{"id":281192,"date":"2024-09-12T09:00:00","date_gmt":"2024-09-12T02:00:00","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/tim-hieu-va-chan-doan-benh-ung-thu-tuy\/"},"modified":"2025-11-10T11:46:43","modified_gmt":"2025-11-10T04:46:43","slug":"tim-hieu-va-chan-doan-benh-ung-thu-tuy","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/tim-hieu-va-chan-doan-benh-ung-thu-tuy\/","title":{"rendered":"T\u00ecm hi\u1ec3u v\u00e0 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh ung th\u01b0 t\u1ee5y"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Ung th\u01b0 t\u1ee5y<\/strong> (Pancreatic cancer) l\u00e0 c\u0103n b\u1ec7nh \u00e1c t\u00ednh. Theo th\u1ed1ng k\u00ea c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi (WHO) n\u0103m 2020, t\u1ef7 l\u1ec7 m\u1eafc ung th\u01b0 tu\u1ef5 \u0111\u1ee9ng v\u1ecb tr\u00ed 14 trong s\u1ed1 c\u00e1c lo\u1ea1i ung th\u01b0, nh\u01b0ng t\u1ef7 l\u1ec7 t\u1eed vong b\u1edfi c\u0103n b\u1ec7nh n\u00e0y l\u1ea1i x\u1ebfp th\u1ee9 7. N\u1ebfu ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi th\u00ec ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh s\u1ebd kh\u1ea3 quan h\u01a1n. Ch\u00ednh v\u00ec v\u1eady, m\u1ecdi ng\u01b0\u1eddi c\u1ea7n ch\u1ee7 \u0111\u1ed9ng t\u00ecm hi\u1ec3u v\u00e0 th\u0103m kh\u00e1m, t\u1ea7m so\u00e1t ch\u1ea9n \u0111o\u00e1n s\u1edbm ung th\u01b0 tu\u1ef5 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc khi ung th\u01b0 ti\u1ebfn tri\u1ec3n t\u1edbi giai \u0111o\u1ea1n mu\u1ed9n.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Tuy\u1ebfn t\u1ee5y l\u00e0 g\u00ec?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Tuy\u1ebfn t\u1ee5y l\u00e0 b\u1ed9 ph\u1eadn c\u1ee7a \u1ed1ng ti\u00eau ho\u00e1, c\u00f3 h\u00ecnh l\u00e1, n\u1eb1m g\u1ea7n \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u0129nh m\u1ea1ch ch\u00ednh, ph\u00eda sau d\u1ea1 d\u00e0y v\u00e0 b\u1eaft qua tr\u01b0\u1edbc c\u1ed9t s\u1ed1ng. Tuy\u1ebfn t\u1ee5y c\u00f3 3 ph\u1ea7n: \u0111\u1ea7u tu\u1ef5 bao quanh b\u1edfi t\u00e1 tr\u00e0ng, th\u00e2n t\u1ee5y v\u00e0 \u0111u\u00f4i t\u1ee5y n\u1eb1m g\u1ea7n l\u00e1ch. C\u01a1 quan n\u00e0y c\u00f3 2 ch\u1ee9c n\u0103ng quan tr\u1ecdng:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tuy\u1ebfn t\u1ee5y ngo\u1ea1i ti\u1ebft t\u1ea1o ra enzyme ti\u00eau ho\u00e1 gi\u00fap ti\u00eau ho\u00e1 th\u1ee9c \u0103n v\u00e0 \u0111\u01b0\u1ee3c h\u1ea5p thu v\u00e0o trong ru\u1ed9t non.<\/li>\n\n\n\n<li>Tuy\u1ebfn t\u1ee5y n\u1ed9i ti\u1ebft s\u1ea3n xu\u1ea5t hormone (Insulin v\u00e0 Glucagon) nh\u1eb1m ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u, gi\u00fap c\u01a1 th\u1ec3 s\u1eed d\u1ee5ng v\u00e0 d\u1ef1 tr\u1eef n\u0103ng l\u01b0\u1ee3ng t\u1eeb th\u1ee9c \u0103n \u0111\u00e3 ti\u00eau ho\u00e1.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c enzyme v\u00e0 hormone n\u00e0y \u0111i t\u1eeb tuy\u1ebfn t\u1ee5y \u0111\u1ebfn t\u00e1 tr\u00e0ng (\u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a ru\u1ed9t non) th\u00f4ng qua \u1ed1ng t\u1ee5y &#8211; \u1ed1ng n\u1ed1i tuy\u1ebfn t\u1ee5y v\u00e0 t\u00e1 tr\u00e0ng.