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Chup phéng dai Thé CC Scanned with CamScanner148 pAM DO TUYEN vu Chat luong phim top wd cng yA ng phen ing cng Dam d6 mé vi mild cing a nn mo w aft seins re mo ms (4 sw mia 9 Chup nhi anh co tui dén CONG HUONG TU TuYEN vu + Bi, 4 Chan doan TB hoc - GPB '= FINA: Dé, re, an tan, tn cy ‘Am gid 210%, dusng gid 0-4% = ST (6 kim: = Oho GPB, % am tinh gid. Cén phuong tn. «= Bién chong: dau, chiy mau BAO TONSNAM. = ST mé: NWO ANH VA ‘+ ST trom: sang thusng! nbd én hoge bubu SABINITHURING = ST1 phén ‘= STidc thi (cAt lanh): Khii kndng phi hop LS-FMA-HA Scanned with CamScanner M46 BN ge deh. AL kga 149 «|, TE BAO HOC Aepgc bit 6 bdo kim nS CFNAY: 4S = Simple (don giéey TA. Aeancy eth se TF tov A E__sfeoreie a tsnkém = AL SINH THIET LOI KIM (core biopsy) "@ Chinh xe > 90% = AMMO + Gi6 coo Sbehengu ang Be svarcnquoate | sox [oon] goa | oe | oe ‘Ga wen dose “tanga + Chén dodn te th + Dignedton ton? ‘qastann { DOIKNI phal ch ket qué ay a dt thuting dén thusng eee dong nnd Scanned with CamScannerPhung php thuing quy (Porattin block) ‘7 150 Xbe oe © Logime nee + Xam sn mgeh Been © Grod me hoc: huyét @ mach mou ‘6 Trdnh phdntrong dng * Dledin iach vedas * Dignedt Ho Gidi phdu bénh:(2) E ; + Bag hyénvi + Téu thoy @ Carciném vi xam lén:. + Tiéu thoy -10%) + Ong tuyén vd: - NOS.7S%) + Dang die biel (10%) \ «ang 609, 309 Kir, dong arty, dong x “me chard sBn, dong wir, Bfoh Poget ) hang I [GakéoanO [is Gini dosnt [TE [Gai coon ta [TOI [iat oan in (Gaidaan nA [ror Gini donn mm [Te [Gia on wicca T |W [Gai doan ty _[BsneT 3 CHAN DOAN UNG THU vo = Chin dodn xéc dinh = Qhdin dod phén biét «= Chin doén GPB = Chin don giai dogn bénh = ChSn dosn bénh di kém > Up KE HoACH Blu TAL Lu phép tam Ij trong chin dosnt! poe = Scanned with CamScanner‘st -| piéu TRI DA MO THUC “2h, C40 nhém beh ung th vd ‘= Digu tr] da m6 thite «= Ung thi vi giai doan sém ‘» Tai chd tai ving: phdu thugt va x9 tri ‘Toa than: ha trl v8 ni ih, ohm tring dich a = Ung thu vii tién trién tai ch6 - tai = Nguyén tac diéu tri: Zaflor’s therapy: ving Theo yéut6 én Wvong: BN: ki ng, ng matin cia : {su nay phat ach dl ebn = Ung thy vii di can 1 Sih oe: ERLPR, Her nei, PHAU THUAT cL. PHAU TRI > Nguyén te: w An toi vt ung th nh db bo thf . Pioneer oceemed ares 1 cl ign ch rg 1 ang elp a iu aut Up (a, 39, fi Ul) 1 oe a noha Phau thugt bao tén vib i salt ung tv Dido ehh tee rh log td xd ANY ays ‘Taitgow Bhegvat Tehaow Bog vt TRAM on Scanned with CamScanner+= Gidm tdi phét ti chd ta ving, + Tang sng cin = Han ché bign chi¢ng « Cai thin chat lugng sting = Bao gém: + X@ tif sau bio thn v6: tn bw va én bud + X@ trl sau doan ni nao hach, = Xa tel sau tl ta0 vo seg ei eit tle tas + Bién ching cia xa tr) trén tuyén vi = Thongr p&p: phi, dB