Ứng dụng k tirads2021 dựa trên đặc điểm sa trong chẩn đoán ut tuyến giáp

UNG DUNG K-TIRADS 2024 DUA TREN

Dic ole itu AM TRONG CHAN DOAN

UNG THU TUYEN GLP

THS.S. Ngwyén Minh Huy

Bénh vin Trung Ue Hue

NOI DUNG BAO CO

| OATvANat
I, THUATNGU/SIAEMU VE TON THUCNG TUEGu

I, DANGHIA CUASIEU AM VE MCI RONG KHOI UNGOAI TOYEGLNP

Nv. CHAN OOAN HACH CAN TREN SIE AM

V, PHN TANG NGUY COATREN SIU AMA K:TRAD 201

Vl ET QUANGHCEUN aucau

VILKETLUAN

pAT VAN

TIIH!ÌMU6TUTUẾNGÍ0

GLOBOCAN 2020 Itile0e

The Gi

+5600 ca dc mdi (3, hd)

+ Tylbmacndt: 10 1/100.000ngti,gp3 lin nam,

* Khovng 43,600 ca von (0),

Viet Nom:

© Sé7Lcamaci(3i) ah

1 |Íiy6(0 (2092) Euyw lui

19.3 milion

mew cases

‘ql cme tis LCC re i ty Wil a Cv Cutie enc, 1,

K-TIRADS 2021

"Phan nh sy dng thug cla 8 Hip hi tuyen
gla lon Quoc t8 48 pat tién TRADS thng

aha. co ung thu hgh cd 2021 Koean Thyroid Imaging Reporting and Data System
tidus Lng base een m lui
"M68, phn loginuy Korean Society of Tyrol Radiology Consensus

chuan kiém tra én i cc quyet di theo di Statement and Recommendations

À đỒ ¡trì tnưẾt về ft fun) So ton Ou! Dn ye Shi i Og any on a

va lu tr trevasa ki iu am, Dd hn Say Ga

' (im tú tyiỆnchan doanlịh i lô So lyny dng, Dn inSain Sod Kin’, Cg Yon La, Ho yu a

an og hogy ite ho

ayn yyy

can tied tn thuong <2 cm vd du tì độ
ay chan dodn cao o ton thyong »2 cm tú

guy cd ung thy.

THUNGOASICTU AM

VETONTHUCNGTUEN GP

THANK PHAN

¥ yg phn lai ya rn) phn nang so vi

phan dc

! Lj mot yeu td bdo dc li co béndhc th

($6: 78,7-95,1% Sp: 27% 53,8) 1, 2,3)

Mota Dinh ngia Hh 2. Toth bot bin (TIRADS 2 [1]

Dit Hoan toan kdnc6 gnang
thú Thanh hn nang
Chiyéunang Thhan nnangh» SO

Nang Hoan toan kGngcO de

bién NaSnt tghanh »phn dc

1 fu, a, at yd ay pig od pn orf i sitr g etic ofcei ay A
2 et eA, eet iti a bc ny AC AA nrc tr, 1Ì HIU
A StS Pb etl) ny le hy hin ih aa ten tf veo a tr ou fy, |

HẰIÂM

"Phan ol da trén him cla thanphhén dc kndng via,

*Niuy coactinhgiam dm manh cao Hon giam dr hy, là một đ

ju td blo (ft ly tà Mi í h |: 1 - 10, HIẾN

#10]

Mot Dinh ngia
Gidmméanmh Glam dm hodc tong ty hdidm coc tude

thỉnh Gam th i gp ih tt wag

imlt0(tút

ty = [Sogn ot ae Hin A,B TT dc gdm dm rt (MH Kf)

Tingim Tang minmd gitd iy nh thvtng Hi. dc gam im (MB Nan ih)

0S Rt ait of Thy Nodes Catgorintin Bed on oy on cage. yao oun of th Amercan Tyo Aan, 4 S52

ny Rk Sta Noles wc th Marcy a aton ond Rm Cal aton Baedon Utne, oan puralay, 2) 64

TRYC

¥ Doc xc dh bt hung ng trường tỉ tổn thư,
! Ì lái tổ dự lo (ật ) tịnh dc tinh (Se: 19,2 ~

53% $p:88,2- 98.7%),

" Nuy co ac tnh cla truc kdng song song phy thude

vao thanhphlanva htm cla tn thyong {23

Mota Dinh ngia

weve Dating inh re sau tg kth nang Hh Tre tng song ong TRADS 6)

" + angi png nang WH: Kh

lhùy utntrad gsauk> dunng Knhh ngang

ong song trong mat phang ngang

Rt StotfcatioonfTycd Nad CtegBaasedron Saldtty aind ochnen. Phyrad fice ura ofthe Amarkan Thyroid Auto XI $4252

enVt oda Sr tuy e he TADSein ates wth ya Rade. ranula, 142
ny Rt yd Nolesn wth Macca iaton od rm Calodaor tUtod nates oan cnof adoy, 2) 647

Bd

Mota Dinh ngia

lu Bob rng, hon ted hn

Khindgu Bird réng hung ua gal hog a cung nbd

BY, anh ii km, khdng the phn be
aga Vi nhu mip anh

At ay

¥ BY Khdng dul yeu t dy bdo dc fp cho bénh dc pee

te 290-7659 871-986 MBH: Kh

* Nauy cdc tn cla bo Wodng Gut phy tude vao

thanh phn ogc him cla On thuong, [23

Stottof hyd Nodes CoteBopdorSoltd tond ocang. hyd: ofl ualothAnTeyorcAsaotnin 294 S52
enter Pept Voda Study th KAD Pts wth yd Nodes. oe oneal, 1A

