{"id":7946,"date":"2018-08-25T14:00:36","date_gmt":"2018-08-25T07:00:36","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/tam-soat-ung-thu-buong-trung\/"},"modified":"2018-08-25T14:00:36","modified_gmt":"2018-08-25T07:00:36","slug":"tam-soat-ung-thu-buong-trung","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/tam-soat-ung-thu-buong-trung\/","title":{"rendered":"T\u1ea7m so\u00e1t ung th\u01b0 bu\u1ed3ng tr\u1ee9ng"},"content":{"rendered":"<p style=\"text-align: justify;\">Ung th\u01b0 bu\u1ed3ng tr\u1ee9ng l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh ung th\u01b0 nguy hi\u1ec3m nh\u1ea5t \u1edf ph\u1ee5 n\u1eef, m\u1ed9t ph\u1ea7n v\u00ec b\u1ec7nh n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n \u1edf giai \u0111o\u1ea1n mu\u1ed9n. C\u00f3 r\u1ea5t nhi\u1ec1u quan t\u00e2m nghi\u00ean c\u1ee9u \u0111\u1ec3 t\u00ecm ra m\u1ed9t lo\u1ea1i x\u00e9t nghi\u1ec7m ho\u1eb7c k\u1ebft h\u1ee3p c\u00e1c x\u00e9t nghi\u1ec7m nh\u1eb1m ph\u00e1t hi\u1ec7n ung th\u01b0 bu\u1ed3ng tr\u1ee9ng \u1edf giai \u0111o\u1ea1n s\u1edbm h\u01a1n. Tuy nhi\u00ean, c\u00e1c nghi\u00ean c\u1ee9u v\u1eabn ch\u01b0a \u0111\u01b0a ra \u0111\u01b0\u1ee3c m\u1ed9t c\u00e1ch x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc\/t\u1ea7m so\u00e1t n\u00e0o l\u00e0m gi\u1ea3m nguy c\u01a1 t\u1eed vong do ung th\u01b0 bu\u1ed3ng tr\u1ee9ng. Trong th\u1eddi \u0111i\u1ec3m hi\u1ec7n t\u1ea1i:<\/p>\n<ul style=\"text-align: justify;\">\n<li>Ph\u1ee5 n\u1eef <strong>kh\u00f4ng c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh<\/strong> m\u1eafc b\u1ec7nh ung th\u01b0 bu\u1ed3ng tr\u1ee9ng <strong>kh\u00f4ng n\u00ean<\/strong> kh\u00e1m s\u00e0ng l\u1ecdc ung th\u01b0 bu\u1ed3ng tr\u1ee9ng. Tr\u1eeb khi tham gia v\u00e0o m\u1ed9t th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng.<\/li>\n<li>Ph\u1ee5 n\u1eef c\u00f3 <strong>ti\u1ec1n s\u1eed gia \u0111\u00ecnh c\u00f3 nguy c\u01a1 cao<\/strong> b\u1ecb ung th\u01b0 bu\u1ed3ng tr\u1ee9ng c\u00f3 nguy c\u01a1 cao h\u01a1n. Nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao \u0111\u1eb7c bi\u1ec7t c\u00f3 th\u1ec3 c\u00f3 l\u1ee3i t\u1eeb t\u1ea7m so\u00e1t ung th\u01b0 bu\u1ed3ng tr\u1ee9ng.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify;\"><strong>T\u00f4i c\u00f3 nguy c\u01a1 b\u1ecb ung th\u01b0 bu\u1ed3ng tr\u1ee9ng kh\u00f4ng?<\/strong><\/h2>\n<p style=\"text-align: justify;\">C\u00e1c y\u1ebfu t\u1ed1 l\u00e0m <strong>t\u0103ng nguy c\u01a1<\/strong> ung th\u01b0 bu\u1ed3ng tr\u1ee9ng bao g\u1ed3m:<\/p>\n<ul style=\"text-align: justify;\">\n<li>Cao tu\u1ed5i.<\/li>\n<li>C\u00f3 m\u1ed9t ho\u1eb7c nhi\u1ec1u ng\u01b0\u1eddi th\u00e2n b\u1ecb ung th\u01b0 bu\u1ed3ng tr\u1ee9ng.<\/li>\n<li>C\u00f3 b\u1ea5t th\u01b0\u1eddng trong m\u1ed9t gene c\u00f3 t\u00ean l\u00e0 BRCA1 ho\u1eb7c BRCA2.