{"id":29583,"date":"2023-04-29T22:19:48","date_gmt":"2023-04-29T15:19:48","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29583"},"modified":"2023-05-04T16:27:52","modified_gmt":"2023-05-04T09:27:52","slug":"dieu-tri-ung-thu-noi-mac-tu-cung","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/dieu-tri-ung-thu-noi-mac-tu-cung\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung"},"content":{"rendered":"

Ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung (EC) l\u00e0 lo\u1ea1i ung th\u01b0 ph\u1ee5 khoa ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf M\u1ef9, chi\u1ebfm t\u1edbi 6% ung th\u01b0 \u1edf n\u1eef v\u1edbi 63.230 ca h\u1ecfi m\u1edbi v\u00e0 11.350 ca t\u1eed vong n\u0103m 2018. T\u1ea1i Vi\u1ec7t Nam, theo GLOBOCAN 2018 , m\u1ed7i n\u0103m c\u00f3 4.150 ca m\u1edbi m\u1eafc\u00a0v\u00e0 1.156 ca t\u1eed vong, \u0111\u1ee9ng th\u1ee9 11 v\u1ec1 t\u1ef7 l\u1ec7 m\u1eafc.<\/span><\/strong><\/p>\n

\"ung
Ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung<\/figcaption><\/figure>\n

Ph\u1eabu thu\u1eadt<\/a> l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u00ednh trong ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung bao g\u1ed3m c\u1eaft t\u1eed cung to\u00e0n b\u1ed9, v\u00f2i – bu\u1ed3ng tr\u1ee9ng hai b\u00ean, v\u00e9t h\u1ea1ch ch\u1eadu v\u00e0 h\u1ea1ch c\u1ea1nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7. Ph\u1eabu thu\u1eadt k\u1ebft h\u1ee3p ho\u1eb7c kh\u00f4ng v\u1edbi x\u1ea1 tr\u1ecb \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh \u1edf b\u1ec7nh nh\u00e2n ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung giai \u0111o\u1ea1n khu tr\u00fa. X\u1ea1 tr\u1ecb chi\u1ebfu ngo\u00e0i k\u1ebft h\u1ee3p x\u1ea1 tr\u1ecb \u00e1p s\u00e1t th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng \u1edf giai \u0111o\u1ea1n b\u1ec7nh kh\u00f4ng m\u1ed5 \u0111\u01b0\u1ee3c. H\u00f3a tr\u1ecb \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho b\u1ec7nh nh\u00e2n \u1edf giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n, di c\u0103n xa.<\/p>\n

1. \u0110i\u1ec1u tr\u1ecb giai \u0111o\u1ea1n I ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung<\/h2>\n

Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb l\u00e0 ph\u1eabu thu\u1eadt, x\u1ea1 tr\u1ecb b\u1ed5 tr\u1ee3 (bao g\u1ed3m x\u1ea1 tr\u1ecb \u00e1p s\u00e1t v\u00e0\/ho\u1eb7c x\u1ea1 tr\u1ecb chi\u1ebfu ngo\u00e0i) \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o d\u00f9ng cho b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 ti\u00ean l\u01b0\u1ee3ng x\u1ea5u (m\u00f4 h\u1ecdc \u0111\u1ed9 2 ho\u1eb7c 3, u x\u00e2m l\u1ea5n \u226550% c\u01a1 t\u1eed cung).<\/p>\n

2. \u0110i\u1ec1u tr\u1ecb giai \u0111o\u1ea1n II<\/h2>\n

Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb l\u00e0 ph\u1eabu thu\u1eadt sau \u0111\u00f3 x\u1ea1 tr\u1ecb \u00e1p s\u00e1t v\u00e0\/ho\u1eb7c x\u1ea1 tr\u1ecb chi\u1ebfu ngo\u00e0i. V\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 \u0111\u1ed9 m\u00f4 h\u1ecdc 3 c\u00e2n nh\u1eafc h\u00f3a tr\u1ecb b\u1ed5 tr\u1ee3.<\/p>\n

3. \u0110i\u1ec1u tr\u1ecb giai \u0111o\u1ea1n III, IV<\/h2>\n

\u0110i\u1ec1u tr\u1ecb h\u1ec7 th\u1ed1ng bao g\u1ed3m h\u00f3a tr\u1ecb, \u0111i\u1ec1u tr\u1ecb \u0111\u00edch v\u00e0 n\u1ed9i ti\u1ebft, c\u00f3 ho\u1eb7c kh\u00f4ng k\u1ebft h\u1ee3p v\u1edbi x\u1ea1 tr\u1ecb chi\u1ebfu ngo\u00e0i x\u1ea1 tr\u1ecb \u00e1p s\u00e1t.<\/p>\n

