{"id":18395,"date":"2026-09-21T04:47:16","date_gmt":"2026-09-20T21:47:16","guid":{"rendered":"https:\/\/useful.vn\/?p=18395"},"modified":"2026-09-21T04:47:16","modified_gmt":"2026-09-20T21:47:16","slug":"mot-dot-bien-trong-mau-bao-hieu-ung-thu-vu-nguy-hiem","status":"publish","type":"post","link":"https:\/\/useful.vn\/?p=18395","title":{"rendered":"M\u1ed9t \u0111\u1ed9t bi\u1ebfn trong m\u00e1u b\u00e1o hi\u1ec7u ung th\u01b0 v\u00fa nguy hi\u1ec3m"},"content":{"rendered":"
\n


\n X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u1ed9t bi\u1ebfn kh\u00e1ng thu\u1ed1c tr\u01b0\u1edbc khi phim cho th\u1ea5y ung th\u01b0 v\u00fa ti\u1ebfn tri\u1ec3n, m\u1edf ra c\u00e1ch \u0111\u1ed5i \u0111i\u1ec1u tr\u1ecb s\u1edbm. <\/strong><\/h2>\n

M\u1ed9t ph\u1ee5 n\u1eef \u0111ang \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa ti\u1ebfn tri\u1ec3n b\u1eb1ng li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft k\u1ebft h\u1ee3p thu\u1ed1c \u1ee9c ch\u1ebf CDK4\/6.\u00a0Sau nhi\u1ec1u th\u00e1ng, c\u00e1c l\u1ea7n ch\u1ee5p CT v\u1eabn cho th\u1ea5y b\u1ec7nh \u1ed5n \u0111\u1ecbnh. Kh\u1ed1i u ch\u01b0a l\u1edbn r\u00f5, ch\u01b0a xu\u1ea5t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng m\u1edbi, ng\u01b0\u1eddi b\u1ec7nh c\u0169ng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng kh\u00e1c th\u01b0\u1eddng.<\/p>\n

Nh\u01b0ng m\u1ed9t l\u1ea7n x\u00e9t nghi\u1ec7m m\u00e1u l\u1ea1i ph\u00e1t hi\u1ec7n \u0111\u1ed9t bi\u1ebfn ESR1.\u00a0N\u1ebfu ch\u1ec9 nh\u00ecn phim, ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng ung th\u01b0 ti\u1ebfn tri\u1ec3n.<\/p>\n

N\u1ebfu nh\u00ecn \u1edf c\u1ea5p \u0111\u1ed9 ph\u00e2n t\u1eed, c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 d\u01b0\u1eddng nh\u01b0 \u0111\u00e3 b\u1eaft \u0111\u1ea7u t\u00ecm ra c\u00e1ch ch\u1ed1ng l\u1ea1i li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft \u0111ang s\u1eed d\u1ee5ng.<\/p>\n

\u0110\u00e2y ch\u00ednh l\u00e0 \u0111i\u1ec3m \u0111\u00e1ng ch\u00fa \u00fd trong m\u1ed9t h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa m\u1edbi: kh\u00f4ng nh\u1ea5t thi\u1ebft ph\u1ea3i ch\u1edd kh\u1ed1i u l\u1edbn l\u00ean tr\u00ean phim r\u1ed3i m\u1edbi nh\u1eadn ra thu\u1ed1c \u0111ang m\u1ea5t d\u1ea7n hi\u1ec7u qu\u1ea3.<\/p>\n

Thay v\u00e0o \u0111\u00f3, m\u1ed9t s\u1ed1 d\u1ea5u hi\u1ec7u kh\u00e1ng thu\u1ed1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm h\u01a1n t\u1eeb DNA c\u1ee7a kh\u1ed1i u l\u01b0u h\u00e0nh trong m\u00e1u.<\/p>\n

\n
\n
\"X\u00e9t<\/span><\/div>\n
\n
<\/div>\n<\/div>\n<\/div>\n<\/div>\n

X\u00e9t nghi\u1ec7m ctDNA c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n m\u1ed9t s\u1ed1 thay \u0111\u1ed5i di truy\u1ec1n c\u1ee7a ung th\u01b0 v\u00fa trong m\u00e1u tr\u01b0\u1edbc khi b\u1ec7nh ti\u1ebfn tri\u1ec3n r\u00f5 tr\u00ean h\u00ecnh \u1ea3nh. H\u00ecnh minh h\u1ecda AI.<\/p>\n

