{"id":8598,"date":"2020-07-17T14:39:54","date_gmt":"2020-07-17T07:39:54","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/ung-thu-vu-dang-sang\/"},"modified":"2024-10-17T19:58:14","modified_gmt":"2024-10-17T12:58:14","slug":"ung-thu-vu-dang-sang","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/ung-thu-vu-dang-sang\/","title":{"rendered":"Ung th\u01b0 v\u00fa d\u1ea1ng s\u00e0ng"},"content":{"rendered":"<p style=\"text-align: right;\"><em><strong>Bi\u00ean d\u1ecbch: Ho\u00e0ng Thu H\u00e0<\/strong><\/em><\/p>\n<p style=\"text-align: right;\"><em><strong>Hi\u1ec7u \u0111\u00ednh: ThS. BS. CK1 Nguy\u1ec5n Tr\u1ea7n B\u1ea3o Chi<\/strong><\/em><\/p>\n<h2><strong>Ung th\u01b0 v\u00fa d\u1ea1ng s\u00e0ng l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>Ung th\u01b0 v\u00fa d\u1ea1ng s\u00e0ng l\u00e0 lo\u1ea1i ung th\u01b0 v\u00fa x\u00e2m l\u1ea5n hi\u1ebfm g\u1eb7p, chi\u1ebfm ch\u01b0a t\u1edbi 4% t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 v\u00fa.<\/p>\n<p>M\u1ed9t b\u00e1c s\u0129 gi\u1ea3i ph\u1eabu b\u1ec7nh (b\u00e1c s\u0129 xem x\u00e9t m\u00f4 l\u1ea5y ra trong khi <a href=\"https:\/\/yhoccongdong.com\/thongtin\/sinh-thiet-biopsy\/\" target=\"_blank\" rel=\"noopener\">sinh thi\u1ebft<\/a> ho\u1eb7c ph\u1eabu thu\u1eadt) quan s\u00e1t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi \u0111\u1ec3 xem ung th\u01b0 v\u00fa thu\u1ed9c lo\u1ea1i n\u00e0o.<\/p>\n<p>Ung th\u01b0 v\u00fa d\u1ea1ng s\u00e0ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u1ed3n t\u1ea1i v\u1edbi c\u00e1c lo\u1ea1i ung th\u01b0 v\u00fa kh\u00e1c ho\u1eb7c c\u00f3 th\u1ec3 l\u00e0 d\u1ea1ng s\u00e0ng \u0111\u01a1n thu\u1ea7n.<\/p>\n<p>C\u00e1c t\u1ebf b\u00e0o ung th\u01b0 d\u1ea1ng s\u00e0ng c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n trong ung th\u01b0 bi\u1ec3u m\u00f4 \u1ed1ng tuy\u1ebfn v\u00fa t\u1ea1i ch\u1ed7 (DCIS), m\u1ed9t lo\u1ea1i ung th\u01b0 v\u00fa kh\u00f4ng x\u00e2m l\u1ea5n.<\/p>\n<p>M\u1eb7c d\u1ea7u m\u1ed7i tr\u01b0\u1eddng h\u1ee3p l\u00e0 kh\u00e1c nhau, ti\u00ean l\u01b0\u1ee3ng sau \u0111i\u1ec1u tr\u1ecb \u0111\u1ed1i v\u1edbi ung th\u01b0 v\u00fa d\u1ea1ng s\u00e0ng n\u00f3i chung l\u00e0 t\u1ed1t, l\u00e0 do c\u00e1c t\u1ebf b\u00e0o g\u1ea7n nh\u01b0 c\u00f3 \u0111\u1ed9 m\u00f4 h\u1ecdc th\u1ea5p v\u00e0 ph\u00e1t tri\u1ec3n ch\u1eadm. \u0110\u1ed9 m\u00f4 h\u1ecdc l\u00e0 h\u1ec7 th\u1ed1ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00e2n lo\u1ea1i c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 theo c\u00e1ch ch\u00fang nh\u00ecn kh\u00e1c t\u1ebf b\u00e0o th\u01b0\u1eddng nh\u01b0 th\u1ebf n\u00e0o v\u00e0 ch\u00fang ph\u00e1t tri\u1ec3n nhanh ra sao.