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Ung th\u01b0 t\u1ee5y l\u00e0 g\u00ec?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ung th\u01b0 t\u1ee5y l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ed9t s\u1ed1 t\u1ebf b\u00e0o \u1edf tuy\u1ebfn t\u1ee5y s\u1ea3n sinh qu\u00e1 m\u1ee9c, ph\u00e1t tri\u1ec3n b\u1ea5t th\u01b0\u1eddng th\u00e0nh kh\u1ed1i u. \u0110a ph\u1ea7n ung th\u01b0 tuy\u1ebfn t\u1ee5y \u0111\u1ec1u h\u00ecnh th\u00e0nh t\u1ea1i tuy\u1ebfn t\u1ee5y ngo\u1ea1i ti\u1ebft (chi\u1ebfm kho\u1ea3ng 95%), g\u1ecdi l\u00e0 carcinom tuy\u1ebfn c\u1ee7a t\u1ee5y. M\u1ed9t s\u1ed1 kh\u1ed1i u c\u00f3 th\u1ec3 h\u00ecnh th\u00e0nh trong tuy\u1ebfn t\u1ee5y n\u1ed9i ti\u1ebft nh\u01b0ng \u00edt ph\u1ed5 bi\u1ebfn v\u00e0 h\u1ea7u h\u1ebft \u0111\u1ec1u l\u00e0nh t\u00ednh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ung th\u01b0 t\u1ee5y th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u1edf giai \u0111o\u1ea1n mu\u1ed9n v\u1edbi ti\u00ean l\u01b0\u1ee3ng x\u1ea5u. Ph\u1ea7n l\u1edbn c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n khi ung th\u01b0 \u0111\u00e3 di c\u0103n t\u1edbi c\u01a1 quan kh\u00e1c trong c\u01a1 th\u1ec3. T\u1ef7 l\u1ec7 ch\u1eefa kh\u1ecfi ung th\u01b0 t\u1ee5y ti\u1ebfn tri\u1ec3n r\u1ea5t th\u1ea5p. Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf u t\u1ee5y l\u00e0 l\u1ef1a ch\u1ecdn duy nh\u1ea5t \u0111\u1ec3 ch\u1eefa kh\u1ecfi, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c ch\u1ec9 c\u00f3 th\u1ec3 b\u1ed5 tr\u1ee3. N\u1ebfu ph\u00e1t hi\u1ec7n qu\u00e1 mu\u1ed9n, ng\u01b0\u1eddi b\u1ecb ung th\u01b0 t\u1ee5y giai \u0111o\u1ea1n cu\u1ed1i kh\u00f4ng th\u1ec3 ph\u1eabu thu\u1eadt m\u00e0 ch\u1ec9 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb gi\u1ea3m nh\u1eb9 \u0111\u1ec3 k\u00e9o d\u00e0i th\u1eddi gian s\u1ed1ng (kho\u1ea3ng 1 n\u0103m).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Tri\u1ec7u ch\u1ee9ng ung th\u01b0 t\u1ee5y<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ung th\u01b0 t\u1ee5y l\u00e0 b\u1ec7nh th\u1ea7m l\u1eb7ng, \u0111a ph\u1ea7n kh\u00f4ng xu\u1ea5t hi\u1ec7n d\u1ea5u hi\u1ec7u g\u00ec \u1edf giai \u0111o\u1ea1n s\u1edbm. H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p ph\u00e1t hi\u1ec7n tri\u1ec7u ch\u1ee9ng ho\u1eb7c ch\u1ea9n \u0111o\u00e1n ung th\u01b0 tu\u1ef5 \u0111\u1ec1u \u0111\u00e3 \u1edf giai \u0111o\u1ea1n mu\u1ed9n. M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng ung th\u01b0 t\u1ee5y \u1edf giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n nh\u01b0 sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110au b\u1ee5ng, c\u00f3 th\u1ec3 lan ra sau l\u01b0ng (b\u00ean d\u01b0\u1edbi)<\/li>\n\n\n\n<li>Th\u01b0\u1eddng xuy\u00ean bu\u1ed3n n\u00f4n, n\u00f4n \u00f3i<\/li>\n\n\n\n<li>\u0110\u1ea7y h\u01a1i, kh\u00f3 ti\u00eau, ch\u01b0\u1edbng b\u1ee5ng, \u1ee3 chua, \u1ee3 n\u00f3ng<\/li>\n\n\n\n<li>N\u01b0\u1edbc ti\u1ec3u s\u1eadm m\u00e0u, ti\u00eau ch\u1ea3y ph\u00e2n m\u00e0u s\u1eadm ho\u1eb7c ti\u00eau ph\u00e2n m\u1ee1 n\u1ed5i l\u00ean<\/li>\n\n\n\n<li>V\u00e0ng m\u1eaft, v\u00e0ng