{"id":29995,"date":"2023-05-01T10:50:20","date_gmt":"2023-05-01T03:50:20","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29995"},"modified":"2023-05-01T10:55:44","modified_gmt":"2023-05-01T03:55:44","slug":"ung-thu-tinh-hoan-huong-dan-chan-doan-theo-bo-y-te","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/ung-thu-tinh-hoan-huong-dan-chan-doan-theo-bo-y-te\/","title":{"rendered":"Ung th\u01b0 tinh ho\u00e0n: H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n theo b\u1ed9 Y t\u1ebf"},"content":{"rendered":"

Ung th\u01b0 tinh ho\u00e0n hi\u1ebfm x\u1ea3y ra, c\u00f3 kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng cao, ngay c\u1ea3 khi \u0111\u00e3 di c\u0103n ra ra ngo\u00e0i tinh ho\u00e0n. B\u1ed9 Y t\u1ebf \u0111\u00e3 \u0111\u01b0a ra h\u01b0\u1edbng d\u1eabn gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm, ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c ung th\u01b0 tinh ho\u00e0n t\u1eeb \u0111\u00f3 n\u00e2ng cao hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/b><\/p>\n

1. \u0110\u1ea1i c\u01b0\u01a1ng v\u1ec1 ung th\u01b0 tinh ho\u00e0n<\/h2>\n

Ung th\u01b0 tinh ho\u00e0n (UTTH)<\/a> l\u00e0 b\u1ec7nh \u00e1c t\u00ednh ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf nam gi\u1edbi tr\u1ebb tu\u1ed5i, bao g\u1ed3m 2 nh\u00f3m l\u1edbn: 95% l\u00e0 kh\u1ed1i u t\u1ebf b\u00e0o m\u1ea7m, 5% kh\u00f4ng ph\u1ea3i t\u1ebf b\u00e0o m\u1ea7m. U t\u1ebf b\u00e0o m\u1ea7m chia ra 2 lo\u1ea1i: nh\u00f3m u tinh (seminoma) v\u00e0 nh\u00f3m u m\u1ea7m kh\u00f4ng ph\u1ea3i t\u1ebf b\u00e0o d\u00f2ng tinh.<\/p>\n

Ung th\u01b0 tinh ho\u00e0n l\u00e0 b\u1ec7nh ung th\u01b0 c\u00f3 kh\u1ea3 n\u0103ng ch\u1eefa kh\u1ecfi cao, t\u00ednh chung cho c\u00e1c giai \u0111o\u1ea1n c\u00f3 th\u1ec3 ch\u1eefa cho 90% b\u1ec7nh nh\u00e2n, \u1edf giai \u0111o\u1ea1n lan tr\u00e0n c\u1ee7a b\u1ec7nh c\u0169ng c\u00f3 th\u1ec3 c\u1ee9u ch\u1eefa cho 80% c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh kh\u1ecfi ho\u00e0n to\u00e0n.<\/p>\n

\"minh-hoa-ung-thu-tinh-hoan\"
Ung th\u01b0 tinh ho\u00e0n l\u00e0 b\u1ec7nh \u00e1c t\u00ednh ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf nam gi\u1edbi tr\u1ebb tu\u1ed5i<\/figcaption><\/figure>\n

