan-ung-thu-buong-trung\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-29T11:57:46+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-04T09:09:35+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-18-300x300.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\/chan-doan-ung-thu-buong-trung\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/chan-doan-ung-thu-buong-trung\/\",\"name\":\"Ch\u1ea9n \u0111o\u00e1n ung th\u01b0 bu\u1ed3ng tr\u1ee9ng - 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