1. ESR1 l\u00e0 g\u00ec?<\/strong><\/h3>\n

ESR1 l\u00e0 gene cung c\u1ea5p h\u01b0\u1edbng d\u1eabn t\u1ea1o ra th\u1ee5 th\u1ec3 estrogen.<\/p>\n

\u1ede nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 v\u00fa d\u01b0\u01a1ng t\u00ednh v\u1edbi th\u1ee5 th\u1ec3 hormone, estrogen gi\u1ed1ng nh\u01b0 m\u1ed9t t\u00edn hi\u1ec7u th\u00fac \u0111\u1ea9y t\u1ebf b\u00e0o ung th\u01b0 ph\u00e1t tri\u1ec3n.<\/p>\n

V\u00ec v\u1eady, m\u1ed9t chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb quan tr\u1ecdng l\u00e0 ng\u0103n t\u1ebf b\u00e0o ung th\u01b0 nh\u1eadn ho\u1eb7c s\u1eed d\u1ee5ng t\u00edn hi\u1ec7u estrogen.<\/p>\n

Thu\u1ed1c \u1ee9c ch\u1ebf aromatase nh\u01b0 anastrozole ho\u1eb7c letrozole l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng estrogen \u0111\u01b0\u1ee3c c\u01a1 th\u1ec3 s\u1ea3n xu\u1ea5t.<\/p>\n

Trong ung th\u01b0 v\u00fa ti\u1ebfn tri\u1ec3n HR d\u01b0\u01a1ng t\u00ednh, HER2 \u00e2m t\u00ednh, thu\u1ed1c n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u1ed1i h\u1ee3p v\u1edbi thu\u1ed1c \u1ee9c ch\u1ebf CDK4\/6 \u0111\u1ec3 ki\u1ec3m so\u00e1t b\u1ec7nh.<\/p>\n

Ban \u0111\u1ea7u, chi\u1ebfn l\u01b0\u1ee3c c\u00f3 th\u1ec3 ho\u1ea1t \u0111\u1ed9ng r\u1ea5t t\u1ed1t.<\/p>\n

Nh\u01b0ng ung th\u01b0 c\u00f3 kh\u1ea3 n\u0103ng ti\u1ebfn h\u00f3a.<\/p>\n

Sau th\u1eddi gian ch\u1ecbu s\u1ee9c \u00e9p t\u1eeb \u0111i\u1ec1u tr\u1ecb, m\u1ed9t s\u1ed1 t\u1ebf b\u00e0o c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u0111\u1ed9t bi\u1ebfn t\u1ea1i gene ESR1.<\/p>\n

2. \u0110\u1ed9t bi\u1ebfn ESR1 gi\u00fap t\u1ebf b\u00e0o ung th\u01b0 \u201ctho\u00e1t\u201d kh\u1ecfi thu\u1ed1c th\u1ebf n\u00e0o?<\/strong><\/h3>\n

C\u00f3 th\u1ec3 h\u00ecnh dung t\u1ebf b\u00e0o ung th\u01b0 ban \u0111\u1ea7u gi\u1ed1ng nh\u01b0 m\u1ed9t chi\u1ebfc m\u00e1y ph\u1ea3i c\u00f3 ch\u00eca kh\u00f3a estrogen m\u1edbi b\u1eadt \u0111\u01b0\u1ee3c.Thu\u1ed1c \u1ee9c ch\u1ebf aromatase gi\u1ea3m m\u1ea1nh l\u01b0\u1ee3ng \u201cch\u00eca kh\u00f3a\u201d n\u00e0y.<\/p>\n

Nh\u01b0ng m\u1ed9t s\u1ed1 \u0111\u1ed9t bi\u1ebfn ESR1 c\u00f3 th\u1ec3 l\u00e0m th\u1ee5 th\u1ec3 estrogen ho\u1ea1t \u0111\u1ed9ng m\u1ea1nh ngay c\u1ea3 khi l\u01b0\u1ee3ng estrogen \u0111\u00e3 r\u1ea5t th\u1ea5p.<\/p>\n

T\u1ebf b\u00e0o ung th\u01b0 t\u1eeb \u0111\u00f3 c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c nh\u1eadn t\u00edn hi\u1ec7u ph\u00e1t tri\u1ec3n d\u00f9 thu\u1ed1c v\u1eabn \u0111ang l\u00e0m t\u1ed1t nhi\u1ec7m v\u1ee5 gi\u1ea3m estrogen.\u00a0Khi \u0111\u00f3, v\u1ea5n \u0111\u1ec1 kh\u00f4ng nh\u1ea5t thi\u1ebft l\u00e0 ng\u01b0\u1eddi b\u1ec7nh u\u1ed1ng thu\u1ed1c sai hay thu\u1ed1c \u0111\u1ed9t nhi\u00ean \u201ch\u1ebft ch\u1ea5t\u201d.<\/p>\n