<\/li>\n<li>C\u00f3 c\u00e1c gen c\u00f3 li\u00ean quan \u0111\u1ebfn ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng nonpolyposis di truy\u1ec1n (c\u00f2n g\u1ecdi l\u00e0 h\u1ed9i ch\u1ee9ng Lynch).<\/li>\n<li>Ch\u01b0a bao gi\u1edd mang thai.<\/li>\n<li>Th\u1eeba c\u00e2n.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 c\u00f3 th\u1ec3 l\u00e0m <strong>gi\u1ea3m nguy c\u01a1<\/strong> b\u1ecb ung th\u01b0 bu\u1ed3ng tr\u1ee9ng, bao g\u1ed3m:<\/p>\n<ul style=\"text-align: justify;\">\n<li>S\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m so\u00e1t sinh s\u1ea3n b\u1eb1ng n\u1ed9i ti\u1ebft t\u1ed1 (thu\u1ed1c vi\u00ean, mi\u1ebfng d\u00e1n, v\u00f2ng \u00e2m \u0111\u1ea1o, ti\u00eam).<\/li>\n<li>\u0110ang mang thai, ho\u1eb7c cho con b\u00fa.<\/li>\n<li>Th\u1eaft \u1ed1ng d\u1eabn tr\u1ee9ng \u0111\u1ec3 ng\u1eeba thai.<\/li>\n<li>\u0110\u00e3 c\u1eaft b\u1ecf t\u1eed cung ho\u1eb7c bu\u1ed3ng tr\u1ee9ng.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify;\"><strong>R\u1ee7i ro v\u00e0 l\u1ee3i \u00edch c\u1ee7a vi\u1ec7c s\u00e0ng l\u1ecdc<\/strong><\/h2>\n<p style=\"text-align: justify;\">M\u1ed9t x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc l\u00e0 x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 t\u00ecm th\u1ea5y m\u1ed9t c\u0103n b\u1ec7nh, ch\u1eb3ng h\u1ea1n nh\u01b0 ung th\u01b0. Trong giai \u0111o\u1ea1n \u0111\u1ea7u khi kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0 khi ung th\u01b0 c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi \u0111i\u1ec1u tr\u1ecb nh\u1ea5t.\u00a0M\u1ed9t v\u00ed d\u1ee5 v\u1ec1 m\u1ed9t x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc th\u00f4ng th\u01b0\u1eddng l\u00e0 <strong>Pap smear<\/strong>, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c t\u1ed5n th\u01b0\u01a1ng ung th\u01b0 v\u00e0 ti\u1ec1n ung th\u01b0 c\u1ed5 t\u1eed cung.<\/p>\n<p style=\"text-align: justify;\">M\u1ed9t <strong>x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc t\u1ed1<\/strong>t\u00a0ph\u1ea3i <strong>t\u00ecm th\u1ea5y h\u1ea7u h\u1ebft<\/strong> nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh n\u00e0y v\u00e0 <strong>kh\u00f4ng t\u00ecm nh\u1ea7m<\/strong> nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng m\u1eafc b\u1ec7nh n\u00e0y. M\u1ed9t x\u00e9t nghi\u1ec7m d\u01b0\u01a1ng t\u00ednh khi kh\u00f4ng c\u00f3 b\u1ec7nh n\u00e0o \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 &#8220;d\u01b0\u01a1ng t\u00ednh gi\u1ea3&#8221;. \u0110i\u1ec1u \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng l\u00e0 tr\u00e1nh c\u00e1c x\u00e9t nghi\u1ec7m d\u01b0\u01a1ng t\u00ednh gi\u1ea3 cho ung th\u01b0 bu\u1ed3ng tr\u1ee9ng. V\u00ec x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc d\u01b0\u01a1ng t\u00ednh th\u01b0\u1eddng \u0111\u00f2i h\u1ecfi ph\u1ea3i ph\u1eabu thu\u1eadt.