{"id":61,"date":"2020-10-24T15:51:36","date_gmt":"2020-10-24T15:51:36","guid":{"rendered":"http:\/\/cdha.edu.vn\/cdha\/?p=61"},"modified":"2020-10-25T05:05:52","modified_gmt":"2020-10-25T05:05:52","slug":"ca-12-phi-dai-tru-bertin","status":"publish","type":"post","link":"https:\/\/cdha.edu.vn\/cdha\/ca-12-phi-dai-tru-bertin\/","title":{"rendered":"Ca 12: K n\u1ed9i m\u1ea1c t\u1eed cung"},"content":{"rendered":"\n<figure class=\"wp-block-embed-youtube wp-block-embed is-type-video is-provider-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"SADD\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/qJ2hAfy0Ih0?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><figcaption>BN n\u1eef 78 tu\u1ed5i, kh\u00e1m s\u1ee9c kh\u1ecfe. Kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng. Ngu\u1ed3n video: BS Nguy\u1ec5n \u0110\u00ecnh H\u1ed3<\/figcaption><\/figure>\n\n\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">\u0110\u00c1P \u00c1N:<br data-rich-text-line-break=\"true\" \/><\/strong>K n\u1ed9i m\u1ea1c t\u1eed cung (\u0111\u00e3 sinh thi\u1ebft)\/ \u1ee9 d\u1ecbch l\u00f2ng t\u1eed cung. C\u00f3 c\u00e2u tr\u1ea3 l\u1eddi n\u00e0y hay qu\u00e1 n\u00ean em \u0111\u0103ng l\u00ean \u0111\u00e2y cho m\u1ecdi ng\u01b0\u1eddi c\u00f9ng h\u1ecdc lu\u00f4n \u1ea1:<\/p>\n<p style=\"text-align: justify;\"><img decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/04\/image-8.png?w=1024\" alt=\"\" \/><\/p>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">L\u00dd THUY\u1ebeT<\/strong>:<br data-rich-text-line-break=\"true\" \/>B\u1ec7nh l\u00fd n\u1ed9i m\u1ea1c t\u1eed cung th\u01b0\u1eddng g\u1eb7p bao g\u1ed3m:<\/p>\n<ol>\n<li>T\u0103ng s\u1ea3n n\u1ed9i m\u1ea1c t\u1eed cung (s\u1ebd n\u00f3i \u1edf ca sau)<\/li>\n<li>Polyp n\u1ed9i m\u1ea1c t\u1eed cung (s\u1ebd n\u00f3i \u1edf ca sau)<\/li>\n<li>Carcinoma n\u1ed9i m\u1ea1c t\u1eed cung<\/li>\n<li>Sarcoma n\u1ed9i m\u1ea1c t\u1eed cung<\/li>\n<li>D\u00ednh n\u1ed9i m\u1ea1c t\u1eed cung (s\u1ebd n\u00f3i \u1edf ca sau)<\/li>\n<li>Vi\u00eam n\u1ed9i m\u1ea1c t\u1eed cung (s\u1ebd n\u00f3i \u1edf ca sau)<\/li>\n<\/ol>\n<ol id=\"block-63cc42b9-a16d-4236-b57b-41d49fecb6a7\" class=\"rich-text block-editor-rich-text__editable block-editor-block-list__block wp-block is-selected is-hovered\" style=\"text-align: justify;\" tabindex=\"0\" role=\"group\" aria-multiline=\"true\" aria-label=\"Kh\u1ed1i: Danh s\u00e1ch\" data-block=\"63cc42b9-a16d-4236-b57b-41d49fecb6a7\" data-type=\"core\/list\" data-title=\"Danh