{"id":8606,"date":"2020-07-26T12:37:59","date_gmt":"2020-07-26T05:37:59","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/ung-thu-bieu-mo-tuyen-vu-the-di-san\/"},"modified":"2024-04-29T18:40:11","modified_gmt":"2024-04-29T11:40:11","slug":"ung-thu-bieu-mo-tuyen-vu-the-di-san","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/ung-thu-bieu-mo-tuyen-vu-the-di-san\/","title":{"rendered":"Ung th\u01b0 bi\u1ec3u m\u00f4 tuy\u1ebfn v\u00fa th\u1ec3 d\u1ecb s\u1ea3n"},"content":{"rendered":"<h2>Ung th\u01b0 bi\u1ec3u m\u00f4 tuy\u1ebfn v\u00fa th\u1ec3 d\u1ecb s\u1ea3n l\u00e0 g\u00ec?<\/h2>\n<p>Ung th\u01b0 bi\u1ec3u m\u00f4 tuy\u1ebfn v\u00fa th\u1ec3 d\u1ecb s\u1ea3n (g\u1ecdi t\u1eaft l\u00e0 ung th\u01b0 v\u00fa th\u1ec3 d\u1ecb s\u1ea3n) l\u00e0 m\u1ed9t d\u1ea1ng hi\u1ebfm g\u1eb7p c\u1ee7a <a href=\"https:\/\/yhoccongdong.com\/thongtin\/ung-thu-vu\/\" target=\"_blank\" rel=\"noopener\">ung th\u01b0 v\u00fa<\/a>, chi\u1ebfm kho\u1ea3ng 1% trong t\u1ed5ng s\u1ed1 ung th\u01b0 v\u00fa n\u00f3i chung.<\/p>\n<p>Ung th\u01b0 v\u00fa th\u1ec3 d\u1ecb s\u1ea3n l\u00e0 ung th\u01b0 x\u00e2m l\u1ea5n, t\u1ee9c l\u00e0 n\u00f3 c\u00f3 ti\u1ec1m n\u0103ng di c\u0103n t\u1edbi c\u00e1c v\u1ecb tr\u00ed kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3.<\/p>\n<p>Ung th\u01b0 v\u00fa th\u1ec3 d\u1ecb s\u1ea3n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1edfi b\u00e1c s\u1ef9 chuy\u00ean khoa Gi\u1ea3i Ph\u1eabu B\u1ec7nh th\u00f4ng qua vi\u1ec7c quan s\u00e1t s\u1ef1 bi\u1ebfn \u0111\u1ed5i h\u00ecnh th\u00e1i t\u1ebf b\u00e0o v\u00e0 c\u1ea5u tr\u00fac u v\u00fa d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi.<\/p>\n<h2>Nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u1ee7a ung th\u01b0 v\u00fa th\u1ec3 d\u1ecb s\u1ea3n<\/h2>\n<p>Gi\u1ed1ng nh\u01b0 c\u00e1c th\u1ec3 kh\u00e1c c\u1ee7a ung th\u01b0 v\u00fa n\u00f3i chung, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a ung th\u01b0 v\u00fa th\u1ec3 d\u1ecb s\u1ea3n t\u00f9y thu\u1ed9c v\u00e0o giai \u0111o\u1ea1n, c\u00f3 th\u1ec3 l\u00e0:<\/p>\n<ul>\n<li>Thay \u0111\u1ed5i k\u00edch th\u01b0\u1edbc v\u00fa<\/li>\n<li>N\u1ed5i c\u1ee5c ho\u1eb7c m\u1ed9t v\u00f9ng da b\u1ecb \u201cd\u00e0y\u201d h\u01a1n so v\u1edbi xung quanh<\/li>\n<li>\u0110au v\u00fa<\/li>\n<li>Thay \u0111\u1ed5i n\u00fam v\u00fa, ch\u1ea3y d\u1ecbch \u0111\u1ea7u v\u00fa<\/li>\n<li>Da v\u00fa b\u1ecb nh\u0103n, s\u1ea7n ho\u1eb7c l\u00f5m xu\u1ed1ng<\/li>\n<\/ul>\n<p>C\u00e1c b\u1ea5t th\u01b0\u1eddng k\u1ec3 tr\u00ean c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n b\u1edfi b\u00e1c s\u1ef9 qua kh\u00e1m b\u1ec7nh, ho\u1eb7c do b\u1ea1n t\u1ef1 ph\u00e1t hi\u1ec7n ra qua vi\u1ec7c t\u1ef1 kh\u00e1m v\u00fa t\u1ea1i nh\u00e0. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n t\u00ecnh c\u1edd qua kh\u00e1m s\u00e0ng l\u1ecdc m\u00e0 kh\u00f4ng c\u00f3 b\u1ea5t k\u00ec bi\u1ec3u hi\u1ec7n n\u00e0o k\u1ec3 tr\u00ean.<\/p>\n<h2>C\u00e1c x\u00e9t nghi\u1ec7m gi\u00fap ch\u1ea9n \u0111o\u00e1n ung th\u01b0 v\u00fa th\u1ec3 d\u1ecb s\u1ea3n<\/h2>\n<p>B\u00ean c\u1ea1nh vi\u1ec7c th\u0103m kh\u00e1m, \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ung th\u01b0 v\u00fa n\u00f3i chung c\u0169ng nh\u01b0 ung th\u01b0 v\u00fa th\u1ec3 \u1ed1ng x\u00e2m nh\u1eadp n\u00f3i ri\u00eang, b\u00e1c s\u1ef9 s\u1ebd c\u1ea7n ph\u1ea3i k\u1ebft h\u1ee3p c\u00e1c ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m kh\u00e1c, 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 (mammography)<\/a><\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/sieu-am\/\" target=\"_blank\" rel=\"noopener\">Si\u00eau \u00e2m tuy\u1ebfn v\u00fa<\/a><\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/choc-hut-bang-kim-nho-fna\/\" target=\"_blank\" rel=\"noopener\">Ch\u1ecdc h\u00fat kim nh\u1ecf (FNA)<\/a> kh\u1ed1i u ho\u1eb7c h\u1ea1ch nghi ng\u1edd (s\u1eed d\u1ee5ng kim v\u00e0 xi-lanh \u0111\u1ec3 l\u1ea5y t\u1ebf b\u00e0o t\u1eeb u <em>v\u00e0\/ho\u1eb7c<\/em> h\u1ea1ch nghi ng\u1edd, v\u00e0 quan s\u00e1t d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi \u0111\u1ec3 ph\u00e1t hi\u1ec7n t\u1ebf b\u00e0o ung th\u01b0 n\u1ebfu c\u00f3).<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/sinh-thiet-biopsy\/\" target=\"_blank\" rel=\"noopener\">Sinh thi\u1ebft kim<\/a>: S\u1eed d\u1ee5ng m\u1ed9t kim l\u1edbn h\u01a1n \u0111\u1ec3 l\u1ea5y m\u1ed9t m\u1eabu t\u1ed5 ch\u1ee9c u ho\u1eb7c h\u1ea1ch r\u1ed3i quan s\u00e1t d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi. Sinh thi\u1ebft b\u1eb1ng kim l\u1edbn kh\u00f4ng nh\u1eefng ph\u00e1t hi\u1ec7n t\u1ebf b\u00e0o ung th\u01b0 m\u00e0 c\u00f2n th\u1ea5y \u0111\u01b0\u1ee3c s\u1ef1 x\u00e2m l\u1ea5n c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0 ra xung quanh.<\/li>\n<\/ul>\n<h2>Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa th\u1ec3 d\u1ecb s\u1ea3n<\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa l\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111a m\u00f4 th\u1ee9c, t\u1ee9c l\u00e0 ph\u1ed1i h\u1ee3p nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau, bao g\u1ed3m ph\u1eabu thu\u1eadt, x\u1ea1 tr\u1ecb v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c (n\u1ed9i khoa). T\u00f9y thu\u1ed9c v\u00e0o giai \u0111o\u1ea1n, \u0111\u1eb7c \u0111i\u1ec3m sinh h\u1ecdc c\u1ee7a