{"id":33323,"date":"2022-07-11T16:48:14","date_gmt":"2022-07-11T09:48:14","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=33323"},"modified":"2022-07-11T16:49:53","modified_gmt":"2022-07-11T09:49:53","slug":"u-gia-nhay-phuc-mac-pseudomyxoma-peritonei","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/u-gia-nhay-phuc-mac-pseudomyxoma-peritonei\/","title":{"rendered":"U gi\u1ea3 nh\u1ea7y ph\u00fac m\u1ea1c – Pseudomyxoma peritonei"},"content":{"rendered":"

T\u1ea3i file PDF b\u00e0i vi\u1ebft U gi\u1ea3 nh\u1ea7y ph\u00fac m\u1ea1c – Pseudomyxoma peritonei <\/strong><\/a>t\u1ea1i \u0111\u00e2y<\/a><\/p>\n

B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c d\u1ecbch b\u1edfi Tr\u1ea7n Th\u1ecb Thu, Dr. L\u00ea V\u0169 Duy<\/p>\n

Gi\u1edbi thi\u1ec7u<\/h2>\n
U gi\u1ea3 nh\u1ea7y ph\u00fac m\u1ea1c \u0111\u1ec1 c\u1eadp \u0111\u1ebfn s\u1ef1 t\u00edch t\u1ee5 c\u1ed5 tr\u01b0\u1edbng d\u1ecbch nh\u1ea7y ti\u1ebfn tri\u1ec3n, c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb kh\u1ed1i u nh\u1ea7y. Ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 u nh\u1ea7y ru\u1ed9t th\u1eeba. \u00cdt g\u1eb7p h\u01a1n l\u00e0 kh\u1ed1i u nh\u1ea7y \u0111\u1ea1i tr\u00e0ng, tr\u1ef1c tr\u00e0ng, d\u1ea1 d\u00e0y, tuy\u1ebfn t\u1ee5y, v\u00e0 \u1ed1ng ni\u1ec7u r\u1ed1n.<\/p>\n
B\u1ec7nh l\u00fd h\u1ecdc<\/h2>\n
U gi\u1ea3 nh\u1ea7y ph\u00fac m\u1ea1c (ngu\u1ed3n g\u1ed1c t\u1eeb ru\u1ed9t th\u1eeba) do s\u1ef1 x\u00e2m l\u1ea5n ho\u1eb7c v\u1ee1 t\u1eeb kh\u1ed1i u nh\u1ea7y ru\u1ed9t th\u1eeba. \u0110\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 t\u00edch t\u1ee5 c\u1ed5 tr\u01b0\u1edbng d\u1ecbch nh\u1ea7y \u0111\u01b0\u1ee3c t\u1ea1o b\u1edfi m\u1ed9t l\u01b0\u1ee3ng kh\u00e1c nhau c\u00e1c t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 u v\u00e0 kh\u00f4ng c\u00f3 t\u1ebf b\u00e0o nh\u1ea7y. Do v\u1eady u gi\u1ea3 nh\u1ea7y ph\u00fac m\u1ea1c kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n tr\u00ean m\u00f4 h\u1ecdc. Thu\u1eadt ng\u1eef n\u00e0y ch\u1ec9 ra s\u1ef1 l\u1eafng \u0111\u1ecdng ch\u1ea5t nh\u1ea7y trong khoang ph\u00fac m\u1ea1c.<\/p>\n
Ch\u1ea5t nh\u1ea7y c\u00f3 xu h\u01b0\u1edbng lan theo khung ch\u1eadu, r\u00e3nh c\u1ea1nh \u0111\u1ea1i tr\u00e0ng, bao gan, m\u1ea1c n\u1ed1i v\u00e0 \u00edt khi \u1edf c\u00e1c t\u1ea1ng di \u0111\u1ed9ng nh\u01b0 ru\u1ed9t non. G\u1ed3m 2 nh\u00f3m ph\u1ee5 c\u00f3 \u00fd ngh\u0129a kh\u00e1c nhau v\u1ec1 c\u0103n nguy\u00ean v\u00e0 ti\u00ean l\u01b0\u1ee3ng:<\/p>\n
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– Ung th\u01b0 tuy\u1ebfn nh\u1ea7y ph\u00fac m\u1ea1c.<\/li>\n
– Ung th\u01b0 bi\u1ec3u m\u00f4 nh\u1ea7y ph\u00fac m\u1ea1c.<\/li>\n<\/ul>\n
