{"id":825,"date":"2021-08-30T06:19:50","date_gmt":"2021-08-30T06:19:50","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=825"},"modified":"2021-08-30T06:19:54","modified_gmt":"2021-08-30T06:19:54","slug":"u-tinh-hoan","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/u-tinh-hoan\/","title":{"rendered":"U tinh ho\u00e0n"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>\u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/p>\n\n\n\n<ul><li>U tinh ho\u00e0n chi\u1ebfm 1-2% c\u00e1c kh\u1ed1i u \u1edf tr\u1ebb em.<\/li><li>Hai \u0111\u1ec9nh tu\u1ed5i th\u01b0\u1eddng g\u1eb7p<ul><li>Tr\u01b0\u1edbc 2 tu\u1ed5i<\/li><li>Tu\u1ed5i th\u00e0nh ni\u00ean<\/li><\/ul><\/li><li>2-3% c\u00f3 th\u1ec3 b\u1ecb hai b\u00ean<\/li><li>U tinh ho\u00e0n c\u00f3 th\u1ec3 c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb b\u1ea5t k\u1ef3 lo\u1ea1i t\u1ebf b\u00e0o n\u00e0o c\u1ee7a tinh ho\u00e0n, nh\u01b0ng \u00a095% c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb t\u1ebf b\u00e0o m\u1ea7m, 5% c\u00f2n l\u1ea1i l\u00e0 u t\u1eeb d\u00e2y sinh d\u1ee5c (t\u1ebf b\u00e0o Leydig ho\u1eb7c Sertoli).<\/li><li>C\u00e1c lo\u1ea1i u tinh b\u00e0o and carcinom ph\u00f4i \u00edt g\u1eb7p tr\u01b0\u1edbc tu\u1ed5i d\u1eady th\u00ec<\/li><li>U tinh ho\u00e0n th\u01b0\u1eddng l\u00e0 u nguy\u00ean ph\u00e1t, hi\u1ebfm khi th\u1ee9 ph\u00e1t t\u1eeb c\u01a1 quan kh\u00e1c di c\u0103n.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"937\" height=\"432\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-tinh-hoan-1.png\" alt=\"\" class=\"wp-image-845\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-tinh-hoan-1.png 937w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-tinh-hoan-1-300x138.png 300w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-tinh-hoan-1-768x354.png 768w\" sizes=\"(max-width: 937px) 100vw, 937px\" \/><figcaption><strong>H\u00ecnh 1: U tinh ho\u00e0n<\/strong><br><em>(https:\/\/urologyspecialistsnc.com\/testicular-cancer\/)<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ph\u00e2n lo\u1ea1i<\/strong><\/p>\n\n\n\n<p><strong>Theo ngu\u1ed3n g\u1ed1c<\/strong><\/p>\n\n\n\n<ul><li>U nguy\u00ean ph\u00e1t<ul><li>U t\u1ebf b\u00e0o m\u1ea7m (95%)<ul><li>U qu\u00e1i (th\u01b0\u1eddng g\u1eb7p nh\u1ea5t)<\/li><li>U tinh b\u00e0o (Seminom)<\/li><li>Carcinom ph\u00f4i<\/li><li>Carcimon \u0111\u1ec7m nu\u00f4i<\/li><li>U t\u00fai no\u00e3n ho\u00e0n<\/li><li>U t\u1ebf b\u00e0o m\u1ea7m h\u1ed7n h\u1ee3p<\/li><\/ul><\/li><li>U \u0111\u1ec7m d\u00e2y sinh d\u1ee5c (Leydig, Sertoli, h\u1ed7n h\u1ee3p) (5%).<\/li><\/ul><\/li><li>U th\u1ee9 ph\u00e1t<\/li><li>U c\u1ea1nh tinh ho\u00e0n (sarcom c\u01a1 v\u00e2n\u2026).<\/li><\/ul>\n\n\n\n<p><strong>Theo \u0111\u1ed9 l\u00e0nh \u00e1c<\/strong><\/p>\n\n\n\n<ul><li>\u00c1c t\u00ednh<ul><li>U tinh b\u00e0o (seminom)<\/li><li>Carcinom ph\u00f4i<\/li><li>Carcinom \u0111\u1ec7m nu\u00f4i<\/li><li>U t\u00fai ho\u00e3n ho\u00e0n<\/li><li>U qu\u00e1i (sau tu\u1ed5i d\u1eady th\u00ec th\u01b0\u1eddng \u00e1c t\u00ednh)<\/li><\/ul><\/li><li>L\u00e0nh t\u00ednh<ul><li>H\u1ea7u h\u1ebft u \u0111\u1ec7m d\u00e2y sinh d\u1ee5c l\u00e0 l\u00e0nh t\u00ednh (\u00e1c t\u00ednh th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn)<\/li><li>U qu\u00e1i (tr\u01b0\u1edbc tu\u1ed5i d\u1eady th\u00ec)<\/li><\/ul><\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/strong><\/p>\n\n\n\n<ul><li>H\u1ecfi ti\u1ec1n c\u0103n: u tinh ho\u00e0n (gia \u0111\u00ecnh), ch\u1ea5n th\u01b0\u01a1ng, tinh ho\u00e0n \u1ea9n, b\u1ec7nh l\u00fd di truy\u1ec1n\u2026<\/li><li>D\u1ea5u hi\u1ec7u: kh\u1ed1i v\u00f9ng b\u00ecu to c\u00f3 th\u1ec3 \u0111au ho\u1eb7c kh\u00f4ng (85% kh\u00f4ng \u0111au), \u0111au t\u1ee9c v\u00f9ng b\u1ee5ng th\u1ea5p ho\u1eb7c b\u00ecu, \u0111au l\u01b0ng (n\u1ebfu di c\u0103n h\u1ea1ch \u1edf l\u01b0ng), kh\u00f3 th\u1edf, ho trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 di c\u0103n ph\u1ed5i.