kh\u1ed1i u (\u0111\u1ed9 m\u00f4 h\u1ecdc, t\u00ecnh tr\u1ea1ng th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft, th\u1ee5 th\u1ec3 HER2, \u2026) m\u00e0 b\u00e1c s\u1ef9 s\u1ebd \u0111\u01b0a ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u01b0u ti\u00ean cho t\u1eebng th\u1eddi \u0111i\u1ec3m, trong \u0111\u00f3 ph\u1eabu thu\u1eadt l\u00e0 \u0111i\u1ec1u tr\u1ecb c\u01a1 b\u1ea3n khi b\u1ec7nh \u1edf giai \u0111o\u1ea1n ch\u01b0a di c\u0103n xa.<\/p>\n<p>Ung th\u01b0 v\u00fa th\u1ec3 d\u1ecb s\u1ea3n hay g\u1eb7p c\u00f3 <strong>\u201cb\u1ed9 ba \u00e2m t\u00ednh\u201d<\/strong> (c\u1ea3 ba x\u00e9t nghi\u1ec7m ER, PR, HER2 \u0111\u1ec1u \u00e2m t\u00ednh), \u0111\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng b\u00e1o hi\u1ec7u c\u00f3 ti\u00ean l\u01b0\u1ee3ng x\u1ea5u.<\/p>\n<h3><strong>Ph\u1eabu thu\u1eadt<\/strong><\/h3>\n<p>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt tri\u1ec7t c\u0103n v\u1edbi ung th\u01b0 v\u00fa g\u1ed3m 2 nh\u00f3m:<\/p>\n<ul>\n<li><strong>Ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n tuy\u1ebfn v\u00fa (breast-conserving surgery):<\/strong> C\u1eaft b\u1ecf r\u1ed9ng kh\u1ed1i u k\u00e8m theo v\u00e9t h\u1ea1ch n\u00e1ch, ph\u1ea7n tuy\u1ebfn v\u00fa l\u00e0nh v\u1eabn \u0111\u01b0\u1ee3c b\u1ea3o t\u1ed3n. Ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n c\u1ea7n \u0111\u1ea3m b\u1ea3o di\u1ec7n c\u1eaft kh\u00f4ng c\u00f2n t\u1ebf b\u00e0o ung th\u01b0.<\/li>\n<li><strong>Ph\u1eabu thu\u1eadt c\u1eaft tuy\u1ebfn v\u00fa: <\/strong>C\u1eaft b\u1ecf to\u00e0n b\u1ed9 tuy\u1ebfn v\u00fa, bao g\u1ed3m c\u1ea3 qu\u1ea7ng v\u00fa v\u00e0 n\u00fam v\u00fa.<\/li>\n<\/ul>\n<p>Vi\u1ec7c l\u1ef1a ch\u1ecdn lo\u1ea1i ph\u1eabu thu\u1eadt ph\u00f9 h\u1ee3p v\u1edbi t\u1eebng ng\u01b0\u1eddi b\u1ec7nh ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1, trong \u0111\u00f3 y\u1ebfu t\u1ed1 li\u00ean quan tr\u1ef1c ti\u1ebfp t\u1edbi kh\u1ed1i u bao g\u1ed3m: V\u1ecb tr\u00ed kh\u1ed1i u, k\u00edch th\u01b0\u1edbc kh\u1ed1i u, c\u00f3 hay kh\u00f4ng nhi\u1ec1u h\u01a1n 2 u \u1edf c\u00e1c ph\u1ea7n t\u01b0 kh\u00e1c nhau c\u1ee7a v\u00fa. B\u00e1c s\u1ef9 ph\u1eabu thu\u1eadt s\u1ebd trao \u0111\u1ed5i v\u1edbi b\u1ea1n tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt \u0111\u1ec3 \u0111\u01b0a ra ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt ph\u00f9 h\u1ee3p nh\u1ea5t v\u1edbi b\u1ea1n.