{"id":8716,"date":"2020-12-20T13:20:35","date_gmt":"2020-12-20T06:20:35","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/u-mo-dem-duong-tieu-hoa-gist-chan-doan\/"},"modified":"2020-12-20T13:20:35","modified_gmt":"2020-12-20T06:20:35","slug":"u-mo-dem-duong-tieu-hoa-gist-chan-doan","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/u-mo-dem-duong-tieu-hoa-gist-chan-doan\/","title":{"rendered":"U m\u00f4 \u0111\u1ec7m \u0111\u01b0\u1eddng ti\u00eau h\u00f3a (GIST) &#8211; Ch\u1ea9n \u0111o\u00e1n"},"content":{"rendered":"<p style=\"text-align: right;\"><em><strong>Bi\u00ean d\u1ecbch:\u00a0Ph\u00f9ng Ng\u1ecdc Dung; Phan Th\u1ecb Thu Hi\u1ec1n; D\u01b0\u01a1ng Th\u1ecb B\u00edch Ng\u1ecdc<\/strong><\/em><\/p>\n<p style=\"text-align: right;\"><em><strong>Hi\u1ec7u \u0111\u00ednh: Ths.Bs Nguy\u1ec5n Th\u1ecb H\u1ee3i \u2013 Khoa N\u1ed9i soi Th\u0103m d\u00f2 ch\u1ee9c n\u0103ng B\u1ec7nh vi\u1ec7n Ung B\u01b0\u1edbu H\u00e0 N\u1ed9i<\/strong><\/em><\/p>\n<p>C\u00f3 nhi\u1ec1u x\u00e9t nghi\u1ec7m \u0111\u1ec3 t\u00ecm ra ho\u1eb7c ch\u1ea9n \u0111o\u00e1n GIST. B\u00e1c s\u1ef9 c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc c\u00e1c y\u1ebfu t\u1ed1 sau \u0111\u1ec3 l\u1ef1a ch\u1ecdn x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n:<\/p>\n<ul>\n<li>Kh\u1ed1i u thu\u1ed9c lo\u1ea1i n\u00e0o<\/li>\n<li>D\u1ea5u hi\u1ec7u, tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ea1n<\/li>\n<li>Tu\u1ed5i v\u00e0 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n<\/li>\n<li>K\u1ebft qu\u1ea3 c\u1ee7a c\u00e1c x\u00e9t nghi\u1ec7m g\u1ea7n \u0111\u00e2y<\/li>\n<\/ul>\n<p>Ngo\u00e0i vi\u1ec7c th\u0103m kh\u00e1m th\u1ef1c th\u1ec3, c\u00e1c x\u00e9t nghi\u1ec7m d\u01b0\u1edbi \u0111\u00e2y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n GIST ho\u1eb7c x\u00e1c \u0111\u1ecbnh k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t. Kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec1u \u0111\u01b0\u01a1\u0323c a\u0301p du\u0323ng cho m\u1ed7i b\u00ea\u0323nh nh\u00e2n.<\/p>\n<h2><strong>Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT ho\u1eb7c CAT<\/strong>)<\/h2>\n<p>Ch\u1ee5p CT l\u00e0 x\u00e9t nghi\u1ec7m t\u1ed1t nh\u00e2\u0301t \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n va\u0300 theo do\u0303i GIST. CT scan ch\u1ee5p \u1ea3nh b\u00ean trong c\u01a1 th\u1ec3 b\u1eb1ng vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c tia X \u0111\u01b0\u1ee3c ph\u00e1t ra t\u1eeb nhi\u00ea\u0300u g\u00f3c kh\u00e1c nhau. C\u00e1c h\u00ecnh \u1ea3nh hi\u1ec3n th\u1ecb chi ti\u1ebft v\u00e0 3 chi\u1ec1u gi\u00fap ph\u00e1t hi\u1ec7n m\u1ecdi b\u1ea5t th\u01b0\u1eddng ho\u1eb7c c\u00e1c kh\u1ed1i u. \u00a0CT c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111o k\u00edch