ung thư dạ dày




 !

"#"!

$%"&'!

()(*!

$+,-.!
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)/
 !"#$%&'
1. Dịch tễ học
Cơ địa dễ UTDD:

01
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2&+'3455'678"0552&+
&%009&3"3":;5<=>?!

@4,A4B=C/

%0D&"0E&FG)H&6I7J60&E0
KA()*&FG(:L&933(M4733(?/
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N%0D(F6!487D!7O%&%P*:Q4!"!
R8!0()&O"S///?/


L&"T&"47&!3,&43"@,4"&/
2. Phân loại:
34+,-./00&=),R

1223456#778
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96:;7780%U50%D5%5%4V/
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<53:&W3"33"&4?/
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M7D,4&X.A00%&'0G///
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<5345Y&A47Z["43 !2F.&,
)=/

>955.A55122345/
 #?#@A&B122

: &'1B$@C,D1EF&2"2GE61@,1228
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@ #?#H+"&'1B$IB?##J:2"2GEK
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1. Lympho dạ dày không phải Hodgkin

2. U ác !nh hiếm của dạ dày
: &'1B$@C,D1EF&2"2GE61@,1228
: &'1B$@C,D
1EF&2"2GE61@,1228
1. Dịch tễ học:


Giới !nh: L7K7M5N:@//Y&+<\\]2/9/^P,\\_?/
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Tuổi:``:KA,a<_24,B;b?
2. Các yếu tố gây UTDD:
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1OPK&7:6!0D&!60()&!P*F)A?55:&"


&"&42&(0c?
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&7M122:X&42d*5
3,5<&"474&&
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0?/
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e&FKA:=5_FN?&"(f&"&F-Z84g08,
55h70K&8RF&/
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::3&878Q0K&"47&
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P*)K0"U O&"47&6T555QQ,;)Q72
&"4)55&Q;)Q&Q7,%0Di/:jA?
2. Các yếu tố gây UTDD:
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Một số yếu tố có quan hệ đến UTDD
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2K7RSTU<VM()*QQ-5
WXYB7&Ff&6-Ak55)01/
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1;55678"0559&3"3"55`>/
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Z)9
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H[)IT",0d
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B;)37;Z)K:lm<\\_?@55\.
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]BZ<[552&+g0&E0&&F4

/
0+i

N%F*

/@,4"&

^nAV00d

&%00&3"3":@3"&&4073&?

@4,A7:""3,A"30"74"?
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L&+34&+:1"4A&7"&$7?

@)Q!3
N%F*

0D&:A&(,3233,37?!0D&7,3o7!*&E00D&!60
()&ZU8/

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OAcD0"&i&E02&Np842
3,&43"

/@,4"&p2&+34&+555$E72&+(q4&p0 KA;
,h

&pipF(fA8&Ci26
^nAV00d

YF&A:A43$,4r"43?

s&P05>t5A4,Ap0Qi,Kp%0D$E
:A"3,&?
3

Y&+g0&FGp&'0"#
3. Giải phẫu bệnh lý:
1. Đại thể:
.
14)[K,4q=5_55Hq4),s&,+55P55PIHuF
,4q
.
14^K7UA, 55F"55A"&'24"4,T/^H(X]5
_p&%4
.
1]K122[6);)7_`;8K]5v&+
55aO


%A&+6wQ0D!np&% 0,"
455=5]P7x/
.
Ba thể trên đơn độc hoặc kết hợp với nhau
3. Giải phẫu bệnh lý:
2. Di căn của UTDD:

@bc55"34"0!!,
55d61;8b4.efg/

2_9P0y!F&"!!,!3WO6<\
I<;3;8b24DO!i"RzKA/
3. Vi thể:

I3454R993:&W3"33"&4?K0
"U{|v0%/

I<54RK%4)K&4!t!)(f4Ph
:}&,G~.F?4.)}/
@WO6<\<<;3;8
4. Triệu chứng học:
a. Triệu chứng lâm sàng:

"&0P *:K0&07R0?

^hx70(&*55()$+055,UFh05570,&+x

•K4


@W57<P/

F&F. F0F0-26K0(€!(q4& !(f&8(&
•0D:,4&"RFi‚ F0D?/

19:•&!4‚h7;"ƒ"8(fF'„!…H7†A&4.
,e;3;Q,7;6i8/

[0-!t&!j<5Uk7X
4. Triệu chứng học:

1O>46Tlm8
. n^XnK"+4."D
o 2Mp5n!94023"3:‡?F/
]/ K0&0x4P!K2•Fx"R!4!f0!ƒAiF3/
.
2MT_
</ ^&+7D(q4&!A•=i!2&+‚ˆ&A/
=/ 4F0!.,:)')&*?
]/ &*AU7Hx,!)6x/
( 1;:CD-FT"&!&FR&!t7H(‰R&K(&iX7i024?/
4. Triệu chứng học:
b. Triệu chứng cận lâm sàng:

qQ`7K

qQ`74)[
514)[^:I0,3"45233Š?G8,4q7i0!Q0g0)2&E&4
,+H:<?
5)[:I/,3"&r4"3?)"+‹5g0G8&+KH$%A

d2R&,4q:]?g0h72&EQ0g0,4q6A•E/
5I3:I70A3"o&3,?2E‹5g0()&%A8&AD&-A2R&&74&/

&mKF"&+6*T55E.(fFE0!

‹5g0'r][:,&&3A,7$g03?)'(0"U,"4
/YTF4 wA,&AX"+6&n":(0"U?(f
4)A/I& ,"i262f26qC,0D" &Q0D
G0%" &

qQ`71224^:I233?)G(0%2G A"&'"+E
.&+
4.b. Triệu chứng cận lâm sàng:

m7&&%55XQ\`>/

]G8.A(&&74&:F F4.(%-A?

14)[K
</ 7•&!q4)(fFE0!Fc!4&k/
=/ 9H4!h!C&E04t(fFE0!H)80"+,4q/
]/ &+Q00%!,4q0!%A&+{,&CQ,4q/
.
14^K6n;;78
</ M(D&0Q•QG4t(fFE0(f)0D/
=/ "+.2&S(D&07•&)F}K4&k2R&6h0/
]/ ^2&+Q0g007•&P2(f)0F/