da (v\u00e0ng da n\u1eb7ng c\u00f3 th\u1ec3 g\u00e2y ng\u1ee9a)<\/li>\n\n\n\n<li>Ng\u1ee9a da l\u00f2ng b\u00e0n tay, b\u00e0n ch\u00e2n<\/li>\n\n\n\n<li>S\u1ee5t c\u00e2n \u0111\u1ed9t ng\u1ed9t kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n<\/li>\n\n\n\n<li>M\u1ec7t m\u1ecfi, suy nh\u01b0\u1ee3c c\u01a1 th\u1ec3<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Ngo\u00e0i ra, trong qu\u00e1 tr\u00ecnh th\u0103m kh\u00e1m b\u1ec7nh, c\u1ea7n t\u1ea7m so\u00e1t ung th\u01b0 t\u1ee5y b\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m, ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh n\u1ebfu ph\u00e1t hi\u1ec7n nh\u1eefng tr\u01b0\u1eddng h\u1ee3p sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u00fai m\u1eadt ph\u00ecnh to<\/li>\n\n\n\n<li>\u0110\u01b0\u1eddng huy\u1ebft kh\u00f3 ki\u1ec3m so\u00e1t<\/li>\n\n\n\n<li>B\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng m\u1edbi ch\u1ea9n \u0111o\u00e1n<\/li>\n\n\n\n<li>Ph\u00e1t hi\u1ec7n huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u<\/li>\n\n\n\n<li>Thuy\u00ean t\u1eafc ph\u1ed5i do c\u1ee5c m\u00e1u \u0111\u00f4ng<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Nguy\u00ean nh\u00e2n g\u00e2y ung th\u01b0 t\u1ee5y<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y ung th\u01b0 t\u1ee5y:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>H\u00fat thu\u1ed1c l\u00e1 (25% c\u00e1c tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 t\u1ee5y c\u00f3 li\u00ean quan t\u1edbi thu\u1ed1c l\u00e1).<\/li>\n\n\n\n<li>B\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 vi\u00eam t\u1ee5y m\u1ea1n t\u00ednh.<\/li>\n\n\n\n<li>Gen di truy\u1ec1n (5-10%): ti\u1ec1n s\u1eed gia \u0111\u00ecnh b\u1ecb ung th\u01b0 tu\u1ef5, vi\u00eam tu\u1ef5, h\u1ed9i ch\u1ee9ng Peutz-Jeghers, h\u1ed9i ch\u1ee9ng Lynch, h\u1ed9i ch\u1ee9ng von Hippel-Lindau, h\u1ed9i ch\u1ee9ng MEN1, h\u1ed9i ch\u1ee9ng MEN2\u2026<\/li>\n\n\n\n<li>Ch\u1ebf \u0111\u1ed9 \u0103n nhi\u1ec1u ch\u1ea5t b\u00e9o, nhi\u1ec1u \u0111\u01b0\u1eddng, u\u1ed1ng nhi\u1ec1u bia, r\u01b0\u1ee3u, \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n,\u2026<\/li>\n\n\n\n<li>Ng\u01b0\u1eddi th\u1eeba c\u00e2n, b\u00e9o ph\u00ec, l\u01b0\u1eddi v\u1eadn \u0111\u1ed9ng.<\/li>\n\n\n\n<li>Th\u01b0\u1eddng xuy\u00ean ti\u1ebfp x\u00fac v\u1edbi h\u00f3a ch\u1ea5t \u0111\u1ed9c h\u1ea1i v\u00e0 kim lo\u1ea1i n\u1eb7ng.<\/li>\n\n\n\n<li>Nh\u00f3m m\u00e1u c\u00f3 nguy c\u01a1 cao b\u1ecb ung th\u01b0 tu\u1ef5: nh\u00f3m m\u00e1u A (32%), nh\u00f3m m\u00e1u AB (51%), nh\u00f3m m\u00e1u B (72%) \u2013 theo s\u1ed1 li\u1ec7u nghi\u00ean c\u1ee9u c\u1ee7a Vi\u1ec7n Ung th\u01b0 qu\u1ed1c gia M\u1ef9.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n ung th\u01b0 t\u1ee5y<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ung th\u01b0 t\u1ee5y th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c ch\u1ec9 xu\u1ea5t hi\u1ec7n d\u1ea5u hi\u1ec7u m\u01a1 h\u1ed3, do \u0111\u00f3 kh\u00e1m l\u00e2m s\u00e0ng kh\u00f4ng th\u1ec3 x\u00e1c \u0111\u1ecbnh r\u00f5 \u0111\u01b0\u1ee3c b\u1ec7nh. Khi th\u0103m kh\u00e1m, c\u00e1c b\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh th\u1ef1c hi\u1ec7n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n c\u1eadn l\u00e2m s\u00e0ng.