3.1. X\u1ea1 tr\u1ecb <\/strong><\/p>\n

a. X\u1ea1 tr\u1ecb chi\u1ebfu ngo\u00e0i <\/strong><\/p>\n

    \n
  • Ch\u1ec9 \u0111\u1ecbnh<\/li>\n<\/ul>\n

    B\u1ed5 tr\u1ee3 sau ph\u1eabu thu\u1eadt ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung x\u00e2m l\u1ea5n ti\u1ec3u khung +\/- c\u00f3 di c\u0103n h\u1ea1ch v\u00f9ng.<\/p>\n

      \n
    • M\u00f4 ph\u1ecfng<\/li>\n<\/ul>\n

      Ch\u1ee5p m\u00f4 ph\u1ecfng b\u1eb1ng CT, MRI ho\u1eb7c t\u1ed1t nh\u1ea5t b\u1eb1ng PET\/CT, PET\/MRI.<\/p>\n

        \n
      • K\u1ef9 thu\u1eadt<\/li>\n<\/ul>\n

        C\u00f3 th\u1ec3 d\u00f9ng c\u00e1c k\u1ef9 thu\u1eadt th\u01b0\u1eddng quy 3D, ho\u1eb7c c\u00e1c k\u1ef9 thu\u1eadt x\u1ea1 tr\u1ecb ti\u00ean ti\u1ebfn gi\u00fap t\u0103ng hi\u1ec7u qu\u1ea3, \u0111\u1ed9 ch\u00ednh x\u00e1c v\u00e0 gi\u1ea3m thi\u1ec3u t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 x\u1ea1 tr\u1ecb \u0111i\u1ec1u bi\u1ebfn li\u1ec1u (Intensity Modulated Radiation Therapy: IMRT), x\u1ea1 tr\u1ecb \u0111i\u1ec1u bi\u1ebfn th\u1ec3 t\u00edch (Volumetric Modulated Arc Therapy: VMAT), x\u1ea1 tr\u1ecb h\u1ea1t n\u1eb7ng (Proton therapy, heavy ion).<\/p>\n

        b. X\u1ea1 ph\u1eabu <\/strong><\/p>\n

        X\u1ea1 ph\u1eabu c\u00f3 th\u1ec3 b\u1eb1ng dao gamma c\u1ed5 \u0111i\u1ec3n, dao gamma quay (Rotating Gamma Knife), CyberKnife\u2026<\/p>\n

          \n
        • Nguy\u00ean l\u00fd: Li\u1ec1u b\u1ee9c x\u1ea1 h\u1ed9i t\u1ee5 t\u1ea1i ti\u00eau \u0111i\u1ec3m kh\u1ed1i u v\u1edbi li\u1ec1u r\u1ea5t cao g\u00e2y ho\u1ea1i t\u1eed ho\u1eb7c b\u1ea5t ho\u1ea1t t\u1ebf b\u00e0o u, \u0111\u1ed3ng th\u1eddi li\u1ec1u x\u1ea1 t\u1ea1i c\u00e1c m\u00f4 l\u00e0nh \u1edf m\u1ee9c t\u1ed1i thi\u1ec3u, r\u1ea5t \u00edt g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 cho c\u01a1 quan l\u00e0nh xung quanh.<\/li>\n
        • X\u1ea1 ph\u1eabu \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p di c\u0103n m\u1ed9t v\u00e0i \u1ed5 (Oligometastasis) \u0111\u1eb7c bi\u1ec7t c\u00e1c tr\u01b0\u1eddng h\u1ee3p di c\u0103n n\u00e3o.<\/li>\n<\/ul>\n

          c. X\u1ea1 tr\u1ecb \u00e1p s\u00e1t <\/strong><\/p>\n

          V\u00e0o di\u1ec7n u trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng ph\u1eabu thu\u1eadt tri\u1ec7t c\u0103n ho\u1eb7c t\u0103ng li\u1ec1u x\u1ea1 sau khi x\u1ea1 tr\u1ecb chi\u1ebfu ngo\u00e0i.<\/p>\n

          3.2. H\u00f3a tr\u1ecb <\/strong><\/p>\n

          C\u00e1c ph\u00e1c \u0111\u1ed3 th\u01b0\u1eddng s\u1eed d\u1ee5ng:<\/p>\n

          Carboplatin – paclitaxel<\/strong><\/p>\n

          Paclitaxel 175mg\/m2<\/sup>, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1 Carboplatin: AUC 5-6, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1 Chu k\u1ef3 21 ng\u00e0y.<\/p>\n

          Cisplatin – doxorubicin<\/strong><\/p>\n

          Doxorubicin 60mg\/m2<\/sup> da, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1 Cisplatin 50mg\/m2<\/sup> da, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1.<\/p>\n

