{"id":8100,"date":"2022-12-09T15:32:42","date_gmt":"2022-12-09T08:32:42","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/?p=8100"},"modified":"2024-04-29T18:05:37","modified_gmt":"2024-04-29T11:05:37","slug":"tom-tat-ve-cac-khuyen-cao-dieu-tri-cho-ung-thu-gan-giai-doan-di-can-3-2","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/tom-tat-ve-cac-khuyen-cao-dieu-tri-cho-ung-thu-gan-giai-doan-di-can-3-2\/","title":{"rendered":"T\u00f3m t\u1eaft v\u1ec1 c\u00e1c khuy\u1ebfn c\u00e1o \u0111i\u1ec1u tr\u1ecb cho ung th\u01b0 gan giai \u0111o\u1ea1n di c\u0103n"},"content":{"rendered":"<p style=\"text-align: right\"><b><i>\u00a0DS Nguy\u1ec5n Qu\u1ef3nh H\u01b0\u01a1ng<\/i><\/b><\/p>\n<p style=\"text-align: right\"><em><strong>Nguyen Thi Thuy Duong &#8211; BPharm<\/strong><\/em><\/p>\n<p>Ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan (ho\u1eb7c ung th\u01b0 gan nguy\u00ean ph\u00e1t) l\u00e0 m\u1ed9t d\u1ea1ng ung th\u01b0 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n tr\u00ean n\u1ec1n b\u1ec7nh gan m\u1ea1n t\u00ednh ho\u1eb7c x\u01a1 gan. C\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb d\u1ef1a tr\u00ean <strong>m\u1ee9c \u0111\u1ed9 d\u1ef1 tr\u1eef gan <\/strong>(hay m\u1ee9c \u0111\u1ed9 suy gan) ph\u00e2n Child-Pugh.<\/p>\n<h2><strong>C\u00e1ch \u0111\u00e1nh gi\u00e1 theo ph\u00e2n lo\u1ea1i Child-Pugh<\/strong><\/h2>\n<p><a href=\"https:\/\/www.hepatitis.va.gov\/cirrhosis\/background\/child-pugh-calculator.asp\" target=\"_blank\" rel=\"noopener\">https:\/\/www.hepatitis.va.gov\/cirrhosis\/background\/child-pugh-calculator.asp<\/a><\/p>\n<p><a href=\"https:\/\/www.mdcalc.com\/calc\/340\/child-pugh-score-cirrhosis-mortality\" target=\"_blank\" rel=\"noopener\">https:\/\/www.mdcalc.com\/calc\/340\/child-pugh-score-cirrhosis-mortality<\/a><\/p>\n<p>\u0110\u1ed3ng thu\u1eadn v\u1edbi c\u00e1c h\u01b0\u1edbng d\u1eabn c\u1ee7a M\u1ea1ng l\u01b0\u1edbi Ung th\u01b0 To\u00e0n di\u1ec7n Qu\u1ed1c gia Hoa K\u1ef3, c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng gi\u1edbi h\u1ea1n s\u1eed d\u1ee5ng <a href=\"https:\/\/www.uptodate.com\/contents\/atezolizumab-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">atezolizumab<\/a>, <a href=\"https:\/\/www.uptodate.com\/contents\/bevacizumab-including-biosimilars-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">bevacizumab<\/a>, <strong>levatinib<\/strong>, <a href=\"https:\/\/www.uptodate.com\/contents\/regorafenib-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">regorafenib<\/a>, <a href=\"https:\/\/www.uptodate.com\/contents\/cabozantinib-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">cabozantinib<\/a> v\u00e0 <strong>pembrolizumab <\/strong>cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 m\u1ee9c suy gan kh\u00f4ng n\u1eb7ng h\u01a1n x\u01a1 gan Child-Pugh nh\u00f3m A. C\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng kh\u00f4ng ch\u1ec9 \u0111\u1ecbnh <strong>sorafenib <\/strong>cho b\u1ec7nh nh\u00e2n c\u00f3 Child-Pugh nh\u00f3m B &gt;7. <a href=\"https:\/\/www.uptodate.com\/contents\/nivolumab-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">Nivolumab<\/a> c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 Child-Pugh nh\u00f3m A ho\u1eb7c B.