<\/p>\n<p style=\"text-align: justify;\"><strong>L\u1ee3i \u00edch:<\/strong>\u00a0L\u1ee3i \u00edch\u00a0ti\u1ec1m n\u0103ng c\u1ee7a vi\u1ec7c ki\u1ec3m tra ung th\u01b0 bu\u1ed3ng tr\u1ee9ng l\u00e0 c\u01a1 h\u1ed9i \u0111\u1ec3 t\u00ecm ra ung th\u01b0 \u1edf giai \u0111o\u1ea1n c\u00f3 th\u1ec3 ch\u1eefa \u0111\u01b0\u1ee3c, gi\u1ea3m nguy c\u01a1 t\u1eed vong.<\/p>\n<p style=\"text-align: justify;\"><strong>R\u1ee7i ro:<\/strong>\u00a0Nguy c\u01a1\u00a0ti\u1ec1m \u1ea9n c\u1ee7a vi\u1ec7c ki\u1ec3m tra ung th\u01b0 bu\u1ed3ng tr\u1ee9ng l\u00e0 g\u1eb7p ph\u1ea3i t\u00ecnh hu\u1ed1ng d\u01b0\u01a1ng t\u00ednh gi\u1ea3 nh\u01b0 n\u00f3i \u1edf tr\u00ean. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ph\u1eabu thu\u1eadt kh\u00f4ng c\u1ea7n thi\u1ebft cho nhi\u1ec1u ph\u1ee5 n\u1eef kh\u1ecfe m\u1ea1nh. Ph\u1eabu thu\u1eadt mang theo s\u1ef1 lo \u00e2u, sang th\u01b0\u01a1ng v\u00e0 m\u1ea5t th\u1eddi gian l\u00e0m vi\u1ec7c, c\u0169ng nh\u01b0 nguy c\u01a1 bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. Ngo\u00e0i ra n\u00f3 c\u0169ng \u0111\u1eaft ti\u1ec1n.<\/p>\n<h2 style=\"text-align: justify;\"><strong>T\u1ea7m so\u00e1t ung th\u01b0 cho ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao<\/strong><\/h2>\n<p style=\"text-align: justify;\">Ng\u01b0\u1eddi ta v\u1eabn \u0111ang nghi\u00ean c\u1ee9u \u0111\u1ec3 t\u00ecm ra s\u1ef1 k\u1ebft h\u1ee3p t\u1ed1t nh\u1ea5t c\u1ee7a c\u00e1c x\u00e9t nghi\u1ec7m t\u1ea7m so\u00e1t ung th\u01b0 bu\u1ed3ng tr\u1ee9ng. C\u00e1c x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 h\u1eefu \u00edch cho ph\u1ee5 n\u1eef c\u00f3 nguy c\u01a1 cao bao g\u1ed3m: x\u00e9t nghi\u1ec7m m\u00e1u \u0111o ch\u1ea5t ch\u1ec9 th\u1ecb kh\u1ed1i u (tumor marker) CA 125, si\u00eau \u00e2m, ho\u1eb7c k\u1ebft h\u1ee3p c\u1ea3 hai.<\/p>\n<p style=\"text-align: justify;\"><strong>CA 125:<\/strong>\u00a0CA 125 l\u00e0 m\u1ed9t protein c\u00f3 n\u1ed3ng \u0111\u1ed9 trong m\u00e1u cao h\u01a1n b\u00ecnh th\u01b0\u1eddng trong kho\u1ea3ng 80% ph\u1ee5 n\u1eef b\u1ecb ung th\u01b0 bu\u1ed3ng tr\u1ee9ng.\u00a0CA 125 th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 theo d\u00f5i ph\u1ee5 n\u1eef b\u1ecb ung th\u01b0 bu\u1ed3ng tr\u1ee9ng.<\/p>\n<p style=\"text-align: justify;\">Ng\u01b0\u1eddi ta hy v\u1ecdng r\u1eb1ng CA 125 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 bi\u1ebft li\u1ec7u m\u1ed9t ng\u01b0\u1eddi ph\u1ee5 n\u1eef c\u00f3 nguy c\u01a1 b\u1ecb ung th\u01b0 bu\u1ed3ng tr\u1ee9ng hay kh\u00f4ng.\u00a0Tuy nhi\u00ean, m\u1ee9c CA 125 c\u00f3 th\u1ec3 cao trong nhi\u1ec1u \u0111i\u1ec1u ki\u1ec7n kh\u00e1c, bao g\u1ed3m:<\/p>\n<ul style=\"text-align: justify;\">\n<li>Endometriosis.<\/li>\n<li>U x\u01a1 t\u1eed cung.<\/li>\n<li>B\u1ec7nh gan (x\u01a1 gan).<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng v\u00f9ng ch\u1eadu.<\/li>\n<li>C\u00e1c b\u1ec7nh ung th\u01b0 kh\u00e1c, bao g\u1ed3m ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung, v\u00fa, ph\u1ed5i v\u00e0 tuy\u1ebfn t\u1ee5y.