\u0110\u1eb7c \u0111i\u1ec3m h\u00ecnh \u1ea3nh<\/h2>\n
\u0110\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 t\u1ee5 d\u1ecbch d\u1ecdc theo b\u1ec1 m\u1eb7t ph\u00fac m\u1ea1c v\u1edbi h\u00ecnh \u1ea3nh \u0111i\u1ec3n h\u00ecnh l\u00e0 l\u00f5m h\u00ecnh v\u1ecf s\u00f2 \u201cscalloped\u201d \u1edf b\u1ec1 m\u1eb7t c\u00e1c t\u1ea1ng trong \u1ed5 b\u1ee5ng v\u00e0 b\u00e1nh m\u1ea1c n\u1ed1i \u201comental cake\u201d. C\u00f3 th\u1ec3 quan s\u00e1t th\u1ea5y kh\u1ed1i u nh\u1ea7y ru\u1ed9t th\u1eeba.<\/p>\n
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– \u1ede giai \u0111o\u1ea1n s\u1edbm, b\u1ec7nh th\u01b0\u1eddng khu tr\u00fa \u1edf \u00bc d\u01b0\u1edbi b\u1ee5ng ph\u1ea3i.<\/li>\n
– S\u1ef1 l\u1eafng \u0111\u1ecdng ch\u1ea5t nh\u1ea7y c\u00f3 xu h\u01b0\u1edbng \u1edf v\u1ecb tr\u00ed h\u1ea5p thu b\u1ea1ch huy\u1ebft nh\u01b0 m\u1ea1c n\u1ed1i, m\u1eb7t d\u01b0\u1edbi ho\u00e0nh ph\u1ea3i v\u00e0 c\u00e1c v\u1ecb tr\u00ed li\u00ean quan nh\u01b0 r\u00e3nh c\u1ea1nh \u0111\u1ea1i tr\u00e0ng ph\u1ea3i, v\u00f9ng th\u1ea5p khung ch\u1eadu v\u00e0 khoang sau gan b\u00ean ph\u1ea3i.<\/li>\n
– Giai \u0111o\u1ea1n mu\u1ed9n c\u00f3 th\u1ec3 lan \u0111\u1ebfn c\u00e1c t\u1ea1ng di \u0111\u1ed9ng nh\u01b0 ru\u1ed9t non, th\u1eadm ch\u00ed g\u00e2y t\u1eafc ru\u1ed9t.<\/li>\n<\/ul>\n
Phim X-quang.<\/h3>\n
Th\u1ea5y \u0111\u01b0\u1ee3c c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a c\u1ed5 tr\u01b0\u1edbng l\u00e0 s\u1ef1 d\u1ecbch chuy\u1ec3n c\u00e1c quai ru\u1ed9t non v\u1ec1 trung t\u00e2m v\u00e0 c\u00e1c \u0111\u1ed1m v\u00f4i h\u00f3a r\u1ea3i r\u00e1c ho\u1eb7c v\u00f4i h\u00f3a vi\u1ec1n.<\/p>\n
Si\u00eau \u00e2m<\/h3>\n
C\u00e1c kh\u1ed1i ph\u00fac m\u1ea1c v\u00e0 c\u1ed5 tr\u01b0\u1edbng khu tr\u00fa. D\u1ecbch chuy\u1ec3n c\u00e1c quai ru\u1ed9t non v\u1ec1 trung t\u00e2m \u1ed5 b\u1ee5ng. C\u00f3 th\u1ec3 th\u1ea5y l\u00f5m h\u00ecnh v\u1ecf s\u00f2 \u1edf gan, l\u00e1ch v\u00e0 \u0111\u00f4i khi \u1edf t\u1ea1ng kh\u00e1c.<\/p>\n
CT<\/h3>\n
D\u1ecbch \u0111\u01a1n thu\u1ea7n ho\u1eb7c \u0111\u00f3ng ng\u0103n c\u00f3 t\u1ef7 tr\u1ecdng th\u1ea5p trong khoang ph\u00fac m\u1ea1c, m\u1ea1c treo, m\u1ea1c n\u1ed1i. L\u00f5m h\u00ecnh v\u1ecf s\u00f2 \u1edf c\u00e1c t\u1ea1ng trong \u1ed5 b\u1ee5ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 gan. Th\u01b0\u1eddng c\u00f3 v\u00f4i h\u00f3a r\u1ea3i r\u00e1c (d\u1ea1ng \u0111\u1ed1m ho\u1eb7c v\u00f4i h\u00f3a vi\u1ec1n). Th\u01b0\u1eddng \u1edf trong khoang ph\u00fac m\u1ea1c, hi\u1ebfm khi di c\u0103n h\u1ea1ch ho\u1eb7c trong l\u1ed3ng ng\u1ef1c.<\/p>\n
\u0110i\u1ec1u tr\u1ecb v\u00e0 ti\u00ean l\u01b0\u1ee3ng<\/h2>\n