s\u00e1ch\"><\/ol>\n<p style=\"text-align: justify;\"><strong><em data-rich-text-format-boundary=\"true\">H\u00ecnh \u1ea3nh si\u00eau \u00e2m c\u1ee7a ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung g\u1ed3m 1 ho\u1eb7c nhi\u1ec1u trong s\u1ed1 c\u00e1c d\u1ea5u hi\u1ec7u ch\u00ednh sau \u0111\u00e2y:<\/em><\/strong><\/p>\n<ol>\n<li>D\u00e0y n\u1ed9i m\u1ea1c t\u1eed cung. C\u00f3 th\u1ec3 n\u1ed9i m\u1ea1c ch\u1ec9 d\u00e0y khu tr\u00fa<\/li>\n<li>N\u1ed9i m\u1ea1c t\u1eed cung h\u1ed3i \u00e2m kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t, b\u1edd kh\u00f4ng \u0111\u1ec1u<\/li>\n<li>K\u00e9m ph\u00e2n bi\u1ec7t l\u1edbp n\u1ed9i m\u1ea1c v\u1edbi l\u1edbp c\u01a1 (x\u00f3a nh\u00f2a ranh gi\u1edbi gi\u1eefa n\u1ed9i m\u1ea1c v\u00e0 c\u01a1) ho\u1eb7c x\u00e2m l\u1ea5n v\u00e0o c\u01a1, l\u00e0m gi\u1ea3m \u0111\u1ed9 d\u00e0y c\u01a1 t\u1eed cung, n\u1ed9i m\u1ea1c nh\u01b0 b\u1ecb l\u1ec7ch kh\u1ecfi \u0111\u01b0\u1eddng gi\u1eefa.<\/li>\n<li>Kh\u00f4ng th\u1ea5y r\u00f5 n\u1ed9i m\u1ea1c t\u1eed cung\/ t\u1eed cung to<\/li>\n<li>C\u00f3 th\u1ec3 c\u00f3 d\u1ecbch l\u00f2ng t\u1eed cung do t\u1eafc k\u00eanh c\u1ed5 t\u1eed cung<\/li>\n<\/ol>\n<hr \/>\n<p style=\"text-align: justify;\">Carcinoma n\u1ed9i m\u1ea1c t\u1eed cung l\u00e0 b\u1ec7nh l\u00fd ph\u1ee5 khoa \u00e1c t\u00ednh th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf B\u1eafc M\u1ef9. H\u1ea7u h\u1ebft carcinoma n\u1ed9i m\u1ea1c t\u1eed cung x\u1ea3y ra \u1edf ph\u1ee5 n\u1eef sau m\u00e3n kinh. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 xu\u1ea5t huy\u1ebft \u00e2m \u0111\u1ea1o m\u1eb7c d\u00f9 ch\u1ec9 10% ph\u1ee5 n\u1eef sau m\u00e3n kinh xu\u1ea5t huy\u1ebft \u00e2m \u0111\u1ea1o b\u1ecb carcinoma n\u1ed9i m\u1ea1c t\u1eed cung. C\u00f3 s\u1ef1 li\u00ean quan ch\u1eb7t ch\u1ebd v\u1edbi li\u1ec7u ph\u00e1p thay th\u1ebf estrogen \u1edf ph\u1ee5 n\u1eef sau m\u00e3n kinh v\u00e0 nh\u1eefng chu k\u1ef3 kh\u00f4ng r\u1ee5ng no\u00e3n \u1edf ph\u1ee5 n\u1eef ti\u1ec1n m\u00e3n kinh. C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 bao g\u1ed3m b\u00e9o ph\u00ec, ti\u1ec3u \u0111\u01b0\u1eddng, t\u0103ng huy\u1ebft \u00e1p v\u00e0 low parity (\u00edt mang thai?).<\/p>\n<p style=\"text-align: justify;\">Kho\u1ea3ng 25% b\u1ec7nh nh\u00e2n t\u0103ng s\u1ea3n n\u1ed9i m\u1ea1c kh\u00f4ng \u0111i\u1ec3n h\u00ecnh s\u1ebd ti\u1ebfn tri\u1ec3n th\u00e0nh carcinoma n\u1ed9i m\u1ea1c bi\u1ec7t h\u00f3a cao.