Nghiên cứu giá trị cđ ut nhân giáp ≤ 10mm của phối hợp sa và kt chọc hút tb bằng kim nhỏ dưới hướng dẫn sa

NGHIEN (I0 TRI CHANDOAN IWTIU
\IÌ\(li‹ (num cl PHO HOP WU AM VAKY
THUAT CHOC HUTIt BAO BANG KIM HO DUOI

HVONG DAN CUASIEU AM

Nuyen Tun Cun, Le Vin Chi, Phan Than Hi

NOLDING

1, DATVANDE
1, TONGQUAN

3, DOTVA PUHUONGQPHANPNGHGIEN CU

4, KETQUAVABANLUAN
§, KETLUAN

DATVANDE

4 Tan ut Hf the tye ip tng up} in tong nm qu Hit
(uve ungtu tuen gp nay ben et rngont,vi tn

sut gan 70/100.000 din

( Ung th byt si dan thet( lÌm)giil pin kmig tin tn

sua ph nung th ten gpd dung uo en su mc do
ohn iu +c thnvie dc ket qu ib lự.
4Theo ATA,vt ung th by i) aete ka tt it tly gp

liệt qu, cid bh shin cnphau hut ton typ vu

oma AR ea A ae ua a 2A Tp copay’ pte, pMpl ĐA
ge yl in tat yt Cope ps DA9,tb?

DATVANDE

Ý Thao AACE 206 vd ATA 215; Cho hit bio hn kim abo di hung

dn cia sium phon php ann, iu qu hat hin nay gdp pn
bic hn gpd inh vd Ln th

Pht higom ungthy tye ip ta vithat gia tia me do
shu tt, im bie ching hu ph,gimme ur sau mh,

Ý Ching ite ind ny vt 2 me i

| Khio itei am sing sium vt lo boca ung he hin

gtip 10monmg Viet Nam,
} Dinh ii chin dn ng tran gtip 10cmua smui,

choc hte bao bang kim nho vas phos hop hat phuog php nd

Huge Auk, tal 6 0 Amc hd Acar Cds ltPtwi hyd Nk ad nated rd Car Te

Au Td aa ki Tal oT Na Dal ta Aura Ne Ep al inka

(lr Pg ECan, "Aenea Aan of hc cy

na a Dp ga dT al

TONGQUAN, — -

UNG THU TUYEN GLAP DANG VI THE

¥ WHO:< 10mm,

+ Ghiokin tong mt gh cin: chem gan 1 ng 90 ng hye

tí) lu ph hin,

l( ung cao AACE 2016 viA20T15Avin ofthe cho hit bi i
cya guy n(nci, in Kming vu)

+ Cita bili sing inh in cing am quenching sau

Kh thio hn von aha,

hb HC, a Ciel 4 moan Aut Cn Eada Aner oe Ínlhnwhp, mÍ \exuns Mi xi Mt ud
(linc ei Me Td oa pink 2 6 9 PCT
gn BRA EileCoA 05 An Thy aca Mea Cd i ae wi Thy Nad Dead 6 gh
Ama Tyna nis Td Td Ned rl vd Cac Thad 2) 3)
Adv, abi aha ic al) Cn ft pres of ol aed ppl yo icrdya
gunn WSO
Amat oie) Mee oT did dae gp p45 a a
‘ot EK dg a"T) had pay mac adc adh eh a Er, 9, 51)

TONGQUIN, — -

UNG THU TUYEN GLAP DANG VI THE

4 Phuong chim chin’ty copia tt te ti Cu 1648 in dh tong

ahicu nim,

+ Kling th bo: (didi ohn ip gy can (i <1 akhng th the dc,

(itn ban ch ca co sy tv) nh hn hing dng .

¥ Vict Nam: phuog cch ‘Gi sit cig’ kh pdung vi king dnb an ton

[Sud ino chp ti 49 {tong ain gtip< 10mm duo phat hin rn su dm
rita,

Il Trinh 6 dnt cha cao, kh theo di,
IL ‘Trinh ohn titbj oa wo ca dng bo,

lc AM Kado, otal Nay ofl yd ccna Kc uma oa dary wala oe roa
She, (2890
oma Su) Ska ("Mageof nThy Nal ead Thy Cc pm, pp pb pio

c TỦÑUN

SIAEM UMAU DOPPLER TUYEN GLAP

«Phi ol TIRADS: pining ngy co tinh ca hin ip,

¥Vet Nam, huomg it dung ATA 2015 guidlines va TIRADS-ACR 2017

Aho ae p0S UD Tdi pgs pl

TIRA-DASTA 2015 guidelines

Div dim su Khingod Nang Mùhh Màhh C12: 0330/
in thignp thu veh bi the Phin rit bay o bach
WilMudl BứuA Mu kim ti
dnd Dingphin Phin im kim Tryedo Phin dm it
dma pin Bukhing hem
in diy del a cug Trudcoe
Viviihin Blingdu
/ dacung
Vivohia

Voghia Ami Linh (Kinnig Nhungdc Nghingbdc Nhungi

th <1%) thao — tinh thap (5+ tinh via (10 — ti ao 70-

tinh3%) 10M) 2 #MỊ

DEPILAN LOALNHANH CHONG

TIRADS -ACR 2017

lin 1n lm im 2 i

Linthh Kiên Nhi Ndngilh Ngh og tinh

(tl9l) tụ(⁄MM) via(10-20%) ——cao(70-90)