da, nga, Kc thich da a tB + 540%: dau w sau ~ 1%: vit phi sau xa, vidm mang ngol tm, gy xs ~ Anh huéing thém mj: aha tyEn vi, sto co kéo, din th mach da vi ~ Nowy ec k nguyen phat thd 2: sare, beoh bach cu kw bm (1/100) Sed cua Ge a Scanned with CamScanneri | LL HOA TRI » Quan trong vik vi Ia bénh toan than. = Giam tai phat, di cn va ting sing cin . Ting ‘kh nding bdo t6n tuyén vi khi hoa tién tale + Bao or: Pr iBea gens Hb og = Trifu ching += Chon Iya héa tri dya trén YTNC cia timg BN ‘= Cn nhc d6c tinh ~ higu qua ‘bit:/Arww adiuvantoniine.com aL nor TET = Val ud cla ‘estrogen trong ung thi ws Cae md sich cia estrogen Cho K vi c6 thy thé Estrogen Receptr(ER(s) = Bao g6m: ‘= NOI tiét tan 5 tro, (Oi tit NB try 5 iit tau chong + Phung php «= AT BU6NG TAONG float 201 = Kikg ESTHOGEN SER: Tamtin ikofcmee +1 WHO? CA HAN cO NeuY co CAO B ‘Sang thudng va tién ung thir (DCIS, CIs, AH) '* B6t bién BRCA-1 hoc BRCA-2 \* Tang nguy co ung thu’ vi /5 ndm [a > 1,66% theo Gail mode! HOA TRI wart de ons Tac dong cia néi tiét én tuyén vi PHONG NGUA gx ung thyvi? 1) 1 1. THAY 061161 SONG (heathy cit, heathy ie) 2. HOA PHONG NGA 3 PT PHONG NGUA (DOAN NH / CAT BUONG TRUNG) Héa phéng ngtta-ASCO 2009 ‘= Tamoxifen (20 mg/ngay x 5 nam) + [uy od Kw xd a c ER ttn PN hae ‘numa Wah ve ngy cd Srl > 1,66% (63 ‘model of LIS + tndng kt ding én P15 tharén tS, tu the TH shy CVA fe TIA ving cing kim vl 8 ay {hsm phy oa gay tri Kb Bu wahing nim +g tig tg von do k vi Scanned with CamScanneroo eee oe—eEeeeeeEe ee eee 194 a fe re =} H6a phang ngia-ASCO 2009 -tt gon NHU PHONG NGUA + Raloxifene (60 mg/ngdy x 5 nm) = DNPN 2 bén gid nguy co K vi dén 90-95% * 1 ibm ogy cf Kv bm in ER tn PN Bh Peete trie (ging PW oy ma Kt) gy = Téitgo vi v8 tdi tao vi 2 ben ci thién QOL ‘as Cee ances 15-10% khéng hai ing (gi cm gidc nim vi) + dg dies en + = Céc sang chén tn thin cia thi thu8t nay ng tn yong do vi cing gp, mat s6 PN cho ring mét éieém ‘= Aromatase inhibitors ic 18 ni tinh va vé dep cla PN” (UCLA) ~ ‘Kong Rhuyen dang ngoi cc NC am sing | CAT BUONG TRUNG PHONG NGUA =| QoL sau DNPN = Gidm nguy ca K BT 90.95% (ung tu’ phic 1 Hu hat phat trién cc ri loan cém xe mac nguyen phit Sn vin xéy ra)* ap acai slasaeice oe * Gidm nguy co ung thy 63% néu mé trude 40 Z ng lam gidm QOL ud, v8 50% nu m6 trac 40 tus. 1» BNPN 2 bén o6 ti tao vi: 84% hat ling * Gly mn kinh vinhvign do phuthugt + Khng hai ang thuting & nhém cé tién + PT qua n6i sol gidm bign ching sau ms a ing. + S108 BN bump Ufo eu tT + Hi ing rt cao & BN nguy co trung binh =| TAM SOATUNG THU VU. oi ‘clanaasanenverrOTe re {teen COLe - + PA nga co trun bi 240 ti tn su och Koh +008 Adm vr Mg tng 1 Nal 6) vi ong cao? gdm ong + khim Wim sing! mi atm Pit bign sm ilu tA a ‘ahd inh / i rd, Am gi 525% + Pasa: on tn