2. Ch\u1ea9n \u0111o\u00e1n ung th\u01b0 tinh ho\u00e0n<\/h2>\n

2.1. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/h3>\n
    \n
  • Th\u1ec3 t\u00edch tinh ho\u00e0n t\u0103ng l\u00ean.<\/li>\n
  • C\u1ea3m gi\u00e1c c\u0103ng t\u1ee9c.<\/li>\n
  • U th\u01b0\u1eddng kh\u00f4ng \u0111au ho\u1eb7c \u0111au \u00edt.<\/li>\n
  • Kh\u00e1m v\u00e0 so s\u00e1nh hai tinh ho\u00e0n \u0111\u1ec3 ph\u00e1t hi\u1ec7n b\u1ea5t th\u01b0\u1eddng, ngo\u00e0i ra ch\u00fa \u00fd th\u0103m kh\u00e1m ph\u00e1t hi\u1ec7n h\u1ea1ch b\u1eb9n. \u0110\u00f4i khi ch\u1ec9 kh\u00e1m th\u1ea5y m\u1ed9t tinh ho\u00e0n, c\u00f2n m\u1ed9t tinh ho\u00e0n l\u1ea1c ch\u1ed7 n\u1eb1m trong \u1ed5 b\u1ee5ng.<\/li>\n
  • Kh\u00e1m l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n u khu tr\u00fa m\u1ed9t b\u00ean hay \u0111\u00e3 x\u00e2m l\u1ea5n sang b\u00ean kia ho\u1eb7c u \u0111\u00e3 x\u00e2m l\u1ea5n th\u1eebng tinh.<\/li>\n
  • Trong giai \u0111o\u1ea1n mu\u1ed9n, ung th\u01b0 c\u00f3 th\u1ec3 v\u1ee1 ra trong ho\u1eb7c ngo\u00e0i b\u00ecu. Trong tr\u01b0\u1eddng h\u1ee3p tinh ho\u00e0n l\u1ea1c ch\u1ed7 trong \u1ed5 b\u1ee5ng, kh\u1ed1i u c\u00f3 th\u1ec3 v\u1ee1 v\u00e0 x\u00e2m l\u1ea5n c\u00e1c t\u1ed5 ch\u1ee9c xung quanh \u1ed5 b\u1ee5ng.<\/li>\n
  • Ung th\u01b0 t\u1ebf b\u00e0o m\u1ea7m hay di c\u0103n theo \u0111\u01b0\u1eddng b\u1ea1ch m\u1ea1ch t\u1edbi h\u1ea1ch ch\u1ee7 l\u01b0ng, h\u1ea1ch ch\u1eadu ho\u1eb7c h\u1ea1ch b\u1eb9n, c\u00f3 th\u1ec3 \u0111i v\u00e0o ph\u1ed5i gan n\u00e3o v\u00e0 x\u01b0\u01a1ng (bi\u1ec3u hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng t\u01b0\u01a1ng \u1ee9ng). \u0110\u00f4i khi ph\u00f9 b\u1ea1ch huy\u1ebft chi d\u01b0\u1edbi.<\/li>\n
  • Khi th\u1ea5y tinh ho\u00e0n s\u01b0ng to, \u0111au ho\u1eb7c kh\u00e1m th\u1ea5y kh\u00f4ng \u0111\u1ee7 hai tinh ho\u00e0n ho\u1eb7c c\u00f3 k\u00e8m theo c\u00e1c d\u1ea5u hi\u1ec7u di c\u0103n, ph\u1ea3i theo d\u00f5i ung th\u01b0 tinh ho\u00e0n.<\/li>\n<\/ul>\n

    2.2. Tri\u1ec7u ch\u1ee9ng c\u1eadn l\u00e2m s\u00e0ng<\/h3>\n
      \n
    • Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh:<\/li>\n<\/ul>\n

      + Si\u00eau \u00e2m: \u0111\u1ec3 ph\u00e1t hi\u1ec7n di c\u0103n h\u1ea1ch v\u00e0 c\u00e1c t\u1ea1ng trong b\u1ee5ng. \u0110\u1eb7c bi\u1ec7t quan tr\u1ecdng trong tr\u01b0\u1eddng h\u1ee3p tinh ho\u00e0n \u1ea9n. Si\u00eau \u00e2m b\u00ecu \u0111\u1ec3 ph\u00e1t hi\u1ec7n u v\u00e0 ph\u00e2n bi\u1ec7t v\u1edbi tr\u00e0n d\u1ecbch m\u00e0ng tinh ho\u00e0n.<\/p>\n

      + Ch\u1ee5p Xquang tim ph\u1ed5i: ph\u00e1t hi\u1ec7n di c\u0103n ph\u1ed5i, ho\u1eb7c b\u1ea5t th\u01b0\u1eddng \u0111\u1ec3 \u0111\u1ecbnh h\u01b0\u1edbng ch\u1ee5p CT scan.<\/p>\n

      + Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh, c\u1ed9ng h\u01b0\u1edfng t\u1eeb, ch\u1ee5p b\u1ea1ch m\u1ea1ch: \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng u v\u00e0 h\u1ea1ch.<\/p>\n

        \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.<\/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
      • X\u00e9t nghi\u1ec7m t\u1ebf b\u00e0o v\u00e0 m\u00f4 b\u1ec7nh h\u1ecdc:<\/li>\n<\/ul>\n

        + Ch\u1ecdc h\u00fat t\u1ebf b\u00e0o b\u1eb1ng kim nh\u1ecf l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n s\u01a1 b\u1ed9, nhanh, kh\u00f4ng \u0111\u01b0\u1ee3c ESMO, NCCN khuy\u1ebfn c\u00e1o.<\/p>\n