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>1. X\u00e9t nghi\u1ec7m m\u00e1u<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">X\u00e9t nghi\u1ec7m m\u00e1u nh\u1eb1m t\u00ecm d\u1ea5u \u1ea5n ung th\u01b0 th\u00f4ng qua c\u00e1c ch\u1ec9 s\u1ed1 CA 19-9, CYFRA 21-1. N\u1ed3ng \u0111\u1ed9 CA 19-9 (Carbohydrate Antigen 19-9) v\u00e0 CYFRA 21-1 t\u0103ng cao trong m\u00e1u l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a t\u00ecnh tr\u1ea1ng vi\u00eam gan m\u1ea1n t\u00ednh ho\u1eb7c ung th\u01b0 gan, vi\u00eam t\u1ee5y ho\u1eb7c ung th\u01b0 tu\u1ef5, vi\u00eam ph\u1ed5i ho\u1eb7c ung th\u01b0 ph\u1ed5i\u2026 M\u1eb7c d\u00f9 c\u00e1c ch\u1ec9 s\u1ed1 n\u00e0y t\u0103ng kh\u00f4ng h\u1eb3n l\u00e0 v\u00ec ng\u01b0\u1eddi b\u1ec7nh b\u1ecb ung th\u01b0 t\u1ee5y, nh\u01b0ng c\u00f3 th\u1ec3 c\u1ea3nh b\u00e1o c\u01a1 th\u1ec3 \u0111ang m\u1eafc b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng. L\u00e0 c\u01a1 s\u1edf \u0111\u1ec3 ti\u1ebfn h\u00e0nh c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n ti\u1ebfp theo nh\u1eb1m x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c c\u0103n b\u1ec7nh.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2. Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Th\u00f4ng qua ph\u01b0\u01a1ng ph\u00e1p ch\u1ee5p chi\u1ebfu h\u00ecnh \u1ea3nh c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu r\u00f5 n\u00e9t tuy\u1ebfn t\u1ee5y, ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c nh\u1eefng t\u1ed5n th\u01b0\u01a1ng nh\u1ecf nh\u1ea5t, v\u1ecb tr\u00ed kh\u1ed1i u, m\u1ee9c \u0111\u1ed9 x\u00e2m l\u1ea5n, t\u00ecnh tr\u1ea1ng di c\u0103n ung th\u01b0 tu\u1ef5. C\u00e1c k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (Computerized Tomography &#8211; CT scan)<\/li>\n\n\n\n<li>Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb m\u1eadt t\u1ee5y (Magnetic Resonance Cholangiopancreatography &#8211; MRCP)<\/li>\n\n\n\n<li>Ch\u1ee5p c\u1eaft l\u1edbp ph\u00e1t x\u1ea1 positron PET\/CT (Positron Emission Tomography &amp; Computed Tomography).<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>3. N\u1ed9i soi<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi gi\u00fap theo d\u00f5i, quan s\u00e1t v\u00e0 ch\u1ea9n \u0111o\u00e1n ung th\u01b0 t\u1ee5y ch\u00ednh x\u00e1c. C\u00f3 3 ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi ung th\u01b0 tu\u1ef5 hi\u1ec7n nay:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Si\u00eau \u00e2m n\u1ed9i soi (EUS \u2013 Endoscopic Ultrasound)<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Thi\u1ebft b\u1ecb n\u1ed9i soi \u1ed1ng m\u1ec1m g\u1eafn \u0111\u1ea7u d\u00f2 si\u00eau \u00e2m \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o c\u01a1 th\u1ec3 qua mi\u1ec7ng, t\u1edbi th\u1ef1c qu\u1ea3n, d\u1ea1 d\u00e0y v\u00e0 t\u00e1 tr\u00e0ng. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y x\u00e1c \u0111\u1ecbnh nh\u1eefng kh\u1ed1i u nh\u1ecf nh\u1ea5t m\u00e0 k\u1ef9 thu\u1eadt CT scan v\u00e0 MRI kh\u00f4ng nh\u00ecn th\u1ea5y \u0111\u01b0\u1ee3c. \u0110\u1ed3ng th\u1eddi, EUS c\u00f3 th\u1ec3 h\u01b0\u1edbng d\u1eabn sinh thi\u1ebft \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c giai \u0111o\u1ea1n kh\u1ed1i u tu\u1ef5, t\u00ecnh tr\u1ea1ng di c\u0103n. Tuy nhi\u00ean, k\u1ef9 thu\u1eadt n\u00e0y g\u1eb7p h\u1ea1n ch\u1ebf \u0111\u1ed1i v\u1edbi ph\u1ea7n \u0111u\u00f4i tu\u1ef5.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>N\u1ed9i soi m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng (ERCP &#8211; Endoscopic Retrograde CholangioPancreatography)<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u01b0a \u1ed1ng soi m\u1ec1m v\u00e0o mi\u1ec7ng, qua th\u1ef1c qu\u1ea3n, d\u1ea1 d\u00e0y, t\u1edbi nh\u00fa t\u00e1 tr\u00e0ng (b\u00f3ng Vater) \u2013 \u1ed1ng \u0111\u1ed5 d\u1ecbch m\u1eadt v\u00e0 d\u1ecbch tu\u1ef5 v\u00e0o t\u00e1 tr\u00e0ng. \u1ed0ng th\u00f4ng m\u1ecfng \u0111\u01b0\u1ee3c lu\u1ed3n trong \u1ed1ng soi \u0111\u01b0a v\u00e0o trong nh\u00fa t\u00e1 tr\u00e0ng v\u00e0 \u1ed1ng d\u1eabn m\u1eadt v\u00e0 b\u00e1c s\u0129 ti\u00eam ch\u1ea5t c\u1ea3n quang v\u00e0o \u1ed1ng d\u1eabn m\u1eadt, sau \u0111\u00f3 ch\u1ee5p X-quang. Nh\u1edd v\u1eady, b\u00e1c s\u0129 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c d\u1ea5u hi\u1ec7u t\u1eafc ngh\u1ebdn, s\u1ecfi m\u1eadt, kh\u1ed1i u tu\u1ef5, t\u1ed5n th\u01b0\u01a1ng \u1ed1ng m\u1eadt tu\u1ef5. ERCP c\u00f3 th\u1ec3 gi\u00fap \u0111\u1eb7t d\u1ee5ng c\u1ee5 m\u1edf \u1ed1ng m\u1eadt khi b\u1ecb kh\u1ed1i u ch\u00e8n \u00e9p g\u00e2y t\u1eafc \u0111\u01b0\u1eddng m\u1eadt. ERCP c\u0169ng h\u01b0\u1edbng d\u1eabn sinh thi\u1ebft kh\u1ed1i u \u0111\u1ea7u tu\u1ef5.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/image-6-4.png\" alt=\"N\u1ed9i soi m\u1eadt tu\u1ef5 ng\u01b0\u1ee3c d\u00f2ng (ERCP) ch\u1ea9n \u0111o\u00e1n vi\u00eam \u1ed1ng m\u1eadt, vi\u00eam t\u1ee5y, ung th\u01b0 tu\u1ef5\" class=\"wp-image-170225\"\/><\/figure>\n\n\n\n<p class=\"has-text-align-center has-small-font-size wp-block-paragraph\"><em>N\u1ed9i soi m\u1eadt tu\u1ef5 ng\u01b0\u1ee3c d\u00f2ng (ERCP) ch\u1ea9n \u0111o\u00e1n vi\u00eam \u1ed1ng m\u1eadt, vi\u00eam t\u1ee5y, ung th\u01b0 tu\u1ef5<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Ph\u1eabu thu\u1eadt n\u1ed9i soi \u1ed5 b\u1ee5ng<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">B\u00e1c s\u0129 m\u1ed5 m\u1ed9t v\u1ebft nh\u1ecf 1cm \u1edf r\u1ed1n, \u0111\u01b0a \u1ed1ng n\u1ed9i soi qua v\u1ebft m\u1ed5 v\u00e0o trong \u1ed5 b\u1ee5ng \u0111\u1ec3 quan s\u00e1t t\u1ed5n th\u01b0\u01a1ng, kh\u1ed1i u \u1edf tuy\u1ebfn t\u1ee5y. C\u00f3 th\u1ec3 k\u1ebft h\u1ee3p th\u1ef1c hi\u1ec7n sinh thi\u1ebft kh\u1ed1i u ho\u1eb7c c\u1eaft b\u1ecf th\u00e2n\/\u0111u\u00f4i tu\u1ef5 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>4. Sinh thi\u1ebft<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Khi ph\u00e1t hi\u1ec7n tuy\u1ebfn tu\u1ef5 c\u00f3 kh\u1ed1i u ho\u1eb7c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng, b\u00e1c