<\/p>\n<h2><strong>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a ung th\u01b0 v\u00fa d\u1ea1ng s\u00e0ng l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>Nh\u1eefng tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng th\u1ea5y c\u1ee7a ung th\u01b0 v\u00fa d\u1ea1ng s\u00e0ng l\u00e0 <strong>m\u1ed9t kh\u1ed1i nh\u1ecf<\/strong> ho\u1eb7c <strong>m\u1ed9t v\u00f9ng d\u00e0y da tr\u00ean v\u00fa<\/strong><\/p>\n<p>Tuy nhi\u00ean, lo\u1ea1i ung th\u01b0 v\u00fa n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n trong s\u00e0ng l\u1ecdc v\u00fa th\u01b0\u1eddng quy tr\u01b0\u1edbc khi c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o.<\/p>\n<h2><strong>Ung th\u01b0 v\u00fa d\u1ea1ng s\u00e0ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p>Ung th\u01b0 v\u00fa d\u1ea1ng s\u00e0ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n t\u01b0\u01a1ng t\u1ef1 v\u1edbi c\u00e1c lo\u1ea1i ung th\u01b0 v\u00fa kh\u00e1c b\u1eb1ng c\u00e1c c\u1eadn l\u00e2m s\u00e0ng bao g\u1ed3m:<\/p>\n<ul>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/x-quang-vu-con-goi-la-nhu-anh\/\" target=\"_blank\" rel=\"noopener\">Ch\u1ee5p X quang v\u00fa (ch\u1ee5p nh\u0169 \u1ea3nh)<\/a><\/li>\n<li>Si\u00eau \u00e2m v\u00fa v\u00e0 v\u00f9ng n\u00e1ch \u2013 s\u1eed d\u1ee5ng s\u00f3ng si\u00eau \u00e2m \u0111\u1ec3 t\u1ea1o n\u00ean h\u00ecnh \u1ea3nh<\/li>\n<li>Sinh thi\u1ebft kim l\u00f5i u v\u00fa v\u00e0\/ho\u1eb7c c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft \u2013 s\u1eed d\u1ee5ng m\u1ed9t kim r\u1ed7ng \u0111\u1ec3 l\u1ea5y m\u1ed9t m\u1eabu m\u00f4 v\u00fa \u0111\u1ec3 quan s\u00e1t d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/choc-hut-bang-kim-nho-fna\/\" target=\"_blank\" rel=\"noopener\">Ch\u1ecdc h\u00fat t\u1ebf b\u00e0o b\u1eb1ng kim nh\u1ecf (FNA)<\/a> v\u00fa v\u00e0\/ho\u1eb7c c\u00e1c b\u1ea1ch b\u1ea1ch huy\u1ebft \u2013 s\u1eed d\u1ee5ng m\u1ed9t kim nh\u1ecf v\u00e0 b\u01a1m ti\u00eam \u0111\u1ec3 l\u1ea5y m\u1ed9t m\u1eabu t\u1ebf b\u00e0o quan s\u00e1t d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi.<\/li>\n<\/ul>\n<h2><strong>Ung th\u01b0 v\u00fa d\u1ea1ng s\u00e0ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb nh\u01b0 th\u1ebf n\u00e0o? <\/strong><\/h2>\n<p>C\u0169ng nh\u01b0 v\u1edbi t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i ung th\u01b0 v\u00fa, \u0111i\u1ec1u tr\u1ecb s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a ung th\u01b0 v\u00fa d\u1ea1ng s\u00e0ng (nh\u01b0 l\u00e0 k\u00edch th\u01b0\u1edbc, \u0111\u1ed9 m\u00f4 h\u1ecdc, t\u00ecnh tr\u1ea1ng th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft v\u00e0 t\u00ecnh tr\u1ea1ng HER2).<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb nh\u1eafm t\u1edbi lo\u1ea1i b\u1ecf ung th\u01b0 v\u00e0 l\u00e0m gi\u1ea3m nguy c\u01a1 b\u1ec7nh t\u00e1i ph\u00e1t ho\u1eb7c lan t\u1edbi c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3.<\/p>\n<h3><strong>Ph\u1eabu thu\u1eadt<\/strong><\/h3>\n<p>Ph\u1eabu thu\u1eadt th\u01b0\u1eddng l\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u tay cho ung th\u01b0 v\u00fa d\u1ea1ng s\u00e0ng.