        + Sinh thi\u1ebft tinh ho\u00e0n: n\u00ean l\u00e0m sinh thi\u1ebft m\u1edf ho\u1eb7c sinh thi\u1ebft t\u1ee9c th\u00ec, tr\u00e1nh l\u00e0m reo r\u1eafc t\u1ebf b\u00e0o u.<\/p>\n

          \n
        • X\u00e9t nghi\u1ec7m c\u00e1c ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m u: gi\u00fap ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i ti\u1ebfn tri\u1ec3n b\u1ec7nh.<\/li>\n<\/ul>\n

          + hCG (Human Chorionic Gonadotropin): t\u0103ng cao, ch\u1ec9 s\u1ed1 b\u00ecnh th\u01b0\u1eddng <10 UI\/ml.<\/p>\n

          + LDH (Lactico dehydrogenase): t\u0103ng cao trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u00e3 di c\u0103n xa.<\/p>\n

          + AFP (Anpha feto-protein): th\u01b0\u1eddng t\u0103ng cao.<\/p>\n

            \n
          • X\u00e9t nghi\u1ec7m sinh h\u1ecdc ph\u00e2n t\u1eed: gi\u1ea3i tr\u00ecnh t\u1ef1 nhi\u1ec1u gen.<\/li>\n
          • Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh: d\u1ef1a v\u00e0o m\u00f4 b\u1ec7nh h\u1ecdc, c\u00f3 3 lo\u1ea1i: (Theo ph\u00e2n lo\u1ea1i c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi 2014).<\/li>\n<\/ul>\n

            + U tinh: u tinh, u tinh kinh \u0111i\u1ec3n, u tinh gi\u1ea3m bi\u1ec7t h\u00f3a, u tinh b\u00e0o.<\/p>\n

            + U kh\u00f4ng tinh: ung th\u01b0 bi\u1ec3u m\u00f4 ph\u00f4i, u t\u00fai no\u00e3n ho\u00e0ng, u qu\u00e1i, ung th\u01b0 rau.<\/p>\n

            + U kh\u00f4ng ph\u1ea3i t\u1ebf b\u00e0o m\u1ea7m: u t\u1ebf b\u00e0o \u0111\u1ec7m, u lympho, ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ea1i ch\u1ed7.<\/p>\n

            2.3. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h3>\n

            Ph\u00e2n bi\u1ec7t v\u1edbi u v\u00e0 h\u1ea1ch b\u1ec7nh l\u00fd kh\u00e1c. \u0110\u1eb7c bi\u1ec7t c\u1ea7n ph\u00e2n bi\u1ec7t v\u1edbi: vi\u00eam m\u00e0o tinh ho\u00e0n hay tr\u00e0n d\u1ecbch m\u00e0ng tinh ho\u00e0n.<\/p>\n

            2.4. Ch\u1ea9n \u0111o\u00e1n giai \u0111o\u1ea1n b\u1ec7nh<\/h3>\n

            * X\u1ebfp lo\u1ea1i TNM theo AJCC l\u1ea7n th\u1ee9 8 n\u0103m 2017: g\u1ed3m T, N, M, S<\/p>\n

            T: U nguy\u00ean ph\u00e1t<\/strong><\/p>\n

            T theo l\u00e2m s\u00e0ng (cT)<\/p>\n

            cTx<\/sub>: Kh\u00f4ng \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c u nguy\u00ean ph\u00e1t<\/p>\n

            cT0<\/sub>: Kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng c\u1ee7a u nguy\u00ean ph\u00e1t<\/p>\n

            cTis<\/sub>: T\u00e2n s\u1ea3n t\u1ebf b\u00e0o m\u1ea7m t\u1ea1i ch\u1ed7<\/p>\n

            cT4<\/sub>: U x\u00e2m l\u1ea5n b\u00ecu c\u00f3 ho\u1eb7c kh\u00f4ng x\u00e2m l\u1ea5n m\u1ea1ch\/b\u1ea1ch huy\u1ebft<\/p>\n