s\u0129 s\u1ebd ti\u1ebfn h\u00e0nh sinh thi\u1ebft \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ung th\u01b0 nh\u1edd v\u00e0o gi\u1ea3i ph\u1eabu b\u1ec7nh. C\u00e1c c\u00e1ch th\u1ef1c hi\u1ec7n sinh thi\u1ebft nh\u01b0 sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Sinh thi\u1ebft qua da:<\/strong> Ch\u1ecdc kim sinh thi\u1ebft xuy\u00ean qua da d\u01b0\u1edbi s\u1ef1 h\u01b0\u1edbng d\u1eabn c\u1ee7a si\u00eau \u00e2m ho\u1eb7c CT scan, l\u1ea5y m\u1eabu t\u1ebf b\u00e0o ra kh\u1ecfi c\u01a1 th\u1ec3.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>N\u1ed9i soi sinh thi\u1ebft:<\/strong> Kim sinh thi\u1ebft g\u1eafn v\u00e0o \u0111\u1ea7u \u1ed1ng n\u1ed9i soi, sau \u0111\u00f3 \u0111\u01b0a \u1ed1ng soi qua mi\u1ec7ng, t\u1edbi d\u1ea1 d\u00e0y v\u00e0o t\u00e1 tr\u00e0ng. D\u01b0\u1edbi s\u1ef1 h\u01b0\u1edbng d\u1eabn c\u1ee7a si\u00eau \u00e2m n\u1ed9i soi \u0111\u1ec3 l\u1ea5y m\u1eabu m\u00f4 tu\u1ef5.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>5. X\u00e9t nghi\u1ec7m d\u1ea5u \u1ea5n sinh h\u1ecdc<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1eabu m\u00f4 l\u1ea5y t\u1eeb sinh thi\u1ebft \u0111\u01b0\u1ee3c ki\u1ec3m tra gen ho\u1eb7c protein. M\u1ed9t s\u1ed1 lo\u1ea1i x\u00e9t nghi\u1ec7m nh\u01b0: ph\u00e2n t\u00edch h\u00f3a m\u00f4 mi\u1ec5n d\u1ecbch (Immunohistochemistry &#8211; IHC), ph\u1ea3n \u1ee9ng chu\u1ed7i polymerase (Polymerase Chain Reaction &#8211; PCR), gi\u1ea3i tr\u00ecnh t\u1ef1 gen (Next Generation Sequencing &#8211; NGS). C\u00e1c ki\u1ec3m tra n\u00e0y nh\u1eb1m x\u00e1c \u0111\u1ecbnh ch\u1eafc ch\u1eafn s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a \u0111\u1ed9t bi\u1ebfn trong ung th\u01b0 t\u1ee5y giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n ho\u1eb7c di c\u0103n. Nh\u1eefng \u0111\u1ed9t bi\u1ebfn th\u01b0\u1eddng g\u1eb7p trong ung th\u01b0 t\u1ee5y l\u00e0 BRCA1, BRCA2, PALB2\u2026<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>C\u00e1ch ph\u00f2ng ng\u1eeba b\u1ec7nh ung th\u01b0 t\u1ee5y<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Kh\u00f4ng c\u00f3 bi\u1ec7n ph\u00e1p ng\u0103n ng\u1eeba tuy\u1ec7t \u0111\u1ed1i cho ung th\u01b0 t\u1ee5y, nh\u01b0ng c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y b\u1ec7nh b\u1eb1ng c\u00e1ch sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kh\u00f4ng h\u00fat thu\u1ed1c v\u00e0 h\u1ea1n ch\u1ebf u\u1ed1ng r\u01b0\u1ee3u, bia, \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n.<\/li>\n\n\n\n<li>H\u1ea1n ch\u1ebf th\u1ee9c \u0103n nhi\u1ec1u ch\u1ea5t b\u00e9o, \u0111\u01b0\u1eddng, \u0111\u1ed3 mu\u1ed1i, th\u1ef1c ph\u1ea9m ch\u1ebf bi\u1ebfn s\u1eb5n, th\u1ecbt \u0111\u1ecf,\u2026<\/li>\n\n\n\n<li>\u0102n nhi\u1ec1u tr\u00e1i c\u00e2y t\u01b0\u01a1i, rau xanh, ng\u0169 c\u1ed1c nguy\u00ean h\u1ea1t, b\u1ed5 sung vitamin v\u00e0 kho\u00e1ng ch\u1ea5t c\u1ea7n thi\u1ebft.<\/li>\n\n\n\n<li>T\u1eadp luy\u1ec7n th\u1ec3 thao \u0111\u1ec1u \u0111\u1eb7n \u0111\u1ec3 n\u00e2ng cao s\u1ee9c \u0111\u1ec1 kh\u00e1ng.<\/li>\n\n\n\n<li>Duy tr\u00ec c\u00e2n n\u1eb7ng h\u1ee3p l\u00fd, tr\u00e1nh th\u1eeba c\u00e2n, b\u00e9o ph\u00ec.