cy, nn, ad + stu dm vil nil 6—12FFNG =| TAM SOAT k VU 6 PN NGUY CO'CAO, | TAM SOAT UNG THU VO 1 Tw khdm vi hing thing bt au i 18 tdi ‘= vim vi lm sing mBi 6 thing bét abu & tdi 25 = PH equ certrong Wah 240 tlt ted sau (hoe 5-10 ndm sém hon tui ngudi than mic K vo) Sach kinh * Chypnha ante 25 tu (hob 5-10 nlm sim hon * TW Khim vir hing thdng (bit du sau 20 tsi) «Yul 6) v1 vong e302 oidm % td veng 1 Phit ign sto-> dot ket at ‘Pham tit: don gi, tn ey, git chp nbn de ‘tudi ngudi thén mae K vi) ‘= Khdm Ulam sang/ mdi nam ‘= MRI ngay nay duge ding ket hop vi nha nh; ting ‘= NhG anh / mBindm, am gid 5-25% 8 nhay nhung gidm 46 chuyén bigt «= Situ am vi mdi SHANG Scanned with CamScannerJ Ding coc déu ngéntey khép tay eném feng bi = PN cé d3t toi don = PN nguy co cao hoe Kv ~ ma viaje ‘= BN méi chin doén K vit = anh gid bio tin vi ~ phit hign thém tn thyang ngodi nbd anh 5% #27 PNcé thai nghi K vo 4 KET LUAN get ei dotog cha eb btn the ea bin vb ung tbe vi: + Gop phn tdm soét va phét ign sd K vi + Higa éuge khé khan cia chdn don K vi + hp BN trénh diy sai fm (clot ptt, rit i) + Trinh xij King dng va kndng dy ds + Chuyén nhanh dn chyyén Khoa ung buy eg 80a thodi tién knén edn toan hose Ige ch Tykhém va Tames iced V6i aéungén toy, khép ial khém mdi Ibén vi theo 1 trong 3 ae i 4 Tién lugng FT AT Tong 5 RE: wi tan Han = Tien lugng xf: = Banh adn te cb Kah se Cohachdicdr2 hoch = Baty tr Ge he: ca“ ‘= Thy thé ER,PR: am tinh = Xan tn BHM 1 ty 16 so oe: thy hE YTTT (Here, stig gt, Scanned with CamScanner16 Buéu diép they Bubu so twyén Hu ht la mot kh king dou, n,n Phat in ohanh du, okt 1020 nm 1a din, c6 thé cang bang, Rit od ea da, th ed tudn hod bing he Nm vi 66 8 b inh hubng, nung xen him ly thyt vo. Hamart6ém + Sang thu7o7ng c6 v8 bao méng bao gdm m6 théu quang va cén quang dan xen nau Hamarém ‘Budu nha trong éng $00 Lao va ruse eu erreur é ‘BENE MHAWW.H.C Scanned with CamScannerThay déi sgi boc pau vo CHAN BOAN 76%) BENH UNG THU PGS Cung Th] Tuyét Ant Ban chat bénh ung thu la gi? Bénh ung thy la bénh cia sy tang sinh v6 t8 chic cia mét s6 18 bao, thodt khdi sy diéu hda va kiém soat iia co thé, dem Iai cai chét khd trdnh khdi cho co thé chi. Ce nhém gen chinh tham gla diéu hoa va kiém sodt sy sinh sin eda té bao jon trong co ché ty sia cha DNA (ONA Auto-repair mechanism) ‘en trong ¢0 ché gay chétté bdo theo lap trinh (Apoptosis mechanism) ‘en hoat héa, thie day sy sinh sin 16 bao (Proto-oncogenes) « tn dé nén, ngin chan sy sinh sin 6 bao (Suppressor genes) ‘tur xy ra khi cd 4 nhém gen nay bj dét bién Ba * Giai thich co ché hinh thanh va dc diém ‘cia 16 bao ung thy Muc tiéu bai giang + Trinh bay cdc bude chén doan m@t bénh ung thu. Mat sy diéu hda sinh san té bao Phin bao Oo : SOG. ni ‘Té bao apt bid er _—_—— Scanned with CamScanner