            T theo m\u00f4 b\u1ec7nh h\u1ecdc (pT)<\/p>\n

            pTx<\/sub>: U nguy\u00ean ph\u00e1t kh\u00f4ng \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c<\/p>\n

            pT0<\/sub>: Kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng c\u1ee7a u nguy\u00ean ph\u00e1t<\/p>\n

            pTis<\/sub>: T\u00e2n s\u1ea3n t\u1ebf b\u00e0o m\u1ea7m t\u1ea1i ch\u1ed7<\/p>\n

            pT1<\/sub>: U gi\u1edbi h\u1ea1n \u1edf tinh ho\u00e0n kh\u00f4ng x\u00e2m l\u1ea5n m\u1ea1ch b\u1ea1ch huy\u1ebft<\/p>\n

            + pT1a<\/sub>: K\u00edch th\u01b0\u1edbc u <3cm<\/p>\n

            + pT1b<\/sub>: K\u00edch th\u01b0\u1edbc u \u22653cm<\/p>\n

            pT2<\/sub>: U gi\u1edbi h\u1ea1n \u1edf tinh ho\u00e0n c\u00f3 x\u00e2m l\u1ea5n m\u1ea1ch b\u1ea1ch huy\u1ebft, ho\u1eb7c u x\u00e2m l\u1ea5n qua m\u00e0ng tr\u1eafng\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0ho\u1eb7c m\u00e0o tinh c\u00f3 ho\u1eb7c kh\u00f4ng x\u00e2m l\u1ea5n m\u1ea1ch b\u1ea1ch huy\u1ebft.<\/p>\n

            pT3<\/sub>: U x\u00e2n l\u1ea5n th\u1eebng tinh c\u00f3 ho\u1eb7c kh\u00f4ng x\u00e2m l\u1ea5n m\u1ea1ch b\u1ea1ch huy\u1ebft<\/p>\n

            pT4<\/sub>: U x\u00e2m l\u1ea5n b\u00ecu c\u00f3 ho\u1eb7c kh\u00f4ng x\u00e2m l\u1ea5n c\u00f3 h\u1ea1ch b\u1ea1ch huy\u1ebft<\/p>\n

            N: h\u1ea1ch v\u00f9ng<\/strong><\/p>\n

            N theo l\u00e2m s\u00e0ng (cN):<\/p>\n

            cNx<\/sub>: Kh\u00f4ng \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c h\u1ea1ch v\u00f9ng<\/p>\n

            cN0<\/sub>: Kh\u00f4ng c\u00f3 di c\u0103n h\u1ea1ch v\u00f9ng<\/p>\n

            cN1<\/sub>: Di c\u0103n 1 kh\u1ed1i h\u1ea1ch v\u00f9ng k\u00edch th\u01b0\u1edbc \u22642cm ho\u1eb7c di c\u0103n nhi\u1ec1u h\u1ea1ch nh\u01b0ng kh\u00f4ng c\u00f3 h\u1ea1ch\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 n\u00e0o k\u00edch th\u01b0\u1edbc l\u1edbn nh\u1ea5t >2cm.<\/p>\n

            cN2<\/sub>: Di c\u0103n 1 kh\u1ed1i h\u1ea1ch v\u00f9ng k\u00edch th\u01b0\u1edbc >2cm v\u00e0 \u22645cm<\/p>\n

            cN3<\/sub>: Di c\u0103n 1 kh\u1ed1i h\u1ea1ch v\u00f9ng k\u00edch th\u01b0\u1edbc >5cm<\/p>\n

            N theo m\u00f4 b\u1ec7nh h\u1ecdc (pT):<\/p>\n

            pNx<\/sub>: Kh\u00f4ng \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c h\u1ea1ch v\u00f9ng<\/p>\n

            pN0<\/sub>: Kh\u00f4ng c\u00f3 di c\u0103n h\u1ea1ch v\u00f9ng<\/p>\n

            pN1<\/sub>: Di c\u0103n 1 kh\u1ed1i h\u1ea1ch v\u00f9ng k\u00edch th\u01b0\u1edbc l\u1edbn nh\u1ea5t \u22642cm v\u00e0 \u22645 h\u1ea1ch d\u01b0\u01a1ng t\u00ednh, kh\u00f4ng h\u1ea1ch\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0n\u00e0o >2cm.<\/p>\n

            pN2<\/sub>: Di c\u0103n 1 kh\u1ed1i h\u1ea1ch v\u00f9ng k\u00edch th\u01b0\u1edbc >2cm v\u00e0 \u22645cm ho\u1eb7c nhi\u1ec1u h\u01a1n 5 h\u1ea1ch d\u01b0\u01a1ng t\u00ednh,\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0k\u00edch th\u01b0\u1edbc \u22645cm ho\u1eb7c c\u00f3 b\u1eb1ng ch\u1ee9ng x\u00e2m l\u1ea5n ngo\u00e0i h\u1ea1ch.<\/p>\n

            pN3<\/sub>: Di c\u0103n kh\u1ed1i h\u1ea1ch k\u00edch th\u01b0\u1edbc >5cm<\/p>\n

