{"id":8600,"date":"2020-07-19T22:44:45","date_gmt":"2020-07-19T15:44:45","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/ung-thu-bieu-mo-ong-tuyen-vu-tai-cho\/"},"modified":"2024-10-17T19:59:07","modified_gmt":"2024-10-17T12:59:07","slug":"ung-thu-bieu-mo-ong-tuyen-vu-tai-cho","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/ung-thu-bieu-mo-ong-tuyen-vu-tai-cho\/","title":{"rendered":"Ung th\u01b0 bi\u1ec3u m\u00f4 \u1ed1ng tuy\u1ebfn v\u00fa t\u1ea1i ch\u1ed7 (N\u1ed9i \u1ed1ng) (DCIS)"},"content":{"rendered":"<p style=\"text-align: right;\"><em><strong>Bi\u00ean d\u1ecbch: Ph\u00f9ng Th\u1ecb H\u01b0\u01a1ng, 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<p><em>B\u00e0i vi\u1ebft n\u00e0y d\u00e0nh cho nh\u1eefng ng\u01b0\u1eddi mu\u1ed1n hi\u1ec3u bi\u1ebft th\u00eam th\u00f4ng tin v\u1ec1 Ung th\u01b0 bi\u1ec3u m\u00f4 \u1ed1ng tuy\u1ebfn v\u00fa t\u1ea1i ch\u1ed7 (n\u1ed9i \u1ed1ng) (DCIS). B\u00e0i vi\u1ebft m\u00f4 t\u1ea3 ung th\u01b0 bi\u1ec3u m\u00f4 \u1ed1ng tuy\u1ebfn v\u00fa t\u1ea1i ch\u1ed7 l\u00e0 g\u00ec, c\u00e1c tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/em><\/p>\n<p><em>Ch\u00fang t\u00f4i hi v\u1ecdng th\u00f4ng tin n\u00e0y gi\u00fap b\u1ea1n hi\u1ec3u th\u00eam v\u1ec1 DCIS, th\u1ea3o lu\u1eadn b\u1ea5t k\u1ef3 c\u00e2u h\u1ecfi n\u00e0o b\u1ea1n \u0111\u01b0a ra v\u1edbi b\u00e1c s\u1ef9 v\u00e0 \u0111\u01b0\u1ee3c tham d\u1ef1 c\u00e0ng nhi\u1ec1u c\u00e0ng t\u1ed1t v\u00e0o b\u1ea5t k\u1ef3 quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb n\u00e0o.<\/em><\/p>\n<h2><strong>Ung th\u01b0 bi\u1ec3u m\u00f4 \u1ed1ng tuy\u1ebfn v\u00fa t\u1ea1i ch\u1ed7 (n\u1ed9i \u1ed1ng) (DCIS) l\u00e0 g\u00ec?<\/strong><\/h2>\n<ul>\n<li>DCIS l\u00e0 d\u1ea1ng s\u1edbm c\u1ee7a ung th\u01b0 v\u00fa v\u00e0 chi\u1ebfm ch\u1eebng 12% t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i ung th\u01b0 v\u00fa.<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/ung-thu-vu\/\" target=\"_blank\" rel=\"noopener\">Ung th\u01b0 v\u00fa<\/a> b\u1eaft \u0111\u1ea7u khi c\u00e1c t\u1ebf b\u00e0o trong v\u00fa b\u1eaft \u0111\u1ea7u ph\u00e2n chia v\u00e0 ph\u00e1t tri\u1ec3n theo c\u00e1ch b\u1ea5t th\u01b0\u1eddng.<\/li>\n<li>V\u00fa g\u1ed3m c\u00e1c ti\u1ec3u th\u00f9y (c\u00e1c tuy\u1ebfn s\u1ea3n xu\u1ea5t s\u1eefa) v\u00e0 c\u00e1c \u1ed1ng d\u1eabn (\u1ed1ng mang s\u1eefa t\u1edbi n\u00fam v\u00fa), c\u00e1c ti\u1ec3u th\u00f9y v\u00e0 \u1ed1ng d\u1eabn s\u1eefa \u0111\u01b0\u1ee3c bao quanh b\u1edfi c\u00e1c m\u00f4 tuy\u1ebfn, m\u00f4 s\u1ee3i v\u00e0 c\u00e1c m\u00f4 m\u1ee1.<\/li>\n<li>Khi c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 ph\u00e1t tri\u1ec3n b\u00ean trong \u1ed1ng d\u1eabn s\u1eefa c\u1ee7a v\u00fa nh\u01b0ng v\u1eabn c\u00f2n \u1edf b\u00ean trong \u1ed1ng (in situ) th\u00ec \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 DCIS. C\u00e1c t\u1ebf b\u00e0o ung th\u01b0 v\u1eabn ch\u01b0a c\u00f3 kh\u1ea3 n\u0103ng lan ra ngo\u00e0i c\u00e1c \u1ed1ng n\u00e0y v\u00e0o c\u00e1c m\u00f4 v\u00fa xung quanh ho\u1eb7c t\u1edbi c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3. Do v\u1eabn c\u00f2n \u1edf trong \u1ed1ng d\u1eabn s\u1eefa n\u00ean DCIS c\u00f3 ti\u00ean l\u01b0\u1ee3ng r\u1ea5t t\u1ed1t.<\/li>\n<li>B\u1ea1n c\u00f3 th\u1ec3 th\u1ea5y DCIS \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 theo c\u00e1c c\u00e1ch kh\u00e1c nhau nh\u01b0 l\u00e0 ung th\u01b0 ti\u1ec1n x\u00e2m l\u1ea5n, ung th\u01b0 n\u1ed9i \u1ed1ng ho\u1eb7c ung th\u01b0 kh\u00f4ng x\u00e2m l\u1ea5n, ho\u1eb7c ung th\u01b0 v\u00fa giai \u0111o\u1ea1n 0.<\/li>\n<\/ul>\n<h2><strong>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a DCIS<\/strong><\/h2>\n<ul>\n<li>DCIS th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. H\u1ea7u h\u1ebft DCIS \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n khi kh\u00e1m s\u00e0ng l\u1ecdc v\u00fa ho\u1eb7c \u0111\u01b0\u1ee3c <a href=\"https:\/\/yhoccongdong.com\/thongtin\/x-quang-vu-con-goi-la-nhu-anh\/\" target=\"_blank\" rel=\"noopener\">ch\u1ee5p X quang v\u00fa<\/a> v\u00ec l\u00fd do kh\u00e1c.