<\/li>\n\n\n\n<li>Kh\u00f4ng ti\u1ebfp x\u00fac v\u1edbi c\u00e1c ho\u00e1 ch\u1ea5t \u0111\u1ed9c h\u1ea1i nh\u01b0 thu\u1ed1c tr\u1eeb s\u00e2u, thu\u1ed1c x\u1ecbt c\u00f4n tr\u00f9ng, amiang,\u2026<\/li>\n\n\n\n<li>Th\u0103m kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, vi\u00eam gan, vi\u00eam tu\u1ef5.<\/li>\n\n\n\n<li>T\u1ea7m so\u00e1t ung th\u01b0 tu\u1ef5 \u0111\u1ecbnh k\u1ef3 n\u1ebfu thu\u1ed9c nh\u00f3m nguy c\u01a1 cao (ti\u1ec1n s\u1eed gia \u0111\u00ecnh, \u0111\u1ed9t bi\u1ebfn gen di truy\u1ec1n)<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Kh\u00e1m v\u00e0 ch\u1ea9n \u0111o\u00e1n Ung th\u01b0 T\u1ee5y t\u1ea1i b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ung th\u01b0 t\u1ee5y l\u00e0 c\u0103n b\u1ec7nh nguy hi\u1ec3m v\u1edbi t\u1ef7 l\u1ec7 t\u1eed vong r\u1ea5t cao. N\u1ebfu ph\u00e1t hi\u1ec7n \u1edf giai \u0111o\u1ea1n ti\u1ec1n ung th\u01b0 t\u1ee5y th\u00ec ti\u00ean l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb s\u1ebd t\u1ed1t h\u01a1n, c\u00f3 th\u1ec3 ch\u1eefa kh\u1ecfi v\u00e0 ng\u0103n t\u00e1i ph\u00e1t. Do \u0111\u00f3, vi\u1ec7c kh\u00e1m t\u1ea7m so\u00e1t ung th\u01b0 t\u1ee5y l\u00e0 \u0111i\u1ec1u c\u1ef1c k\u1ef3 c\u1ea7n thi\u1ebft.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">V\u1edbi th\u1ebf m\u1ea1nh l\u00e0 b\u1ec7nh vi\u1ec7n \u0111a chuy\u00ean khoa, v\u1edbi nhi\u1ec1u chuy\u00ean khoa k\u1ef9 thu\u1eadt cao v\u00e0 chuy\u00ean khoa s\u00e2u g\u1ed3m khoa Ti\u00eau h\u00f3a, khoa Ung B\u01b0\u1edbu, khoa Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh v\u00e0 khoa X\u00e9t nghi\u1ec7m, \u0111\u01a1n v\u1ecb Gi\u1ea3i ph\u1eabu b\u1ec7nh\u2026, b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n x\u00e2y d\u1ef1ng quy tr\u00ecnh t\u1ea7m so\u00e1t, \u0111i\u1ec1u tr\u1ecb chuy\u00ean s\u00e2u bao g\u1ed3m c\u00e1c th\u1ee7 thu\u1eadt t\u1ea7m so\u00e1t c\u01a1 b\u1ea3n \u0111\u1ebfn th\u1ef1c hi\u1ec7n \u0111\u1ea1i ph\u1eabu k\u1ef9 thu\u1eadt cao.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Quy t\u1ee5 \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n v\u00e0 nghi\u1ec7p v\u1ee5 y khoa s\u00e2u, gi\u00e0u kinh nghi\u1ec7m trong l\u0129nh v\u1ef1c th\u0103m kh\u00e1m, ch\u1ea9n \u0111o\u00e1n ung th\u01b0 tu\u1ef5. Quy tr\u00ecnh th\u1ef1c hi\u1ec7n t\u1ea7m so\u00e1t \u0111\u1ea1t chu\u1ea9n, cho k\u1ebft qu\u1ea3 nhanh ch\u00f3ng v\u00e0 chu\u1ea9n x\u00e1c. T\u1eeb \u0111\u00f3, c\u00e1c b\u00e1c s\u0129 Ung B\u01b0\u1edbu \u0111\u01b0a ra ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng c\u1ee7a t\u1eebng ng\u01b0\u1eddi b\u1ec7nh, gi\u00fap ng\u0103n ng\u1eeba bi\u1ebfn ch\u1ee9ng v\u00e0 t\u1eed vong. B\u00ean c\u1ea1nh \u0111\u1ed9i ng\u0169 t\u1eadn t\u00e2m, b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n h\u01b0\u1edbng t\u1edbi \u0111\u1ea7u t\u01b0 trang thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i nh\u01b0 h\u1ec7 th\u1ed1ng ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI) 3.0 Tesla SIGNA\u2122Hero, h\u1ec7 th\u1ed1ng c\u1eaft l\u1edbp vi