<\/p>\n<p>Nh\u1eefng th\u00f4ng tin sau \u0111\u00e2y l\u00e0 h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb t\u1ea1i Nh\u1eadt B\u1ea3n v\u00e0 Hoa K\u1ef3. L\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb c\u1ea7n d\u1ef1a theo t\u00ecnh h\u00ecnh ti\u1ebfp c\u1eadn thu\u1ed1c t\u1ea1i Vi\u1ec7t Nam, kh\u1ea3 n\u0103ng t\u00e0i ch\u00ednh v\u00e0 nguy\u1ec7n v\u1ecdng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<h2><strong>Khi ch\u1ee9c n\u0103ng gan \u0111\u1ee7 t\u1ed1t v\u00e0 phong \u0111\u1ed9 t\u1ed1t <\/strong><\/h2>\n<h3><strong>Li\u1ec7u ph\u00e1p kh\u1edfi \u0111\u1ea7u<\/strong><\/h3>\n<p>Li\u1ec7u ph\u00e1p to\u00e0n th\u00e2n th\u00edch h\u1ee3p cho nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc ung th\u01b0 gan nguy\u00ean ph\u00e1t kh\u00f4ng th\u1ec3 ph\u1eabu thu\u1eadt, kh\u00f4ng th\u00edch h\u1ee3p v\u1edbi \u0111i\u1ec1u tr\u1ecb t\u1ea1i ch\u1ed7 &#8211; t\u1ea1i v\u00f9ng, c\u00f3 phong \u0111\u1ed9 t\u1ed1t, ch\u1ee9c n\u0103ng gan c\u00f2n \u0111\u1ee7 t\u1ed1t (Child-Pugh nh\u00f3m A).<\/p>\n<ul>\n<li>V\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u1edbi <a href=\"https:\/\/www.uptodate.com\/contents\/bevacizumab-including-biosimilars-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">bevacizumab<\/a>, v\u00e0 kh\u00f4ng b\u1ecb t\u00e1i ph\u00e1t sau khi gh\u00e9p gan, c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng khuy\u1ebfn ngh\u1ecb <a href=\"https:\/\/www.uptodate.com\/contents\/atezolizumab-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">atezolizumab<\/a>\u00a0k\u1ebft h\u1ee3p bevacizumab h\u01a1n l\u00e0 <a href=\"https:\/\/www.uptodate.com\/contents\/sorafenib-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">sorafenib<\/a> \u0111\u01a1n ch\u1ea5t.<\/li>\n<li>V\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 ti\u1ebfp nh\u1eadn <a href=\"https:\/\/www.uptodate.com\/contents\/bevacizumab-including-biosimilars-drug-information?topicRef=2486&amp;source=see_link\">bevacizumab<\/a>, tremelimumab + <a href=\"https:\/\/www.uptodate.com\/contents\/durvalumab-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">durvalumab<\/a>\u00a0l\u00e0 li\u1ec7u ph\u00e1p thay cho bevacizumab +\u00a0<a href=\"https:\/\/www.uptodate.com\/contents\/atezolizumab-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">atezolizumab<\/a>.<br \/>\nLi\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch n\u00ean tr\u00e1nh \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n t\u00e1i ph\u00e1t sau gh\u00e9p gan v\u00ec t\u1ef7 l\u1ec7 th\u1ea3i gh\u00e9p cao.