<\/li>\n<li>Thi tho\u1ea3ng DCIS \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n ra khi nhi\u1ec1u ng\u01b0\u1eddi c\u00f3 thay \u0111\u1ed5i \u1edf v\u00fa nh\u01b0 l\u00e0 kh\u1ed1i b\u01b0\u1edbu ho\u1eb7c ti\u1ebft d\u1ecbch n\u00fam v\u00fa. Tuy nhi\u00ean n\u1ebfu m\u1ed9t ai \u0111\u00f3 m\u1eafc DCIS m\u00e0 c\u00f3 thay \u0111\u1ed5i \u1edf v\u00fa th\u00ec nhi\u1ec1u kh\u1ea3 n\u0103ng h\u1ecd c\u0169ng s\u1ebd m\u1eafc ung th\u01b0 v\u00fa x\u00e2m l\u1ea5n.<\/li>\n<li>M\u1ed9t s\u1ed1 ng\u01b0\u1eddi m\u1eafc ung th\u01b0 bi\u1ec3u m\u00f4 \u1ed1ng tuy\u1ebfn v\u00fa t\u1ea1i ch\u1ed7 c\u0169ng b\u1ecb m\u1ea3ng \u0111\u1ecf \u1edf n\u00fam v\u00fa gi\u1ed1ng nh\u01b0 b\u1ec7nh Paget v\u00fa, m\u1eb7c d\u1ea7u \u0111i\u1ec1u n\u00e0y hi\u1ebfm.<\/li>\n<\/ul>\n<h2><strong>Ch\u1ea9n \u0111o\u00e1n<\/strong><\/h2>\n<p>DCIS c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n khi s\u1eed d\u1ee5ng m\u1ed9t lo\u1ea1t c\u00e1c x\u00e9t nghi\u1ec7m, c\u00f3 th\u1ec3 g\u1ed3m m\u1ed9t ho\u1eb7c nhi\u1ec1u x\u00e9t nghi\u1ec7m sau:<\/p>\n<ul>\n<li>Kh\u00e1m l\u00e2m s\u00e0ng v\u00fa<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/x-quang-vu-con-goi-la-nhu-anh\/\" target=\"_blank\" rel=\"noopener\">Ch\u1ee5p nh\u0169 \u1ea3nh (X quang v\u00fa)<\/a><\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/sieu-am\/\" target=\"_blank\" rel=\"noopener\">Si\u00eau \u00e2m<\/a> v\u00fa (s\u1eed d\u1ee5ng song si\u00eau \u00e2m \u0111\u1ec3 t\u1ea1o n\u00ean h\u00ecnh \u1ea3nh)<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/sinh-thiet-biopsy\/\" target=\"_blank\" rel=\"noopener\">Sinh thi\u1ebft<\/a> (l\u1ea5y m\u00f4 \u0111\u1ec3 quan s\u00e1t d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi)<\/li>\n<\/ul>\n<h2><strong>Ch\u1ea9n \u0111o\u00e1n v\u00f4i h\u00f3a<\/strong><\/h2>\n<p>N\u1ebfu b\u1ea1n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111\u01b0\u1ee3c g\u1ecdi l\u1ea1i sau ch\u1ee5p X quang v\u00fa th\u00ec c\u00f3 th\u1ec3 l\u00e0 do b\u1ea1n c\u00f3 m\u1ed9t v\u00e0i \u0111\u1ed1m tr\u1eafng b\u00e9 x\u00edu nh\u00ecn th\u1ea5y tr\u00ean phim X quang. C\u00e1c \u0111\u1ed1m tr\u1eafng n\u00e0y l\u00e0 c\u00e1c \u0111\u1ed1m c\u1ee7a mu\u1ed1i canxi v\u00e0 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 v\u00f4i h\u00f3a. V\u00f4i h\u00f3a c\u00f3 th\u1ec3 l\u00e0 do DCIS. Tuy nhi\u00ean, kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 c\u00e1c v\u00f4i h\u00f3a t\u00ecm \u0111\u01b0\u1ee3c \u0111\u1ec1u l\u00e0 DCIS. Nhi\u1ec1u ph\u1ee5 n\u1eef ph\u00e1t tri\u1ec3n v\u00f4i h\u00f3a l\u00e0nh t\u00ednh (kh\u00f4ng ph\u1ea3i ung th\u01b0) trong v\u00fa khi h\u1ecd gi\u00e0 \u0111i.<\/p>\n<p>N\u1ebfu b\u1ea1n c\u00f3 n\u1ed1t v\u00f4i h\u00f3a h\u00f3a, b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c ch\u1ee5p th\u00eam nh\u0169 \u1ea3nh ch\u1ea9n \u0111o\u00e1n \u0111\u1ec3 xem v\u00f4i h\u00f3a chi ti\u1ebft h\u01a1n n\u1eefa. \u0110\u00f4i khi c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c si\u00eau \u00e2m v\u00fa.<\/p>\n<p>N\u1ebfu n\u1ed1t v\u00f4i h\u00f3a kh\u00f4ng l\u00e0nh t\u00ednh r\u00f5 r\u00e0ng th\u00ec b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c sinh thi\u1ebft d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh \u0111\u1ec3 gi\u00fap ch\u1ea9n \u0111o\u00e1n. D\u00f9ng nh\u0169 \u1ea3nh \u0111\u1ec3 \u0111\u1ecbnh v\u1ecb ch\u00ednh x\u00e1c v\u1ecb tr\u00ed v\u00f4i h\u00f3a c\u1ea7n sinh thi\u1ebft. \u0110\u00f4i khi s\u1eed d\u1ee5ng si\u00eau \u00e2m nh\u01b0ng vi\u1ec7c n\u00e0y \u00edt ph\u1ed5 bi\u1ebfn h\u01a1n. Th\u1ee7 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 l\u00e0 cho b\u1ec7nh nh\u00e2n ngo\u1ea1i tr\u00fa n\u00ean b\u1ea1n c\u00f3 th\u1ec3 ra v\u1ec1 s\u1edbm sau \u0111\u00f3.