            M: Di c\u0103n xa<\/strong><\/p>\n

            M0<\/sub>: Ch\u01b0a c\u00f3 di c\u0103n xa.<\/p>\n

            M1<\/sub>: \u0110\u00e3 c\u00f3 di c\u0103n xa.<\/p>\n

            + M1a<\/sub>: Di c\u0103n h\u1ea1ch kh\u00f4ng ph\u1ea3i h\u1ea1ch sau ph\u00fac m\u1ea1c ho\u1eb7c di c\u0103n ph\u1ed5i<\/p>\n

            + M1b<\/sub>: Di c\u0103n t\u1ea1ng kh\u00e1c<\/p>\n

            S: X\u00e9t nghi\u1ec7m ch\u1ec9 \u0111i\u1ec3m u trong huy\u1ebft thanh<\/strong><\/p>\n

            Sx:\u00a0 X\u00e9t nghi\u1ec7m ch\u1ec9 \u0111i\u1ec3m u kh\u00f4ng c\u00f3 s\u1eb5n ho\u1eb7c kh\u00f4ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n<\/p>\n

            S0<\/sub>: N\u1ed3ng \u0111\u1ed9 ch\u1ec9 \u0111i\u1ec3m u trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng<\/p>\n

            S1: LDH <1,5 l\u1ea7n gi\u1edbi h\u1ea1n tr\u00ean ch\u1ec9 s\u1ed1 b\u00ecnh th\u01b0\u1eddng v\u00e0 hCG <5.000mIU\/mL v\u00e0 AFP\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<1.000ng\/mL.<\/p>\n

            S2: LDH t\u1eeb 1,5-10 l\u1ea7n gi\u1edbi h\u1ea1n tr\u00ean ch\u1ec9 s\u1ed1 b\u00ecnh th\u01b0\u1eddng ho\u1eb7c hCG: 5.000-50.000mIU\/mL\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 ho\u1eb7c AFP: 1.000-10.000ng\/mL<\/p>\n

            S3: LDH>10 l\u1ea7n gi\u1edbi h\u1ea1n tr\u00ean ch\u1ec9 s\u1ed1 b\u00ecnh th\u01b0\u1eddng ho\u1eb7c hCG>50.000mIU\/mL ho\u1eb7c\u00a0 AFP\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 >10.000ng\/mL<\/p>\n