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Ngo\u00e0i ra, n\u1ed3ng \u0111\u1ed9 CA 125 cao h\u01a1n b\u00ecnh th\u01b0\u1eddng trong kho\u1ea3ng 1% ph\u1ee5 n\u1eef kh\u1ecfe m\u1ea1nh v\u00e0 c\u0169ng thay \u0111\u1ed5i trong chu k\u1ef3 kinh nguy\u1ec7t.<\/p>\n<p style=\"text-align: justify;\">V\u00ec v\u1eady, n\u1ebfu b\u1ea1n c\u00f3 m\u1ee9c CA 125 cao h\u01a1n b\u00ecnh th\u01b0\u1eddng. B\u1ea1n c\u00f3 th\u1ec3 b\u1ecb ung th\u01b0 bu\u1ed3ng tr\u1ee9ng ho\u1eb7c m\u1ed9t t\u00ecnh tr\u1ea1ng ph\u1ed5 bi\u1ebfn h\u01a1n v\u00e0 \u00edt nghi\u00eam tr\u1ecdng h\u01a1n.\u00a0Si\u00eau \u00e2m v\u00f9ng ch\u1eadu c\u00f3 th\u1ec3 h\u1eefu \u00edch n\u1ebfu b\u1ea1n b\u1ecb ung th\u01b0 bu\u1ed3ng tr\u1ee9ng. M\u1eb7c d\u00f9 c\u00e1ch duy nh\u1ea5t \u0111\u1ec3 bi\u1ebft ch\u1eafc ch\u1eafn l\u00e0 ph\u1eabu thu\u1eadt. Ch\u00ednh v\u00ec th\u1ebf, CA 125 <strong>kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb nh\u01b0 l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc \u0111\u1ed9c l\u1eadp<\/strong> \u0111\u1ed1i v\u1edbi ung th\u01b0 bu\u1ed3ng tr\u1ee9ng.<\/p>\n<p style=\"text-align: justify;\"><strong>Si\u00eau \u00e2m v\u00f9ng ch\u1eadu:\u00a0<\/strong>Si\u00eau \u00e2m\u00a0v\u00f9ng ch\u1eadu s\u1eed d\u1ee5ng s\u00f3ng \u00e2m thanh \u0111\u1ec3 t\u1ea1o ra h\u00ecnh \u1ea3nh c\u1ee7a c\u00e1c c\u01a1 quan trong x\u01b0\u01a1ng ch\u1eadu, bao g\u1ed3m bu\u1ed3ng tr\u1ee9ng. C\u00e1c b\u00e1c s\u0129 s\u1ebd d\u00f9ng \u0111\u1ea7u d\u00f2 si\u00eau \u00e2m kh\u1ea3o s\u00e1t qua ng\u1ea3 \u00e2m \u0111\u1ea1o v\u00e0\/ho\u1eb7c th\u00e0nh b\u1ee5ng.<\/p>\n<p style=\"text-align: justify;\">Khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0m x\u00e9t nghi\u1ec7m t\u1ea7m so\u00e1t ung th\u01b0 bu\u1ed3ng tr\u1ee9ng, si\u00eau \u00e2m qua ng\u1ea3 \u00e2m \u0111\u1ea1o c\u00f3 th\u1ec3 t\u00ecm th\u1ea5y t\u1eeb 80% \u0111\u1ebfn 100% ung th\u01b0 bu\u1ed3ng tr\u1ee9ng.\u00a0Tuy nhi\u00ean, si\u00eau \u00e2m kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng cho bi\u1ebft s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa ung th\u01b0 bu\u1ed3ng tr\u1ee9ng v\u00e0 c\u00e1c t\u00ecnh tr\u1ea1ng ph\u1ed5 bi\u1ebfn kh\u00e1c (u nang bu\u1ed3ng tr\u1ee9ng, l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung). Si\u00eau \u00e2m c\u0169ng c\u00f3 th\u1ec3 c\u00f3 d\u01b0\u01a1ng t\u00ednh gi\u1ea3, d\u1eabn \u0111\u1ebfn vi\u1ec7c ph\u1ea3i l\u00e0m nhi\u1ec1u x\u00e9t nghi\u1ec7m h\u01a1n ho\u1eb7c ph\u1eabu thu\u1eadt kh\u00f4ng c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 th\u00eam bu\u1ed3ng tr\u1ee9ng.\u00a0K\u1ebft qu\u1ea3 l\u00e0, si\u00eau \u00e2m v\u00f9ng ch\u1eadu <strong>kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o nh\u01b0 l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc \u0111\u1ed9c l\u1eadp<\/strong> \u0111\u1ed1i v\u1edbi ung th\u01b0 bu\u1ed3ng tr\u1ee9ng.