th\u01b0\u1edbc kh\u1ed1i u hay gi\u00fap ba\u0301c si\u0303 x\u00e1c \u0111\u1ecbnh li\u00ea\u0323u ung th\u01b0 \u0111\u00e3 lan t\u1edbi gan hay ni\u00eam m\u1ea1c ru\u1ed9t ch\u01b0a. \u0110\u00f4i khi, \u0111\u1ec3 c\u00f3 \u0111\u01b0\u1ee3c h\u00ecnh \u1ea3nh chi ti\u1ebft t\u1ed1t h\u01a1n c\u00f2n c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c c\u1ea3n quang. Thu\u1ed1c c\u1ea3n quang \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o t\u0129nh m\u1ea1ch b\u1ec7nh nh\u00e2n ho\u1eb7c u\u1ed1ng d\u01b0\u1edbi d\u1ea1ng vi\u00ean hay dung d\u1ecbch tr\u01b0\u1edbc khi ch\u1ee5p phim.<\/p>\n<pre>Xem th\u00eam v\u1ec1 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/chup-cat-lop-vi-tinh-ct-scan\/\" target=\"_blank\" rel=\"noopener\">Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh - CT Scan<\/a><\/pre>\n<h2><strong>N\u1ed9i soi<\/strong><strong>\/ N\u1ed9i soi si\u00eau \u00e2m<\/strong><\/h2>\n<p>N\u1ed9i soi cho ph\u00e9p ba\u0301c si\u0303 quan s\u00e1t ph\u00eda b\u00ean trong <a href=\"https:\/\/yhoccongdong.com\/thongtin\/noi-soi-da-day-gastroscopy\/\" target=\"_blank\" rel=\"noopener\">d\u1ea1 d\u00e0y<\/a> ho\u1eb7c <a href=\"https:\/\/yhoccongdong.com\/thongtin\/noi-soi-dai-trang-colonoscopy\/\" target=\"_blank\" rel=\"noopener\">ru\u1ed9t gi\u00e0<\/a>. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u1ec1n m\u00ea. Thu\u1ed1c an th\u1ea7n \u0111\u01b0\u1ee3c d\u00f9ng cho b\u1ec7nh nh\u00e2n \u0111\u1ec3 h\u1ecd\u00a0 b\u00ecnh t\u0129nh, tho\u1ea3i m\u00e1i h\u01a1n ho\u1eb7c bu\u1ed3n ng\u1ee7. \u0110\u1ed1i v\u1edbi n\u1ed9i soi \u0111\u01b0\u1eddng ti\u00eau ho\u00e1 tr\u00ean, ba\u0301c si\u0303 s\u1ebd d\u00f9ng d\u00e2y soi d\u1ea1 d\u00e0y nh\u1ecf v\u00e0 m\u1ec1m qua mi\u1ec7ng xu\u1ed1ng th\u1ef1c qu\u1ea3n r\u1ed3i t\u1edbi d\u1ea1 d\u00e0y v\u00e0 t\u00e1 tr\u00e0ng. \u0110\u1ed1i v\u1edbi n\u1ed9i soi \u0111\u01b0\u1eddng ti\u00eau ho\u00e1 d\u01b0\u1edbi, b\u00e1c s\u0129 \u0111\u01b0a \u1ed1ng soi v\u00e0o qua h\u1eadu m\u00f4n \u0111\u1ec3 th\u0103m kh\u00e1m tr\u1ef1c tr\u00e0ng v\u00e0 \u0111\u1ea1i tr\u00e0ng. N\u1ebfu c\u00f3 b\u1ea5t th\u01b0\u1eddng ba\u0301c si\u0303 c\u00f3 th\u1ec3 s\u1ebd ti\u1ebfn h\u00e0nh <a href=\"https:\/\/yhoccongdong.com\/thongtin\/sinh-thiet-biopsy\/\" target=\"_blank\" rel=\"noopener\">sinh thi\u1ebft<\/a>, l\u1ea5y 1 m\u1eabu c\u1ee7a m\u00f4 \u0111\u00f3 v\u00e0 ki\u1ec3m tra xem c\u00f3 ph\u1ea3i l\u00e0 ung th\u01b0 kh\u00f4ng (xem ph\u1ea7n sinh thi\u1ebft b\u00ean d\u01b0\u1edbi). N\u1ed9i soi vi\u00ean nang l\u00e0 ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi \u0111\u1eb7c bi\u1ec7t cho ph\u00e9p quan s\u00e1t ru\u1ed9t non r\u1ea5t r\u00f5 r\u00e0ng. \u1ede ph\u01b0\u01a1ng ph\u00e1p n\u00e0y b\u1ec7nh nh\u00e2n c\u1ea7n nu\u1ed1t 1 camera nh\u1ecf. N\u1ed9i soi vi\u00ean nang hi\u1ebfm \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0ng r\u1ea5t h\u1eefu \u00edch trong vi\u1ec7c t\u00ecm nguy\u00ean nh\u00e2n g\u00e2y xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a khi nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n kh\u00e1c th\u1ea5t b\u1ea1i.