t\u00ednh (CT scan) CT Incisive, h\u1ec7 th\u1ed1ng n\u1ed9i soi Olympus nhu\u1ed9m m\u00e0u quang h\u1ecdc th\u1ebf h\u1ec7 m\u1edbi, C-arm OEC Elite \u2026 gi\u00fap nh\u1eadn bi\u1ebft ch\u00ednh x\u00e1c nh\u1eefng t\u1ed5n th\u01b0\u01a1ng, kh\u1ed1i u nh\u1ecf nh\u1ea5t, cho ph\u00e9p ph\u00e1t hi\u1ec7n ung th\u01b0 t\u1ee5y giai \u0111o\u1ea1n s\u1edbm. Trong \u0111\u00f3, m\u00e1y MRI 3.0 Tesla SIGNA\u2122Hero l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn thay th\u1ebf PET CT (t\u1ea7m so\u00e1t c\u00e1c nh\u00f3m b\u1ec7nh l\u00fd di c\u0103n th\u01b0\u1eddng g\u1eb7p nh\u01b0 <a href=\"https:\/\/hoanmy.com\/tu-dien-y-khoa\/ung-thu\/\" target=\"_blank\" rel=\"noopener\">Ung th\u01b0<\/a> ph\u1ed5i, ung th\u01b0 v\u00fa, ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t, ung th\u01b0 t\u1ee5y) v\u1edbi chi ph\u00ed ti\u1ebft ki\u1ec7m, d\u1ec5 th\u1ef1c hi\u1ec7n, kh\u00f4ng ch\u1edd \u0111\u1ee3i l\u00e2u v\u1edbi gi\u00e1 tr\u1ecb ch\u1ea9n \u0111o\u00e1n t\u01b0\u01a1ng \u0111\u01b0\u01a1ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u0103ng k\u00fd kh\u00e1m v\u00e0 ch\u1ea9n \u0111o\u00e1n ung th\u01b0 t\u1ee5y \u1edf b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n <a href=\"https:\/\/hoanmy.com\/goi-kham\/\" target=\"_blank\" rel=\"noopener\"><strong>T\u1ea0I \u0110\u00c2Y<\/strong><\/a>.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/image-7-1024x682-1.png\" alt=\"\" class=\"wp-image-170226\"\/><\/figure>\n\n\n\n<p class=\"has-text-align-center has-small-font-size wp-block-paragraph\"><em>K\u1ef9 thu\u1eadt vi\u00ean ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh th\u1ef1c hi\u1ec7n ch\u1ee5p MRI cho ng\u01b0\u1eddi b\u1ec7nh<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ung th\u01b0 t\u1ee5y (Pancreatic cancer) l\u00e0 c\u0103n b\u1ec7nh \u00e1c t\u00ednh. Theo th\u1ed1ng k\u00ea c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi (WHO) n\u0103m 2020, t\u1ef7 l\u1ec7 m\u1eafc ung th\u01b0 tu\u1ef5 \u0111\u1ee9ng v\u1ecb tr\u00ed 14 trong s\u1ed1 c\u00e1c lo\u1ea1i ung th\u01b0, nh\u01b0ng t\u1ef7 l\u1ec7 t\u1eed vong b\u1edfi c\u0103n b\u1ec7nh n\u00e0y l\u1ea1i x\u1ebfp th\u1ee9 7. N\u1ebfu ph\u00e1t hi\u1ec7n [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":281193,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1263],"tags":[],"class_list":["post-281192","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-sai-gon___vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281192","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\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=281192"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281192\/revisions"}],"predecessor-version":[{"id":297368,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281192\/revisions\/297368"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/281193"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=281192"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=281192"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=281192"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}