<\/p>\n<p>N\u1ebfu b\u1ea1n \u0111\u01b0\u1ee3c sinh thi\u1ebft, \u0111\u00f4i khi b\u1ea1n \u0111\u01b0\u1ee3c \u0111\u1eb7t m\u1ed9t c\u00e1i k\u1eb9p (ho\u1eb7c v\u1eadt \u0111\u00e1nh d\u1ea5u) nh\u1ecf b\u1eb1ng kim lo\u1ea1i v\u00e0o v\u00fa \u1edf n\u01a1i m\u1eabu sinh thi\u1ebft \u0111\u01b0\u1ee3c l\u1ea5y ra \u0111\u1ec3 c\u00f3 th\u1ec3 t\u00ecm l\u1ea1i \u0111\u01b0\u1ee3c khu v\u1ef1c n\u00e0y n\u1ebfu c\u1ea7n sinh thi\u1ebft ho\u1eb7c ph\u1eabu thu\u1eadt b\u1ed5 sung. V\u1eadt \u0111\u00e1nh d\u1ea5u n\u00e0y \u0111\u01b0\u1ee3c \u0111\u1ec3 l\u1ea1i tr\u00ean v\u00fa l\u00e0 an to\u00e0n v\u00e0 kh\u00f4ng c\u1ea7n \u0111\u01b0\u1ee3c l\u1ea5y ra, th\u1eadm ch\u00ed n\u1ebfu kh\u00f4ng c\u1ea7n th\u00eam th\u1ee7 thu\u1eadt n\u00e0o n\u1eefa.<\/p>\n<h2><strong>Nh\u1eadn k\u1ebft qu\u1ea3<\/strong><\/h2>\n<p>Nh\u00e2n vi\u00ean t\u1ea1i ph\u00f2ng kh\u00e1m s\u1ebd n\u00f3i cho b\u1ea1n khi n\u00e0o b\u1ea1n nh\u1eadn \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 sinh thi\u1ebft. B\u1ea1n th\u01b0\u1eddng s\u1ebd \u0111\u01b0\u1ee3c h\u1eb9n quay l\u1ea1i ph\u00f2ng kh\u00e1m \u0111\u1ec3 nh\u1eadn k\u1ebft qu\u1ea3.<\/p>\n<p><strong><em>K\u1ebft qu\u1ea3 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 nh\u01b0 th\u1ebf n\u00e0o<\/em><\/strong><\/p>\n<ul>\n<li>\u0110\u1ed9 m\u00f4 h\u1ecdc th\u1ea5p \u2013 c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 nh\u00ecn g\u1ea7n nh\u01b0 gi\u1ed1ng v\u1edbi t\u1ebf b\u00e0o b\u00ecnh th\u01b0\u1eddng v\u00e0 th\u01b0\u1eddng ph\u00e1t tri\u1ec3n ch\u1eadm<\/li>\n<li>\u0110\u1ed9 m\u00f4 h\u1ecdc trung b\u00ecnh \u2013 c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 nh\u00ecn \u00edt kh\u00e1c v\u1edbi t\u1ebf b\u00e0o b\u00ecnh th\u01b0\u1eddng v\u00e0 \u0111ang ph\u00e1t tri\u1ec3n nhanh h\u01a1n.<\/li>\n<li>\u0110\u1ed9 m\u00f4 h\u1ecdc cao \u2013 c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 nh\u00ecn g\u1ea7n nh\u01b0 b\u1ecb thay \u0111\u1ed5i v\u00e0 th\u01b0\u1eddng \u0111ang ph\u00e1t tri\u1ec3n nhanh.<\/li>\n<\/ul>\n<pre>\u0110\u1ec3 c\u00f3 th\u00eam th\u00f4ng tin \u0111\u1ec1 ngh\u1ecb xem b\u00e0i vi\u1ebft <a href=\"https:\/\/yhoccongdong.com\/thongtin\/tim-hieu-ket-qua-giai-phau-benh\/\" target=\"_blank\" rel=\"noopener\"><strong>T\u00ecm hi\u1ec3u k\u1ebft qu\u1ea3 gi\u1ea3i ph\u1eabu b\u1ec7nh<\/strong><\/a><\/pre>\n<h2><strong>DCIS c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n th\u00e0nh ung th\u01b0 v\u00fa x\u00e2m l\u1ea5n hay kh\u00f4ng?<\/strong><\/h2>\n<p>N\u1ebfu DCIS kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb th\u00ec c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 c\u00f3 th\u1ec3 c\u00f3 kh\u1ea3 n\u0103ng lan ra b\u00ean ngo\u00e0i c\u00e1c \u1ed1ng d\u1eabn s\u1eefa v\u00e0o c\u00e1c m\u00f4 v\u00fa xung quanh, v\u00e0 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ung th\u01b0 v\u00fa x\u00e2m l\u1ea5n. Ung th\u01b0 x\u00e2m l\u1ea5n c\u00f3 ti\u1ec1m n\u0103ng lan t\u1edbi c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3.<\/p>\n<p>Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, DCIS s\u1ebd kh\u00f4ng bao gi\u1edd ph\u00e1t tri\u1ec3n th\u00eam ho\u1eb7c t\u0103ng tr\u01b0\u1edfng ch\u1eadm \u0111\u1ebfn n\u1ed7i n\u00f3 s\u1ebd kh\u00f4ng bao gi\u1edd g\u00e2y h\u1ea1i trong cu\u1ed9c s\u1ed1ng. M\u1eb7c d\u00f9 k\u00edch th\u01b0\u1edbc v\u00e0 \u0111\u1ed9 m\u00f4 h\u1ecdc c\u1ee7a DCIS c\u00f3 th\u1ec3 gi\u00fap d\u1ef1 \u0111o\u00e1n li\u1ec7u n\u00f3 c\u00f3 tr\u1edf th\u00e0nh x\u00e2m l\u1ea5n hay kh\u00f4ng, hi\u1ec7n nay kh\u00f4ng c\u00f3 c\u00e1ch n\u00e0o \u0111\u1ec3 bi\u1ebft li\u1ec7u \u0111i\u1ec1u n\u00e0y c\u00f3 x\u1ea3y ra hay kh\u00f4ng. DCIS \u0111\u1ed9 m\u00f4 h\u1ecdc cao nhi\u1ec1u kh\u1ea3 n\u0103ng tr\u1edf th\u00e0nh ung th\u01b0 v\u00fa x\u00e2m l\u1ea5n v\u00e0 ph\u00e1t tri\u1ec3n nhanh h\u01a1n l\u00e0 DCIS c\u00f3 \u0111\u1ed9 m\u00f4 h\u1ecdc th\u1ea5p.