<\/li>\n<li>V\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 d\u00f9ng <strong>atezolozumab<\/strong>\u00a0k\u1ebft h\u1ee3p <strong>bevacizumab<\/strong>\u00a0ho\u1eb7c <strong>durvalumab<\/strong> k\u1ebft h\u1ee3p <strong>tremelimumab<\/strong>, c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng \u01b0u ti\u00ean <a href=\"https:\/\/www.uptodate.com\/contents\/lenvatinib-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">lenvatinib<\/a>\u00a0h\u01a1n\u00a0<a href=\"https:\/\/www.uptodate.com\/contents\/sorafenib-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">sorafenib<\/a>. \u0110\u01a1n ch\u1ea5t durvalumab ho\u1eb7c donafenib l\u00e0 nh\u1eefng l\u1ef1a ch\u1ecdn thay th\u1ebf h\u1ee3p l\u00fd cho sorafenib trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y.<\/li>\n<\/ul>\n<h3><strong>Li\u1ec7u ph\u00e1p ti\u1ebfp theo<\/strong><\/h3>\n<p>C\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng \u0111\u1ec1 xu\u1ea5t ph\u00e1c \u0111\u1ed3 b\u1eadc hai cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 kh\u1ed1i u ti\u1ebfn tri\u1ec3n sau li\u1ec7u ph\u00e1p kh\u1edfi \u0111\u1ea7u ho\u1eb7c kh\u00f4ng th\u1ec3 dung n\u1ea1p li\u1ec7u ph\u00e1p kh\u1edfi \u0111\u1ea7u \u1edf nh\u1eefng ng\u01b0\u1eddi v\u1eabn duy tr\u00ec phong \u0111\u1ed9 t\u1ed1t v\u00e0 ch\u1ee9c n\u0103ng gan kh\u00e1 t\u1ed1t. Hi\u1ec7n nay, c\u00e1c hi\u1ec7p h\u1ed9i v\u1eabn ch\u01b0a th\u1ed1ng nh\u1ea5t v\u1ec1 tr\u00ecnh t\u1ef1 s\u1eed d\u1ee5ng t\u1ed1i \u01b0u c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb s\u1eb5n c\u00f3. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch \u01b0u ti\u00ean tham gia v\u00e0o c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng (n\u1ebfu c\u00f3).<\/p>\n<ul>\n<li>N\u1ebfu b\u1ec7nh ti\u1ebfn tri\u1ec3n sau ph\u00e1c \u0111\u1ed3 <a href=\"https:\/\/www.uptodate.com\/contents\/atezolizumab-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">atezolizumab<\/a> + bevacizumab, c\u00e1c l\u1ef1a ch\u1ecdn g\u1ed3m <a href=\"https:\/\/www.uptodate.com\/contents\/sorafenib-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">sorafenib<\/a>, <a href=\"https:\/\/www.uptodate.com\/contents\/lenvatinib-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">lenvatinib<\/a>, <a href=\"https:\/\/www.uptodate.com\/contents\/regorafenib-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">regorafenib<\/a>, <a href=\"https:\/\/www.uptodate.com\/contents\/cabozantinib-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">cabozantinib<\/a>, ho\u1eb7c apatinib (n\u1ebfu c\u00f3).<\/li>\n<li>N\u1ebfu b\u1ec7nh ti\u1ebfn tri\u1ec3n sau ph\u00e1c \u0111\u1ed3 <a href=\"https:\/\/www.uptodate.com\/contents\/sorafenib-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">sorafenib<\/a>\u00a0ho\u1eb7c <strong>lenvatinib<\/strong> c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng khuy\u1ebfn ngh\u1ecb li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch thay v\u00ec d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf tyrosine lo\u1ea1i kh\u00e1c.<\/li>\n<\/ul>\n<p>Khi \u0111\u00f3 v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ee9c n\u0103ng gan \u0111\u1ee7 t\u1ed1t (Child-Pugh nh\u00f3m A), c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng \u01b0u ti\u00ean <a href=\"https:\/\/www.uptodate.com\/contents\/nivolumab-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">nivolumab<\/a> k\u1ebft h\u1ee3p <a href=\"https:\/\/www.uptodate.com\/contents\/ipilimumab-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">ipilimumab<\/a> h\u01a1n l\u00e0 <a href=\"https:\/\/www.uptodate.com\/contents\/pembrolizumab-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">pembrolizumab<\/a>.