3. V\u00ec sao \u0111\u1ed9t bi\u1ebfn n\u00e0y th\u01b0\u1eddng kh\u00f4ng c\u00f3 ngay t\u1eeb \u0111\u1ea7u?<\/strong><\/h3>\n

\u1ede nhi\u1ec1u b\u1ec7nh nh\u00e2n, ESR1 kh\u00f4ng ph\u1ea3i \u0111\u1ed9t bi\u1ebfn n\u1ed5i b\u1eadt khi ung th\u01b0 v\u00fa m\u1edbi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n.\u00a0N\u00f3 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n ho\u1eb7c \u0111\u01b0\u1ee3c ch\u1ecdn l\u1ecdc trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c \u1ee9c ch\u1ebf aromatase.<\/p>\n

H\u00e3y h\u00ecnh dung m\u1ed9t kh\u1ed1i u ch\u1ee9a r\u1ea5t nhi\u1ec1u qu\u1ea7n th\u1ec3 t\u1ebf b\u00e0o h\u01a1i kh\u00e1c nhau.\u00a0\u0110i\u1ec1u tr\u1ecb lo\u1ea1i b\u1ecf ph\u1ea7n l\u1edbn nh\u1eefng t\u1ebf b\u00e0o nh\u1ea1y v\u1edbi thu\u1ed1c. Nh\u1eefng t\u1ebf b\u00e0o c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m gi\u00fap ch\u00fang s\u1ed1ng s\u00f3t l\u1ea1i c\u00f3 l\u1ee3i th\u1ebf h\u01a1n v\u00e0 d\u1ea7n chi\u1ebfm t\u1ef7 l\u1ec7 l\u1edbn.Sau m\u1ed9t th\u1eddi gian, \u0111\u1ed9t bi\u1ebfn kh\u00e1ng thu\u1ed1c c\u00f3 th\u1ec3 \u0111\u1ee7 nhi\u1ec1u \u0111\u1ec3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n trong m\u00e1u.\u00a0<\/p>\n

V\u00ec v\u1eady, m\u1ed9t k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m gene c\u1ee7a kh\u1ed1i u t\u1eeb v\u00e0i n\u0103m tr\u01b0\u1edbc kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng ph\u1ea3n \u00e1nh \u0111\u1ea7y \u0111\u1ee7 nh\u1eefng thay \u0111\u1ed5i \u0111ang x\u1ea3y ra \u1edf b\u1ec7nh ung th\u01b0 hi\u1ec7n t\u1ea1i.<\/p>\n

\"\u0110\u1ed9t<\/span><\/p>\n

\u0110\u1ed9t bi\u1ebfn ESR1 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft v\u00e0 l\u00e0 m\u1ed9t c\u01a1 ch\u1ebf khi\u1ebfn ung th\u01b0 v\u00fa gi\u1ea3m \u0111\u00e1p \u1ee9ng v\u1edbi thu\u1ed1c \u1ee9c ch\u1ebf aromatase. H\u00ecnh minh h\u1ecda AI.<\/p>\n

4. Ng\u01b0\u1eddi b\u1ec7nh ung th\u01b0 v\u00fa ph\u1ea3i x\u00e9t nghi\u1ec7m m\u00e1u h\u00e0ng th\u00e1ng?<\/strong><\/h3>\n

X\u00e9t nghi\u1ec7m ch\u1ec9 c\u00f3 \u00fd ngh\u0129a khi:<\/p>\n

– \u0110\u00fang nh\u00f3m b\u1ec7nh nh\u00e2n.\u0110\u00fang giai \u0111o\u1ea1n.<\/p>\n

– C\u00f3 x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn.<\/p>\n

– K\u1ebft qu\u1ea3 th\u1ef1c s\u1ef1 c\u00f3 th\u1ec3 thay \u0111\u1ed5i quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n

SERENA-6 \u00e1p d\u1ee5ng m\u1ed9t quy tr\u00ecnh x\u00e9t nghi\u1ec7m c\u00f3 ch\u1ee7 \u0111\u00edch cho m\u1ed9t nh\u00f3m ung th\u01b0 v\u00fa ti\u1ebfn tri\u1ec3n r\u1ea5t c\u1ee5 th\u1ec3.<\/p>\n