<\/p>\n<p>N\u1ebfu b\u1ea1n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n v\u00fa, th\u00ec vi\u1ec7c \u0111\u1ea3m b\u1ea3o l\u1ea5y h\u1ebft t\u1ed5 ch\u1ee9c ung th\u01b0 <em>(di\u1ec7n c\u1eaft kh\u00f4ng c\u00f2n t\u1ebf b\u00e0o ung th\u01b0) <\/em>l\u00e0 r\u1ea5t quan tr\u1ecdng. N\u1ebfu sau m\u1ed5 m\u00e0 di\u1ec7n c\u1eaft v\u1eabn c\u00f2n t\u1ebf b\u00e0o ung th\u01b0 th\u00ec \u0111\u00f4i khi v\u1ea5n \u0111\u1ec1 ph\u1eabu thu\u1eadt l\u1ea7n 2 c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u1eb7t ra.<\/p>\n<p>N\u1ebfu b\u1ea1n l\u1ef1a ch\u1ecdn ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 tuy\u1ebfn v\u00fa, \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u00ednh th\u1ea9m m\u1ef9, b\u00e1c s\u1ef9 c\u00f3 th\u1ec3 \u0111\u1ec1 xu\u1ea5t v\u1edbi b\u1ea1n v\u1ec1 ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh l\u1ea1i tuy\u1ebfn v\u00fa sau khi \u0111\u00e3 b\u1ecf to\u00e0n b\u1ed9 v\u00fa. C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p t\u1ea1o h\u00ecnh v\u00fa kh\u00e1c nhau v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh ngay sau khi c\u1eaft to\u00e0n b\u1ed9 tuy\u1ebfn v\u00fa trong c\u00f9ng m\u1ed9t l\u1ea7n m\u1ed5 ho\u1eb7c sau m\u1ed9t v\u00e0i th\u00e1ng, th\u1eadm ch\u00ed l\u00e0 v\u00e0i n\u0103m.<\/p>\n<h3>Ph\u1eabu thu\u1eadt v\u00e9t h\u1ea1ch n\u00e1ch<\/h3>\n<p>Ung th\u01b0 v\u00fa th\u1ec3 d\u1ecb s\u1ea3n c\u00f3 t\u1ec9 l\u1ec7 di c\u0103n t\u1edbi h\u1ea1ch n\u00e1ch cao h\u01a1n so v\u1edbi c\u00e1c th\u1ec3 kh\u00e1c. Tuy v\u1eady kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 s\u1ebd ti\u1ebfn h\u00e0nh v\u00e9t h\u1ea1ch n\u00e1ch m\u1ed9t c\u00e1c th\u01b0\u1eddng quy m\u00e0 s\u1ebd c\u1ea7n x\u00e1c \u0111\u1ecbnh xem \u0111\u00e3 c\u00f3 di c\u0103n h\u1ea1ch n\u00e1ch hay ch\u01b0a qua th\u0103m kh\u00e1m, si\u00eau \u00e2m k\u1ebft h\u1ee3p v\u1edbi ch\u1ecdc h\u00fat t\u1ebf b\u00e0o b\u1eb1ng kim nh\u1ecf.<\/p>\n<p>N\u1ebfu c\u00f3 di c\u0103n h\u1ea1ch n\u00e1ch, ph\u1eabu thu\u1eadt tri\u1ec7t \u0111\u1ec3 s\u1ebd c\u1ea7n ph\u1ea3i v\u00e9t h\u1ea1ch n\u00e1ch th\u01b0\u1eddng quy v\u00e0 sau m\u1ed5 s\u1ebd c\u1ea7n \u0111i\u1ec1u tr\u1ecb b\u1ed5 tr\u1ee3. N\u1ebfu ch\u01b0a x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c di c\u0103n h\u1ea1ch n\u00e1ch ho\u1eb7c ng\u1edd, b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt sinh thi\u1ebft h\u1ea1ch c\u1eeda. H\u1ea1ch c\u1eeda (h\u1ea1ch g\u00e1c) l\u00e0 h\u1ea1ch \u0111\u1ea7u ti\u00ean m\u00e0 t\u1ebf b\u00e0o ung th\u01b0 c\u00f3 kh\u1ea3 n\u0103ng di c\u0103n t\u1edbi.