          Chu k\u1ef3 21 ng\u00e0y.<\/p>\n

          Cisplatin – doxorubicin – paclitaxel<\/strong><\/p>\n

          Doxorubicin 45mg\/m2<\/sup> da, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1<\/p>\n

          Cisplatin 50mg\/m2<\/sup> da, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1 Paclitaxel 160mg\/m2<\/sup> da, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 2.<\/p>\n

          Chu k\u1ef3 21 ng\u00e0y.<\/p>\n

          Carboplatin – docetaxel<\/strong><\/p>\n

          Docetaxel 60-75mg\/m2<\/sup> da, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1<\/p>\n

          Carboplatin: AUC 5-6, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1 Chu k\u1ef3 21 ng\u00e0y.<\/p>\n

          Ifosfamide – paclitaxel<\/strong><\/p>\n

          Paclitaxel 135mg\/m2<\/sup> da, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1 Ifosfamide 1,6g\/m2<\/sup> da, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1, 2, 3 Chu k\u1ef3 21 ng\u00e0y.<\/p>\n

          Cisplatin – ifosfamide<\/strong><\/p>\n

          Cisplatin 20mg\/m2<\/sup> da, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1-4<\/p>\n

          Ifosfamide 1,5g\/m2<\/sup> da, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1-4<\/p>\n

          Mesna 120mg\/m2<\/sup> da, truy\u1ec1n t\u0129nh m\u1ea1ch li\u1ec1u bolus trong 15 ph\u00fat Mesna 1,5 g\/m2<\/sup> da, truy\u1ec1n t\u00ednh m\u1ea1ch li\u00ean t\u1ee5c ng\u00e0y 1-5.<\/p>\n

          Chu k\u1ef3 21 ng\u00e0y.<\/p>\n

          Carboplatin – paclitaxel – bevacizumab<\/strong><\/p>\n

          Paclitaxel 175mg\/m2<\/sup>, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1<\/p>\n

          Carboplatin: AUC 5, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1<\/p>\n

          Bevacizumab 15mg\/kg, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1.<\/p>\n

          Everolimus – letrozole<\/strong><\/p>\n

          Everolimus: u\u1ed1ng 10mg\/ng\u00e0y Letrozole: u\u1ed1ng 2,5mg\/ng\u00e0y.<\/p>\n

          H\u00f3a tr\u1ecb \u0111\u01a1n ch\u1ea5t<\/strong><\/p>\n

            \n
          • Cisplatin: 50mg\/m2<\/sup> da, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1, chu k\u1ef3 21 ng\u00e0y.<\/li>\n
          • Carboplatin: 400mg\/m2<\/sup> da, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1, chu k\u1ef3 21 ng\u00e0y.<\/li>\n
          • Doxorubicin: 60mg\/m2<\/sup> da, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1, chu k\u1ef3 28 ng\u00e0y.<\/li>\n
          • Liposomal doxorubicin: 50mg\/m2<\/sup> da, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1, chu k\u1ef3 28 ng\u00e0y<\/li>\n
          • Paclitaxel: 110-200mg\/m2<\/sup>, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1, chu k\u1ef3 21 ng\u00e0y<\/li>\n
          • Albumin-paclitaxel<\/li>\n
          • Topotecan: 1,5mg\/m2<\/sup> da, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1-5, chu k\u1ef3 21 ng\u00e0y.<\/li>\n
          • Bevacizumab: 15mg\/m2<\/sup> da, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1, chu k\u1ef3 21 ng\u00e0y.<\/li>\n
          • Temsirolimus\u066d<\/strong>: 25mg, truy\u1ec1n t\u0129nh m\u1ea1ch h\u00e0ng tu\u1ea7n.<\/li>\n
          • Docetaxel: 36mg\/m2<\/sup> da, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1, 8, 15, chu k\u1ef3 28 ng\u00e0y<\/li>\n<\/ul>\n
              \n
            • Ifosfamide: 2g\/m2<\/sup> da, truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1-3, chu k\u1ef3 21 ng\u00e0y. Mesna t\u1ed5ng 2g chia 4 l\u1ea7n, truy\u1ec1n t\u0129nh m\u1ea1ch trong 15 ph\u00fat tr\u01b0\u1edbc v\u00e0 sau 4 gi\u1edd, 8 gi\u1edd, 12 gi\u1edd truy\u1ec1n Ifosfamide.<\/li>\n
            • Gemcitabine 1.000mg\/m2<\/sup> truy\u1ec1n t\u0129nh m\u1ea1ch ng\u00e0y 1,8, 15, chu k\u1ef3 28 ng\u00e0y.<\/li>\n<\/ul>\n

              3.3. \u0110i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft <\/strong><\/p>\n