<\/p>\n<p>N\u1ed9i soi si\u00eau \u00e2m t\u01b0\u01a1ng t\u1ef1 nh\u01b0 n\u1ed9i soi ch\u1ec9 kh\u00e1c l\u00e0 t\u1eadn c\u00f9ng \u1ed1ng soi c\u00f3 g\u1eafn 1 \u0111\u1ea7u d\u00f2 si\u00eau \u00e2m nh\u1ecf. \u0110\u1ea7u d\u00f2 n\u00e0y s\u1eed d\u1ee5ng s\u00f3ng \u00e2m \u0111\u1ec3 t\u1ea1o ra h\u00ecnh \u1ea3nh c\u1ee7a th\u00e0nh d\u1ea1 d\u00e0y ho\u1eb7c tr\u1ef1c tr\u00e0ng v\u00e0 c\u00e1c t\u1ea1ng xung quanh. H\u00ecnh \u1ea3nh si\u00eau \u00e2m gi\u00fap ba\u0301c si\u0303 x\u00e1c \u0111\u1ecbnh ung th\u01b0 c\u00f3 lan ra m\u00f4 l\u00e2n c\u1eadn hay kh\u00f4ng v\u00e0 n\u1ebfu c\u00f3 th\u00ec lan ra bao xa.<\/p>\n<h2><strong>C\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI)<\/strong><\/h2>\n<p>MRI s\u1eed d\u1ee5ng t\u1eeb tr\u01b0\u1eddng, kh\u00f4ng ph\u1ea3i tia X, \u0111\u1ec3 t\u1ea1o ra nh\u1eefng h\u00ecnh \u1ea3nh chi ti\u1ebft c\u1ee7a c\u01a1 th\u1ec3. MRI c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111o k\u00edch th\u01b0\u1edbc c\u1ee7a kh\u1ed1i u. \u0110\u1ec3 t\u1ea1o ra h\u00ecnh \u1ea3nh r\u00f5 r\u00e0ng h\u01a1n ng\u01b0\u1eddi ta s\u1eed d\u1ee5ng ch\u1ea5t nhu\u1ed9m m\u00e0u \u0111\u1eb7c bi\u1ec7t g\u1ecdi l\u00e0 ch\u1ea5t c\u1ea3n quang tr\u01b0\u1edbc khi ch\u1ee5p phim. Ch\u1ea5t c\u1ea3n quang c\u00f3 th\u1ec3 \u0111\u01b0a v\u00e0o c\u01a1 th\u1ec3 qua ti\u00eam t\u0129nh m\u1ea1ch ho\u1eb7c u\u1ed1ng d\u01b0\u1edbi d\u1ea1ng vi\u00ean nang ho\u1eb7c ch\u1ea5t l\u1ecfng.<\/p>\n<p>N\u1ebfu ph\u00e1t hi\u1ec7n u (da\u0323ng kh\u1ed1i ho\u1eb7c ha\u0323ch) ba\u0301c si\u0303 s\u1ebd l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec3 xa\u0301c \u0111i\u0323nh u \u0111\u00f3 c\u00f3 ph\u1ea3i l\u00e0 ung th\u01b0 kh\u00f4ng. V\u1edbi h\u1ea7u h\u1ebft c\u00e1c lo\u1ea1i u, sinh thi\u1ebft l\u00e0 c\u00e1ch duy nh\u1ea5t \u0111\u1ec3 bi\u1ebft ch\u1eafc ch\u1eafn v\u00f9ng \u0111\u00f3 c\u1ee7a c\u01a1 th\u1ec3 c\u00f3 b\u1ecb ung th\u01b0 hay kh\u00f4ng. N\u1ebfu nh\u01b0 kh\u00f4ng sinh thi\u1ebft \u0111\u01b0\u1ee3c th\u00ec ba\u0301c si\u0303 c\u00f3 th\u1ec3 s\u1ebd y\u00eau c\u1ea7u l\u00e0m th\u00eam c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c \u0111\u1ec3 h\u00f4\u0303 tr\u01a1\u0323 cho ch\u1ea9n \u0111o\u00e1n.