{"id":273892,"date":"2008-05-29T12:24:01","date_gmt":"2008-05-29T05:24:01","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/xet-nghiem-psa-co-the-khong-can-thiet-o-dan-ong-cao-tuoi\/"},"modified":"2025-11-08T19:23:18","modified_gmt":"2025-11-08T12:23:18","slug":"xet-nghiem-psa-co-the-khong-can-thiet-o-dan-ong-cao-tuoi","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/xet-nghiem-psa-co-the-khong-can-thiet-o-dan-ong-cao-tuoi\/","title":{"rendered":"X\u00e9t Nghi\u1ec7m PSA c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea7n thi\u1ebft \u1edf \u0111\u00e0n \u00f4ng cao tu\u1ed5i."},"content":{"rendered":"<p><strong>H 1- A- B\u00ecnh th\u01b0\u1eddng, t\u1ebf b\u00e0o l\u1ea1 m\u1ed9t khi xu\u1ea5t hi\u1ec7n s\u1ebd b\u1ecb ti\u00eau di\u1ec7t (apoptosis); B- Tr\u01b0\u1eddng h\u1ee3p ung th\u01b0: T\u1ebf b\u00e0o ung th\u01b0 tho\u00e1t kh\u1ecfi s\u1ef1 ki\u1ec3m so\u00e1t c\u1ee7a c\u01a1 th\u1ec3 v\u00e0 t\u0103ng tr\u01b0\u1edfng theo c\u1ea5p s\u1ed1 nh\u00e2n.<\/strong><\/p>\n<p><strong><br \/>\n<\/strong><\/p>\n<p><strong>H 2- Tuy\u1ebfn ti\u1ec1n li\u1ec7t&nbsp; b\u00ecnh th\u01b0\u1eddng<br \/>\n<\/strong><\/p>\n<p><strong>H 3- Ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t<\/strong><\/p>\n<p><strong><br \/>\n<\/strong><\/p>\n<p><strong>H 4- Th\u0103m h\u1eadu m\u00f4n b\u1eb1ng ng\u00f3n tay (DRE) \u0111\u1ec3 ph\u00e1t hi\u1ec7n UTTTL<\/strong><\/p>\n<p>Th\u1eadt v\u1eady, x\u00e1c su\u1ea5t t\u1eed vong v\u00ec ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t (UTTTL) v\u00e0 nh\u1eefng b\u1ec7nh c\u00f3 nguy c\u01a1 cao gi\u1ea3m \u1ed5n \u0111\u1ecbnh \u1edf nh\u1eefng ng\u01b0\u1eddi n\u00e0y, TS Anna E. Kettermann (BV Johns Hopkins) \u0111\u00e3 &nbsp;b\u00e1o c\u00e1o nh\u01b0 tr\u00ean t\u1ea1i h\u1ed9i ngh\u1ecb c\u1ee7a Hi\u1ec7p H\u1ed9i Ni\u1ec7u Khoa M\u1ef9 di\u1ec5n ra t\u1ea1i Orlando, M\u1ef9 ng\u00e0y 23 Th\u00e1ng 5\/ 2008.<\/p>\n<p>Ng\u01b0\u1ee3c l\u1ea1i, m\u1ee9c \u0111\u1ed9 PSA b\u1eb1ng ho\u1eb7c cao h\u01a1n 3 ng\/mL \u0111i k\u00e8m v\u1edbi t\u0103ng x\u00e1c su\u1ea5t nguy c\u01a1 cao h\u00ecnh th\u00e0nh ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t.<\/p>\n<p>&#8220;<strong>Nh\u1eefng \u0111\u00e0n \u00f4ng c\u00f3 m\u1ee9c PSA &lt; 3 ng\/mL \u1edf tu\u1ed5i 75 ho\u1eb7c 80 \u00edt c\u00f3 kh\u1ea3 n\u0103ng h\u00ecnh th\u00e0nh ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn x\u00e2m l\u1ea5n \u1edf giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a cu\u1ed9c \u0111\u1eddi v\u00e0, \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi n\u00e0y,c\u00f3 th\u1ec3 ng\u01b0ng x\u00e9t nghi\u1ec7m PSA m\u1ed9t c\u00e1ch an to\u00e0n<\/strong>,&#8221; TS Kettermann kh\u1eb3ng \u0111\u1ecbnh.<\/p>\n<p>Nh\u1eefng ph\u00e1t hi\u1ec7n n\u00e0y \u0111\u00fac k\u1ebft t\u1eeb m\u1ed9t ph\u00e2n t\u00edch d\u1eef li\u1ec7u c\u1ee7a 849 ng\u01b0\u1eddi tham gia v\u00e0o \u201cNghi\u00ean C\u1ee9u C\u1eaft d\u1ecdc v\u1ec1 L\u00e3o Ho\u00e1 Baltimore.