B\u1ec7nh ti\u1ebfn tri\u1ec3n n\u1eb7ng, ti\u00ean l\u01b0\u1ee3ng t\u1eed vong. T\u1eafc ru\u1ed9t t\u00e1i ph\u00e1t do x\u01a1 v\u00e0 d\u00ednh \u1edf giai \u0111o\u1ea1n mu\u1ed9n. \u0110i\u1ec1u tr\u1ecb b\u1eb1ng c\u1eaft b\u1ecf kh\u1ed1i, sau \u0111\u00f3 truy\u1ec1n h\u00f3a ch\u1ea5t v\u00e0o khoang ph\u00fac m\u1ea1c.<\/p>\n
Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h2>\n
Ung th\u01b0 bi\u1ec3u m\u00f4 ph\u00fac m\u1ea1c kh\u00f4ng c\u00f3 d\u1ecbch nh\u1ea7y ph\u00fac m\u1ea1c. Sarcoma ph\u00fac m\u1ea1c. Vi\u00eam ph\u00fac m\u1ea1c.<\/p>\n
C\u00e1c v\u00ed d\u1ee5<\/h2>\n
V\u00ed d\u1ee5 1<\/h3>\n
B\u1ec7nh nh\u00e2n n\u1eef, 65 tu\u1ed5i. H\u00ecnh \u1ea3nh si\u00eau \u00e2m cho th\u1ea5y c\u1ed5 tr\u01b0\u1edbng ph\u1ee9c t\u1ea1p l\u01b0\u1ee3ng l\u1edbn, bu\u1ed3ng tr\u1ee9ng kh\u00f3 kh\u1ea3o s\u00e1t. Gi\u1ea3i ph\u1eabu b\u1ec7nh: u nh\u1ea7y ru\u1ed9t th\u1eeba b\u1eadc th\u1ea5p v\u1edbi di c\u0103n r\u1ed9ng \u0111\u1ebfn m\u1ea1c n\u1ed1i v\u00e0 bu\u1ed3ng tr\u1ee9ng ph\u1ea3i.<\/p>\n
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V\u00ed d\u1ee5 2<\/h3>\n
B\u1ec7nh nh\u00e2n n\u1eef, 55 tu\u1ed5i. \u0110au v\u00e0 ch\u01b0\u1edbng b\u1ee5ng t\u0103ng d\u1ea7n. C\u1ed5 tr\u01b0\u1edbng m\u1ee9c \u0111\u1ed9 trung b\u00ecnh. C\u00f3 nhi\u1ec1u t\u1ed5n th\u01b0\u01a1ng gi\u1ea3m \u0111\u1eadm \u0111\u1ed9 g\u00e2y l\u00f5m h\u00ecnh v\u1ecf s\u00f2 \u1edf b\u1edd gan. D\u00e0y m\u1ea1c n\u1ed1i v\u1edbi nhi\u1ec1u kh\u1ed1i \u0111\u1eadm \u0111\u1ed9 m\u00f4 m\u1ec1m c\u00f3 k\u00edch th\u01b0\u1edbc kh\u00e1c nhau (h\u00ecnh \u1ea3nh b\u00e1nh m\u1ea1c n\u1ed1i). B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt v\u00e0 gi\u1ea3i ph\u1eabu b\u1ec7nh l\u00e0 ung th\u01b0 bi\u1ec3u m\u00f4 tuy\u1ebfn nh\u1ea7y c\u1ee7a \u0111\u1ea1i tr\u00e0ng.<\/p>\n
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V\u00ed d\u1ee5 3<\/h3>\n
D\u1ecbch khoang ph\u00fac m\u1ea1c lan t\u1ecfa v\u1edbi nhi\u1ec1u t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng nang c\u00f3 v\u00f4i h\u00f3a, \u0111\u1eb7c bi\u1ec7t l\u00e0 quanh l\u00e1ch. N\u1ed1t Sister Mary Joseph \u1edf r\u1ed1n (l\u00e0 t\u1ed5n th\u01b0\u01a1ng di c\u0103n \u1edf r\u1ed1n, ph\u1ed5 bi\u1ebfn t\u1eeb c\u00e1c kh\u1ed1i ung th\u01b0 bi\u1ec3u m\u00f4 tuy\u1ebfn trong \u1ed5 b\u1ee5ng). Kh\u1ed1i ch\u1ee9a \u0111\u1eadm \u0111\u1ed9 v\u00f4i h\u00f3a \u1edf g\u1ea7n manh tr\u00e0ng (ung th\u01b0 bi\u1ec3u m\u00f4 tuy\u1ebfn nh\u1ea7y \u1edf ru\u1ed9t th\u1eeba).<\/p>\n
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V\u00ed d\u1ee5 4<\/h3>\n