<\/p>\n<p>M\u1ed9t l\u1ef1a ch\u1ecdn kh\u00e1c sau \u0111i\u1ec1u tr\u1ecb b\u1eb1ng <a href=\"https:\/\/www.uptodate.com\/contents\/lenvatinib-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">lenvatinib<\/a> ho\u1eb7c <strong>sorafenib<\/strong> l\u00e0 chuy\u1ec3n sang thu\u1ed1c kia ho\u1eb7c d\u00f9ng thu\u1ed1c <strong>regorafenib<\/strong>. Tuy nhi\u00ean, ng\u01b0\u1eddi ta v\u1eabn ch\u01b0a r\u00f5 li\u1ec7u lenvatinib c\u00f3 hi\u1ec7u qu\u1ea3 bao nhi\u00eau sau khi sorafenib th\u1ea5t b\u1ea1i, kh\u00f4ng c\u00f3 th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng n\u00e0o n\u00f3i v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/p>\n<ul>\n<li><a href=\"https:\/\/www.uptodate.com\/contents\/cabozantinib-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">Cabozantinib<\/a> l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn cho b\u1ec7nh nh\u00e2n kh\u00f4ng dung n\u1ea1p <a href=\"https:\/\/www.uptodate.com\/contents\/sorafenib-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">sorafenib<\/a>, <a href=\"https:\/\/www.uptodate.com\/contents\/lenvatinib-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">lenvatinib<\/a> ho\u1eb7c <a href=\"https:\/\/www.uptodate.com\/contents\/regorafenib-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">regorafenib<\/a>.<\/li>\n<li><a href=\"https:\/\/www.uptodate.com\/contents\/ramucirumab-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">Ramucirumab<\/a>c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u01b0u ti\u00ean cho m\u1ed9t nh\u00f3m nh\u1ecf b\u1ec7nh nh\u00e2n c\u00f3 n\u1ed3ng \u0111\u1ed9 AFP cao (&gt;400 ng\/mL).<\/li>\n<li>N\u1ebfu vi\u1ec7c ti\u1ebfp c\u1eadn v\u1edbi c\u00e1c li\u1ec7u ph\u00e1p nh\u1eafm \u0111\u00edch b\u1ecb h\u1ea1n ch\u1ebf, h\u00f3a tr\u1ecb truy\u1ec1n th\u1ed1ng l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn.<\/li>\n<\/ul>\n<p>C\u00e1c ph\u00e1c \u0111\u1ed3 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc bao g\u1ed3m <a href=\"https:\/\/www.uptodate.com\/contents\/gemcitabine-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">gemcitabine<\/a> k\u1ebft h\u1ee3p <a href=\"https:\/\/www.uptodate.com\/contents\/oxaliplatin-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">oxaliplatin<\/a> (ph\u00e1c \u0111\u1ed3 GEMOX), gemcitabine k\u1ebft h\u1ee3p pegylated, liposomal, doxorubicin ho\u1eb7c <a href=\"https:\/\/www.uptodate.com\/contents\/capecitabine-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">capecitabine<\/a> \u0111\u01a1n ch\u1ea5t.