<\/p>\n<p>B\u1eb1ng k\u0129 thu\u1eadt ti\u00eam thu\u1ed1c nhu\u1ed9m m\u00e0u ho\u1eb7c ch\u1ea5t ph\u00f3ng x\u1ea1 \u0111\u00e1nh d\u1ea5u, h\u1ea1ch c\u1eeda s\u1ebd \u0111\u01b0\u1ee3c \u201chi\u1ec3n th\u1ecb\u201d m\u1ed9t c\u00e1ch r\u00f5 r\u00e0ng khi ph\u1eabu t\u00edch, sau \u0111\u00f3 s\u1ebd \u0111\u01b0\u1ee3c l\u1ea5y m\u00e0 mang \u0111i x\u00e9t nghi\u1ec7m d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi. N\u1ebfu h\u1ea1ch c\u1eeda c\u00f3 t\u1ebf b\u00e0o ung th\u01b0 th\u00ec ph\u1eabu thu\u1eadt v\u00e9t h\u1ea1ch n\u00e1ch s\u1ebd \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh; n\u1ebfu h\u1ea1ch c\u1eeda kh\u00f4ng c\u00f3 t\u1ebf b\u00e0o ung th\u01b0 th\u00ec c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea7n v\u00e9t h\u1ea1ch n\u00e1ch m\u1ed9t c\u00e1ch th\u01b0\u1eddng quy.<\/p>\n<h3><strong>\u0110i\u1ec1u tr\u1ecb b\u1ed5 tr\u1ee3 sau ph\u1eabu thu\u1eadt<\/strong><\/h3>\n<p>\u0110i\u1ec1u tr\u1ecb b\u1ed5 tr\u1ee3 l\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng sau ph\u1eabu thu\u1eadt tri\u1ec7t \u0111\u1ec3, bao g\u1ed3m:<\/p>\n<ul>\n<li>H\u00f3a tr\u1ecb<\/li>\n<li>X\u1ea1 tr\u1ecb<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb hooc-m\u00f4n<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb \u0111\u00edch<\/li>\n<li>D\u00f9ng biphosphonat<\/li>\n<\/ul>\n<p>M\u1ee5c \u0111\u00edch c\u1ee7a \u0111i\u1ec1u tr\u1ecb b\u1ed5 tr\u1ee3 l\u00e0 nh\u1eb1m ti\u00eau di\u1ec7t t\u1ebft b\u00e0o ung th\u01b0 c\u00f2n \u201cc\u00f2n l\u1ea1i\u201d sau ph\u1eabu thu\u1eadt, t\u1eeb \u0111\u00f3 gi\u00fap gi\u1ea3m t\u1ec9 l\u1ec7 t\u00e1i ph\u00e1t v\u00e0 di c\u0103n v\u1ec1 sau. Vi\u1ec7c \u00e1p d\u1ee5ng m\u1ed9t hay ph\u1ed1i h\u1ee3p nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ed5 tr\u1ee3 ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1 nh\u01b0 giai \u0111o\u1ea1n b\u1ec7nh, \u0111\u1eb7c \u0111i\u1ec3m sinh h\u1ecdc c\u1ee7a kh\u1ed1i u, \u2026<\/p>\n<p><strong><em>M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00e1c ph\u01b0\u01a1ng ph\u00e1p tr\u00ean l\u1ea1i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt tri\u1ec7t \u0111\u1ec3 v\u00e0 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00e2n b\u1ed5 tr\u1ee3.<\/em><\/strong><\/p>\n<h4><strong>H\u00f3a tr\u1ecb<\/strong><\/h4>\n<p><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> l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u1eb1m ti\u00eau di\u1ec7t t\u1ebf b\u00e0o ung th\u01b0 th\u00f4ng qua vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c g\u00e2y \u0111\u1ed9c t\u1ebf b\u00e0o. Ch\u1ec9 \u0111\u1ecbnh h\u00f3a tr\u1ecb ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1 nh\u01b0: k\u00edch th\u01b0\u1edbc kh\u1ed1i u, \u0111\u1ed9 \u00e1c t\u00ednh c\u1ee7a t\u1ebf b\u00e0o, t\u00ecnh tr\u1ea1ng di c\u0103n h\u1ea1ch n\u00e1ch, \u0111\u1eb7c \u0111i\u1ec3m sinh h\u1ecdc.