<\/p>\n<pre>Xem th\u00eam v\u1ec1 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/chup-cong-huong-tu-mri-scan\/\" target=\"_blank\" rel=\"noopener\">Ch\u1ee5p C\u1ed9ng h\u01b0\u1edfng t\u1eeb - MRI Scan<\/a><\/pre>\n<h2><strong>Sinh thi\u1ebft<\/strong><\/h2>\n<p>Ba\u0301c si\u0303 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb l\u00e0m sinh thi\u1ebft n\u1ebfu t\u00ecm th\u1ea5y kh\u1ed1i u nghi ng\u1edd l\u00e0 GIST. Sinh thi\u1ebft l\u00e0 l\u1ea5y m\u1ed9t m\u1eabu m\u00f4 nh\u1ecf \u0111\u1ec3 soi d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi. Lo\u1ea1i sinh thi\u1ebft \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n ph\u1ee5 thu\u1ed9c v\u1ecb tr\u00ed c\u1ee7a kh\u1ed1i u. C\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c c\u00f3 th\u1ec3 pha\u0301t hi\u00ea\u0323n s\u01b0\u0323 t\u00f4\u0300n ta\u0323i cu\u0309a kh\u1ed1i u nh\u01b0ng ch\u1ec9 c\u00f3 sinh thi\u1ebft m\u1edbi c\u00f3 th\u1ec3 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh. Ba\u0301c si\u0303 gi\u1ea3i ph\u1eabu b\u1ec7nh (l\u00e0 nh\u01b0\u0303ng ba\u0301c si\u0303 chuy\u00ean v\u1ec1 ph\u00e2n t\u00edch \u0111\u00e1nh gi\u00e1 c\u00e1c t\u1ebf b\u00e0o, m\u00f4, c\u01a1 quan \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh) s\u1ebd ph\u00e2n t\u00edch m\u1eabu m\u00f4 sinh thi\u1ebft.<\/p>\n<p>D\u01b0\u0323a va\u0300o k\u00ea\u0301t qua\u0309 hi\u0300nh a\u0309nh ph\u00e2n t\u00edch m\u00f4 h\u1ecdc ma\u0300 ba\u0301c si\u0303 \u0111\u01b0a ra chi\u0309 \u0111i\u0323nh sinh thi\u00ea\u0301t ho\u0103\u0323c ph\u1eabu thu\u1eadt. V\u00ec chi\u0309 d\u01b0\u0323a va\u0300o 1 m\u1ea3nh sinh thi\u00ea\u0301t thi\u0300 kh\u00f4ng pha\u0309i lu\u0301c na\u0300o cu\u0303ng ch\u00e2\u0309n \u0111oa\u0301n ra GIST. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea7n ph\u1eabu thu\u1eadt l\u1ea5y to\u00e0n b\u1ed9 u v\u00e0 sinh thi\u1ebft nhi\u1ec1u v\u1ecb tr\u00ed c\u1ee7a u \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n. Tuy nhi\u00ean, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 b\u1ea1n ph\u1ea3i g\u1eb7p \u0111\u1ed9i ng\u0169 c\u00e1c ba\u0301c si\u0303 n\u1ed9i khoa v\u00e0 ngo\u1ea1i khoa ung th\u01b0 c\u00f3 kinh nghi\u1ec7m trong \u0111i\u1ec1u tr\u1ecb GIST tr\u01b0\u1edbc khi th\u01b0\u0323c hi\u00ea\u0323n ph\u00e2\u0303u thu\u00e2\u0323t l\u1edbn.<\/p>\n<pre>Xem th\u00eam v\u1ec1 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/sinh-thiet-biopsy\/\" target=\"_blank\" rel=\"noopener\">Sinh thi\u1ebft<\/a><\/pre>\n<h2><strong>M\u00f4 b\u1ec7nh h\u1ecdc<\/strong><\/h2>\n<p>Ba\u0301c si\u0303 gi\u1ea3i ph\u1eabu b\u1ec7nh ch\u1ea9n \u0111o\u00e1n GIST b\u1eb1ng c\u00e1ch nh\u00ecn h\u00ecnh d\u1ea1ng v\u00e0 s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a c\u00e1c t\u1ebf b\u00e0o u, l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh protein KIT v\u00e0 c\u00e1c ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m ung th\u01b0 kh\u00e1c, t\u00ecm h\u1ec7 s\u1ed1 ph\u00e2n b\u00e0o (l\u00e0 \u0111\u01a1n v\u1ecb \u0111o \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00f3 bao nhi\u00eau t\u1ebf b\u00e0o \u0111ang hoa\u0323t \u0111\u00f4\u0323ng ph\u00e2n chia)<\/p>\n<h2><strong>X\u00e9t nghi\u1ec7m ph\u00e2n t\u1eed kh\u1ed1i u<\/strong><\/h2>\n<p>Ba\u0301c si\u0303 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb th\u1ef1c hi\u1ec7n th\u00eam c\u00e1c x\u00e9t nghi\u1ec7m b\u1ed5 sung tr\u00ean m\u1eabu u \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1c gen, protein, hay c\u00e1c y\u1ebfu t\u1ed1 \u0111\u1eb7c tr\u01b0ng cho kh\u1ed1i u. K\u1ebft qu\u1ea3 c\u1ee7a c\u00e1c x\u00e9t nghi\u1ec7m n\u00e0y s\u1ebd gi\u00fap l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>GIST th\u01b0\u1eddng xu\u00e2\u0301t hi\u00ea\u0323n do \u0111\u1ed9t bi\u1ebfn ho\u0103\u0323c thay \u0111\u00f4\u0309i c\u00e2\u0301u tru\u0301c gen k\u00ea\u0309 ca\u0309 u kh\u00f4ng di truy\u1ec1n. 2 gen b\u1ecb \u1ea3nh h\u01b0\u1edfng ph\u1ed5 bi\u1ebfn nh\u1ea5t trong b\u00ea\u0323nh GIST l\u00e0 KIT v\u00e0 th\u1ee5 th\u1ec3 t\u0103ng tr\u01b0\u1edfng alpha c\u00f3 ngu\u1ed3n g\u1ed1c ti\u1ec3u c\u1ea7u (PDGFRA). M\u1ed9t kh\u1ed1i u c\u00f3 th\u1ec3 c\u00f3 m\u1ed9t trong nhi\u1ec1u lo\u1ea1i \u0111\u1ed9t bi\u1ebfn gen n\u00e0y, m\u1ed9t v\u00e0i \u0111\u1ed9t bi\u1ebfn c\u00f3 th\u1ec3 c\u00f3 h\u1ea1i h\u01a1n nh\u1eefng lo\u1ea1i kh\u00e1c. C\u00e1c \u0111\u1ed9t bi\u1ebfn kh\u00e1c nhau c\u00f3 ti\u00ean l\u01b0\u1ee3ng kh\u00e1c nhau. M\u1ed9t kh\u1ed1i u khi ki\u00ea\u0309m tra ma\u0300 kh\u00f4ng co\u0301 b\u00e2\u0301t ki\u0300 \u0111\u00f4\u0323t bi\u00ea\u0301n gen na\u0300o thi\u0300 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 u wild-type (WT).<\/p>\n<p>C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111ang t\u00ecm th\u00eam nhi\u1ec1u \u0111\u1ed9t bi\u1ebfn \u0111\u01b0\u1ee3c cho l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ra GIST \u0111\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb. \u00a0Succinate dehydrogenase (SDH) l\u00e0 1 trong s\u1ed1 \u0111\u00f3. M\u1ed9t gen kh\u00e1c l\u00e0 BRAF, \u0111\u00f4i khi c\u0169ng thay \u0111\u1ed5i \u1edf nh\u1eefng ng\u01b0\u1eddi m\u1eafc c\u00e1c lo\u1ea1i ung th\u01b0 kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 u h\u1eafc t\u1ed1 hay ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng.<\/p>\n<p>K\u00ea\u0301t qua\u0309 x\u00e9t nghi\u1ec7m \u0111\u00f4\u0323t bi\u00ea\u0301n co\u0301 th\u00ea\u0309 giu\u0301p ca\u0301c ba\u0301c si\u0303 \u0111\u01b0a ra ca\u0301c ph\u01b0\u01a1ng pha\u0301p \u0111i\u00ea\u0300u tri\u0323: X\u00e1c \u0111\u1ecbnh li\u00ea\u0300u c\u1ee7a thu\u00f4\u0301c imatinib (Gleevec, Glivec) s\u1eed d\u1ee5ng, li\u1ec7u c\u00f3 c\u1ea7n \u0111i\u1ec1u tr\u1ecb xa hay kh\u00f4ng, ho\u0103\u0323c thu\u1ed1c thay th\u1ebf kh\u00e1c.