<\/p>\n<h2><strong>Khi ch\u1ee9c n\u0103ng gan v\u00e0 phong \u0111\u1ed9 kh\u00f4ng \u0111\u1ee7 t\u1ed1t <\/strong><\/h2>\n<h3><strong>Child-Pugh nh\u00f3m B<\/strong><\/h3>\n<ul>\n<li>V\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u1ee7 kho\u1ebb m\u00e0 ch\u1ee9c n\u0103ng gan nh\u00f3m Child-Pugh B (\u0111i\u1ec3m = 7), (b\u1ea3ng 1), c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng khuy\u1ebfn ngh\u1ecb s\u1eed d\u1ee5ng <a href=\"https:\/\/www.uptodate.com\/contents\/sorafenib-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">sorafenib<\/a> ho\u1eb7c <a href=\"https:\/\/www.uptodate.com\/contents\/nivolumab-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">nivolumab<\/a>.<\/li>\n<li>V\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh ho\u1eb7c kh\u00f4ng dung n\u1ea1p hai thu\u1ed1c tr\u00ean, c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng khuy\u1ebfn ngh\u1ecb b\u1eb1ng GEMOX <a href=\"https:\/\/www.uptodate.com\/contents\/capecitabine-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">Capecitabine<\/a> \u0111\u01b0\u1eddng u\u1ed1ng ho\u1eb7c <a href=\"https:\/\/www.uptodate.com\/contents\/fluorouracil-drug-information?topicRef=2486&amp;source=see_link\" target=\"_blank\" rel=\"noopener\">fluorouracil<\/a>-leucovorin l\u00e0 nh\u1eefng l\u1ef1a ch\u1ecdn cho b\u1ec7nh nh\u00e2n \u1ed1m ho\u1eb7c v\u00e0ng da. C\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng l\u1ef1a ch\u1ecdn ph\u00e1p \u0111\u1ed3 d\u1ef1a tr\u00ean m\u1ee9c \u0111\u1ed9 suy gan v\u00e0 phong \u0111\u1ed9 chung.<\/li>\n<\/ul>\n<h3><strong>Child-Pugh nh\u00f3m C ho\u1eb7c c\u00f3 nhi\u1ec1u b\u1ec7nh m\u1eafc k\u00e8m\u00a0<\/strong><\/h3>\n<p>T\u1eadp trung v\u00e0o ch\u0103m s\u00f3c h\u1ed7 tr\u1ee3, gi\u1ea3m nh\u1eb9 tri\u1ec7u ch\u1ee9ng l\u00e0 l\u1eddi khuy\u00ean th\u00edch h\u1ee3p cho nh\u1eefng b\u1ec7nh nh\u00e2n nh\u00f3m n\u00e0y v\u00ec hi\u1ec7u qu\u1ea3 c\u1ee7a \u0111i\u1ec1u tr\u1ecb l\u00e0 th\u1ea5p so v\u1edbi chi ph\u00ed, c\u00f4ng s\u1ee9c ph\u1ea3i b\u1ecf ra cho thu\u1ed1c nh\u1eafm \u0111\u00edch ho\u1eb7c li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0DS Nguy\u1ec5n Qu\u1ef3nh H\u01b0\u01a1ng Nguyen Thi Thuy Duong &#8211; BPharm Ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan (ho\u1eb7c ung th\u01b0 gan nguy\u00ean ph\u00e1t) l\u00e0 m\u1ed9t d\u1ea1ng ung th\u01b0 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n tr\u00ean n\u1ec1n b\u1ec7nh gan m\u1ea1n t\u00ednh ho\u1eb7c x\u01a1 gan. C\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb d\u1ef1a tr\u00ean m\u1ee9c \u0111\u1ed9 d\u1ef1 tr\u1eef gan (hay m\u1ee9c \u0111\u1ed9 [&hellip;]<\/p>\n","protected":false},"author":108,"featured_media":10706,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2572],"tags":[3205,2476,2638,3548],"series":[1409],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>T\u00f3m t\u1eaft v\u1ec1 c\u00e1c khuy\u1ebfn c\u00e1o \u0111i\u1ec1u tr\u1ecb cho ung th\u01b0 gan giai \u0111o\u1ea1n di c\u0103n - D\u1ef1 \u00e1n Ung Th\u01b0<\/title>\n<meta name=\"description\" content=\"Ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan (ho\u1eb7c ung th\u01b0 gan nguy\u00ean ph\u00e1t) l\u00e0 m\u1ed9t d\u1ea1ng ung th\u01b0 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n tr\u00ean n\u1ec1n b\u1ec7nh gan m\u1ea1n t\u00ednh ho\u1eb7c x\u01a1 gan. 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