<\/p>\n<p>C\u00f3 hai th\u1ec3 l\u00e0:<\/p>\n<ul>\n<li><strong>Ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n,<\/strong> l\u00e0 ph\u1eabu thu\u1eadt c\u1eaft r\u1ed9ng u v\u00fa sao cho di\u1ec7n c\u1eaft (-) ngh\u0129a l\u00e0 kh\u00f4ng c\u00f2n t\u1ed3n t\u1ea1i t\u1ebf b\u00e0o ung th\u01b0 v\u00f9ng r\u00eca.<\/li>\n<li><strong>Ph\u1eabu thu\u1eadt \u0111o\u1ea1n nh\u0169<\/strong>, c\u1eaft to\u00e0n b\u1ed9 tuy\u1ebfn v\u00fa bao g\u1ed3m c\u1ea3 n\u00fam v\u00fa<\/li>\n<\/ul>\n<p><em><strong>Ki\u1ec3u ph\u1eabu thu\u1eadt ph\u1ee5 thu\u1ed9c v\u00e0o:<\/strong><\/em><\/p>\n<ul>\n<li>V\u1ecb tr\u00ed kh\u1ed1i u<\/li>\n<li>k\u00edch th\u01b0\u1edbc kh\u1ed1i u ung th\u01b0 so v\u1edbi k\u00edch th\u01b0\u1edbc v\u00fa<\/li>\n<li>Ung th\u01b0 \u0111\u01a1n \u1ed5 hay \u0111a \u1ed5.<\/li>\n<\/ul>\n<p>B\u00e1c s\u0129 ph\u1eabu thu\u1eadt s\u1ebd th\u1ea3o lu\u1eadn vi\u1ec7c n\u00e0y v\u1edbi b\u1ea1n.<\/p>\n<p>N\u1ebfu b\u1ea1n c\u1ea7n ph\u1eabu thu\u1eadt \u0111o\u1ea1n nh\u0169, b\u1ea1n th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb t\u00e1i t\u1ea1o v\u00fa ho\u1eb7c \u0111\u1ed3ng th\u1eddi v\u1edbi l\u00fac ph\u1eabu thu\u1eadt c\u1eaft v\u00fa (t\u00e1i t\u1ea1o t\u1ee9c th\u00ec) ho\u1eb7c sau n\u00e0y (t\u00e1i t\u1ea1o tr\u00ec ho\u00e3n).<\/p>\n<p><strong><em>Ph\u1eabu thu\u1eadt h\u1ea1ch b\u1ea1ch huy\u1ebft<\/em><\/strong><\/p>\n<p>Tuy nhi\u00ean vi\u1ec7c t\u1ebf b\u00e0o ung th\u01b0 lan t\u1edbi c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft d\u01b0\u1edbi c\u00e1nh tay l\u00e0 kh\u00f4ng ph\u1ed5 bi\u1ebfn \u1edf ung th\u01b0 v\u00fa d\u1ea1ng s\u00e0ng \u0111\u01a1n thu\u1ea7n. B\u00e1c s\u0129 ph\u1eabu thu\u1eadt s\u1ebd th\u1ea3o lu\u1eadn xem th\u1ee7 thu\u1eadt n\u00e0y c\u00f3 c\u1ea7n cho b\u1ea1n hay kh\u00f4ng.<\/p>\n<h3><strong>\u0110i\u1ec1u tr\u1ecb b\u1ed5 tr\u1ee3 (b\u1ed5 sung)<\/strong><\/h3>\n<p>Sau ph\u1eabu thu\u1eadt b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n c\u00e1c \u0111i\u1ec1u tr\u1ecb kh\u00e1c \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ed5 tr\u1ee3 v\u00e0 c\u00f3 th\u1ec3 g\u1ed3m:<\/p>\n<ul>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/gioi-thieu-ve-phuong-phap-xa-tri-trong-dieu-tri-ung-thu\/\" target=\"_blank\" rel=\"noopener\">X\u1ea1 tr\u1ecb<\/a><\/li>\n<li>Li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/kien-thuc-co-ban-can-biet-ve-hoa-tri-2\/\" target=\"_blank\" rel=\"noopener\">H\u00f3a tr\u1ecb<\/a><\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/hieu-ve-lieu-phap-nham-dich\/\" target=\"_blank\" rel=\"noopener\">Li\u1ec7u ph\u00e1p nh\u1eafm tr\u00fang \u0111\u00edch (sinh h\u1ecdc)<\/a><\/li>\n<li>C\u00e1c thu\u1ed1c bisphosphonate<\/li>\n<\/ul>\n<p>M\u1ee5c \u0111\u00edch c\u1ee7a c\u00e1c \u0111i\u1ec1u tr\u1ecb n\u00e0y l\u00e0 \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 v\u00fa quay tr\u1edf l\u1ea1i \u1edf c\u00f9ng v\u00fa ho\u1eb7c \u1edf v\u00fa \u0111\u1ed1i di\u1ec7n hay lan t\u1ecfa t\u1edbi n\u01a1i n\u00e0o kh\u00e1c trong c\u01a1 th\u1ec3.