<\/p>\n<h2><strong>PET ho\u1eb7c PET-CT scan<\/strong><\/h2>\n<p>Ch\u1ee5p PET th\u01b0\u1eddng k\u1ebft h\u1ee3p v\u1edbi ch\u1ee5p CT \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 PET-CT scan. Tuy nhi\u00ean, b\u1ea1n c\u00f3 th\u1ec3 nghe ba\u0301c si\u0303 \u0111\u1ec1 c\u1eadp \u0111\u1ebfn quy tr\u00ecnh n\u00e0y gi\u1ed1ng nh\u01b0 m\u1ed9t l\u1ea7n ch\u1ee5p PET. Ch\u1ee5p PET l\u00e0 1 c\u00e1ch \u0111\u1ec3 t\u1ea1o ra h\u00ecnh \u1ea3nh c\u1ee7a c\u00e1c c\u01a1 quan v\u00e0 m\u00f4 b\u00ean trong c\u01a1 th\u1ec3. M\u1ed9t l\u01b0\u1ee3ng nh\u1ecf \u0111\u01b0\u1eddng co\u0301 g\u1eafn ph\u00f3ng x\u1ea1 \u0111\u01b0\u1ee3c ti\u00eam cho b\u1ec7nh nh\u00e2n. \u0110\u01b0\u1eddng s\u1ebd \u0111\u01b0\u1ee3c c\u00e1c t\u1ebf b\u00e0o s\u1eed d\u1ee5ng n\u0103ng l\u01b0\u1ee3ng nhi\u1ec1u nh\u1ea5t h\u1ea5p th\u1ee5, . V\u00ec c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 c\u1ea7n nhi\u1ec1u n\u0103ng l\u01b0\u1ee3ng ho\u1ea1t \u0111\u1ed9ng n\u00ean s\u1ebd h\u1ea5p th\u1ee5 nhi\u1ec1u ch\u1ea5t ph\u00f3ng x\u1ea1. Sau \u0111o\u0301 m\u00e1y qu\u00e9t ph\u00e1t hi\u1ec7n ch\u1ea5t n\u00e0y \u0111\u1ec3 t\u1ea1o ra h\u00ecnh \u1ea3nh c\u1ee7a b\u00ean trong c\u01a1 th\u1ec3. C\u00e1c ba\u0301c si\u0303 th\u01b0\u1eddng s\u1eed d\u1ee5ng PET scan ph\u00e1t hi\u1ec7n l\u01b0\u1ee3ng \u0111\u01b0\u1eddng \u0111\u01b0\u1ee3c h\u1ea5p th\u1ee5 b\u1edfi kh\u1ed1i u. \u0110i\u1ec1u n\u00e0y gi\u00fap \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb v\u00ec c\u00f3 nhi\u1ec1u kh\u1ed1i u kh\u00f4ng thay \u0111\u1ed5i k\u00edch th\u01b0\u1edbc th\u1eadm ch\u00ed khi \u0111ang \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Sau khi l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n, ba\u0301c si\u0303 s\u1ebd xem x\u00e9t l\u1ea1i t\u1ea5t c\u1ea3 k\u1ebft qu\u1ea3 c\u00f9ng v\u1edbi b\u1ea1n. N\u1ebfu ch\u1ea9n \u0111o\u00e1n l\u00e0 GIST, m\u1ed9t s\u1ed1 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m s\u1ebd gi\u00fap ba\u0301c si\u0303 ch\u1ea9n \u0111o\u00e1n giai \u0111o\u1ea1n b\u1ec7nh.<\/p>\n<pre>Xem th\u00eam v\u1ec1 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/chup-positron-cat-lop\/\" target=\"_blank\" rel=\"noopener\">Ch\u1ee5p PET-CT<\/a><\/pre>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"https:\/\/www.cancer.net\/cancer-types\/gastrointestinal-stromal-tumor-gist\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cancer.net\/cancer-types\/gastrointestinal-stromal-tumor-gist<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u00f3 nhi\u1ec1u x\u00e9t nghi\u1ec7m \u0111\u1ec3 