<\/p>\n<figure style=\"width: 1024px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/05\/image.png?w=1024\" alt=\"\" width=\"1024\" height=\"434\" \/><figcaption class=\"wp-caption-text\">Carcinoma n\u1ed9i m\u1ea1c t\u1eed cung: H\u00ecnh si\u00eau \u00e2m qua ng\u1ea3 b\u1ee5ng v\u00e0 ng\u1ea3 \u00e2m \u0111\u1ea1o tr\u00ean c\u00f9ng m\u1ed9t b\u1ec7nh nh\u00e2n cho th\u1ea5y m\u1ed9t kh\u1ed1i u n\u1ed9i m\u1ea1c l\u1edbn, kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t ch\u00e8n \u00e9p l\u1edbp c\u01a1 t\u1eed cung.<\/figcaption><\/figure>\n<p style=\"text-align: justify;\">D\u1ea5u hi\u1ec7u si\u00eau \u00e2m c\u1ee7a ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung bao g\u1ed3m d\u00e0y n\u1ed9i m\u1ea1c, k\u00e9m ph\u00e2n bi\u1ec7t gi\u1eefa l\u1edbp n\u1ed9i m\u1ea1c v\u00e0 l\u1edbp c\u01a1, kh\u00f4ng r\u00f5 n\u1ed9i m\u1ea1c t\u1eed cung tr\u00ean m\u1ed9t t\u1eed cung to. N\u1ed9i m\u1ea1c t\u1eed cung d\u00e0y c\u00f3 th\u1ec3 gi\u1edbi h\u1ea1n r\u00f5, h\u1ed3i \u00e2m \u0111\u1ed3ng nh\u1ea5t v\u00e0 kh\u00f4ng ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c v\u1edbi t\u0103ng s\u1ea3n n\u1ed9i m\u1ea1c v\u00e0 c\u00e1c polyp. Nhi\u1ec1u kh\u1ea3 n\u0103ng l\u00e0 ung th\u01b0 khi n\u1ed9i m\u1ea1c t\u1eed cung h\u1ed3i \u00e2m kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t, v\u1edbi b\u1edd kh\u00f4ng \u0111\u1ec1u ho\u1eb7c gi\u1edbi h\u1ea1n k\u00e9m r\u00f5.<\/p>\n<figure style=\"width: 594px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/05\/image-1.png?w=594\" alt=\"\" width=\"594\" height=\"466\" \/><figcaption class=\"wp-caption-text\">Tr\u00ean m\u1ed9t b\u1ec7nh nh\u00e2n Carinoma n\u1ed9i m\u1ea1c t\u1eed cung kh\u00e1c: n\u1ed9i m\u1ea1c d\u00e0y d#33mm<\/figcaption><\/figure>\n<p style=\"text-align: center;\"><img decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/05\/image-2.png?w=533\" alt=\"\" \/><em>V\u00f9ng x\u00e2m l\u1ea5n v\u00e0o l\u1edbp c\u01a1 t\u1eed cung th\u00e0nh sau (m\u0169i t\u00ean)<\/em><\/p>\n<p style=\"text-align: justify;\">Khi c\u00f3 s\u1ef1 x\u00e2m l\u1ea5n r\u00f5 r\u00e0ng v\u00e0o l\u1edbp c\u01a1, b\u1ec7nh l\u00fd \u00e1c t\u00ednh g\u1ea7n nh\u01b0 l\u00e0 ch\u1eafc ch\u1eafn. Nh\u1eefng thay \u0111\u1ed5i d\u1ea1ng nang trong l\u1edbp n\u1ed9i m\u1ea1c th\u01b0\u1eddng th\u1ea5y h\u01a1n trong teo n\u1ed9i m\u1ea1c, t\u0103ng s\u1ea3n n\u1ed9i m\u1ea1c v\u00e0 c\u00e1c polyp, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 th\u1ea5y trong carcinoma. Carcinoma n\u1ed9i m\u1ea1c t\u1eed cung c\u0169ng c\u00f3 th\u1ec3 l\u00e0m t\u1eafc ngh\u1ebdn k\u00eanh n\u1ed9i m\u1ea1c g\u00e2y \u1ee9 huy\u1ebft l\u00f2ng t\u1eed cung.