<\/p>\n<p>\u0110\u00f4i khi li\u1ec7u ph\u00e1p h\u00f3a tr\u1ecb ho\u1eb7c n\u1ed9i ti\u1ebft c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh tr\u01b0\u1edbc ph\u1eabu thu\u1eadt, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 li\u1ec7u ph\u00e1p t\u00e2n b\u1ed5 tr\u1ee3.<\/p>\n<h4><strong><em>X\u1ea1 tr\u1ecb<\/em><\/strong><\/h4>\n<p>N\u1ebfu b\u1ea1n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n v\u00fa, b\u1ea1n th\u01b0\u1eddng s\u1ebd \u0111\u01b0\u1ee3c x\u1ea1 tr\u1ecb v\u00e0o v\u00fa \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 v\u00fa quay tr\u1edf l\u1ea1i c\u00f9ng v\u00fa. \u0110\u00f4i khi b\u1ea1n \u0111\u01b0\u1ee3c x\u1ea1 tr\u1ecb v\u00e0o c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft d\u01b0\u1edbi c\u00e1nh tay.<\/p>\n<p>\u0110\u00f4i khi x\u1ea1 tr\u1ecb v\u00e0o th\u00e0nh ng\u1ef1c \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb sau ph\u1eabu thu\u1eadt \u0111o\u1ea1n nh\u0169, v\u00ed d\u1ee5 khi m\u1ed9t v\u00e0i h\u1ea1ch b\u1ea1ch huy\u1ebft d\u01b0\u1edbi c\u00e1nh tay c\u00f3 ch\u1ee9a t\u1ebf b\u00e0o ung th\u01b0.<\/p>\n<h4><strong><em>Li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft<\/em><\/strong><\/h4>\n<p>Ch\u1ea5t n\u1ed9i ti\u1ebft n\u1eef estrogen c\u00f3 th\u1ec3 th\u00fac \u0111\u1ea9y m\u1ed9t s\u1ed1 lo\u1ea1i ung th\u01b0 v\u00fa ph\u00e1t tri\u1ec3n. C\u00f3 nhi\u1ec1u li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft ho\u1ea1t \u0111\u1ed9ng theo nhi\u1ec1u c\u00e1ch kh\u00e1c nhau \u0111\u1ec3 ch\u1eb7n \u1ea3nh h\u01b0\u1edfng c\u1ee7a estrogen l\u00ean c\u00e1c t\u1ebf b\u00e0o ung th\u01b0.<\/p>\n<p>Li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft s\u1ebd ch\u1ec9 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh n\u1ebfu ung th\u01b0 v\u00fa c\u00f3 c\u00e1c th\u1ee5 th\u1ec3 b\u00ean trong t\u1ebf b\u00e0o \u00a0g\u1eafn v\u1edbi ch\u1ea5t n\u1ed9i ti\u1ebft estrogen, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ung th\u01b0 v\u00fa d\u01b0\u01a1ng t\u00ednh th\u1ee5 th\u1ec3 estrogen hay l\u00e0 ung th\u01b0 v\u00fa\u00a0 ER+.<\/p>\n<p>Ung th\u01b0 v\u00fa x\u00e2m l\u1ea5n \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m \u0111\u1ec3 t\u00ecm th\u1ee5 th\u1ec3 oestrogen b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u00f4 l\u1ea5y ra t\u1eeb sinh thi\u1ebft ho\u1eb7c sau khi ph\u1eabu thu\u1eadt. Khi estrogen g\u1eafn v\u1edbi c\u00e1c th\u1ee5 th\u1ec3 n\u00e0y, n\u00f3 c\u00f3 th\u1ec3 k\u00edch th\u00edch ung th\u01b0 ph\u00e1t tri\u1ec3n.<\/p>\n<p>N\u1ebfu ung th\u01b0 v\u00fa d\u01b0\u01a1ng t\u00ednh th\u1ee5 th\u1ec3 estrogen th\u00ec b\u00e1c s\u0129 s\u1ebd th\u1ea3o lu\u1eadn v\u1edbi b\u1ea1n xem li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft n\u00e0o l\u00e0 th\u00edch h\u1ee3p nh\u1ea5t. H\u1ea7u h\u1ebft ung th\u01b0 v\u00fa d\u1ea1ng s\u00e0ng d\u01b0\u01a1ng t\u00ednh th\u1ee5 th\u1ec3 estrogen.