t\u00ecm ra ho\u1eb7c ch\u1ea9n \u0111o\u00e1n GIST. Ngo\u00e0i vi\u1ec7c th\u0103m kh\u00e1m th\u1ef1c th\u1ec3, c\u00e1c x\u00e9t nghi\u1ec7m d\u01b0\u1edbi \u0111\u00e2y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n GIST ho\u1eb7c x\u00e1c \u0111\u1ecbnh k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t. C\u00e1c x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 l\u00e0m : CLVT, MRI, n\u1ed9i soi si\u00eau \u00e2m,&#8230;<\/p>\n","protected":false},"author":533,"featured_media":8717,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3371,2460],"tags":[3380,3381,3373,3382],"series":[2202],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>U m\u00f4 \u0111\u00eam \u0111\u01b0\u1eddng ti\u00eau h\u00f3a (GIST) - Ch\u1ea9n \u0111o\u00e1n - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"C\u00f3 nhi\u1ec1u x\u00e9t nghi\u1ec7m \u0111\u1ec3 t\u00ecm ra ho\u1eb7c ch\u1ea9n \u0111o\u00e1n GIST. Ngo\u00e0i vi\u1ec7c th\u0103m kh\u00e1m th\u1ef1c th\u1ec3, c\u00e1c x\u00e9t nghi\u1ec7m d\u01b0\u1edbi \u0111\u00e2y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n GIST ho\u1eb7c x\u00e1c \u0111\u1ecbnh k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t. C\u00e1c x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 l\u00e0m : CLVT, MRI, n\u1ed9i soi si\u00eau \u00e2m,... C\u00f3 nhi\u1ec1u x\u00e9t nghi\u1ec7m \u0111\u1ec3 t\u00ecm ra ho\u1eb7c ch\u1ea9n \u0111o\u00e1n GIST. Ngo\u00e0i vi\u1ec7c th\u0103m kh\u00e1m th\u1ef1c th\u1ec3, c\u00e1c x\u00e9t nghi\u1ec7m d\u01b0\u1edbi \u0111\u00e2y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n GIST ho\u1eb7c x\u00e1c \u0111\u1ecbnh k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t. C\u00e1c x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 l\u00e0m : CLVT, MRI, n\u1ed9i soi si\u00eau \u00e2m,...\" \/>\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\/u-mo-dem-duong-tieu-hoa-gist-chan-doan\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"U m\u00f4 \u0111\u00eam \u0111\u01b0\u1eddng ti\u00eau h\u00f3a (GIST) - Ch\u1ea9n \u0111o\u00e1n - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"C\u00f3 nhi\u1ec1u x\u00e9t nghi\u1ec7m \u0111\u1ec3 t\u00ecm ra ho\u1eb7c ch\u1ea9n \u0111o\u00e1n GIST. Ngo\u00e0i vi\u1ec7c th\u0103m kh\u00e1m th\u1ef1c th\u1ec3, c\u00e1c x\u00e9t nghi\u1ec7m d\u01b0\u1edbi \u0111\u00e2y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n GIST ho\u1eb7c x\u00e1c \u0111\u1ecbnh k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t. C\u00e1c x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 l\u00e0m : CLVT, MRI, n\u1ed9i soi si\u00eau \u00e2m,... C\u00f3 nhi\u1ec1u x\u00e9t nghi\u1ec7m \u0111\u1ec3 t\u00ecm ra ho\u1eb7c ch\u1ea9n \u0111o\u00e1n GIST. Ngo\u00e0i vi\u1ec7c th\u0103m kh\u00e1m th\u1ef1c th\u1ec3, c\u00e1c x\u00e9t nghi\u1ec7m d\u01b0\u1edbi \u0111\u00e2y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n GIST ho\u1eb7c x\u00e1c \u0111\u1ecbnh k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t. 