{"id":770,"date":"2021-08-29T07:42:56","date_gmt":"2021-08-29T07:42:56","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=770"},"modified":"2021-08-29T07:42:58","modified_gmt":"2021-08-29T07:42:58","slug":"u-nguyen-bao-tuy","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/u-nguyen-bao-tuy\/","title":{"rendered":"U nguy\u00ean b\u00e0o t\u1ee5y"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>\u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/p>\n\n\n\n<ul><li>U nguy\u00ean b\u00e0o t\u1ee5y l\u00e0 u t\u1ee5y ngo\u1ea1i ti\u1ebft hi\u1ebfm g\u1eb7p \u1edf tr\u1ebb em. Chi\u1ebfm 0,5% c\u00e1c u t\u1ee5y n\u00f3i chung. Tuy nhi\u00ean, \u0111\u00e2y l\u1ea1i l\u00e0 u th\u01b0\u1eddng g\u1eb7p nh\u1ea5t trong c\u00e1c u \u00e1c t\u00ednh c\u1ee7a t\u1ee5y \u1edf tr\u1ebb em.<\/li><li>Th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb nam, tr\u1ebb em g\u1eb7p nhi\u1ec1u h\u01a1n ng\u01b0\u1eddi l\u1edbn.<\/li><li>C\u00f3 th\u1ec3 \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i, \u0111\u1ed9 tu\u1ed5i th\u01b0\u1eddng g\u1eb7p 2,4 \u2013 5 tu\u1ed5i.<\/li><li>K\u00edch th\u01b0\u1edbc th\u01b0\u1eddng l\u1edbn h\u01a1n 5cm (c\u00f3 th\u1ec3 l\u00ean \u0111\u1ebfn 7 \u2013 18cm), > 50% c\u00f3 di c\u0103n l\u00fac ph\u00e1t hi\u1ec7n.<\/li><li>U c\u00f3 th\u1ec3 g\u1eb7p \u1edf m\u1ecdi v\u1ecb tr\u00ed c\u1ee7a t\u1ee5y, nh\u01b0ng th\u01b0\u1eddng g\u1eb7p \u1edf v\u00f9ng \u0111\u1ea7u t\u1ee5y.<\/li><li>U nguy\u00ean b\u00e0o t\u1ee5y c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn b\u1ea5t th\u01b0\u1eddng nhi\u1ec5m nhi\u1ec5m s\u1eafc th\u1ec3 11 (\u0111\u1ed9t bi\u1ebfn m\u1ea5t allen NST 11p15, m\u1ed9t s\u1ed1 h\u1ed9i ch\u1ee9ng nh\u01b0 h\u1ed9i ch\u1ee9ng Beckwith-Wiedemann v\u00e0 h\u1ed9i ch\u1ee9ng \u0111a polyp tuy\u1ebfn gia \u0111\u00ecnh.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-nguyen-bao-tuy-1.jpg\" alt=\"\" class=\"wp-image-788\" width=\"400\" height=\"280\"\/><figcaption><strong>H\u00ecnh 1: U nguy\u00ean b\u00e0o t\u1ee5y<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Nguy\u00ean nh\u00e2n<\/strong><\/p>\n\n\n\n<ul><li>U nguy\u00ean b\u00e0o t\u1ee5y \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb c\u00e1c t\u1ebf b\u00e0o g\u1ed1c nguy\u00ean th\u1ee7y c\u1ee7a t\u1ee5y th\u1eddi k\u1ef3 th\u00f4i thai (tu\u1ea7n th\u1ee9 8 c\u1ee7a thai k\u1ef3) c\u00f2n t\u1ed3n t\u1ea1i k\u00e9o d\u00e0i do \u0111\u1eb7c \u0111i\u1ec3m m\u00f4 h\u1ecdc c\u1ee7a u t\u01b0\u01a1ng t\u1ef1 nh\u01b0 m\u00f4 h\u1ecdc c\u1ee7a t\u1ee5y th\u1eddi k\u1ef3 ph\u00f4i thai.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Tri\u1ec7u ch\u1ee9ng<\/strong><\/p>\n\n\n\n<ul><li>Th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c \u0111\u00f4i khi kh\u00e1 m\u01a1 h\u1ed3: ch\u1eadm l\u1edbn, \u0111au b\u1ee5ng, bu\u1ed3n n\u00f4n, n\u00f4n \u00f3i, ch\u01b0\u1edbng b\u1ee5ng, s\u1edd th\u1ea5y kh\u1ed1i \u1edf b\u1ee5ng.<\/li><li>B\u1ec7nh c\u00f3 th\u1ec3 \u0111\u00e3 di c\u0103n \u1edf th\u1eddi \u0111i\u1ec3m ch\u1ea9n \u0111o\u00e1n (50%): gan (th\u01b0\u1eddng g\u1eb7p nh\u1ea5t), ph\u1ed5i, x\u01b0\u01a1ng, trung th\u1ea5t, h\u1ea1ch\u2026<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/p>\n\n\n\n<ul><li>X\u00e9t nghi\u1ec7m sinh h\u00f3a: AFP th\u01b0\u1eddng t\u0103ng (75%), alpha1 \u2013 antitrypsin, LDH.<\/li><li>Si\u00eau \u00e2m<\/li><li>CT scan<\/li><li>MRI<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"478\" height=\"323\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-nguyen-bao-tuy-2.jpg\" alt=\"\" class=\"wp-image-787\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-nguyen-bao-tuy-2.jpg 478w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-nguyen-bao-tuy-2-300x203.jpg 300w\" sizes=\"(max-width: 478px) 100vw, 478px\" \/><figcaption><strong>H\u00ecnh 2: U nguy\u00ean b\u00e0o t\u1ee5y tr\u00ean CT<\/strong><br><em>\u201cNgu\u1ed3n: Pennella, 2020\u201d.