<\/li><li>Kh\u00e1m: s\u1edd th\u1ea5y kh\u1ed1i c\u1ee9ng ch\u1eafc v\u00f9ng b\u00ecu. Tuy nhi\u00ean, kh\u00e1m b\u00ecnh th\u01b0\u1eddng c\u0169ng kh\u00f4ng lo\u1ea1i tr\u1eeb \u0111\u01b0\u1ee3c u. C\u00f3 th\u1ec3 k\u00e8m tr\u00e0n d\u1ecbch tinh m\u1ea1c (c\u00f3 th\u1ec3 g\u1eb7p \u1edf 10 &#8211; 25% u \u00e1c t\u00ednh)<\/li><li>C\u00e1c d\u1ea5u hi\u1ec7u d\u1eady th\u00ec s\u1edbm, n\u1eef h\u00f3a tuy\u1ebfn v\u00fa.<\/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>Sinh h\u00f3a: AFP (u t\u00fai no\u00e3n ho\u00e0ng), beta HCG (t\u0103ng trong gonadoblastoma), Testosteron (t\u0103ng trong u t\u1ebf b\u00e0o leydig), LDH, PLAP.<\/li><li>Si\u00eau \u00e2m b\u1eb9n b\u00ecu.<\/li><li>Ch\u1ee5p XQ ng\u1ef1c: trong tr\u01b0\u1eddng g\u1ee3p Sarcom c\u01a1 v\u00e2n, u t\u00fai no\u00e3n ho\u00e0n (20% c\u00f3 th\u1ec3 di c\u0103n ph\u1ed5i).<\/li><li>CT b\u1ee5ng ch\u1eadu, x\u1ea1 h\u00ecnh x\u01b0\u01a1ng: Sarcom c\u01a1 v\u00e2n.<\/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>T\u00f9y theo lo\u1ea1i u, t\u00ednh ch\u1ea5t m\u00f4 h\u1ecdc, giai \u0111o\u1ea1n b\u1ec7nh m\u00e0 c\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p<ul><li>C\u1eaft u b\u1ea3o t\u1ed3n tinh ho\u00e0n<\/li><li>Ph\u1eabu thu\u1eadt c\u1eaft cao tinh ho\u00e0n +\/- h\u00f3a tr\u1ecb<\/li><\/ul><\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ti\u00ean l\u01b0\u1ee3ng v\u00e0 theo d\u00f5i<\/strong><\/p>\n\n\n\n<ul><li>Ti\u00ean l\u01b0\u1ee3ng t\u1ed1t \u0111\u1ed1i v\u1edbi c\u00e1c u l\u00e0nh t\u00ednh. Th\u1eadm ch\u00ed \u0111\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p u \u00e1c t\u00ednh \u0111\u00e3 di c\u0103n nh\u01b0 u t\u00fai no\u00e3n ho\u00e0n, sarcom c\u01a1 v\u00e2n, t\u1ec9 l\u1ec7 s\u1ed1ng c\u00f2n n\u1ebfu h\u00f3a tr\u1ecb th\u00edch h\u1ee3p c\u00f3 th\u1ec3 l\u00ean \u0111\u1ebfn 70 &#8211; 90%.<\/li><li>T\u00e1i kh\u00e1m theo l\u1ecbch h\u1eb9n<\/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>Al-Salem A.H (2014), Testicular Tumors, An illustrated guide to pediatric surgery, Springer, pp. 505-511.<\/li><li><a href=\"https:\/\/urology.ucsf.edu\/patient-care\/children\/genitourinary-malignancies\/testicular-tumors#.YShTAx9MTIU\">https:\/\/urology.ucsf.edu\/patient-care\/children\/genitourinary-malignancies\/testicular-tumors#.YShTAx9MTIU<\/a><\/li><li>https:\/\/urologyspecialistsnc.com\/testicular-cancer\/<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ea1i c\u01b0\u01a1ng U tinh ho\u00e0n chi\u1ebfm 1-2% c\u00e1c kh\u1ed1i u \u1edf tr\u1ebb em. Hai \u0111\u1ec9nh tu\u1ed5i th\u01b0\u1eddng g\u1eb7p Tr\u01b0\u1edbc 2 tu\u1ed5i Tu\u1ed5i th\u00e0nh ni\u00ean 2-3% c\u00f3 th\u1ec3 b\u1ecb hai b\u00ean U tinh ho\u00e0n c\u00f3 th\u1ec3 <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/u-tinh-hoan\/\" title=\"U tinh ho\u00e0n\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":845,"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\/825"}],"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=825"}],"version-history":[{"count":6,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/825\/revisions"}],"predecessor-version":[{"id":850,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/825\/revisions\/850"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/845"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=825"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=825"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=825"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}