            * Ph\u00e2n giai \u0111o\u1ea1n theo TNM<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
            Giai \u0111o\u1ea1n<\/td>\nT<\/td>\nN<\/td>\nM<\/td>\nS<\/td>\n<\/tr>\n
            0<\/td>\npTis<\/sub><\/td>\nN0<\/sub><\/td>\nM0<\/sub><\/td>\nS0<\/sub><\/td>\n<\/tr>\n
            I<\/td>\npT1-4<\/sub><\/td>\nN0<\/sub><\/td>\nM0<\/sub><\/td>\nSx<\/sub><\/td>\n<\/tr>\n
            IA<\/sub><\/td>\npT1<\/sub><\/td>\nN0<\/sub><\/td>\nM0<\/sub><\/td>\nS0<\/sub><\/td>\n<\/tr>\n
            IB<\/sub><\/td>\npT2-4<\/sub><\/td>\nN0<\/sub><\/td>\nM0<\/sub><\/td>\nS0<\/sub><\/td>\n<\/tr>\n
            IS<\/sub><\/td>\nTb\u1ea5t k\u1ef3<\/td>\nN0<\/sub><\/td>\nM0<\/sub><\/td>\nS1-3<\/sub><\/td>\n<\/tr>\n
            II<\/td>\nTb\u1ea5t k\u1ef3<\/td>\nN1-3<\/sub><\/td>\nM0<\/sub><\/td>\nSx<\/sub><\/td>\n<\/tr>\n
            IIA<\/sub><\/td>\nTb\u1ea5t k\u1ef3<\/td>\nN1<\/sub><\/td>\nM0<\/sub><\/td>\nS0-1<\/sub><\/td>\n<\/tr>\n
            IIB<\/sub><\/td>\nTb\u1ea5t k\u1ef3<\/td>\nN2<\/sub><\/td>\nM0<\/sub><\/td>\nS0-1<\/sub><\/td>\n<\/tr>\n
            IIC<\/sub><\/td>\nTb\u1ea5t k\u1ef3<\/td>\nN3<\/sub><\/td>\nM0<\/sub><\/td>\nS0-1<\/sub><\/td>\n<\/tr>\n
            III<\/td>\nTb\u1ea5t k\u1ef3<\/td>\nNb\u1ea5t k\u1ef3<\/td>\nM1<\/sub><\/td>\nSx<\/sub><\/td>\n<\/tr>\n
            IIIA<\/sub><\/td>\nTb\u1ea5t k\u1ef3<\/td>\nNb\u1ea5t k\u1ef3<\/td>\nM1a<\/td>\nS0-1<\/sub><\/td>\n<\/tr>\n
            IIIB<\/sub><\/td>\nTb\u1ea5t k\u1ef3<\/td>\nN1-3<\/sub><\/td>\nM0<\/sub><\/td>\nS2<\/sub><\/td>\n<\/tr>\n
            Tb\u1ea5t k\u1ef3<\/td>\nNb\u1ea5t k\u1ef3<\/td>\nM1a<\/td>\nS2<\/sub><\/td>\n<\/tr>\n
            IIIC<\/sub><\/td>\nTb\u1ea5t k\u1ef3<\/td>\nN1-3<\/sub><\/td>\nM0<\/sub><\/td>\nS3<\/sub><\/td>\n<\/tr>\n
            Tb\u1ea5t k\u1ef3<\/td>\nNb\u1ea5t k\u1ef3<\/td>\nM1a<\/td>\nS3<\/sub><\/td>\n<\/tr>\n
            Tb\u1ea5t k\u1ef3<\/td>\nNb\u1ea5t k\u1ef3<\/td>\nM1b<\/td>\nSb\u1ea5t k\u1ef3<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

             <\/p>\n","protected":false},"excerpt":{"rendered":"

            Ung th\u01b0 tinh ho\u00e0n hi\u1ebfm x\u1ea3y ra, c\u00f3 kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng cao, ngay c\u1ea3 khi \u0111\u00e3 di c\u0103n ra ra ngo\u00e0i tinh ho\u00e0n. B\u1ed9 Y t\u1ebf \u0111\u00e3 \u0111\u01b0a ra h\u01b0\u1edbng d\u1eabn gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm, ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c ung th\u01b0 tinh ho\u00e0n t\u1eeb \u0111\u00f3 n\u00e2ng cao hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. 1. […]<\/p>\n","protected":false},"author":43,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6,33],"tags":[],"yoast_head":"\nUng th\u01b0 tinh ho\u00e0n: H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n theo b\u1ed9 Y t\u1ebf - Vinmec<\/title>\n<meta name=\"description\" content=\"Ung th\u01b0 tinh ho\u00e0n hi\u1ebfm x\u1ea3y ra, c\u00f3 kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng cao, ngay c\u1ea3 khi \u0111\u00e3 di c\u0103n ra ra ngo\u00e0i tinh ho\u00e0n.\" \/>\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=\"Ung th\u01b0 tinh ho\u00e0n: H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n theo b\u1ed9 Y t\u1ebf - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Ung th\u01b0 tinh ho\u00e0n hi\u1ebfm x\u1ea3y ra, c\u00f3 kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng cao, ngay c\u1ea3 khi \u0111\u00e3 di c\u0103n ra ra ngo\u00e0i tinh ho\u00e0n.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/ung-thu-tinh-hoan-huong-dan-chan-doan-theo-bo-y-te\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-01T03:50:20+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-01T03:55:44+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/20190828_093408_112508_ung_thu_tinh_hoan_n.max-1800x1800-1-300x169.jpg\" \/>\n<meta name=\"author\" content=\"Lam Le Tran Khanh\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Lam Le Tran Khanh\" \/>\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\/05\/01\/ung-thu-tinh-hoan-huong-dan-chan-doan-theo-bo-y-te\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/ung-thu-tinh-hoan-huong-dan-chan-doan-theo-bo-y-te\/\",\"name\":\"Ung th\u01b0 tinh ho\u00e0n: H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n theo b\u1ed9 Y t\u1ebf - 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