<\/p>\n<h4><strong>X\u1ea1 tr\u1ecb<\/strong><\/h4>\n<p><a href=\"https:\/\/yhoccongdong.com\/thongtin\/tim-hieu-ve-xa-tri\/\" target=\"_blank\" rel=\"noopener\">X\u1ea1 tr\u1ecb<\/a> l\u00e0 ph\u01b0\u01a1ng ph\u00e1p d\u00f9ng tia X c\u00f3 n\u0103ng l\u01b0\u1ee3ng cao \u0111\u1ec3 ti\u00eau di\u1ec7t t\u1ebf b\u00e0o ung th\u01b0. X\u1ea1 tr\u1ecb th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh sau ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n tuy\u1ebfn v\u00fa, sau ph\u1eabu thu\u1eadt c\u1eaft tuy\u1ebfn v\u00fa v\u1edbi kh\u1ed1i u c\u00f3 k\u00edch th\u01b0\u1edbc l\u1edbn <em>v\u00e0\/ho\u1eb7c<\/em> c\u00f3 di c\u0103n h\u1ea1ch n\u00e1ch.<\/p>\n<h4><strong>\u0110i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft (li\u1ec7u ph\u00e1p hooc-m\u00f4n)<\/strong><\/h4>\n<p>M\u1ed9t s\u1ed1 lo\u1ea1i ung th\u01b0 v\u00fa \u0111\u01b0\u1ee3c k\u00edch th\u00edch ph\u00e1t tri\u1ec3n nh\u1edd hooc-m\u00f4n estrogen, nh\u1eefng lo\u1ea1i ung th\u01b0 n\u00e0y khi l\u00e0m x\u00e9t nghi\u1ec7m s\u1ebd c\u00f3 th\u1ee5 th\u1ec3 c\u1ee7a estrogen d\u01b0\u01a1ng t\u00ednh (ER+). \u0110i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft l\u00e0 bi\u1ec7n ph\u00e1p s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c c\u00f3 t\u00e1c \u0111\u1ed9ng l\u00ean th\u1ee5 th\u1ec3 c\u1ee7a hooc-m\u00f4n estrogen nh\u1eb1m ng\u0103n c\u1ea3n hooc-m\u00f4n estrogen \u201cti\u1ebfp x\u00fac\u201d v\u1edbi t\u1ebf b\u00e0o ung th\u01b0 v\u00fa, t\u1eeb \u0111\u00f3 ng\u0103n ch\u1eb7n t\u1ebf b\u00e0o ung th\u01b0 ph\u00e1t tri\u1ec3n. C\u00f3 nhi\u1ec1u bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft kh\u00e1c nhau, l\u1ef1c ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p n\u00e0o ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1: tu\u1ed5i, t\u00ecnh tr\u1ea1ng kinh nguy\u1ec7t, \u2026<\/p>\n<h4><strong>\u0110i\u1ec1u tr\u1ecb \u0111\u00edch<\/strong><\/h4>\n<p><a href=\"https:\/\/yhoccongdong.com\/thongtin\/hieu-ve-lieu-phap-nham-dich\/\" target=\"_blank\" rel=\"noopener\">\u0110i\u1ec1u tr\u1ecb \u0111\u00edch<\/a> l\u00e0 bi\u1ec7n ph\u00e1p d\u00f9ng c\u00e1c thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf s\u1ef1 t\u0103ng sinh c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0 b\u1eb1ng c\u00e1ch t\u00e1c \u0111\u1ed9ng v\u00e0o c\u00e1c kh\u00e2u trong qu\u00e1 tr\u00ecnh truy\u1ec1n t\u00edn hi\u1ec7u b\u00ean trong t\u1ebf b\u00e0o ung th\u01b0. Hi\u1ec7n nay c\u00f3 nhi\u1ec1u thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u00edch kh\u00e1c nhau, trong \u0111\u00f3 trastuzumab \u0111\u01b0\u1ee3c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nhi\u1ec1u nh\u1ea5t v\u00e0 ch\u1ec9 \u0111\u1ecbnh cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ee5 th\u1ec3 HER2 d\u01b0\u01a1ng t\u00ednh.