<\/p>\n<p style=\"text-align: justify;\">M\u1eb7c d\u00f9 c\u00e1c h\u00ecnh \u1ea3nh si\u00eau \u00e2m nh\u1ea5t \u0111\u1ecbnh c\u00f3 xu h\u01b0\u1edbng g\u1ee3i \u00fd nguy\u00ean nh\u00e2n l\u00e0nh t\u00ednh hay \u00e1c t\u00ednh, nh\u01b0ng c\u00f3 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m tr\u00f9ng l\u1ea5p, v\u00e0 sinh thi\u1ebft n\u1ed9i m\u1ea1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh. Vai tr\u00f2 c\u1ee7a si\u00eau \u00e2m Doppler trong ch\u1ea9n \u0111o\u00e1n carcinoma n\u1ed9i m\u1ea1c v\u1eabn \u0111ang c\u00f2n tranh c\u00e3i. D\u00f2ng ch\u1ea3y c\u00f3 th\u1ec3 kh\u00f3 x\u00e1c \u0111\u1ecbnh \u1edf n\u1ed9i m\u1ea1c b\u00ecnh th\u01b0\u1eddng. Trong ung th\u01b0 n\u1ed9i m\u1ea1c, c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n c\u00e1c m\u1ea1ch m\u00e1u b\u1ea5t th\u01b0\u1eddng.<\/p>\n<figure style=\"width: 555px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/05\/image-4.png?w=555\" alt=\"\" width=\"555\" height=\"518\" \/><figcaption class=\"wp-caption-text\">M\u1ed9t b\u1ec7nh nh\u00e2n kh\u00e1c v\u1edbi t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng \u0111a polyp kh\u00f4ng \u0111\u1ec1u do carcinoma n\u1ed9i m\u1ea1c t\u1eed cung.<\/figcaption><\/figure>\n<p>\u00a0<\/p>\n<figure style=\"width: 586px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/05\/image-3.png?w=586\" alt=\"\" width=\"586\" height=\"514\" \/><figcaption class=\"wp-caption-text\">Si\u00eau \u00e2m Doppler m\u00e0u cho th\u1ea5y kh\u1ed1i u t\u0103ng sinh m\u1ea1ch m\u00e1u kh\u00f4ng \u0111\u1ec1u<\/figcaption><\/figure>\n<p style=\"text-align: justify;\">C\u00e1c nghi\u00ean c\u1ee9u ban \u0111\u1ea7u s\u1eed d\u1ee5ng \u0111\u1ea7u d\u00f2 \u00e2m \u0111\u1ea1o si\u00eau \u00e2m Doppler m\u00e0u g\u1ee3i \u00fd carcinoma n\u1ed9i m\u1ea1c c\u00f3 th\u1ec3 ph\u00e2n bi\u1ec7t v\u1edbi n\u1ed9i m\u1ea1c b\u00ecnh th\u01b0\u1eddng ho\u1eb7c l\u00e0nh t\u00ednh \u1edf ph\u1ee5 n\u1eef sau m\u00e3n kinh b\u1eb1ng s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a \u0111\u1ed9ng m\u1ea1ch t\u1eed cung tr\u1edf kh\u00e1ng th\u1ea5p \u1edf nh\u1eefng ph\u1ee5 n\u1eef b\u1ecb ung th\u01b0 n\u1ed9i m\u1ea1c, so v\u1edbi d\u00f2ng ch\u1ea3y tr\u1edf kh\u00e1ng cao \u1edf ph\u1ee5 n\u1eef c\u00f3 n\u1ed9i m\u1ea1c b\u00ecnh th\u01b0\u1eddng ho\u1eb7c b\u1ec7nh l\u00fd n\u1ed9i m\u1ea1c l\u00e0nh t\u00ednh. Tuy