<\/p>\n<p style=\"text-align: justify;\"><strong>K\u1ebft h\u1ee3p CA 125 v\u00e0 si\u00eau \u00e2m v\u00f9ng ch\u1eadu:\u00a0<\/strong>M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u \u0111\u00e3 xem x\u00e9t s\u1eed d\u1ee5ng si\u00eau \u00e2m CA 125 v\u00e0 si\u00eau \u00e2m v\u00f9ng ch\u1eadu v\u1edbi nhau \u0111\u1ec3 ph\u00e1t hi\u1ec7n ung th\u01b0 bu\u1ed3ng tr\u1ee9ng.\u00a0Tuy nhi\u00ean, k\u1ebft qu\u1ea3 c\u1ee7a nh\u1eefng nghi\u00ean c\u1ee9u n\u00e0y h\u01a1i th\u1ea5t v\u1ecdng:<\/p>\n<ul style=\"text-align: justify;\">\n<li>Nhi\u1ec1u ph\u1ee5 n\u1eef \u0111\u00e3 ph\u1eabu thu\u1eadt kh\u00f4ng c\u1ea7n thi\u1ebft v\u00ec k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m d\u01b0\u01a1ng t\u00ednh gi\u1ea3 (CA 125 ho\u1eb7c si\u00eau \u00e2m v\u00f9ng ch\u1eadu l\u00e0 b\u1ea5t th\u01b0\u1eddng nh\u01b0ng kh\u00f4ng t\u00ecm th\u1ea5y ung th\u01b0).<\/li>\n<li>M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u \u0111\u00e3 gi\u00fap ph\u00e1t hi\u1ec7n nhi\u1ec1u ca b\u1ec7nh ung th\u01b0 \u1edf giai \u0111o\u1ea1n s\u1edbm h\u01a1n v\u00e0 giai \u0111o\u1ea1n c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb h\u01a1n. Tuy nhi\u00ean, k\u1ebft qu\u1ea3 n\u00e0y kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t \u1edf nh\u1eefng nghi\u00ean c\u1ee9u kh\u00e1c. Kh\u00f4ng c\u00f3 nghi\u00ean c\u1ee9u n\u00e0o ch\u1ee9ng minh c\u00e1c x\u00e9t nghi\u1ec7m n\u00e0y l\u00e0m gi\u1ea3m nguy c\u01a1 t\u1eed vong do ung th\u01b0 bu\u1ed3ng tr\u1ee9ng.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify;\"><strong>Ai n\u00ean \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc?<\/strong><\/h2>\n<p style=\"text-align: justify;\"><strong>Khi c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh nh\u00f3m nguy c\u01a1 cao:<\/strong>\u00a0C\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh nh\u00f3m nguy c\u01a1 cao l\u00e0 ng\u01b0\u1eddi c\u00f3 m\u1ed9t ho\u1eb7c nhi\u1ec1u ng\u01b0\u1eddi th\u00e2n (c\u00f9ng huy\u1ebft th\u1ed1ng) m\u1eafc b\u1ec7nh ung th\u01b0 v\u00fa ho\u1eb7c ung th\u01b0 bu\u1ed3ng tr\u1ee9ng.<\/p>\n<p style=\"text-align: justify;\">Ph\u1ee5 n\u1eef c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh nh\u01b0 tr\u00ean n\u00ean \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n di truy\u1ec1n \u0111\u1ec3 th\u1ea3o lu\u1eadn v\u1ec1 x\u00e9t nghi\u1ec7m BRCA1 v\u00e0 BRCA2 (<a href=\"https:\/\/www.uptodate.com\/contents\/image?imageKey=ONC%2F57434&amp;topicKey=PI%2F872&amp;search=Ovarian+cancer%2C+CDKN2&amp;rank=4%7E14&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">b\u1ea3ng 1<\/a>).