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Nguy\u1ec5n Th\u1ecb H\u1ee3i\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u0110\u01b0\u1ee3c vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data1\" content=\"ThS. BS. Nguy\u1ec5n Th\u1ecb H\u1ee3i\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u01af\u1edbc t\u00ednh th\u1eddi gian \u0111\u1ecdc\" \/>\n\t<meta name=\"twitter:data2\" content=\"11 ph\u00fat\" \/>\n\t<meta name=\"twitter:label3\" content=\"Vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data3\" content=\"ThS. BS. Nguy\u1ec5n Th\u1ecb H\u1ee3i\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/yhoccongdong.com\/ung-thu\/u-mo-dem-duong-tieu-hoa-gist-chan-doan\/\",\"url\":\"https:\/\/yhoccongdong.com\/ung-thu\/u-mo-dem-duong-tieu-hoa-gist-chan-doan\/\",\"name\":\"U m\u00f4 \u0111\u00eam \u0111\u01b0\u1eddng ti\u00eau h\u00f3a (GIST) - Ch\u1ea9n \u0111o\u00e1n - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\",\"isPartOf\":{\"@id\":\"https:\/\/yhoccongdong.com\/ung-thu\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/yhoccongdong.com\/ung-thu\/u-mo-dem-duong-tieu-hoa-gist-chan-doan\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/yhoccongdong.com\/ung-thu\/u-mo-dem-duong-tieu-hoa-gist-chan-doan\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2020\/12\/u-mo-dem-duong-tieu-hoa-chan-doan.jpg\",\"datePublished\":\"2020-12-20T06:20:35+00:00\",\"dateModified\":\"2020-12-20T06:20:35+00:00\",\"author\":{\"@id\":\"https:\/\/yhoccongdong.com\/ung-thu\/#\/schema\/person\/6646638db3d10f8c25f7b7f2e2a463bc\"},\"description\":\"C\u00f3 nhi\u1ec1u x\u00e9t nghi\u1ec7m \u0111\u1ec3 t\u00ecm ra ho\u1eb7c ch\u1ea9n \u0111o\u00e1n GIST. Ngo\u00e0i vi\u1ec7c th\u0103m kh\u00e1m th\u1ef1c th\u1ec3, c\u00e1c x\u00e9t nghi\u1ec7m d\u01b0\u1edbi \u0111\u00e2y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n GIST ho\u1eb7c x\u00e1c \u0111\u1ecbnh k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t. C\u00e1c x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 l\u00e0m : CLVT, MRI, n\u1ed9i soi si\u00eau \u00e2m,... C\u00f3 nhi\u1ec1u x\u00e9t nghi\u1ec7m \u0111\u1ec3 t\u00ecm ra ho\u1eb7c ch\u1ea9n \u0111o\u00e1n GIST. Ngo\u00e0i vi\u1ec7c th\u0103m kh\u00e1m th\u1ef1c th\u1ec3, c\u00e1c x\u00e9t nghi\u1ec7m d\u01b0\u1edbi \u0111\u00e2y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n GIST ho\u1eb7c x\u00e1c \u0111\u1ecbnh k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t. 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