              Li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung t\u00e1i ph\u00e1t ho\u1eb7c di c\u0103n. C\u00e1c nghi\u00ean c\u1ee9u ch\u01b0a th\u1ed1ng nh\u1ea5t \u0111\u01b0\u1ee3c li\u1ec1u, th\u1eddi gian \u0111i\u1ec1u tr\u1ecb, lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3 v\u01b0\u1ee3t tr\u1ed9i. Y\u1ebfu t\u1ed1 ti\u00ean l\u01b0\u1ee3ng m\u1ee9c \u0111\u1ed9 \u0111\u00e1p \u1ee9ng v\u1edbi li\u1ec7u ph\u00e1p bao g\u1ed3m: m\u1eadt \u0111\u1ed9 th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft (ER\/PR), m\u1ee9c \u0111\u1ed9 bi\u1ec7t h\u00f3a kh\u1ed1i u, th\u1eddi gian kh\u00f4ng b\u1ec7nh. C\u00e1c thu\u1ed1c n\u1ed9i ti\u1ebft bao g\u1ed3m:<\/p>\n

                \n
              • Megestrol\/tamoxifen: Megestrol acetate 80mg, u\u1ed1ng 2 l\u1ea7n\/ng\u00e0y, h\u00e0ng ng\u00e0y trong 3 tu\u1ea7n xen k\u1ebd v\u1edbi tamoxifen 20mg, u\u1ed1ng 2 l\u1ea7n\/ng\u00e0y, h\u00e0ng ng\u00e0y trong 3 tu\u1ea7n.<\/li>\n
              • \u1ee8c ch\u1ebf men aromatase: Arimidex 1mg u\u1ed1ng h\u00e0ng ng\u00e0y cho ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung c\u00f3 th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft (+).<\/li>\n
              • Fulvestrant: 500mg ti\u00eam b\u1eafp s\u00e2u m\u1ed7i 2 tu\u1ea7n cho 1 th\u00e1ng \u0111\u1ea7u, sau \u0111\u00f3 c\u1ee9 1 th\u00e1ng 1 l\u1ea7n.<\/li>\n<\/ul>\n

                3.4. \u0110i\u1ec1u tr\u1ecb \u0111\u00edch <\/strong><\/p>\n

                Thu\u1ed1c kh\u00e1ng t\u0103ng sinh m\u1ea1ch (Vascular endothelial growth factor-VEGF) bevacizumab k\u1ebft h\u1ee3p v\u1edbi h\u00f3a ch\u1ea5t \u0111ang \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung. C\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng b\u01b0\u1edbc \u0111\u1ea7u cho k\u1ebft qu\u1ea3 h\u1ee9a h\u1eb9n.<\/p>\n

                3.5. \u0110i\u1ec1u tr\u1ecb mi\u1ec5n d\u1ecbch <\/strong><\/p>\n

                Li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch v\u1edbi pembrolizumab ph\u1ed1i h\u1ee3p lenvatinib \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung giai \u0111o\u1ea1n ti\u1ebfn xa, kh\u00f4ng c\u00f3 s\u1ef1 b\u1ea5t \u1ed5n m\u00f4i tr\u01b0\u1eddng vi v\u1ec7 tinh \u1edf m\u1ee9c cao (MSI-H) ho\u1eb7c thi\u1ebfu h\u1ee5t s\u1eeda ch\u1eefa gh\u00e9p c\u1eb7p (dMMR) v\u1edbi b\u1ec7nh ti\u1ebfn tri\u1ec3n sau tr\u1ecb li\u1ec7u to\u00e0n th\u00e2n tr\u01b0\u1edbc \u0111\u00f3 v\u00e0 kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt ho\u1eb7c x\u1ea1 tr\u1ecb.<\/p>\n","protected":false},"excerpt":{"rendered":"

                Ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung (EC) l\u00e0 lo\u1ea1i ung th\u01b0 ph\u1ee5 khoa ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf M\u1ef9, chi\u1ebfm t\u1edbi 6% ung th\u01b0 \u1edf n\u1eef v\u1edbi 63.230 ca h\u1ecfi m\u1edbi v\u00e0 11.350 ca t\u1eed vong n\u0103m 2018. T\u1ea1i Vi\u1ec7t Nam, theo GLOBOCAN 2018 , m\u1ed7i n\u0103m c\u00f3 4.150 ca m\u1edbi m\u1eafc\u00a0v\u00e0 1.156 ca t\u1eed vong, […]<\/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 n\u1ed9i m\u1ea1c t\u1eed cung - Vinmec<\/title>\n<meta name=\"description\" content=\"\u0110i\u1ec1u tr\u1ecb ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung chia ra t\u1eebng giai \u0111o\u1ea1n v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau nh\u01b0 ph\u1eabu thu\u1eadt, ho\u00e1 tr\u1ecb, x\u1ea1 tr\u1ecb\" \/>\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 n\u1ed9i m\u1ea1c t\u1eed cung - 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