<\/p>\n<p style=\"text-align: justify;\">Kh\u00e1m t\u1ea7m so\u00e1t ung th\u01b0 bu\u1ed3ng tr\u1ee9ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o n\u1ebfu b\u1ea1n c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh nh\u00f3m nguy c\u01a1 cao nh\u01b0 tr\u00ean v\u00e0:<\/p>\n<ul style=\"text-align: justify;\">\n<li>C\u00f3 \u0111\u1ed9t bi\u1ebfn BRCA v\u00e0 b\u1ea1n c\u00f3 bu\u1ed3ng tr\u1ee9ng.<\/li>\n<li>B\u1ecb h\u1ed9i ch\u1ee9ng Lynch (Ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng nonpolyposis [HNPCC]) v\u00e0 ch\u01b0a c\u1eaft\/c\u00f2n bu\u1ed3ng tr\u1ee9ng.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Kh\u00e1m nghi\u1ec7m ung th\u01b0 bu\u1ed3ng tr\u1ee9ng c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc cho nh\u1eefng ph\u1ee5 n\u1eef \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n \u0111\u1ec3 x\u00e9t nghi\u1ec7m di truy\u1ec1n (v\u00ec ti\u1ec1n s\u1eed gia \u0111\u00ecnh c\u00f3 nguy c\u01a1 cao) nh\u01b0ng h\u1ecd \u0111\u00e3 ch\u1ecdn kh\u00f4ng l\u00e0m x\u00e9t nghi\u1ec7m n\u00e0y.\u00a0Trong nh\u00f3m n\u00e0y, vi\u1ec7c s\u00e0ng l\u1ecdc ung th\u01b0 bu\u1ed3ng tr\u1ee9ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb. B\u1eaft \u0111\u1ea7u t\u1eeb 30 \u0111\u1ebfn 35 tu\u1ed5i, ho\u1eb7c s\u1edbm h\u01a1n 5 \u0111\u1ebfn 10 n\u0103m so v\u1edbi tu\u1ed5i khi th\u00e0nh vi\u00ean gia \u0111\u00ecnh tr\u1ebb nh\u1ea5t \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n.\u00a0S\u00e0ng l\u1ecdc c\u00f3 th\u1ec3 bao g\u1ed3m x\u00e9t nghi\u1ec7m m\u00e1u cho CA-125 v\u00e0 si\u00eau \u00e2m v\u00f9ng ch\u1eadu.<\/p>\n<p style=\"text-align: justify;\">N\u1ebfu c\u00f3 l\u1ecbch s\u1eed gia \u0111\u00ecnh nh\u00f3m nguy c\u01a1 cao. B\u1ea1n c\u0169ng c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc l\u1ef1a ch\u1ecdn thay th\u1ebf vi\u1ec7c s\u00e0ng l\u1ecdc ung th\u01b0 bu\u1ed3ng tr\u1ee9ng, nh\u01b0 c\u1eaft b\u1ecf bu\u1ed3ng tr\u1ee9ng. <strong>C\u00e1c l\u1ef1a ch\u1ecdn n\u00e0y ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ea3o lu\u1eadn ri\u00eang v\u1edbi c\u00e1c b\u00e1c s\u0129 c\u00f3 kinh nghi\u1ec7m<\/strong>.<\/p>\n<p style=\"text-align: justify;\"><strong>L\u1ecbch s\u1eed gia \u0111\u00ecnh nh\u00f3m nguy c\u01a1 th\u1ea5p h\u01a1n:<\/strong>\u00a0Ph\u1ee5 n\u1eef c\u00f3 nguy c\u01a1 th\u1ea5p l\u00e0 kh\u00f4ng c\u00f3 ti\u1ec1n s\u1eed c\u00e1 nh\u00e2n ho\u1eb7c gia \u0111\u00ecnh m\u1eafc b\u1ec7nh ung th\u01b0 bu\u1ed3ng tr\u1ee9ng. S\u00e0ng l\u1ecdc ung th\u01b0 bu\u1ed3ng tr\u1ee9ng kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o \u1edf nh\u00f3m n\u00e0y.