Kh\u00f4ng th\u1ec3 suy r\u1ed9ng th\u00e0nh khuy\u1ebfn c\u00e1o t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n ung th\u01b0 v\u00fa ph\u1ea3i t\u1ef1 l\u00e0m ctDNA \u0111\u1ecbnh k\u1ef3.<\/p>\n

5. X\u00e9t nghi\u1ec7m ctDNA kh\u00f4ng ph\u1ea3i x\u00e9t nghi\u1ec7m t\u1ea7m so\u00e1t ung th\u01b0 cho ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh<\/strong><\/h3>\n

M\u1ed9t nh\u1ea7m l\u1eabn kh\u00e1c l\u00e0:<\/p>\n

N\u1ebfu ctDNA c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n thay \u0111\u1ed5i tr\u01b0\u1edbc khi CT th\u1ea5y ti\u1ebfn tri\u1ec3n, ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh li\u1ec7u c\u00f3 th\u1ec3 l\u00e0m x\u00e9t nghi\u1ec7m n\u00e0y \u0111\u1ec3 \u201ct\u00ecm ung th\u01b0 th\u1eadt s\u1edbm\u201d?<\/p>\n

\u0110\u00f3 l\u00e0 m\u1ed9t c\u00e2u h\u1ecfi ho\u00e0n to\u00e0n kh\u00e1c.<\/p>\n

X\u00e9t nghi\u1ec7m ESR1 trong t\u00ecnh hu\u1ed1ng n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf ng\u01b0\u1eddi \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ung th\u01b0 v\u00fa ti\u1ebfn tri\u1ec3n v\u00e0 \u0111ang \u0111i\u1ec1u tr\u1ecb.<\/p>\n

Kh\u00f4ng n\u00ean bi\u1ebfn k\u1ebft qu\u1ea3 c\u1ee7a m\u1ed9t th\u1eed nghi\u1ec7m theo d\u00f5i kh\u00e1ng thu\u1ed1c th\u00e0nh qu\u1ea3ng c\u00e1o cho x\u00e9t nghi\u1ec7m m\u00e1u t\u1ea7m so\u00e1t ung th\u01b0 \u0111\u1ea1i tr\u00e0.<\/p>\n

\n
\n
\"\u0110\u00e3<\/div>\n
\n
\n \u0110\u00e3 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n d\u1ea5u hi\u1ec7u ung th\u01b0 v\u00fa c\u1ef1c s\u1edbm\n <\/div>\n
\n

M\u1ed9t nghi\u00ean c\u1ee9u cho th\u1ea5y ph\u01b0\u01a1ng ph\u00e1p s\u00e0ng l\u1ecdc m\u1edbi k\u1ebft h\u1ee3p ph\u00e2n t\u00edch laser v\u1edbi tr\u00ed tu\u1ec7 nh\u00e2n t\u1ea1o (AI) l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ea7u ti\u00ean c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh b\u1ec7nh nh\u00e2n \u1edf…<\/p>\n<\/div>\n

B\u1ea5m xem >>\n <\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n
\n

https:\/\/www.24h.com.vn\/suc-khoe\/mot-dot-bien-trong-mau-bao-hieu-ung-thu-vu-nguy-hiem-c62a1793531.html<\/p>\n

\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"

X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u1ed9t bi\u1ebfn kh\u00e1ng thu\u1ed1c tr\u01b0\u1edbc khi phim cho th\u1ea5y ung th\u01b0 v\u00fa ti\u1ebfn tri\u1ec3n, m\u1edf ra c\u00e1ch \u0111\u1ed5i \u0111i\u1ec1u tr\u1ecb s\u1edbm. M\u1ed9t ph\u1ee5 n\u1eef \u0111ang \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa ti\u1ebfn tri\u1ec3n b\u1eb1ng li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft k\u1ebft h\u1ee3p thu\u1ed1c \u1ee9c ch\u1ebf CDK4\/6.\u00a0Sau nhi\u1ec1u th\u00e1ng, c\u00e1c l\u1ea7n ch\u1ee5p<\/p>\n","protected":false},"author":1,"featured_media":18396,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-18395","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-suc-khoe"],"_links":{"self":[{"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/posts\/18395","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=18395"}],"version-history":[{"count":0,"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/posts\/18395\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/media\/18396"}],"wp:attachment":[{"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=18395"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=18395"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=18395"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}