Stet of hyd les wth Maecenas Kaen unof ady, 44 4

VOlHOA

+ \ƒ ti hú l yeu t0 dy’ bao cho bénh dc tinh hy thudc vao
thanh phn va Wb dm Se: 369~$8.6% Sn: 78,6 94,6) [2

¥ Cac ndtv ha trong nang voi an gd tơi s ti (tớ

dang tin cy ban cht anh th (nguy cod tinh <1 - 2%) 3,

Mi Dinh nha

Vivdihda CGcchim tng (1 mn tong phndc

Viihdaldn Cen ting dm vt bing sa (>4 mm) Hin, Vivid Kem anh dubs cl

ilúati fincgong hodonan hoa kg hod oan tng an goalvit hoon, cho tng béng md pia sau (I3)

Wilú0tiuỹ. .. tong nang cb uh dm ing sao ch

dhiuôi 2

Rk Sofaton of Phyl Nodes Coat xon oo dy on nd cage ya: ofc ura the American hyo Aeon, 246) Sde522

enVt oda Sr tuy e he TADSein ates wth ya Rade. ranula, 142
hon ltd odes face of pater aa A Aran pu of reno 246) LU

DANH GLA CUA SIEU AM VE MO'RONG
KHOIU NGOAITUYEN GIA

MO RONG KHOI NGOMITUVEN GPE

Phinloai Dc dé Mota
Fash
Phavd Mat dng htm quanh ten ip
vbbao —_tavititiép nil tyéneép

HẾUMgọ lần Uh wa dyin ca bi i
Idivao dn mém quanh tuyen gap

ETEtpohnatnic Thaythé Olu nh vao co bang vl bd co

bing tớ bang dng

ETE toan phn tidy TK 10 vo nh thối tàn nh hi quan wut
quatngvgcthaqnuhan kh quan gol boc in clatyéngép

ETE toan phan tk tủ Gc thin tình boi Dé mat kl

quan twyén gpvd unbi quan

Bang 1 Tu chun khwyen nhl chin dod ETE 2

1 Adene,tal, Ao tap ml ev ogniii,
2-1, oat End p od ogo i en ait ely ou re ecm trit

oad2),A

MC) RONG KHOI NGOAYTUYE Ge

Dy dodn sym rong cla utuyen gdp Hin 2, Ung thu lp nd dng tt RL TG
"ETE ti thigu bao gp tr én (Se: 646%; Sp: 87,14
(HAA). ETE toan phin dén co bang (Se: 45,4

$9948 8

¥ Govtl gauv ki quan Se: 85,7%, Sp: 98) (H.24)

"ETE va inh ki hye quanddodn sy xm ln ao dy

TK quat ngude thanh quan (Se: 833%; Sp: 999%)
(H28},

Chung, Boek H, Cha. et, 204). anogapl Asessmen ofthe Eten tthe in Myc (net Korean uma of

rod 2) 10-18,

CHAN DOAN HACH CO I

CAN TRESIEUNAM

CHAN DOAN HaCH CO Di CAN TREN SIU AM

Phan hom ẩn Ittictilt

Bat dc dé nghi nd 288

Thay doinang 97.100

iting! i W610

Tang dm vo (ku tanta) 79.96

Mach méu bt thutngngoali/tabna) 77-84

Khing vac doh? Mat hol am rdnvammach mdurdnhach = 20

Khang COhbiém Gn ach 4

lanhtinh® Mach mau rn hech

1 Yl fon pen pg py of Phd et ea A Anpo teadi, 1
ot Uber tm phe nb yo a py to pg dt ny 8
eM yak op rt pg vn jon ye cn anya oe md arty ALA ef 2M IHI

CHAN DOAN HACH CODI CAN TREN SEUAM

* Hin A: Hach c6 vl hoa Khu tr. dang tà

voi boa

* HinhB: Hach cd thy Ol dang nang ku tl

1 Hin C: Vi hoa lon Kem bong ung (duct tr)

+ HinhD: Mach mau bt thug (dtp

Hin. inh dh su dm ach bach huét ng nds
ten UTBM tuyén pth hd

BRR) 2 Coan yd ia ering od tte od nay ae reef hyd atu aren ay of yl doy ComesRADNOR
of ly, 212-222

0Ì0JIIfluul0(ổ

‘fo thyroglobulin ti tai thude md mém dug , Dutt ih ng rn

Khuyen nh chon gc cho hach cb bénv rung tim, hụhú duinà01

"Neu gam st sum dug xe thay vi ghau Nghi ng >3-5mm

thutli oc elu ti cit voto hung ti hat Kgde nh >5mm

nghing ta givtng phd thud, NA cote thodn Hyde

Mi lụh tổ lông xéc inh ode nghi tự
<8-10mm,

| ott oma of pet pa in hd i ft AUC iho A A 2
Yoo Uap mia ya ai hy x ots Magy ht bari dA ay C9)SA
ab? Met JO apa pr etn oh a etn fo pd awry uted Ive gat yA Aneta foro, 184)

PHN TENG NGUYCODUA TREN

SEU AM VAKTIRADS 2021

PHAN TENG NGUY CO‘DUA TREN SIEU AN VAK:TIRADS 200

hyd male

1 ! !

wid = ee +I ypcpong
— lhjNhedtk
1 «Patil whitch

fusing coe tal rac
Nie gst

! !

Aryans Ay pics
Wlnue' Wluuw

Ye No Ye lị

! ! 1 ! . te !

lụ Inmate lw ns
‘usin
suspicion susp (WT)

(M5) (Hs

Sedb, Thattod cla KTRADS 202 6 phn ng nycih darn si

Jon hyd nag Rpg dt yt od nay ed re Tad ad: oe Seo yr doors
of dy242,,2-10