Trình bày ca lâm sàng từ bệnh viện đại học y dược

TRINH BAY CA LAM SANG TU

BENH VIENDAIHOCY DUOC

Bs, Huynh Phuong Hai

Bj mon CDHABHYD TPHCM

Hy gu NI

_ ITY OF ULTRASIONUNMDi
pir vớ 104 st

Noi dung

+Xéc dint éénh-dc ca cdc knobuntgrứng

Khong phan loai duc trénsiéu am ¢ BV HYD

TPHCM

Buc du danh ga vaitroO-RADS MARI trong danh

piu budng tring BV BHD TPHCM

“Trinh by cac ca am séng

Doi twong tà phưng php nghign cit

«Tht @nghidn cu: md ti ct ngang, iy mau fbi clu

+ Dén sO myctiéu: BN dén khdm iu dm phy ko tai BV DHYD

«Dns chon mu: BNsg dm phy toa chy cng hung td
II trứng cb phdu thu ti BV DHYO TPHCWtlthang 01/202:

it
+ Tô cud chon mau: BNsiéu dm phy khoaschyp cdg hung tl dénh

eid u bud trngecbphdthu tl BV HYD THỊ tl he

01/2022-01/2024

+Tduchudn logit: kdng pha GPB cla mau m6 cla buồn tring,

tha

«Thu ths bu vats idubang phn mem thong Stata 15.

Ket qua ART

+686 Khoi uthda dev kién

FCA aA

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ca)

Lanhtnh 470K) STBD9SH) 34429) —21(L004)
fcth 1 (1429) 685208) 7(L004)

lửng IÍƠN (453K) 30/8) 590M

luilt

U Whig ohn oi uo, 5/968 67 4 4655 tinh

va51.72% vactinh

Ket qua

+ DaTnhi gMinh Newyetvic (2024) 424 hi3v67 :un th

(86.6%), 32 u dc tinh (7.5%), khong phân loi dg 25 u (5.9%)
19/25 (76%) anh tinh

+Lé Tribu Hal (2021) 246 0 ôny phd log dug, c6 67.1% ulanh
tinhva 32.u 9ae %tinh

* Nunes Net al (2014): 661 Khdng phan loi dug, 36 (51.5%) ulanh

th

Nguyet DanTghi Minh OTA simple rules: An efcletnool fo evaluation ofovarian

tumors by non-enperienced but trained examiners «A prospective study, Helyon,

Volume 10, ksue 2, 30 anuary 2024

LA Tig Hl vai tb cng hut ttm thí đốn thầy tưng thưa phn dnh

Fan tinh va tinh theo si rm, Ludn van kd

NuneNset a, Use of OTA simple rules fr dagnosis of ovarian cancer meta-analysis,

Utrasound in Obstetrics & Gynecology Volume 44, sue’ p$03:$14;

SSIS KeNnt qua’

lanhtih §—2(5714H) B38) 14.0)

Aetih lUMJ 22857) AGT AM) !

Khang phinlogi 7(1207%) 26 (2759) 14(2144H) đấA 88

Auge

O-RADS2:(1/19)5.26% uac tinh

O-RADS3: (3/251)2% u ac tinh

O-RADS4: (13/17) 76.47% uactinh

O-RADS5: (228/8%2u5dc)tinh

0-RADS MRI ris stratification system

1, Pha loa chinh §, Thanh phn tn (huy
ta, Sinhl)
Sa, Mot dich

tb. Tonthung
5p, M6 ta thanh phnmd dc
2Kich hước
6, ich bat thud
Dug inh ln nha
6a, dng hoc bat thuddi ty
3,Hinh dang/ dibon’ mdgdg]
mnd cong tn higu~ thot gian

3a, Deu Gh Tinhchat bt thud tht diem
3p, Khong dé
30-40 py su tém
4, Tinhigu
7. Cc du gu tong quan va ngod
da, ng ahd hin hop
butng tring
4h, T2W
7a, Dich bung
4c TW
7h, Ma taal vi
DW! high b value signal
TeNanvgi phic mac

Td. Xodn bug tring

Te, Day, ndt phic mac

4, Tin higu

da, Dong at) hon

hop

4h, T2W: trunggian

Khihocn caootht

long chau va tp hon

dich don gidn
(.TIW

4d, DWI high b value

5, Thanh phatnon thuong

5aM,O ta

dich

+Dich don gan

"Dich khong

dein gién

+SMpo t,a md

dae

5, Thanh phatnon thuong

5a, MO ta

dich

* Dich don gidn

* Dich hong

dein gian

5b, Md ta mo

dac

5, Thanh phatnon thuong

5a, MO ta

dich

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* Dich hong

dein gian

Sb. MOtamd fe
dae k

5, Thanh phatnon thuong

5a, MO ta

dich

*Dich don gidn

* Dich hong

dein gian

+Sp, Mo ta md

dae

Hemorrhagficd

5, Thanh phan ton thong

5a, Mota

dich

"Dich dom gin

+M,ô tả mô

dac

5, Thanh phan ton thong

ni t + Solid tisues thanh phn bt thud trong Kh

l *jrregular septation, iregulwaarll

* Dich don gidn * papilary projection, mural nodule

Ding + Lage solid portion

don gan (Enhancing smooth septations and non-enhancing

+p, Mo ta md debriarse not considered solidtissue)

dac


5, Thanh phatnon thuong

5a, Mota

dich

"Dich don gidn

"Dich khong

din gién
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5, Thanh phatnon thuong

5a, Mota

dich

"Dich don gidn

"Dich khong

din gién

+SMpo t,é mo

dac

5, Thanh phatnon thuong

5a, Mota

dich

"Dich don gidn

"Dich khong

dain gian

5p, Mota md

dac

4, Tin hiey

4a, Dong nht! hi

hop

4h, TW

4c, TIW

4d, DWI high bv

sinal

‘Tha: signal similatro urine or

(SF
‘Caos slanal clearly higher than

urine or CSF

6, Cach bt thud

‘Lows TI: type 1: mbt

thudc tuong ohn tng dé, thdp
hom ctr cun, không tạp du

\aird

‘inermeciate-riTsICk: type2:

mit thud tvong phn rng

bnh thé Hon hod bang ot

Cun, su do binh nguyen

0 pe) pid ped ‘HiigskhTI ype3: mbt

thudc tuong fn nhanh hon od

tt cung sau 40 binh nguyen

6a. Ong hc bt thud vid cong tin tig gan

6p Tin cht bt huOeth idm 30-g4y 0sau tm