\u201d C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u00e3 t\u00ednh to\u00e1n x\u00e1c su\u1ea5t c\u1ee7a m\u1ed7i ng\u01b0\u1eddi trong h\u00ecnh th\u00e0nh nguy c\u01a1 cao ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t cho qu\u00e1 tr\u00ecnh m\u1ed7i 5 n\u0103m b\u1eaft \u0111\u1ea7u t\u1eeb 60 \u0111\u1ebfn 65 tu\u1ed5i, ph\u00e2n t\u1ea7ng b\u1eb1ng tr\u1ecb s\u1ed1 PSA gi\u1edbi h\u1ea1n t\u1eeb &lt;1 ng\/mL \u0111\u1ebfn &gt;3 ng\/mL.<\/p>\n<p>Nguy c\u01a1 cao ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t (UTTTL) \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 t\u1eed vong do UTTTL, v\u1edbi tr\u1ecb s\u1ed1 PSA l\u1edbn h\u01a1n 20 ng\/mL, ho\u1eb7c sinh thi\u1ebft tuy\u1ebfn ti\u1ec1n li\u1ec7t v\u1edbi \u0111i\u1ec3m s\u1ed1 Gleason (Gleason score) b\u1eb1ng ho\u1eb7c l\u1edbn h\u01a1n 8 l\u00fac ch\u1ea9n \u0111o\u00e1n.<\/p>\n<p>Qu\u1ea7n th\u1ec3 \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u g\u1ed3m 727 nam kh\u00f4ng b\u1ecb UTTTL v\u00e0 122 ng\u01b0\u1eddi b\u1ecb b\u1ec7nh &#8212; 35 b\u1ecb th\u1ec3 UTTTL x\u00e2m l\u1ea5n v\u00e0 87 v\u1eabn s\u1ed1ng khi \u0111\u00e3 b\u1ecb UTTTL ho\u1eb7c t\u1eed vong do nh\u1eefng nguy\u00ean nh\u00e2n kh\u00e1c.<\/p>\n<p>To\u00e0n b\u1ed9 qu\u1ea7n th\u1ec3 \u0111\u00e3 \u0111\u01b0\u1ee3c theo d\u00f5i trong th\u1eddi gian trung b\u00ecnh l\u00e0 10 n\u0103m, trong giai \u0111o\u1ea1n \u0111\u00f3,&nbsp; h\u1ecd \u0111\u00e3 \u0111\u01b0\u1ee3c ki\u1ec3m tra PSA trung b\u00ecnh 4 l\u1ea7n.<\/p>\n<p>Tr\u1ecb s\u1ed1 trung b\u00ecnh c\u1ee7a PSA l\u00fac b\u1eaft \u0111\u1ea7u nghi\u00ean c\u1ee9u l\u00e0 0.76 ng\/mL. Tr\u1ecb s\u1ed1 PSA trung b\u00ecnh l\u00e0 1.2 ng\/mL \u1edf nam \u0111\u00e3 c\u00f3 nguy c\u01a1 UTTTL cao, 1.3 ng\/mL \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 UTTTL th\u1ea5p, v\u00e0 0.7 ng\/mL \u1edf nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng b\u1ecb UTTLT.<\/p>\n<p>T\u00ednh chung, c\u00f3 18 b\u1ec7nh nh\u00e2n t\u1eed vong v\u00ec UTTLT, v\u00e0 17 ng\u01b0\u1eddi kh\u00e1c c\u00f3 nguy c\u01a1 b\u1ec7nh cao. T\u1ea5t c\u1ea3 35 b\u1ec7nh nh\u00e2n n\u00e0y \u0111\u1ec1u c\u00f3 tr\u1ecb s\u1ed1 PSA v\u01b0\u1ee3t qu\u00e1 3 ng\/mL \u1edf m\u1ed9t th\u1eddi \u0111i\u1ec3m n\u00e0o \u0111\u00f3 c\u1ee7a cu\u1ed9c nghi\u00ean c\u1ee9u. Kh\u00f4ng ai trong s\u1ed1 87 b\u1ec7nh nh\u00e2n v\u1edbi nguy c\u01a1 UTTLT th\u1ea5p c\u00f2n l\u1ea1i ho\u1eb7c nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng b\u1ecb UTTTL c\u00f3 m\u1ee9c \u0111\u1ed9 PSA v\u01b0\u1ee3t qu\u00e1 3 ng\/mL trong su\u1ed1t th\u1eddi gian theo d\u00f5i<\/p>\n<p>&#8220;Ph\u00e2n t\u00edch c\u1ee7a ch\u00fang t\u00f4i cho th\u1ea5y x\u00e1c su\u1ea5t&nbsp; nguy c\u01a1 cao UTTTL t\u0103ng v\u1edbi tr\u1ecb s\u1ed1 c\u1ee7a PSA,&#8221;&nbsp; Kettermann cho bi\u1ebft.<\/p>\n<p>K\u1ebft Lu\u1eadn:<\/p>\n<p>+&nbsp; Gi\u1ea3i th\u00edch cho b\u1ec7nh nh\u00e2n hi\u1ec3u r\u1eb1ng c\u00f3 m\u1ed9t nghi\u00ean c\u1ee9u tr\u00ean nh\u1eefng \u0111\u00e0n \u00f4ng cao tu\u1ed5i cho th\u1ea5y kh\u00f4ng ai trong s\u1ed1 h\u1ecd c\u00f3 nguy c\u01a1 UTTTL cao n\u1ebfu tr\u1ecb s\u1ed1 PSA d\u01b0\u1edbi ho\u1eb7c b\u1eb1ng 3 ng\/mL.