nhi\u00ean, c\u00e1c b\u00e1o c\u00e1o ti\u1ebfp theo \u0111\u00e3 cho th\u1ea5y kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a c\u1ee7a d\u00f2ng m\u00e1u trong t\u1eed cung gi\u1eefa c\u00e1c u n\u1ed9i m\u1ea1c l\u00e0nh t\u00ednh v\u00e0 \u00e1c t\u00ednh. D\u00f2ng \u0111\u1ed9ng m\u1ea1ch t\u1eed cung c\u00f3 tr\u1edf kh\u00e1ng th\u1ea5p li\u00ean quan \u0111\u1ebfn nh\u00e2n x\u01a1 t\u1eed cung \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o. M\u1ed9t v\u00e0i b\u00e1o c\u00e1o cho r\u1eb1ng d\u00f2ng ch\u1ea3y tr\u1edf kh\u00e1ng th\u1ea5p c\u1ee7a \u0111\u1ed9ng m\u1ea1ch trong l\u1edbp d\u01b0\u1edbi ni\u00eam v\u00e0 l\u1edbp n\u1ed9i m\u1ea1c xu\u1ea5t hi\u1ec7n trong t\u1ed5n th\u01b0\u01a1ng n\u1ed9i m\u1ea1c \u00e1c t\u00ednh, trong khi nh\u1eefng b\u00e1o c\u00e1o kh\u00e1c l\u1ea1i kh\u00f4ng th\u00ecm th\u1ea5y s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea. Sladkevicius v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 nh\u1eadn th\u1ea5y b\u1ec1 d\u00e0y n\u1ed9i m\u1ea1c l\u00e0 m\u1ed9t c\u00e1ch \u0111\u1ec3 ph\u00e2n bi\u1ec7t b\u00ecnh th\u01b0\u1eddng hay b\u1ec7nh l\u00fd, ho\u1eb7c l\u00e0nh t\u00ednh hay \u00e1c t\u00ednh t\u1ed1t h\u01a1n l\u00e0 si\u00eau \u00e2m Doppler \u0111\u1ed9ng m\u1ea1ch t\u1eed cung, \u0111\u1ed9ng m\u1ea1ch trong l\u1edbp d\u01b0\u1edbi ni\u00eam hay trong n\u1ed9i m\u1ea1c.<\/p>\n<p style=\"text-align: justify;\">Si\u00eau \u00e2m c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 tr\u01b0\u1edbc m\u1ed5 \u1edf b\u1ec7nh nh\u00e2n carcinoma n\u1ed9i m\u1ea1c \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng x\u00e2m l\u1ea5n v\u00e0o l\u1edbp c\u01a1. M\u1ed9t vi\u1ec1n halo c\u00f2n nguy\u00ean v\u1eb9n \u1edf l\u1edbp d\u01b0\u1edbi ni\u00eam (l\u1edbp trong c\u00f9ng c\u1ee7a l\u1edbp c\u01a1) th\u01b0\u1eddng cho bi\u1ebft s\u1ef1 x\u00e2m l\u1ea5n kh\u00f4ng qu\u00e1 l\u1edbp n\u00f4ng, trong khi m\u1ea5t vi\u1ec1n halo cho bi\u1ebft \u0111\u00e3 c\u00f3 x\u00e2m l\u1ea5n s\u00e2u. M\u1ed9t v\u00e0i th\u00f4ng s\u1ed1 si\u00eau \u00e2m kh\u00e1ch quan c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 giai \u0111o\u1ea1n, nh\u01b0ng nh\u1eadn \u0111\u1ecbnh ch\u1ee7 quan v\u1ec1 x\u00e2m l\u1ea5n c\u01a1 ho\u1eb7c c\u1ed5 t\u1eed cung \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 t\u1ed1t ho\u1eb7c t\u1ed1t h\u01a1n c\u00e1c \u0111o \u0111\u1ea1c kh\u00e1ch quan. Si\u00eau \u00e2m qua ng\u1ea3 \u00e2m \u0111\u1ea1o v\u00e0 MRI kh\u00f4ng ti\u00eam thu\u1ed1c