B\u1ec7nh nh\u00e2n n\u1eef. H\u00ecnh \u1ea3nh CT v\u1edbi d\u1ecbch c\u1ed5 tr\u01b0\u1edbng m\u1ee9c \u0111\u1ed9 v\u1eeba, c\u00f3 nhi\u1ec1u t\u1ed5n th\u01b0\u01a1ng gi\u1ea3m t\u1ef7 tr\u1ecdng t\u1ea1o h\u00ecnh \u1ea3nh l\u00f5m v\u1ecf s\u00f2 \u1edf b\u1edd gan, v\u1edbi t\u1ef7 tr\u1ecdng cao c\u1ee7a v\u00f4i h\u00f3a, \u0111\u1eb7c tr\u01b0ng c\u1ee7a u gi\u1ea3 nh\u1ea7y ph\u00fac m\u1ea1c.<\/p>\n
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V\u00ed d\u1ee5 5<\/h3>\n
B\u1ec7nh nh\u00e2n n\u1eef, 50 tu\u1ed5i. H\u00ecnh \u1ea3nh CT c\u00f3 nhi\u1ec1u kh\u1ed1i gi\u1ea3m t\u1ef7 tr\u1ecdng v\u1edbi d\u1ecbch \u0111\u00f3ng ng\u0103n \u1edf ph\u00fac m\u1ea1c, m\u1ea1c treo, m\u1ea1c n\u1ed1i t\u1ea1o h\u00ecnh v\u1ecf s\u00f2 \u1edf b\u1ec1 m\u1eb7t c\u00e1c t\u1ea1ng, \u0111\u1eb7c bi\u1ec7t \u1edf gan. Kh\u00f4ng th\u1ea5y h\u00ecnh \u1ea3nh v\u00f4i h\u00f3a.<\/p>\n
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Ngu\u1ed3n tham kh\u1ea3o<\/h2>\n
Dr Joshua Yap, Pseudomyxoma peritonei<\/a>, Radiopaedia. Truy c\u1eadp ng\u00e0y 11\/7\/2022<\/p>\n","protected":false},"excerpt":{"rendered":"
T\u1ea3i file PDF b\u00e0i vi\u1ebft U gi\u1ea3 nh\u1ea7y ph\u00fac m\u1ea1c – Pseudomyxoma peritonei t\u1ea1i \u0111\u00e2y B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c d\u1ecbch b\u1edfi Tr\u1ea7n Th\u1ecb Thu, Dr. L\u00ea V\u0169 Duy Gi\u1edbi thi\u1ec7u U gi\u1ea3 nh\u1ea7y ph\u00fac m\u1ea1c \u0111\u1ec1 c\u1eadp \u0111\u1ebfn s\u1ef1 t\u00edch t\u1ee5 c\u1ed5 tr\u01b0\u1edbng d\u1ecbch nh\u1ea7y ti\u1ebfn tri\u1ec3n, c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb kh\u1ed1i u nh\u1ea7y. Ph\u1ed5 bi\u1ebfn […]\n","protected":false},"author":1,"featured_media":33336,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-33323","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/33323","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=33323"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/33323\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/33336"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=33323"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=33323"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=33323"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}

Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h2>\nUng th\u01b0 bi\u1ec3u m\u00f4 ph\u00fac m\u1ea1c kh\u00f4ng c\u00f3 d\u1ecbch nh\u1ea7y ph\u00fac m\u1ea1c. Sarcoma ph\u00fac m\u1ea1c. Vi\u00eam ph\u00fac m\u1ea1c.<\/p>\n

C\u00e1c v\u00ed d\u1ee5<\/h2>\n

Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h2>\n
Ung th\u01b0 bi\u1ec3u m\u00f4 ph\u00fac m\u1ea1c kh\u00f4ng c\u00f3 d\u1ecbch nh\u1ea7y ph\u00fac m\u1ea1c. Sarcoma ph\u00fac m\u1ea1c. Vi\u00eam ph\u00fac m\u1ea1c.<\/p>\n