<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n\n\n\n<ul><li>K\u1ebft h\u1ee3p l\u00e2m s\u00e0ng, c\u1eadn l\u00e2m s\u00e0ng, sinh thi\u1ebft (b\u1eb1ng kim, sinh thi\u1ebft qua m\u1ed5 n\u1ed9i soi hay m\u1ed5 m\u1edf)<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>\u0110i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<ul><li>Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf ho\u00e0n to\u00e0n u k\u1ebft h\u1ee3p h\u00f3a tr\u1ecb tr\u01b0\u1edbc\/sau ph\u1eabu thu\u1eadt \u00b1 x\u1ea1 tr\u1ecb.<ul><li>N\u1ebfu u \u1edf th\u00e2n ho\u1eb7c \u0111u\u00f4i t\u1ee5y, ph\u1eabu thu\u1eadt c\u1eaft th\u00e2n\/\u0111u\u00f4i t\u1ee5y \u00b1 c\u1eaft l\u00e1ch.<\/li><li>N\u1ebfu u \u1edf \u0111\u1ea7u t\u1ee5y, ph\u1eabu thu\u1eadt c\u1eaft kh\u1ed1i t\u00e1 t\u1ee5y (ph\u1eabu thu\u1eadt Whipple).<\/li><\/ul><\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ti\u00ean l\u01b0\u1ee3ng theo d\u00f5i<\/strong><\/p>\n\n\n\n<ul><li>Ti\u00ean l\u01b0\u1ee3ng ph\u1ee5 thu\u1ed9c v\u00e0o vi\u1ec7c c\u00f3 th\u1ec3 c\u1eaft to\u00e0n ho\u00e0n u hay kh\u00f4ng v\u00e0 vi\u1ec7c h\u00f3a tr\u1ecb, x\u1ea1 tr\u1ecb ph\u00f9 h\u1ee3p.<\/li><li>U c\u00f3 th\u1ec3 t\u00e1i ph\u00e1t n\u00ean vi\u1ec7c t\u00e1i kh\u00e1m theo d\u00f5i l\u00e0 c\u1ea7n thi\u1ebft (kh\u00e1m l\u00e2m s\u00e0ng, AFP, h\u00ecnh \u1ea3nh h\u1ecdc).<\/li><\/ul>\n\n\n\n<p><strong><em>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/em><\/strong><\/p>\n\n\n\n<ul><li>Fusco J.C., Malek M.M. and Gittes G.K. (2019), Lesions of the Pancreas, Holcomb and Ashcraft\u2019s Pediatric Surgery , 7th ed, Elsevier, pp. 737 \u2013 749.<\/li><li>Glick R.D., Pashankar F.D., Pappo A., Laquaglia M.P (2012). \u201cManagement of pancreatoblastoma in children and young adults\u201d. J Pediatr Hematol Oncol. 34 Suppl 2:S47-50. Doi: 10.1097\/MPH.0b013e31824e3839. PMID: 22525406.<\/li><li>Pennella C., Bosaleh A., Rose A., et al (2020), &#8220;Pancreatoblastoma. Case report and review of literature&#8221;, Acta gastroenterol\u00f3gica latinoamericana, 50.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ea1i c\u01b0\u01a1ng U nguy\u00ean b\u00e0o t\u1ee5y l\u00e0 u t\u1ee5y ngo\u1ea1i ti\u1ebft hi\u1ebfm g\u1eb7p \u1edf tr\u1ebb em. Chi\u1ebfm 0,5% c\u00e1c u t\u1ee5y n\u00f3i chung. Tuy nhi\u00ean, \u0111\u00e2y l\u1ea1i l\u00e0 u th\u01b0\u1eddng g\u1eb7p nh\u1ea5t trong c\u00e1c u <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/u-nguyen-bao-tuy\/\" title=\"U nguy\u00ean b\u00e0o t\u1ee5y\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":790,"comment_status":"open","ping_status":"open","sticky":false,"template":"template-full.php","format":"standard","meta":[],"categories":[4,21],"tags":[],"_links":{"self":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/770"}],"collection":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/comments?post=770"}],"version-history":[{"count":2,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/770\/revisions"}],"predecessor-version":[{"id":789,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/770\/revisions\/789"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/790"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=770"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=770"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=770"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}