th\u00ec T2 c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c t\u01b0\u01a1ng t\u1ef1 nhau, nh\u01b0ng MRI c\u00f3 ti\u00eam thu\u1ed1c l\u1ea1i t\u1ed1t h\u01a1n c\u1ea3 trong vi\u1ec7c ch\u1ee9ng minh c\u00f3 x\u00e2m l\u1ea5n v\u00e0o l\u1edbp c\u01a1. Trong giai \u0111o\u1ea1n IB, kh\u1ed1i u v\u1eabn c\u00f2n khu tr\u00fa trong t\u1eed cung nh\u01b0ng \u0111\u00e3 lan m\u1ed9t n\u1eeda ho\u1eb7c h\u01a1n v\u00e0o c\u01a1 t\u1eed cung. Trong giai \u0111o\u1ea1n II, ung th\u01b0 \u0111\u00e3 lan v\u00e0o m\u00f4 li\u00ean k\u1ebft c\u1ee7a k\u00eanh c\u1ed5 nh\u01b0ng ch\u01b0a lan ra ngo\u00e0i t\u1eed cung. Giai \u0111o\u1ea1n III, ung th\u01b0 lan ra ngo\u00e0i t\u1eed cung ho\u1eb7c x\u00e2m l\u1ea5n v\u00e0o m\u00f4 v\u00f9ng ch\u1eadu k\u1ebf c\u1eadn. Giai \u0111o\u1ea1n IV, ung th\u01b0 \u0111\u00e3 lan \u0111\u1ebfn m\u1eb7t trong c\u1ee7a b\u00e0ng quang ho\u1eb7c tr\u1ef1c tr\u00e0ng, \u0111\u1ebfn h\u1ea1ch b\u1ea1ch huy\u1ebft v\u00f9ng h\u00e1ng, v\u00e0\/ ho\u1eb7c \u0111\u1ebfn c\u00e1c c\u01a1 quan xa nh\u01b0 x\u01b0\u01a1ng, m\u1ea1c n\u1ed1i, ph\u1ed5i. MRI cung c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 x\u00e2m l\u1ea5n c\u1ed5 t\u1eed cung (giai \u0111o\u1ea1n II) v\u00e0 x\u00e2m l\u1ea5n ngo\u00e0i t\u1eed cung (giai \u0111o\u1ea1n III v\u00e0 IV).<\/p>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">Sarcoma n\u1ed9i m\u1ea1c t\u1eed cung<\/strong><\/p>\n<p style=\"text-align: justify;\">Sarcoma t\u1eed cung l\u00e0 m\u1ed9t nh\u00f3m c\u00e1c kh\u1ed1i u \u00e1c t\u00ednh kh\u00e1c nhau v\u00e0 hi\u1ebfm g\u1eb7p. Sarcoma c\u01a1 t\u1eed cung \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ea3o lu\u1eadn \u1edf ph\u1ea7n tr\u01b0\u1edbc. Nh\u1eefng sarcoma t\u1eed cung kh\u00e1c c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n t\u1eeb n\u1ed9i m\u1ea1c bao g\u1ed3m carcinosarcoma (c\u00f2n g\u1ecdi l\u00e0 &#8220;kh\u1ed1i u m\u00fcllerian h\u1ed7n h\u1ee3p \u00e1c t\u00ednh &#8221; v\u00e0 nhi\u1ec1u ng\u01b0\u1eddi hi\u1ec7n nay coi \u0111\u00f3 l\u00e0 m\u1ed9t ph\u00e2n lo\u1ea1i c\u1ee7a carcinoma h\u01a1n l\u00e0 sarcoma), sarcoma m\u00f4 \u0111\u1ec7m n\u1ed9i m\u1ea1c, adenosarcoma, v\u00e0 c\u00e1c sarcoma kh\u00f4ng bi\u1ec7t h\u00f3a.