<\/p>\n<h2><strong>\u0110i\u1ec1u tr\u1ecb nh\u01b0 th\u1ebf n\u00e0o? <\/strong><\/h2>\n<p><em><strong>M\u1ee5c ti\u00eau c\u1ee7a \u0111i\u1ec1u tr\u1ecb l\u00e0 lo\u1ea1i b\u1ecf t\u1ea5t c\u1ea3 DCIS ra kh\u1ecfi b\u00ean trong v\u00fa \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 tr\u1edf th\u00e0nh ung th\u01b0 v\u00fa x\u00e2m l\u1ea5n.<\/strong><\/em><\/p>\n<p>Do kh\u00f4ng c\u00f3 c\u00e1ch n\u00e0o bi\u1ebft khi n\u00e0o ho\u1eb7c li\u1ec7u DCIS s\u1ebd tr\u1edf th\u00e0nh ung th\u01b0 v\u00fa x\u00e2m l\u1ea5n hay kh\u00f4ng, th\u01b0\u1eddng c\u00f3 khuy\u1ebfn ngh\u1ecb \u0111i\u1ec1u tr\u1ecb, v\u00e0 c\u00f3 th\u1ec3 d\u1eabn t\u1edbi \u0111i\u1ec1u tr\u1ecb kh\u00f4ng c\u1ea7n thi\u1ebft ho\u1eb7c \u0111i\u1ec1u tr\u1ecb qu\u00e1 m\u1ee9c \u0111\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 ng\u01b0\u1eddi.<\/p>\n<p>Nghi\u00ean c\u1ee9u \u0111ang \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u1eb1m l\u00e0m r\u00f5 c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u1ee7a DCIS n\u00e0o s\u1ebd tr\u1edf th\u00e0nh x\u00e2m l\u1ea5n v\u00e0 ch\u00fang c\u00f3 th\u1ec3 an to\u00e0n \u0111\u1ec3 kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb hay kh\u00f4ng. N\u1ebfu b\u1ea1n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n DCIS \u0111\u1ed9 m\u00f4 h\u1ecdc th\u1ea5p th\u00ec b\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c m\u1eddi tham d\u1ef1 th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng.<\/p>\n<p><em><strong>N\u1ebfu b\u1ea1n c\u00f3 b\u1ea5t c\u1ee9 c\u00e2u h\u1ecfi hay s\u1ef1 quan t\u00e2m n\u00e0o v\u1ec1 ch\u1ea9n \u0111o\u00e1n c\u1ee7a m\u00ecnh b\u1ea1n n\u00ean n\u00f3i v\u1edbi b\u00e1c s\u0129.<\/strong><\/em><\/p>\n<h3><strong>Ph\u1eabu thu\u1eadt<\/strong><\/h3>\n<p><em><strong>Ph\u1eabu thu\u1eadt g\u1ea7n nh\u01b0 lu\u00f4n l\u00e0 ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u ti\u00ean cho DCIS. C\u00f3 th\u1ec3 l\u00e0 ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n v\u00fa, ho\u1eb7c c\u00f3 th\u1ec3 l\u00e0 c\u1eaft b\u1ecf to\u00e0n b\u1ed9 v\u00fa.<\/strong><\/em><\/p>\n<p>B\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t ch\u1ecdn gi\u1eefa hai ki\u1ec3u ph\u1eabu thu\u1eadt n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o k\u00edch th\u01b0\u1edbc v\u00e0 v\u1ecb tr\u00ed khu v\u1ef1c ung th\u01b0. B\u00e1c s\u1ef9 ph\u1eabu thu\u1eadt s\u1ebd th\u1ea3o lu\u1eadn v\u1edbi b\u1ea1n v\u1ec1 vi\u1ec7c n\u00e0y.<\/p>\n<p>G\u1ea7n nh\u01b0 nhi\u1ec1u kh\u1ea3 n\u0103ng ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf v\u00fa \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t n\u1ebfu:<\/p>\n<ul>\n<li>DCIS \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ed9t khu v\u1ef1c l\u1edbn trong v\u00fa<\/li>\n<li>DCIS c\u00f3 \u1edf t\u1eeb hai khu v\u1ef1c c\u1ee7a v\u00fa tr\u1edf l\u00ean (m\u1eb7c d\u00f9 n\u1ebfu c\u00e1c khu v\u1ef1c l\u00e0 nh\u1ecf, c\u00f3 th\u1ec3 c\u00f3 hai \u0111\u01b0\u1eddng m\u1ed5 c\u1ee5c b\u1ed9 r\u1ed9ng thay cho vi\u1ec7c c\u1eaft to\u00e0n b\u1ed9 v\u00fa;<\/li>\n<\/ul>\n<h3><strong>\u0110\u1ecbnh v\u1ecb sang th\u01b0\u01a1ng<\/strong><\/h3>\n<p>H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p DCIS l\u00e0 kh\u00f4ng th\u1ec3 s\u1edd th\u1ea5y \u0111\u01b0\u1ee3c n\u00ean m\u1ed9t quy tr\u00ecnh \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u0111\u1ecbnh v\u1ecb th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u00e0o h\u00f4m tr\u01b0\u1edbc ho\u1eb7c v\u00e0o ng\u00e0y ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n v\u00fa. Vi\u1ec7c n\u00e0y \u0111\u01b0\u1ee3c l\u00e0m trong kho\u1ea3ng th\u1eddi gian 30 