<\/p>\n<p>X\u00e9t nghi\u1ec7m HER2 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u00ean m\u1eabu b\u1ec7nh ph\u1ea9m sinh thi\u1ebft ho\u1eb7c sau ph\u1eabu thu\u1eadt. \u0110\u1ec3 c\u00f3 th\u00f4ng tin v\u00e0 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n th\u00eam v\u1ec1 t\u00ecnh tr\u1ea1ng th\u1ee5 th\u1ec3 HER2, b\u1ea1n c\u00f3 th\u1ec3 trao \u0111\u1ed5i th\u00eam v\u1edbi b\u00e1c s\u1ef9 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h4><strong>Thu\u1ed1c biphosphonat<\/strong><\/h4>\n<p>Biphosphonat l\u00e0 m\u1ed9t nh\u00f3m thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m ch\u1eadm ho\u1eb7c gi\u1ea3m nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng tr\u00ean ng\u01b0\u1eddi b\u1ec7nh ung th\u01b0 v\u00fa sau m\u00e3n kinh (m\u00e3n kinh t\u1ef1 nhi\u00ean ho\u1eb7c sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft), \u0111\u1ed3ng th\u1eddi l\u00e0m gi\u1ea3m nguy c\u01a1 g\u00e3y x\u01b0\u01a1ng tr\u00ean nh\u1eefng ng\u01b0\u1eddi b\u1ecb ung th\u01b0 v\u00fa di c\u0103n x\u01b0\u01a1ng.<\/p>\n<h2><strong>Theo d\u00f5i sau \u0111i\u1ec1u tr\u1ecb<\/strong><\/h2>\n<p>Sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u t\u1ea1i b\u1ec7nh vi\u1ec7n b\u1eb1ng ph\u1eabu thu\u1eadt, x\u1ea1 tr\u1ecb, h\u00f3a ch\u1ea5t, \u2026 b\u1ea1n v\u1eabn c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u01b0\u1ee3c theo d\u00f5i \u0111\u1ecbnh k\u00ec \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm t\u00ecnh tr\u1ea1ng b\u1ec7nh t\u00e1i ph\u00e1t di c\u0103n.<\/p>\n<p>N\u1ebfu b\u1ea1n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed5n tuy\u1ebfn v\u00fa, vi\u1ec7c theo d\u00f5i \u0111\u1ecbnh k\u1ef3 c\u1ea7n ch\u1ee5p X-quang v\u00fa 2 b\u00ean m\u1ed9t c\u00e1ch th\u01b0\u1eddng quy, c\u00f2n n\u1ebfu ph\u1eabu thu\u1eadt c\u1eaft tuy\u1ebfn v\u00fa th\u00ec ch\u1ee5p X-quang \u0111\u1ed1i v\u1edbi v\u00fa c\u00f2n l\u1ea1i.<\/p>\n<p>B\u00ean c\u1ea1nh \u0111\u00f3, b\u1ea1n c\u0169ng c\u1ea7n l\u01b0u \u00fd v\u1ec1 b\u1ea5t k\u1ef3 nh\u1eefng thay \u0111\u1ed5i b\u1ea5t th\u01b0\u1eddng n\u00e0o tr\u00ean da v\u00f9ng ph\u1eabu thu\u1eadt, ho\u1eb7c l\u00e2n c\u1eadn nh\u1eb1m ph\u00e1t hi\u1ec7n s\u1edbm hi\u1ec7n t\u01b0\u1ee3ng t\u00e1i ph\u00e1t di c\u0103n, \u0111\u1ed3ng th\u1eddi th\u00f4ng b\u00e1o cho b\u00e1c s\u1ef9 ho\u1eb7c y t\u00e1 ch\u0103m s\u00f3c v\u1ec1 nh\u1eefng kh\u00f3 ch\u1ecbu b\u1ea1n g\u1eb7p ph\u1ea3i do t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u1ee7a ph\u1eabu thu\u1eadt <em>v\u00e0\/ho\u1eb7c<\/em> x\u1ea1 tr\u1ecb \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 x\u1eed tr\u00ed k\u1ecbp th\u1eddi.