{"id":854,"date":"2021-08-31T08:56:24","date_gmt":"2021-08-31T01:56:24","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=854"},"modified":"2021-08-31T08:56:26","modified_gmt":"2021-08-31T01:56:26","slug":"u-ac-buong-trung","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/u-ac-buong-trung\/","title":{"rendered":"U \u00e1c bu\u1ed3ng tr\u1ee9ng"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>\u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/p>\n\n\n\n<ul><li>U \u00e1c bu\u1ed3ng tr\u1ee9ng chi\u1ebfm 1,5% c\u00e1c u \u00e1c t\u00ednh \u1edf tr\u1ebb em. \u00cdt g\u1eb7p \u1edf tr\u1ebb d\u01b0\u1edbi 10 tu\u1ed5i.<\/li><li>C\u00e1c u c\u00f3 ngu\u1ed3n g\u1ed1c bi\u1ec3u m\u00f4 hay u qu\u00e1i th\u01b0\u1eddng l\u00e0nh t\u00ednh.<\/li><li>C\u00e1c u t\u1ebf b\u00e0o m\u1ea7m th\u01b0\u1eddng \u00e1c t\u00ednh.<ul><li>U ngh\u1ecbch m\u1ea7m (u \u00e1c t\u00ednh bu\u1ed3ng tr\u1ee9ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf tr\u1ebb em)<\/li><li>U t\u00fai no\u00e3n ho\u00e0ng,<\/li><li>Carcinom \u0111\u1ec7m nu\u00f4i,<\/li><li>U qu\u00e1i ch\u01b0a tr\u01b0\u1edfng th\u00e0nh,<\/li><\/ul><\/li><li>75% u \u00e1c \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u1edf giai \u0111o\u1ea1n II \u2013 IV. Tuy nhi\u00ean, \u0111a s\u1ed1 u t\u1ebf b\u00e0o m\u1ea7m th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u1edf giai \u0111o\u1ea1n I do u t\u0103ng k\u00edch th\u01b0\u1edbc nhanh.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ph\u00e2n lo\u1ea1i u bu\u1ed3ng tr\u1ee9ng<\/strong><\/p>\n\n\n\n<p><strong><em>Theo ngu\u1ed3n g\u1ed1c<\/em><\/strong><strong><\/strong><\/p>\n\n\n\n<ul><li>U t\u1ebf b\u00e0o m\u1ea7m (85%)<ul><li>U qu\u00e1i (th\u01b0\u1eddng g\u1eb7p nh\u1ea5t trong u t\u1ebf b\u00e0o m\u1ea7m) (xem th\u00eam b\u00e0i u qu\u00e1i \u1edf tr\u1ebb em)<\/li><li>U ngh\u1ecbch m\u1ea7m (th\u01b0\u1eddng g\u1eb7p th\u1ee9 2)<\/li><li>U t\u00fai no\u00e3n ho\u00e0n<\/li><li>Carcinom \u0111\u1ec7m nu\u00f4i<\/li><li>Carcinom ph\u00f4i<\/li><li>B\u01b0\u1edbu nguy\u00ean b\u00e0o sinh d\u1ee5c<\/li><li>B\u01b0\u1edbu \u0111a ph\u00f4i<\/li><li>B\u01b0\u1edbu t\u1ebf b\u00e0o m\u1ea7m h\u1ed7n h\u1ee3p \u00e1c t\u00ednh<\/li><\/ul><\/li><li>U t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 (d\u1ecbch, nh\u1ea7y,\u2026)<\/li><li>U \u0111\u1ec7m d\u00e2y sinh d\u1ee5c (granulosa, Leydig-Sertoli)<\/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>\u0110au b\u1ee5ng l\u00e0 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t (50 \u2013 75%), do xo\u1eafn, v\u1ee1, xu\u1ea5t huy\u1ebft.<\/li><li>B\u1ee5ng to, kh\u1ed1i \u1edf b\u1ee5ng<\/li><li>Ch\u1ea3y m\u00e1u \u00e2m \u0111\u1ea1o, \u0111au b\u1ee5ng kinh, tr\u1ec5 kinh\u2026<\/li><li>D\u1eady th\u00ec s\u1edbm<\/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: AFP, Beta HCG, CA 125, CEA, LDH.<\/li><li>Si\u00eau \u00e2m: h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng x\u00e2m l\u1ea5n, di c\u0103n<\/li><li>CT scan: ch\u1ea9n \u0111o\u00e1n, \u0111\u00e1nh gi\u00e1 s\u1ef1 x\u00e2m l\u1ea5n, di c\u0103n u.<\/li><li>X\u1ea1 h\u00ecnh x\u01b0\u01a1ng<\/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>\u0110a m\u00f4 th\u1ee9c k\u1ebft h\u1ee3p ph\u1eabu thu\u1eadt, h\u00f3a tr\u1ecb, x\u1ea1 tr\u1ecb.<\/li><li>Ph\u1eabu thu\u1eadt c\u1eaft bu\u1ed3ng tr\u1ee9ng ch\u1ee9a b\u01b0\u1edbu, ph\u1ea7n ph\u1ee5, c\u1eaft m\u1ea1c n\u1ed1i l\u1edbn, sinh thi\u1ebft h\u1ea1ch v\u00f9ng, r\u1eeda \u1ed5 b\u1ee5ng l\u00e0m cell block.