<\/p>\n<p>+&nbsp; Tuy nhi\u00ean, c\u00e1c k\u1ebft qu\u1ea3 n\u00e0y ch\u01b0a d\u1ef1a tr\u00ean m\u1ed9t th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng ng\u1eabu nhi\u00ean, c\u00f3 ki\u1ec3m so\u00e1t, c\u00f3 so s\u00e1nh vi\u1ec7c t\u1ea7m so\u00e1t UTTTL v\u1edbi kh\u00f4ng t\u1ea7m so\u00e1t.<\/p>\n<p>+&nbsp; C\u1ea7n ch\u00fa \u00fd r\u1eb1ng nghi\u00ean c\u1ee9u n\u00e0y ch\u1ec9 m\u1edbi&nbsp; \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 d\u01b0\u1edbi d\u1ea1ng t\u00f3m t\u1eaft v\u00e0 ph\u00e1t bi\u1ec3u t\u1ea1i m\u1ed9t h\u1ed9i ngh\u1ecb. Nh\u1eefng d\u1eef li\u1ec7u v\u00e0 k\u1ebft lu\u1eadn tr\u00ean \u0111\u00e2y ch\u1ec9 l\u00e0 s\u01a1 b\u1ed9 cho \u0111\u1ebfn khi \u0111\u01b0\u1ee3c xem x\u00e9t k\u1ef9 v\u00e0 \u0111\u0103ng t\u1ea3i tr\u00ean m\u1ed9t t\u1ea1p ch\u00ed y khoa uy t\u00edn.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>H 5- Tuy\u1ec1n ti\u1ec1n li\u1ec7t b\u00ecnh th\u01b0\u1eddng c\u00f3 k\u00edch th\u01b0\u1edbc kh\u00e1c nhau tu\u1ef3 theo m\u1ed7i ng\u01b0\u1eddi<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><strong>H 6- H\u00ecnh \u1ea3nh UTTTL \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf<\/strong><\/p>\n<p><strong>H 7- T\u1ec9 l\u1ec7 UTTTL thay \u0111\u1ed5i tu\u1ef3 theo qu\u1ed1c gia v\u00e0 ch\u1ee7ng t\u1ed9c, cao nh\u1ea5t \u1edf c\u00e1c n\u01b0\u1edbc M\u1ef9- &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Ch\u00e2u \u00c2u, th\u1ea5p nh\u1ea5t \u1edf Trung Qu\u1ed1c v\u00e0 \u1ea4n \u0110\u1ed9<\/strong><\/p>\n<p><strong>BS. \u0110\u1ed2NG NG\u1eccC KHANH &#8211; &nbsp;BV \u0110a Khoa Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n.<\/strong><\/p>\n<p>T\u00e0i li\u1ec7u Tham Kh\u1ea3o<\/p>\n<p>Journal of Urology<br \/>\nSource reference:<br \/>\nCarter HB, et al &#8220;Prostate specific antigen testing among the elderly: When to stop?&#8221; <em>J Urol<\/em> 2008; 179(suppl): 600. Abstract 1751.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>H 1- A- B\u00ecnh th\u01b0\u1eddng, t\u1ebf b\u00e0o l\u1ea1 m\u1ed9t khi xu\u1ea5t hi\u1ec7n s\u1ebd b\u1ecb ti\u00eau di\u1ec7t (apoptosis); B- Tr\u01b0\u1eddng h\u1ee3p ung th\u01b0: T\u1ebf b\u00e0o ung th\u01b0 tho\u00e1t kh\u1ecfi s\u1ef1 ki\u1ec3m so\u00e1t c\u1ee7a c\u01a1 th\u1ec3 v\u00e0 t\u0103ng tr\u01b0\u1edfng theo c\u1ea5p s\u1ed1 nh\u00e2n. H 2- Tuy\u1ebfn ti\u1ec1n li\u1ec7t&nbsp; b\u00ecnh th\u01b0\u1eddng H 3- Ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1249],"tags":[],"class_list":["post-273892","post","type-post","status-publish","format-standard","hentry","category-tin-tuc-y-te"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273892","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=273892"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273892\/revisions"}],"predecessor-version":[{"id":311104,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273892\/revisions\/311104"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=273892"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=273892"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=273892"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}