ph\u00fat v\u00e0 gi\u00fap \u0111\u00e1nh d\u1ea5u ch\u00ednh x\u00e1c khu v\u1ef1c s\u1ebd c\u1eaft b\u1ecf khi ph\u1eabu thu\u1eadt. M\u1ed9t d\u00e2y d\u1eabn (ch\u1ec9 kim lo\u1ea1i) r\u1ea5t nh\u1ecf \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o v\u1ecb tr\u00ed nghi ng\u1edd d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a nh\u0169 \u1ea3nh ho\u1eb7c si\u00eau \u00e2m. N\u1ebfu b\u1ea1n \u0111\u1ecbnh v\u1ecb d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn nh\u0169 \u1ea3nh, v\u00fa c\u1ee7a b\u1ea1n s\u1ebd b\u1ecb \u00e9p trong su\u1ed1t th\u1eddi gian th\u1ee7 thu\u1eadt. B\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c g\u00e2y t\u00ea c\u1ee5c b\u1ed9 l\u00e0m t\u00ea li\u1ec7t khu v\u1ef1c ph\u1eabu thu\u1eadt nh\u01b0ng v\u1eabn c\u00f3 c\u1ea3m gi\u00e1c kh\u00f4ng tho\u1ea3i m\u00e1i. Sau khi \u0111\u00e3 \u0111\u1ecbnh v\u1ecb ch\u1ec9 kim lo\u1ea1i xong, b\u1ea1n s\u1ebd ch\u1ee5p nh\u0169 \u1ea3nh \u0111\u1ec3 ki\u1ec3m\u00a0 tra xem c\u00f3 \u0111\u1eb7t \u0111\u00fang v\u1ecb tr\u00ed ch\u01b0a. Khi x\u00e1c \u0111\u1ecbnh ch\u1ec9 kim lo\u1ea1i \u0111\u00e3 \u0111\u00fang v\u1ecb tr\u00ed, n\u00f3 s\u1ebd \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh l\u1ea1i b\u1eb1ng b\u0103ng keo v\u00e0 \u0111\u1ec3 \u0111\u00f3 cho \u0111\u1ebfn khi ph\u1eabu thu\u1eadt.<\/p>\n<p>M\u1ed9t s\u1ed1 b\u1ec7nh vi\u1ec7n \u0111ang s\u1eed d\u1ee5ng th\u1ee7 thu\u1eadt \u0111\u1ecbnh v\u1ecb m\u1edbi, s\u1eed d\u1ee5ng m\u1ed9t h\u1ea1t ph\u00f3ng x\u1ea1 li\u1ec1u th\u1ea5p (c\u00f3 k\u00edch th\u01b0\u1edbc c\u1ee7a h\u1ea1t g\u1ea1o) \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o m\u00f4 v\u00fa thay cho d\u00e2y kim lo\u1ea1i. Th\u1ee7 thu\u1eadt n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1edbi 2 tu\u1ea7n tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt. Trong khi ph\u1eabu thu\u1eadt, s\u1eed d\u1ee5ng m\u1ed9t \u0111\u1ea7u d\u00f2 \u0111\u1eb7c bi\u1ec7t \u0111\u1ec3 \u0111\u1ecbnh v\u1ecb h\u1ea1t v\u00e0 h\u01b0\u1edbng d\u1eabn b\u00e1c s\u0129 ph\u1eabu thu\u1eadt t\u1edbi m\u00f4 c\u1ea7n \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf c\u00f9ng v\u1edbi h\u1ea1t ph\u00f3ng x\u1ea1.<\/p>\n<h3><strong>T\u00e1i t\u1ea1o v\u00fa<\/strong><\/h3>\n<p>N\u1ebfu b\u1ea1n ph\u1ea3i ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf v\u00fa b\u1ea1n s\u1ebd c\u00f3 kh\u1ea3 n\u0103ng xem x\u00e9t t\u00e1i t\u1ea1o v\u00fa. Vi\u1ec7c n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ed3ng th\u1eddi v\u1edbi vi\u1ec7c ph\u1eabu thu\u1eadt (t\u00e1i t\u1ea1o t\u1ee9c th\u00ec) ho\u1eb7c sau v\u00e0i th\u00e1ng ho\u1eb7c v\u00e0i n\u0103m (t\u00e1i t\u1ea1o tr\u00ec ho\u00e3n).<\/p>\n<p>C\u00f3 m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef kh\u00f4ng ch\u1ecdn ho\u1eb7c kh\u00f4ng th\u1ec3\u00a0 t\u00e1i t\u1ea1o v\u00fa. H\u1ecd c\u00f3 th\u1ec3 d\u00f9ng t\u00fai ng\u1ef1c thay th\u1ebf ho\u1eb7c kh\u00f4ng l\u00e0m g\u00ec c\u1ea3.<\/p>\n<h3><strong>V\u00e9t h\u1ea1ch b\u1ea1ch huy\u1ebft<\/strong><\/h3>\n<p>H\u1ea7u h\u1ebft ph\u1ee5 n\u1eef m\u1eafc DCIS s\u1ebd kh\u00f4ng ph\u1ea3i ph\u1eabu thu\u1eadt \u0111\u1ec3 v\u00e9t h\u1ea1ch b\u1ea1ch huy\u1ebft. Nh\u1eefng ng\u01b0\u1eddi m\u1eafc ung th\u01b0 v\u00fa x\u00e2m l\u1ea5n s\u1ebd th\u01b0\u1eddng ph\u1ea3i v\u00e9t h\u1ea1ch b\u1ea1ch huy\u1ebft \u0111\u1ec3 ki\u1ec3m tra xem c\u00f3 h\u1ea1ch b\u1ea1ch huy\u1ebft n\u00e0o d\u01b0\u1edbi c\u00e1nh tay c\u00f3 ch\u1ee9a t\u1ebf b\u00e0o ung th\u01b0 v\u00fa hay kh\u00f4ng. Vi\u1ec7c n\u00e0y gi\u00fap quy\u1ebft \u0111\u1ecbnh li\u1ec7u \u0111i\u1ec1u tr\u1ecb b\u1ed5 sung s\u1ebd mang l\u1ea1i l\u1ee3i \u00edch cho b\u1ea1n.