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"836\" height=\"327\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-ac-bt-1.jpg\" alt=\"\" class=\"wp-image-858\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-ac-bt-1.jpg 836w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-ac-bt-1-300x117.jpg 300w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-ac-bt-1-768x300.jpg 768w\" sizes=\"(max-width: 836px) 100vw, 836px\" \/><figcaption><strong>H\u00ecnh 1: B\u01b0\u1edbu qu\u00e1i ch\u01b0a tr\u01b0\u1edfng th\u00e0nh \u1edf bu\u1ed3ng tr\u1ee9ng sau khi \u0111\u01b0\u1ee3c c\u1eaft ra<\/strong><br><em>\u201cNgu\u1ed3n: Al-Salem, 2014\u201d.<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ti\u00ean l\u01b0\u1ee3ng<\/strong><\/p>\n\n\n\n<ul><li>Ti\u00ean l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh ph\u1ee5 thu\u1ed9c v\u00e0o k\u1ebft qu\u1ea3 ph\u1eabu thu\u1eadt, giai \u0111o\u1ea1n b\u1ec7nh, m\u00f4 h\u1ecdc\u2026<\/li><li>Nh\u00ecn chung, c\u00e1c lo\u1ea1i u t\u1ebf b\u00e0o m\u1ea7m \u0111\u00e1p \u1ee9ng kh\u00e1 t\u1ed1t v\u1edbi h\u00f3a tr\u1ecb v\u00e0 x\u1ea1 tr\u1ecb.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>T\u00e1i kh\u00e1m theo d\u00f5i<\/strong><\/p>\n\n\n\n<ul><li>B\u01b0\u1edbu \u00e1c bu\u1ed3ng tr\u1ee9ng c\u00f3 t\u1ec9 l\u1ec7 t\u00e1i ph\u00e1t kh\u00e1 cao. Do \u0111\u00f3 vi\u1ec7c t\u00e1i kh\u00e1m theo d\u00f5i l\u00e0 c\u1ea7n thi\u1ebft.<\/li><li>Sau khi xu\u1ea5t vi\u1ec7n, t\u00e1i kh\u00e1m m\u1ed7i th\u00e1ng trong n\u0103m \u0111\u1ea7u, m\u1ed7i 2 th\u00e1ng trong n\u0103m th\u1ee9 2, m\u1ed7i 3 th\u00e1ng trong n\u0103m th\u1ee9 3 \u0111\u1ec3 theo d\u00f5i (AFP, Beta HCG, h\u00ecnh \u1ea3nh h\u1ecdc\u2026).<\/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), <em>Ovarian Cysts and Tumors<\/em>, An illustrated guide to pediatric surgery, Springer, pp. 461 \u2013 468.<\/li><li>Chaopotong P, Therasakvichya S, Leelapatanadit C, Jaishuen A, Kuljarusnont S. (2015). Ovarian Cancer in Children and Adolescents: Treatment and Reproductive Outcomes. <em>Asian Pac J Cancer Prev<\/em>. 2015;16(11):4787-90. doi: 10.7314\/apjcp.16.11.4787.<\/li><li>Mahadik K, Ghorpade K. (2014). Childhood ovarian malignancy. <em>J Obstet Gynaecol India<\/em> ;64(2):91-4. doi: 10.1007\/s13224-014-0533-4.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ea1i c\u01b0\u01a1ng U \u00e1c bu\u1ed3ng tr\u1ee9ng chi\u1ebfm 1,5% c\u00e1c u \u00e1c t\u00ednh \u1edf tr\u1ebb em. \u00cdt g\u1eb7p \u1edf tr\u1ebb d\u01b0\u1edbi 10 tu\u1ed5i. C\u00e1c u c\u00f3 ngu\u1ed3n g\u1ed1c bi\u1ec3u m\u00f4 hay u qu\u00e1i th\u01b0\u1eddng l\u00e0nh t\u00ednh. <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/u-ac-buong-trung\/\" title=\"U \u00e1c bu\u1ed3ng tr\u1ee9ng\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":860,"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\/854"}],"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=854"}],"version-history":[{"count":3,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/854\/revisions"}],"predecessor-version":[{"id":861,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/854\/revisions\/861"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/860"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=854"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=854"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=854"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}