<\/p>\n<p style=\"text-align: justify;\">C\u00f3 \u00edt \u1ecfi c\u00e1c th\u00f4ng tin v\u1ec1 h\u00ecnh \u1ea3nh si\u00eau \u00e2m c\u1ee7a nh\u1eefng kh\u1ed1i u hi\u1ebfm g\u1eb7p n\u00e0y v\u00e0 kh\u00f4ng c\u00f3 h\u00ecnh \u1ea3nh \u0111\u1eb7c hi\u1ec7u. Sarcoma m\u00f4 \u0111\u1ec7m n\u1ed9i m\u1ea1c c\u00f3 th\u1ec3 lan t\u1ecfa ho\u1eb7c l\u00e0 m\u1ed9t kh\u1ed1i u khu tr\u00fa; c\u00f3 th\u1ec3 lan \u0111\u1ebfn c\u01a1 t\u1eed cung, g\u00e2y tr\u1edf ng\u1ea1i cho vi\u1ec7c x\u00e1c \u0111\u1ecbnh t\u1ed5n th\u01b0\u01a1ng nguy\u00ean ph\u00e1t v\u00e0 c\u00f3 th\u1ec3 nh\u1ea7m l\u1eabn v\u1edbi u x\u01a1 t\u1eed cung.<\/p>\n<figure style=\"width: 766px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/05\/image-5.png?w=766\" alt=\"\" width=\"766\" height=\"536\" \/><figcaption class=\"wp-caption-text\"><em>Carcinoma n\u1ed9i m\u1ea1c t\u1eed cung Si\u00eau \u00e2m \u0111\u1ea7u d\u00f2 \u00e2m \u0111\u1ea1o cho th\u1ea5y m\u1ed9t kh\u1ed1i u n\u1ed9i m\u1ea1c t\u1eed cung kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t, d\u00e0y 27mm<\/em><\/figcaption><\/figure>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">T\u00c0I LI\u1ec6U THAM KH\u1ea2O<\/strong><\/p>\n<ol>\n<li><a href=\"http:\/\/cdhaonline.net\/forums\/index.php?threads\/si%C3%AAu-%C3%A2m-t%E1%BB%AD-cung.626\/\">Si\u00eau \u00e2m t\u1eed cung<\/a><\/li>\n<li><a href=\"https:\/\/www.elsevier.com\/books\/diagnostic-ultrasound-2-volume-set\/rumack\/978-0-323-40171-5\">Diagnostic ultrasound<\/a><\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\u00a0<\/p>\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110\u00c1P \u00c1N:K n\u1ed9i m\u1ea1c t\u1eed cung (\u0111\u00e3 sinh thi\u1ebft)\/ \u1ee9 d\u1ecbch l\u00f2ng t\u1eed cung. C\u00f3 c\u00e2u tr\u1ea3 l\u1eddi n\u00e0y hay qu\u00e1 n\u00ean em \u0111\u0103ng l\u00ean<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,16,5],"tags":[18,17,19],"class_list":["post-61","post","type-post","status-publish","format-standard","hentry","category-bung-tq","category-phu-khoa","category-sieu-am","tag-carcinoma-noi-mac-tu-cung","tag-k-tu-cung","tag-sieu-am-tu-cung"],"_links":{"self":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/61","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/comments?post=61"}],"version-history":[{"count":8,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/61\/revisions"}],"predecessor-version":[{"id":73,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/61\/revisions\/73"}],"wp:attachment":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/media?parent=61"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/categories?post=61"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/tags?post=61"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}