<\/p>\n<p>N\u1ebfu kh\u00f4ng t\u00ecm th\u1ea5y c\u00e1c th\u1ee5 th\u1ec3 estrogen th\u00ec ung th\u01b0 v\u00fa \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u00e2m t\u00ednh th\u1ee5 th\u1ec3 estrogen hay l\u00e0 ER-.<\/p>\n<p>C\u0169ng c\u00f3 th\u1ec3 l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec3 t\u00ecm c\u00e1c th\u1ee5 th\u1ec3 progesteron (m\u1ed9t ch\u1ea5t n\u1ed9i ti\u1ebft kh\u00e1c).<\/p>\n<p>L\u1ee3i \u00edch c\u1ee7a li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft th\u00ec \u00edt c\u00f3 gi\u00e1 tr\u1ecb v\u1edbi nh\u1eefng ung th\u01b0 v\u00fa ch\u1ec9 c\u00f3 th\u1ee5 th\u1ec3 progesterone d\u01b0\u01a1ng t\u00ednh (PR+ v\u00e0 ER-). R\u1ea5t \u00edt ung th\u01b0 v\u00fa thu\u1ed9c lo\u1ea1i n\u00e0y. Tuy nhi\u00ean, n\u1ebfu b\u1ea1n thu\u1ed9c lo\u1ea1i n\u00e0y th\u00ec b\u00e1c s\u0129 s\u1ebd l\u1ef1a ch\u1ecdn 1 ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i ti\u1ebft th\u00edch h\u1ee3p.<\/p>\n<h4><strong><em>H\u00f3a tr\u1ecb<\/em><\/strong><\/h4>\n<p>H\u00f3a tr\u1ecb ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c ch\u1ed1ng ung th\u01b0. H\u00f3a tr\u1ecb \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 ung th\u01b0 v\u00fa quay tr\u1edf l\u1ea1i ho\u1eb7c lan tr\u00e0n.<\/p>\n<p>Ung th\u01b0 d\u1ea1ng s\u00e0ng th\u01b0\u1eddng kh\u00f4ng \u0111i\u1ec1u tr\u1ecb h\u00f3a tr\u1ecb. Lo\u1ea1i ung th\u01b0 v\u00e0y \u00edt di c\u0103n h\u1ea1ch n\u00e1ch\u00a0 v\u00e0 th\u01b0\u1eddng ph\u00e1t tri\u1ec3n ch\u1eadm h\u01a1n so v\u1edbi c\u00e1c lo\u1ea1i ung th\u01b0 v\u00fa kh\u00e1c<\/p>\n<p>Li\u1ec7u b\u1ea1n c\u00f3 \u0111\u01b0\u1ee3c h\u00f3a tr\u1ecb hay kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u \u0111\u1eb7c t\u00ednh kh\u00e1c nhau c\u1ee7a ung th\u01b0 g\u1ed3m k\u00edch th\u01b0\u1edbc kh\u1ed1i u ung th\u01b0, \u0111\u1ed9 m\u00f4 h\u1ecdc, t\u00ecnh tr\u1ea1ng th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft v\u00e0 t\u00ecnh tr\u1ea1ng HER2, v\u00e0 c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft c\u00f3 b\u1ecb di c\u0103n hay kh\u00f4ng.<\/p>\n<h4><strong><em>Li\u1ec7u ph\u00e1p nh\u1eafm tr\u00fang \u0111\u00edch (li\u1ec7u ph\u00e1p sinh h\u1ecdc)<\/em><\/strong><\/h4>\n<p>\u0110\u00e2y l\u00e0 m\u1ed9t nh\u00f3m thu\u1ed1c ch\u1eb7n s\u1ef1 t\u0103ng tr\u01b0\u1edfng v\u00e0 lan t\u1ecfa c\u1ee7a ung th\u01b0. Ch\u00fang nh\u1eafm tr\u00fang v\u00e0 can thi\u1ec7p v\u00e0o c\u00e1c qu\u00e1 tr\u00ecnh trong t\u1ebf b\u00e0o l\u00e0m ung th\u01b0 t\u0103ng tr\u01b0\u1edfng.