<\/p>\n<p>Khi b\u1ea1n b\u1ecb ung th\u01b0 v\u00fa, nguy c\u01a1 b\u1ecb ung th\u01b0 v\u00fa b\u00ean c\u00f2n l\u1ea1i s\u1ebd cao h\u01a1n so v\u1edbi ng\u01b0\u1eddi kh\u00f4ng b\u1ecb ung th\u01b0 v\u00fa, do v\u1eady c\u1ea7n l\u01b0u \u00fd t\u1ef1 kh\u00e1m v\u00fa th\u01b0\u1eddng xuy\u00ean v\u00e0 l\u01b0u v\u1ec1 nh\u1eefng thay \u0111\u1ed5i b\u1ea5t th\u01b0\u1eddng tr\u00ean v\u00fa c\u00f2n l\u1ea1i.<\/p>\n<h3><strong>Ch\u0103m s\u00f3c h\u1ed7 tr\u1ee3<\/strong><\/h3>\n<p>B\u1ecb ch\u1ea9n \u0111o\u00e1n m\u1eafc ung th\u01b0 v\u00fa s\u1ebd l\u00e0 m\u1ed9t kh\u00f3 kh\u0103n v\u00e0 \u0111\u1ea7y th\u1eed th\u00e1ch v\u1edbi b\u1ea1n, c\u00f3 th\u1ec3 c\u00f3 nh\u1eefng l\u00fac b\u1ea1n c\u1ea3m th\u1ea5y c\u00f4 \u0111\u01a1n v\u00e0 t\u00e1ch r\u1eddi v\u1edbi th\u1ebf gi\u1edbi quanh b\u1ea1n. C\u00f3 r\u1ea5t nhi\u1ec1u ng\u01b0\u1eddi c\u00f3 th\u1ec3 gi\u00fap \u0111\u1ee1 b\u1ea1n, do v\u1eady \u0111\u1eebng ng\u1ea7n ng\u1ea1i chia s\u1ebb nh\u1eefng kh\u00f3 kh\u0103n b\u1ea1n \u0111ang g\u1eb7p ph\u1ea3i v\u1edbi ng\u01b0\u1eddi th\u00e2n v\u00e0 \u0111\u1ed9i ng\u0169 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe. N\u1ebfu b\u1ea1n c\u1ea7n h\u1ed7 tr\u1ee3 t\u00e2m l\u00fd nhi\u1ec1u h\u01a1n t\u1eeb chuy\u00ean gia, h\u00e3y th\u00f4ng b\u00e1o v\u1edbi y t\u00e1 ch\u0103m s\u00f3c ho\u1eb7c b\u00e1c s\u1ef9 \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 c\u00f3 th\u1ec3 nh\u1eadn \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 t\u1eeb b\u00e1c s\u1ef9 t\u00e2m l\u00fd.<\/p>\n<h2><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n<p><a href=\"https:\/\/breastcancernow.org\/information-support\/facing-breast-cancer\/diagnosed-breast-cancer\/primary-breast-cancer\/metaplastic-breast-cancer\" target=\"_blank\" rel=\"noopener\">Metaplastic breast cancer<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ung th\u01b0 v\u00fa th\u1ec3 d\u1ecb s\u1ea3n l\u00e0 m\u1ed9t d\u1ea1ng ung th\u01b0 x\u00e2m l\u1ea5n, t\u1ee9c l\u00e0 n\u00f3 c\u00f3 ti\u1ec1m n\u0103ng di c\u0103n t\u1edbi c\u00e1c v\u1ecb tr\u00ed kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3, hi\u1ebfm g\u1eb7p v\u00e0 ch\u1ec9 chi\u1ebfm kho\u1ea3ng 1% trong t\u1ed5ng s\u1ed1 ung th\u01b0 v\u00fa n\u00f3i chung.<\/p>\n","protected":false},"author":548,"featured_media":8607,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2594],"tags":[3309,3310,3311,3312,2569],"series":[1428],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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