Nan hin in Ti: Tengu Beu-0 Khing 06-0
nang) Jhụphimí dụ.) Khmwb| — VWilMul-|

Iuhdihdl d-| Mihubglh hhuvh-}

Iughhhpl Pinin-2 mụ) Witill

Jịipinlnl Phiitnke - Lanrangodvid. punctate
tic? j bao giip-3 echogenic fo)

}

CHITIET HON

CHOC HUTTE BAO BANG KIM NiO DUOLHVONG
DAN CLASTEU AM

Theo AACE 2016vi ATA 2015: phurng phi ci nan inch gh
tip ong chan don ain pink ihvad th,

( Nason ot Vit Namcla Le Hin i Le Hodng Anh Dt, Tran Vin
Hi, Nguyen th Hing ang ich Ngo ch úy độ hạ tr tin dn

dung tinh, dO chinxhd ti 96-98,

+ a uit cia pa htm ng 2, ph inn ta

ting 1-30, ep gi hip de te hong,

(Ub pCa, a ei oii Ed nk Aca Endo Mec Gul

un El otal 6) 205 Amc Tyo Aug Pa wih Thy Non DoiPhy Cu The
Ag ad. oc a oea Td Nk a! yd yt
dy) Pia iihi y iC BT ei yb PC

‘To Vu (uD Em Lin ig Ci Sob Thi i Kn iD ng Du ih Tn (he i iS iat i Pad Ta
ty lai (in aay i Chg pic Hh in)
Ai4)la, aU PA ee

Hb THONG PHAN LOAI BETHESDA

mmmmampạamann
Khing hin doin ching i chi 2 I La i CHTBKN
1W)

II Lishtih 605 3% Theva sing vi
in

Rhine dob nrg ag ng E103) Limi CHTBKN

nghia king xe dh (18%) aghphiitctmhi)

IV Tansnhaicngghngntain nsingdang 1530 6 th 2.40) Cth xnhin i

nan

Ý MHigktl WMW — (igiphụdthly

Nh ng carcinoma dịp thí, dang ty dc,

Lymphoma

ME Act 5M Citi

Ctenoma dang ahi, dang ty km bit a,
Kh bit hoa

‘amc (A) Wate Encl’ rw ava ain, 6
Nai MN Kae ("p Thy an Su Pi b Ch) 6

DOLTUONVGA PHUONG PHLAP NGHIEN CU

4200 benh hin ob 206 nn gp duoc Khim tt Trung Tam y Khoa

Medic 2018-2004

Ý Phupohpnegi cum tc gan, pn hv ic,

4 Tidy cua chon lùi! Nhiny trừng hop cOTIRADS nght ng ti
4A duoc tu van en ha chohoit bao bing kim nh, tong
hypo Bethesda VV dug Khuyen ch hu tht

+ Layket qu giphin bh sau mo iu chun vin,

(MU N0HIÙÄ((U

Cling thie:

Trong do i

Nic dutta

amit jngha-0.05

Dla: tin cy chon ho tin cy bi 9% th =.

dist tg dichophp (chix.

Pheo mi incu cia ct gi gt Nt nm 20, ung th ten gap

dang nh < 10mm i Khong 346, vy chon p=0.34

ng vi 1 ha hut mau ->N=100

Nahi iia tal)mir" e Wil uy 1,4

SODONGHIECHNU

ea Phau tht

Kétqmouhdoe

(Munictu}

DAC DIEM LAM SANG CHUNG CUAMAU

esp 1380 1\Ÿ +

Dy itn ih 42411 (2-1)

$748,290 25.2

Ni 80.1%, Nam: 19.9%

LY DO KHAM BENH VA TRIEU CHUNGCO

NANG

40004 IIUWW
$0004 404

10.00% {000%

60.00% 700%

5000 (0W

‘000% 10W

40004 {00s

‘000% 1W
‘hon i
NWW

Ato, IIÚW i
0W
KMTRA T000MÚU KHONGCD NUOTVUONG
le

VITRE-KICH THUGCNHAGINA

a HN

hob to

TIEN SW BAN THAN

Cr ee ici nih ĐH)

mm na O34

Budugan 7 (100 )
khong0

Buu giapmnén 9 (90%) 1(10%)

Basedow 2 (667%) (833)

Mem gap man (00%) I

Chic ton} tungbop ob tin Hh Bisedwof kui de tinh,
Mundvis ch ring hingoi in quan ia Basedvag
trtylngitillingtilntitit

acd otal (D randa Cs e Cites uy ith cures Dadra hyd Cah
‘nr Mh 4 a pp 205)

II\$0140ÌNIK(lÚÚ

ID! TU TU Narn P(q)
In B11...
Hủyu — IM 12(63%) (96

(ldumlmuh - 14 (93.3%) |1

chi rut

14 trong 5tringhop (933%) in ita nhc Kt ui dh

+ Y vin choy tin iia dh iy 0 nguy ov ung tr tye gi,

‘wnaa’! Ey’ Mn ica ic, p96

BINH LY TUVEN GLAP PHOL HOP

JịIlítttttyi Nn In)
li [NNWEMMAERm
Khingod — DJ — 4(U) lA

Múyiphtln Ÿ(WÚW) — 7(UMJ

Vingípmm - lI[lM) )

Bisedow (100%) )

4 Tied I tung hop ob vit gp man dan the di kt ui oh,

Ý The Halenka vs tin ut viem tap man co hon bh nin un th ty
glip dang nh, nhung chva cd dng huan ve moi tong quan ga hat ben nd

lH yo Ao Td rp ip, p14 9