<\/p>\n<p>Th\u01b0\u1eddng kh\u00f4ng khuy\u1ebfn ngh\u1ecb v\u00e9t h\u1ea1ch b\u1ea1ch huy\u1ebft cho nh\u1eefng ng\u01b0\u1eddi m\u1eafc DCIS do c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 v\u00fa ch\u01b0a ph\u00e1t tri\u1ec3n kh\u1ea3 n\u0103ng lan ra b\u00ean ngo\u00e0i \u1ed1ng d\u1eabn s\u1eefa v\u00e0o m\u00f4 v\u00fa xung quanh v\u00e0 do v\u1eady kh\u00f4ng th\u1ec3 lan t\u1edbi h\u1ea1ch b\u1ea1ch huy\u1ebft.<\/p>\n<p>Tuy nhi\u00ean n\u1ebfu b\u1ea1n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf v\u00fa th\u00ec b\u00e1c s\u0129 c\u00f3 th\u1ec3 th\u1ea3o lu\u1eadn sinh thi\u1ebft h\u1ea1ch l\u00ednh g\u00e1c \u0111\u1ed3ng th\u1eddi, do c\u00f3 th\u1ec3 kh\u00f3 ti\u1ebfp c\u1eadn t\u1edbi h\u1ea1ch g\u00e1c sau n\u00e0y n\u1ebfu t\u00ecm th\u1ea5y ung th\u01b0 v\u00fa x\u00e2m l\u1ea5n.<\/p>\n<p>Sinh thi\u1ebft h\u1ea1ch g\u00e1c nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c li\u1ec7u (c\u00e1c) h\u1ea1ch b\u1ea1ch huy\u1ebft c\u00f3 t\u1ebf b\u00e0o ung th\u01b0 hay kh\u00f4ng. N\u1ebfu kh\u00f4ng c\u00f3 t\u1ebf n\u00e0o ung th\u01b0, c\u00f3 ngh\u0129a l\u00e0 c\u00e1c h\u1ea1ch kh\u00e1c c\u0169ng kh\u00f4ng c\u00f3, n\u00ean kh\u00f4ng c\u1ea7n v\u00e9t th\u00eam h\u1ea1ch b\u1ea1ch huy\u1ebft.<\/p>\n<p>N\u1ebfu c\u00e1c k\u1ebft qu\u1ea3 sinh thi\u1ebft h\u1ea1ch g\u00e1c cho th\u1ea5y r\u1eb1ng (c\u00e1c) h\u1ea1ch \u0111\u1ea7u ti\u00ean c\u00f3 t\u1ebf b\u00e0o ung th\u01b0 th\u00ec c\u00f3 th\u1ec3 ph\u1eabu thu\u1eadt th\u00eam ho\u1eb7c x\u1ea1 tr\u1ecb v\u00e0o c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft c\u00f2n l\u1ea1i.<\/p>\n<p>\u0110\u00f4i khi m\u1ed9t khu v\u1ef1c ung th\u01b0 v\u00fa x\u00e2m l\u1ea5n \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y c\u00f9ng v\u1edbi DCIS. N\u1ebfu nh\u01b0 v\u1eady, n\u00f3 s\u1ebd \u1ea3nh h\u01b0\u1edfng t\u1edbi c\u00e1c \u0111i\u1ec1u tr\u1ecb m\u00e0 b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u00e0 b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n ph\u1eabu thu\u1eadt h\u1ea1ch b\u1ea1ch huy\u1ebft d\u01b0\u1edbi c\u00e1nh tay \u0111\u1ec3 ki\u1ec3m tra li\u1ec7u ch\u00fang c\u00f3 ch\u1ee9a t\u1ebf b\u00e0o ung th\u01b0 hay kh\u00f4ng. \u0110\u1ec3 c\u00f3 th\u00eam th\u00f4ng tin \u0111\u1ec1 ngh\u1ecb \u0111\u1ecdc quy\u1ec3n <strong>Tr\u1ecdn g\u00f3i th\u00f4ng tin<\/strong> <strong>ung th\u01b0 v\u00fa nguy\u00ean ph\u00e1t<\/strong>.<\/p>\n<h2><strong>C\u00e1c \u0111i\u1ec1u tr\u1ecb b\u1ed5 tr\u1ee3<\/strong><\/h2>\n<p>Sau khi ph\u1eabu thu\u1eadt b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb, g\u1ecdi l\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ed5 tr\u1ee3. \u0110i\u1ec1u tr\u1ecb b\u1ed5 tr\u1ee3 c\u00f3 th\u1ec3 bao g\u1ed3m x\u1ea1 tr\u1ecb v\u00e0, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft.\u00a0M\u1ee5c \u0111\u00edch c\u1ee7a c\u00e1c \u0111i\u1ec1u tr\u1ecb n\u00e0y l\u00e0 gi\u1ea3m nguy c\u01a1 DCIS quay l\u1ea1i ho\u1eb7c ph\u00e1t tri\u1ec3n th\u00e0nh ung th\u01b0 x\u00e2m l\u1ea5n.\u00a0Kh\u00f4ng s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p <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> v\u00e0 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/hieu-ve-lieu-phap-nham-dich\/\" target=\"_blank\" rel=\"noopener\">li\u1ec7u ph\u00e1p tr\u00fang n\u1eafm tr\u00fang \u0111\u00edch<\/a> (sinh h\u1ecdc) \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb DCIS.<\/p>\n<h3><strong>X\u1ea1 tr\u1ecb<\/strong><\/h3>\n<p><a href=\"https:\/\/yhoccongdong.com\/thongtin\/tim-hieu-ve-xa-tri\/\" target=\"_blank\" rel=\"noopener\">X\u1ea1 tr\u1ecb<\/a> s\u1eed d\u1ee5ng tia X n\u0103ng l\u01b0\u1ee3ng cao \u0111\u1ec3 ti\u00eau di\u1ec7t t\u1ebf b\u00e0o ung th\u01b0. N\u1ebfu b\u1ea1n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n th\u00ec b\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c x\u1ea1 tr\u1ecb. Th\u01b0\u1eddng kh\u00f4ng c\u1ea7n x\u1ea1 tr\u1ecb sau ph\u1eabu thu\u1eadt c\u1eaft v\u00fa \u0111\u1ed1i v\u1edbi DCIS.