<\/p>\n<h2 style=\"text-align: justify;\"><strong>Tri\u1ec7u ch\u1ee9ng c\u1ee7a ung th\u01b0 bu\u1ed3ng tr\u1ee9ng<\/strong><\/h2>\n<p style=\"text-align: justify;\">Trong giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a ung th\u01b0 bu\u1ed3ng tr\u1ee9ng, c\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng m\u01a1 h\u1ed3 v\u00e0 kh\u00f4ng \u0111\u1eb7c hi\u1ec7u. Ch\u00fang c\u00f3 th\u1ec3 bao g\u1ed3m kh\u00f3 ch\u1ecbu v\u00f9ng ch\u1eadu ho\u1eb7c b\u1ee5ng, \u0111\u1ea7y b\u1ee5ng, kh\u00f3 \u0103n ho\u1eb7c c\u1ea3m th\u1ea5y no, t\u0103ng k\u00edch th\u01b0\u1edbc b\u1ee5ng, ho\u1eb7c \u0111\u1ed5 x\u00f4 \u0111i ti\u1ec3u th\u01b0\u1eddng xuy\u00ean. Tuy nhi\u00ean, nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y c\u0169ng c\u00f3 th\u1ec3 do nhi\u1ec1u b\u1ec7nh hay t\u00ecnh tr\u1ea1ng kh\u00e1c g\u00e2y ra.<\/p>\n<p style=\"text-align: justify;\">N\u1ebfu b\u1ea1n c\u00f3 m\u1ed9t ho\u1eb7c nhi\u1ec1u tri\u1ec7u ch\u1ee9ng n\u00e0y trong n\u0103m qua, h\u00e3y g\u1eb7p b\u00e1c s\u0129 ho\u1eb7c y t\u00e1 \u0111\u1ec3 trao \u0111\u1ed5i th\u00eam.<\/p>\n<h2 style=\"text-align: justify;\"><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n<p style=\"text-align: justify;\">UpToDate_T\u00e0i li\u1ec7u d\u00e0nh cho b\u1ec7nh nh\u00e2n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ung th\u01b0 bu\u1ed3ng tr\u1ee9ng l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh ung th\u01b0 nguy hi\u1ec3m nh\u1ea5t \u1edf ph\u1ee5 n\u1eef, t\u1ea7m so\u00e1t nh\u1eb1m ph\u00e1t hi\u1ec7n ung th\u01b0 bu\u1ed3ng tr\u1ee9ng \u1edf giai \u0111o\u1ea1n s\u1edbm h\u01a1n.<\/p>\n","protected":false},"author":108,"featured_media":4893,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2897,2460],"tags":[2913,2914,2673],"series":[1746],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>T\u1ea7m so\u00e1t ung th\u01b0 bu\u1ed3ng tr\u1ee9ng - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Ung th\u01b0 bu\u1ed3ng tr\u1ee9ng l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh ung th\u01b0 nguy hi\u1ec3m nh\u1ea5t \u1edf ph\u1ee5 n\u1eef, t\u1ea7m so\u00e1t nh\u1eb1m ph\u00e1t hi\u1ec7n ung th\u01b0 bu\u1ed3ng tr\u1ee9ng \u1edf giai \u0111o\u1ea1n s\u1edbm h\u01a1n.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/ung-thu\/tam-soat-ung-thu-buong-trung\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"T\u1ea7m so\u00e1t ung th\u01b0 bu\u1ed3ng tr\u1ee9ng - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"Ung th\u01b0 bu\u1ed3ng tr\u1ee9ng l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh ung th\u01b0 nguy hi\u1ec3m nh\u1ea5t \u1edf ph\u1ee5 n\u1eef, t\u1ea7m so\u00e1t nh\u1eb1m ph\u00e1t hi\u1ec7n ung th\u01b0 bu\u1ed3ng tr\u1ee9ng \u1edf giai \u0111o\u1ea1n s\u1edbm h\u01a1n.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/ung-thu\/tam-soat-ung-thu-buong-trung\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n Ung Th\u01b0\" \/>\n<meta property=\"article:author\" content=\"http:\/\/facebook.com\/beequy\" \/>\n<meta property=\"article:published_time\" content=\"2018-08-25T07:00:36+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2018\/08\/tam-soat-ung-thu-buong-trung.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BS.TS. 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