CHAN OAN UNG TH BS.TRAN VAN THIEP

AT VAN EPHAT HIEN SM A.1. Thi ky cha trieu chng lam sang2. Cac v tr thuan li va khong thuan li3. Phng tien tam soat 4. Y ngha

B. MOT SO V TR 1. Co t cung2. Vu 3. ng tieu hoa4. Nieu duc5. Da6. au co7. Xng-phoi

III.CAC TNH HUONG LAM SANG IEN HNHCAC TNH HUONG IEN HNH1. Cuc u2. Xuat huyet3. au4. Sot5. Sut can phai tm 6. Nhiem trung nguyen nhan

B. CAC TRIEU CHNG BAO ONG1. Thay oi thoi quen ruot-bong ai 2. Vet loet khong chu lanh3. Chay mau, tiet dch bat thng4. Cuc u vu hoac v tr khac 5. Kho nuot6. Thay oi tnh chat not ruoi7. Ho dai dang, thay oi giong noi

IV. CAC PHNG TIEN CHAN OAN 1. Kham lam sang Hoi : - Benh s t nhien Dch te hoc Kham :- T- N- M2. Sinh thiet nh ngha Cac phng phap Phoi hp lam sang-giai phau benh

3. Cac xet nghiem can lam sang Cac xet nghiem thng le Cac xet nghiem phc tap hien ai Nhu anh X quang ong tieu hoa Xquang limphoXet nghiem ong v phong xa

Sieu am CT (Computerized Tomography) MRI (Magnetic Resonance Imaging) Noi soi Ban o ra xa mien dch (Radio Immuno Scinti Graphy) : R.I.S

Cac dau hieu sinh hoc cua bu1. AFP (Alpha Foeto Protein)2. CEA (Carcino Embryonic Antigen)3. BHCG (Human Chorionic Gonadotrophin)4. Calcitonin5. PSA (Prostatic Specific Antigen)6. Phosphatase Acid7. CA125, Neuron Specific Enolase( NSE)8. CA 15-3, CA 549, CA M26, M29, CA279. CA19-9, CA195, CA72-4, CA5010. SCC

*CAC TIEN BO CUA PHNG TIEN CHAN OAN Phat hien ung th sm : gia tang c hoi ieu tr

anh gia s xam lan cua bu : ch nh phau thuat bao ton

Chan oan sinh hoc phan t : hng dan la chon ieu tr

*SIEU AM PHAT HIEN SM UNG TH TUYEN GIAPHnh anh voi hoa li ti trong hat giapBenh pham cat tron thuy tuyen giap(carcinom tuyen giap dang nhu KT 5mm)

Bu xam lan ho HTEBu sun nap mat thanh quanBu xam lan canh thanh monBu xam lan sun giap Bu xam lan mep trc sun giap Bu xam lan di thanh mon*CT Scan - Chong ch nh cat thanh quan 1 phan

Sieu am qua noi soi trc trang- bu xam lan c niem (uT2N0)*CT Scan ung th trc trang bu xam lan tien liet tuyen (uT4N0)MRI ung th trc trang (bu xam lan tien liet tuyen uT4N0)Giai phau hoc mac treo trc trang Cac tien bo chan oan hnh anh

Benh pham cat trc thap (Cat mac treo trc trang toan phan)*

Phan tch DNA/RNAHoa mo mien dchHoa mo enzymeKnh hien vi ien t Chan oan phan tChan oan mo benh hoc Tien bo chan oan mo benh hocMo benh hoc va te bao benh hoc *