<\/p>\n<p>X\u1ea1 tr\u1ecb \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 b\u1ea1n l\u00e0 b\u1ec7nh nh\u00e2n ngo\u1ea1i tr\u00fa, ch\u1eebng 4 t\u1edbi 6 tu\u1ea7n sau ph\u1eabu thu\u1eadt. X\u1ea1 tr\u1ecb th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n h\u00e0ng ng\u00e0y (t\u1eeb th\u1ee9 hai t\u1edbi th\u1ee9 s\u00e1u) trong ba tu\u1ea7n.<\/p>\n<p>B\u00e1c s\u0129 c\u1ee7a b\u1ea1n s\u1ebd gi\u1ea3i th\u00edch nh\u1eefng l\u1ee3i \u00edch c\u1ee7a x\u1ea1 tr\u1ecb v\u00e0 n\u00f3i cho b\u1ea1n c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 b\u1ea5t k\u1ef3 c\u1ee7a qu\u00e1 tr\u00ecnh x\u1ea1 tr\u1ecb. \u0110\u1ec3 c\u00f3 th\u00eam th\u00f4ng tin h\u00e3y \u0111\u1ecdc cu\u1ed1n s\u00e1ch <strong>X\u1ea1 tr\u1ecb cho ung th\u01b0 v\u00fa nguy\u00ean ph\u00e1t<\/strong><\/p>\n<h3><strong>Li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft\u00a0 <\/strong><\/h3>\n<p>Nhi\u1ec1u li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft l\u00e0m vi\u1ec7c theo c\u00e1ch kh\u00e1c nhau \u0111\u1ec3 ch\u1eb7n \u1ea3nh h\u01b0\u1edfng c\u1ee7a estrogen l\u00ean t\u1ebf b\u00e0o ung th\u01b0. Li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh n\u1ebfu ung th\u01b0 v\u00fa c\u1ee7a b\u1ea1n c\u00f3 c\u00e1c th\u1ee5 th\u1ec3 trong c\u00e1c t\u1ebf b\u00e0o li\u00ean k\u1ebft 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 v\u1edbi th\u1ee5 th\u1ec3 estrogen hay l\u00e0 ung th\u01b0 v\u00fa ER+. Khi estrogen li\u00ean k\u1ebft v\u1edbi c\u00e1c th\u1ee5 th\u1ec3 n\u00e0y, n\u00f3 c\u00f3 th\u1ec3 k\u00edch th\u00edch c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 ph\u00e1t tri\u1ec3n. N\u1ebfu kh\u00f4ng t\u00ecm th\u1ea5y c\u00e1c th\u1ee5 th\u1ec3 estrogen th\u00ec g\u1ecdi l\u00e0 ung th\u01b0 v\u00fa \u00e2m t\u00ednh v\u1edbi th\u1ee5 th\u1ec3 estrogen hay l\u00e0 ung th\u01b0 v\u00fa ER- v\u00e0 li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft s\u1ebd kh\u00f4ng c\u00f3 l\u1ee3i.<\/p>\n<p>M\u1ecdi ung th\u01b0 v\u00fa x\u00e2m l\u1ea5n \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m t\u00ecm c\u00e1c th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft b\u1eb1ng c\u00e1ch d\u00f9ng m\u00f4 t\u1eeb l\u1ea7n sinh thi\u1ebft ho\u1eb7c sau ph\u1eabu thu\u1eadt. C\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m t\u00ecm th\u1ee5 th\u1ec3 progesteron (m\u1ed9t ch\u1ea5t n\u1ed9i ti\u1ebft kh\u00e1c). DCIS c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m t\u00ecm c\u00e1c th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft n\u00e0y nh\u01b0ng th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n.<\/p>\n<p>L\u1ee3i \u00edch c\u1ee7a li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 DCIS d\u01b0\u01a1ng t\u00ednh ER thay \u0111\u1ed5i theo c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u00e0 n\u00f3 kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb cho m\u1ecdi ng\u01b0\u1eddi. N\u1ebfu DCIS \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m v\u00e0 t\u00ecm th\u1ea5y l\u00e0 ER+ th\u00ec b\u00e1c s\u0129 s\u1ebd th\u1ea3o lu\u1eadn vi\u1ec7c s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft v\u1edbi b\u1ea1n. Thu\u1ed1c \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 tamoxifen ho\u1eb7c c\u00e1c thu\u1ed1c \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u1ea5t \u1ee9c ch\u1ebf aromatase (cho nh\u1eefng ph\u1ee5 n\u1eef sau m\u00e3n kinh) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef.<\/p>\n<p>M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u th\u1ea5y r\u1eb1ng s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft sau ph\u1eabu thu\u1eadt l\u00e0m gi\u1ea3m nguy c\u01a1 DCIS quay tr\u1edf l\u1ea1i (t\u00e1i ph\u00e1t) v\u00e0 nguy c\u01a1 ph\u00e1t tri\u1ec3n th\u00e0nh ung th\u01b0 v\u00fa x\u00e2m l\u1ea5n, nh\u01b0ng nh\u1eefng ph\u1ee5 n\u1eef u\u1ed1ng thu\u1ed1c n\u1ed9i ti\u1ebft kh\u00f4ng s\u1ed1ng l\u00e2u h\u01a1n nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng u\u1ed1ng.