<\/p>\n<p>Li\u1ec7u ph\u00e1p nh\u1eafm tr\u00fang \u0111\u00edch \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i nh\u1ea5t l\u00e0 trastuzumab (Herceptin). Ch\u1ec9 nh\u1eefng ng\u01b0\u1eddi m\u00e0 ung th\u01b0 c\u00f3 m\u1ee9c \u0111\u1ed9 HER2 cao (\u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 d\u01b0\u01a1ng t\u00ednh HER2) s\u1ebd h\u01b0\u1edfng l\u1ee3i t\u1eeb \u0111i\u1ec1u tr\u1ecb b\u1eb1ng trastuzumab. HER2 l\u00e0 m\u1ed9t protein l\u00e0m t\u1ebf b\u00e0o ung th\u01b0 t\u0103ng tr\u01b0\u1edfng.<\/p>\n<p>C\u00f3 nhi\u1ec1u x\u00e9t nghi\u1ec7m \u0111\u1ec3 \u0111o m\u1ee9c \u0111\u1ed9 HER2 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u00ean m\u00f4 v\u00fa l\u1ea5y ra trong sinh thi\u1ebft ho\u1eb7c ph\u1eabu thu\u1eadt.<\/p>\n<p>Ung th\u01b0 v\u00fa d\u1ea1ng s\u00e0ng nhi\u1ec1u kh\u1ea3 n\u0103ng \u00e2m t\u00ednh HER2. N\u1ebfu b\u1ea1n m\u1eafc ung th\u01b0 v\u00fa \u00e2m t\u00ednh HER2 th\u00ec trastuzumab kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 l\u1ee3i \u00edch g\u00ec.<\/p>\n<h4><strong><em>C\u00e1c thu\u1ed1c bisphosphonate<\/em><\/strong><\/h4>\n<p>C\u00e1c thu\u1ed1c bisphosphonate l\u00e0 m\u1ed9t nh\u00f3m thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 ung th\u01b0 v\u00fa lan t\u1ecfa \u1edf ph\u1ee5 n\u1eef sau m\u00e3n kinh. Thu\u1ed1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng kh\u00f4ng t\u00ednh \u0111\u1ebfn li\u1ec7u m\u00e3n kinh x\u1ea3y ra t\u1ef1 nhi\u00ean hay do \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa g\u00e2y ra.<\/p>\n<p>C\u00e1c thu\u1ed1c bisphosphonate c\u0169ng c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm ho\u1eb7c ng\u0103n ng\u1eeba t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng. Thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng (khi x\u01b0\u01a1ng gi\u1ea3m \u0111\u1ed9 ch\u1eafc kh\u1ecfe v\u00e0 nhi\u1ec1u kh\u1ea3 n\u0103ng b\u1ecb g\u00e3y).<\/p>\n<p>C\u00e1c thu\u1ed1c bisphosphonat c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng d\u01b0\u1edbi d\u1ea1ng vi\u00ean n\u00e9n ho\u1eb7c truy\u1ec1n t\u0129nh m\u1ea1ch.<\/p>\n<p>Nh\u00f3m b\u00e1c s\u0129 chuy\u00ean khoa c\u00f3 th\u1ec3 n\u00f3i cho b\u1ea1n bi\u1ebft li\u1ec7u c\u00e1c thu\u1ed1c bisphosphonate c\u00f3 ph\u00f9 h\u1ee3p cho b\u1ea1n hay kh\u00f4ng.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"https:\/\/breastcancernow.org\/information-support\/facing-breast-cancer\/diagnosed-breast-cancer\/primary-breast-cancer\/cribriform-breast-cancer\" target=\"_blank\" rel=\"noopener\">Cribriform breast cancer<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u00e0i vi\u1ebft n\u00e0y m\u00f4 t\u1ea3 ung th\u01b0 v\u00fa d\u1ea1ng s\u00e0ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb .<\/p>\n","protected":false},"author":548,"featured_media":8599,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2594],"tags":[2472,2625,2548,2848,2569,3302,2478],"series":[1428],"coauthors":[1189],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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