<\/p>\n<h2><strong>\u0110\u1ed1i m\u1eb7t v\u1edbi DCIS<\/strong><\/h2>\n<p>Nh\u1eadn tin b\u1ea1n b\u1ecb ung th\u01b0 v\u00fa DCIS c\u00f3 th\u1ec3 l\u00e0 th\u1eddi \u0111i\u1ec3m kh\u00f3 kh\u0103n v\u00e0 \u0111\u1ea7y lo l\u1eafng. M\u1ed7i ng\u01b0\u1eddi ph\u1ea3n \u1ee9ng kh\u00e1c nhau v\u1edbi vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 c\u00f3 c\u00e1ch th\u1ee9c \u0111\u1ed1i m\u1eb7t kh\u00e1c nhau.<\/p>\n<p>M\u1eb7c d\u00f9 DCIS l\u00e0 b\u1ec7nh ung th\u01b0 v\u00fa \u1edf giai \u0111o\u1ea1n s\u1edbm v\u1edbi ti\u00ean l\u01b0\u1ee3ng r\u1ea5t t\u1ed1t, m\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u1ea3m th\u1ea5y r\u1ea5t lo l\u1eafng v\u00e0 s\u1ee3 h\u00e3i khi b\u1ecb ch\u1ea9n \u0111o\u00e1n. M\u1ecdi ng\u01b0\u1eddi th\u01b0\u1eddng \u0111\u1ea5u tranh gi\u1eefa c\u00e1c \u0111i\u1ec1u tr\u1ecb nh\u01b0 l\u00e0 ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf v\u00fa, v\u00e0 r\u1eb1ng DCIS c\u00f3 th\u1ec3 kh\u00f4ng bao gi\u1edd g\u00e2y b\u1ea5t k\u1ef3 nguy h\u1ea1i g\u00ec cho h\u1ecd.<\/p>\n<p>M\u1ed9t s\u1ed1 ng\u01b0\u1eddi mi\u1ec5n c\u01b0\u1ee1ng n\u00f3i h\u1ecd lo l\u1eafng v\u1ec1 vi\u1ec7c b\u1ecb ch\u1ea9n \u0111o\u00e1n DCIS do h\u1ecd lo ng\u1ea1i nh\u1eefng ng\u01b0\u1eddi kh\u00e1c s\u1ebd nh\u00ecn b\u1ec7nh n\u00e0y kh\u00f4ng nguy hi\u1ec3m b\u1eb1ng c\u00e1c lo\u1ea1i ung th\u01b0 v\u00fa kh\u00e1c, ho\u1eb7c h\u1ecd c\u00f3 th\u1ec3 than phi\u1ec1n khi m\u00e0 h\u1ecd kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb h\u00f3a ch\u1ea5t. Do \u0111i\u1ec1u n\u00e0y h\u1ecd c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y kh\u00f3 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u h\u1ed7 tr\u1ee3. Nh\u01b0ng c\u00f3 nh\u1eefng ng\u01b0\u1eddi c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 b\u1ea1n v\u00e0 kh\u00f4ng n\u00ean lo s\u1ee3 khi y\u00eau c\u1ea7u \u0111\u01b0\u1ee3c gi\u00fap \u0111\u1ee1. H\u00e3y \u0111\u1ec3 cho m\u1ecdi ng\u01b0\u1eddi bi\u1ebft v\u1ec1 c\u1ea3m nh\u1eadn c\u1ee7a b\u1ea1n, \u0111\u1eb7c bi\u1ec7t l\u00e0 gia \u0111\u00ecnh m\u00ecnh v\u00e0 b\u1ea1n b\u00e8 c\u00f3 th\u1ec3 l\u00e0m h\u1ecd h\u1ed7 tr\u1ee3 th\u00eam.<\/p>\n<p>M\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u0169ng c\u00f3 th\u1ec3 th\u1ea3o lu\u1eadn c\u00e1c c\u1ea3m gi\u00e1c ho\u1eb7c lo l\u1eafng c\u1ee7a m\u00ecnh v\u1edbi y t\u00e1 ho\u1eb7c b\u00e1c s\u1ef9. C\u00f3 th\u1ec3 n\u00f3i v\u1edbi chuy\u00ean gia t\u01b0 v\u1ea5n ho\u1eb7c chuy\u00ean gia \u0111i\u1ec1u tr\u1ecb, c\u00f3 th\u1ec3 h\u1ecd s\u1ebd gi\u1ea3i th\u00edch s\u00e2u th\u00eam cho b\u1ea1n. Y t\u00e1, b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ho\u1eb7c b\u00e1c s\u1ef9 \u0111\u1ecba ph\u01b0\u01a1ng c\u00f3 th\u1ec3 th\u01b0\u1eddng xuy\u00ean gi\u00fap b\u1ea1n trong v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"https:\/\/breastcancernow.org\/sites\/default\/files\/publications\/pdf\/bcc39_dcis_2018_web.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/breastcancernow.org\/sites\/default\/files\/publications\/pdf\/bcc39_dcis_2018_web.pdf<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u00e0i vi\u1ebft n\u00e0y cung c\u1ea5p th\u00f4ng tin v\u1ec1 tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb d\u00e0nh cho nh\u1eefng ng\u01b0\u1eddi mu\u1ed1n t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 Ung th\u01b0 bi\u1ec3u m\u00f4 \u1ed1ng tuy\u1ebfn v\u00fa t\u1ea1i ch\u1ed7.<\/p>\n","protected":false},"author":548,"featured_media":8601,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2594],"tags":[3303,2476,3304,2569],"series":[1428],"coauthors":[1189],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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