{"id":147408,"date":"2021-09-27T06:51:56","date_gmt":"2021-09-27T06:51:56","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/ung-thu-gan-o-nhat-ban-bs-shun-kaneko-ve-sang-loc-va-giam-sat-hcc\/"},"modified":"2026-01-27T06:51:48","modified_gmt":"2026-01-27T06:51:48","slug":"liver-cancer-in-japan-dr-shun-kaneko-on-hcc-screening-and-surveillance","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/vi\/disease-area\/oncology\/liver-cancer-in-japan-dr-shun-kaneko-on-hcc-screening-and-surveillance\/","title":{"rendered":"Ung th\u01b0 gan \u1edf Nh\u1eadt B\u1ea3n: Bs. Shun Kaneko v\u1ec1 s\u00e0ng l\u1ecdc v\u00e0 gi\u00e1m s\u00e1t HCC"},"content":{"rendered":"

Nh\u1eadt B\u1ea3n l\u00e0 qu\u1ed1c gia \u0111i \u0111\u1ea7u th\u1ebf gi\u1edbi v\u1ec1 gi\u00e1m s\u00e1t ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan (HCC), v\u1edbi ch\u01b0\u01a1ng tr\u00ecnh hi\u1ec7u qu\u1ea3 cho ph\u00e9p ph\u00e1t hi\u1ec7n ung th\u01b0 bi\u1ec3u m\u00f4 \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u d\u1eabn \u0111\u1ebfn k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng t\u00edch c\u1ef1c cho b\u1ec7nh nh\u00e2n (62% b\u1ec7nh nh\u00e2n HCC \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u1edf giai \u0111o\u1ea1n A v\u00e0 B [1] d\u1eabn \u0111\u1ebfn t\u1ef7 l\u1ec7 s\u1ed1ng th\u00eam to\u00e0n b\u1ed9 trong 5 n\u0103m cao t\u1edbi 44%). D\u1ecbch v\u1ee5 ch\u0103m s\u00f3c y t\u1ebf, ch\u00ednh s\u00e1ch y t\u1ebf v\u00e0 b\u1ea3o hi\u1ec3m y t\u1ebf c\u1ee7a Nh\u1eadt B\u1ea3n c\u0169ng \u0111\u1ea1t \u0111\u1eb3ng c\u1ea5p th\u1ebf gi\u1edbi, tuy nhi\u00ean nh\u1eefng nhu c\u1ea7u ch\u01b0a \u0111\u01b0\u1ee3c \u0111\u00e1p \u1ee9ng v\u1eabn ti\u1ebfp t\u1ee5c \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c qu\u1ea3n l\u00fd HCC, t\u1eeb ph\u00e1t hi\u1ec7n v\u00e0 ch\u1ea9n \u0111o\u00e1n \u0111\u1ebfn th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng h\u00e0ng ng\u00e0y.<\/p>\n

\u0110\u1ec3 t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 ti\u1ebfn \u0111\u1ed9 v\u00e0 nh\u1eefng th\u00e1ch th\u1ee9c c\u1ee7a Nh\u1eadt B\u1ea3n trong vi\u1ec7c qu\u1ea3n l\u00fd HCC, Lab Insights \u0111\u00e3 trao \u0111\u1ed5i v\u1edbi Bs. Shun Kaneko, m\u1ed9t b\u00e1c s\u0129 chuy\u00ean khoa gan c\u00f3 nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng t\u1eadp trung v\u00e0o vi\u00eam gan si\u00eau vi, ph\u00e2n t\u00edch nguy c\u01a1 xu\u1ea5t hi\u1ec7n HCC v\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 gan. M\u1ee5c ti\u00eau cu\u1ed1i c\u00f9ng c\u1ee7a Bs. Kaneko l\u00e0 x\u00f3a s\u1ed5 ung th\u01b0 gan kh\u00f4ng ch\u1ec9 b\u1eb1ng c\u00e1ch \u00e1p d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 hi\u1ec7u qu\u1ea3 m\u00e0 c\u00f2n x\u00e1c \u0111\u1ecbnh v\u00e0 ng\u0103n ch\u1eb7n c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y ung th\u01b0 gan do b\u1ec7nh gan m\u00e3n t\u00ednh.<\/p>\n

D\u1ecbch t\u1ec5 h\u1ecdc v\u00e0 \u0111i\u1ec1u tr\u1ecb HCC \u1edf Nh\u1eadt B\u1ea3n<\/h3>\n

Trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, d\u1ecbch t\u1ec5 h\u1ecdc v\u1ec1 ung th\u01b0 gan \u1edf Nh\u1eadt B\u1ea3n \u0111\u00e3 thay \u0111\u1ed5i v\u1edbi vi\u1ec7c tri\u1ec3n khai s\u00e0ng l\u1ecdc vi-r\u00fat vi\u00eam gan B v\u00e0 C (HBV v\u00e0 HCV) c\u0169ng nh\u01b0 ti\u00eam ch\u1ee7ng HBV. Bs. Kaneko l\u01b0u \u00fd r\u1eb1ng trong khi HCC li\u00ean quan \u0111\u1ebfn HCV \u0111\u00e3 gi\u1ea3m th\u00ec b\u1ec7nh gan kh\u00f4ng ph\u1ea3i do vi-r\u00fat vi\u00eam gan B v\u00e0 vi\u00eam gan C (NBNC) l\u1ea1i \u0111ang gia t\u0103ng.<\/p>\n

HCC ti\u1ebfn tri\u1ec3n v\u1eabn l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n do t\u00ednh ch\u1ea5t kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n b\u1ec7nh ho\u1eb7c b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111i s\u00e0ng l\u1ecdc. Ngo\u00e0i ra, trong khi m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n vi\u00eam gan si\u00eau vi \u0111\u01b0\u1ee3c h\u01b0\u1edfng l\u1ee3i t\u1eeb vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng vi-r\u00fat t\u00e1c d\u1ee5ng tr\u1ef1c ti\u1ebfp (DAA) ho\u1eb7c ch\u1ea5t t\u01b0\u01a1ng t\u1ef1 axit nucleic th\u00ec b\u1ec7nh nh\u00e2n NBNC nh\u01b0 nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh gan nhi\u1ec5m m\u1ee1 do r\u01b0\u1ee3u v\u00e0 kh\u00f4ng do r\u01b0\u1ee3u l\u1ea1i c\u00f3 \u00edt ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u01a1n. H\u01a1n n\u1eefa, vi\u1ec7c s\u00e0ng l\u1ecdc s\u1ee9c kh\u1ecfe v\u00e0 ngh\u1ec1 nghi\u1ec7p \u0111\u1ec3 ph\u00e1t hi\u1ec7n vi\u00eam gan si\u00eau vi v\u1eabn b\u1ecf s\u00f3t m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n, ngay c\u1ea3 nh\u1eefng ng\u01b0\u1eddi c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m d\u01b0\u01a1ng t\u00ednh v\u1edbi vi\u00eam gan v\u00e0 c\u1ea7n x\u00e9t nghi\u1ec7m chi ti\u1ebft h\u01a1n.<\/p>\n

M\u1eb7t t\u00edch c\u1ef1c l\u00e0 ch\u01b0\u01a1ng tr\u00ecnh ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a Nh\u1eadt B\u1ea3n cung c\u1ea5p h\u1ed7 tr\u1ee3 t\u00e0i ch\u00ednh cho nhi\u1ec1u th\u1ee7 thu\u1eadt ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb, bao g\u1ed3m c\u00e1c li\u1ec7u ph\u00e1p k\u1ebft h\u1ee3p v\u00e0 c\u00e1c li\u1ec7u ph\u00e1p \u0111\u1eaft ti\u1ec1n nh\u01b0 DAA. \u00a0V\u1edbi s\u1ef1 gia t\u0103ng v\u1ec1 c\u00e1c ch\u1ea5t tr\u1ecb li\u1ec7u m\u1edbi c\u00f3 s\u1eb5n, hi\u1ec7n nay c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c nhi\u1ec1u b\u1ec7nh nh\u00e2n HCC h\u01a1n. M\u1eb7c d\u00f9 atezolizumab v\u00e0 bevacizumab hi\u1ec7n \u0111\u01b0\u1ee3c coi l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u01b0\u1edbc \u0111\u1ea7u hi\u1ec7u qu\u1ea3 cho HCC nh\u01b0ng b\u1ec7nh nh\u00e2n Nh\u1eadt B\u1ea3n c\u00f3 d\u1ef1 tr\u1eef ch\u1ee9c n\u0103ng gan k\u00e9m ho\u1eb7c ung th\u01b0 gan cu\u1ed1i giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n v\u1eabn ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi ti\u00ean l\u01b0\u1ee3ng x\u1ea5u, b\u1ea5t k\u1ec3 ti\u1ebfn b\u1ed9 v\u00e0 kh\u1ea3 n\u0103ng s\u1eb5n c\u00f3 c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb.<\/p>\n

C\u00e1c quy tr\u00ecnh ch\u1ea9n \u0111o\u00e1n v\u00e0 gi\u00e1m s\u00e1t<\/h3>\n

\u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 \u201cnguy c\u01a1 cao\u201d \u2013 bao g\u1ed3m nh\u1eefng ng\u01b0\u1eddi m\u1eafc vi\u00eam gan B m\u00e3n t\u00ednh, vi\u00eam gan C m\u00e3n t\u00ednh ho\u1eb7c x\u01a1 gan \u2013 Japanese Society of Hepatology\u2019s Guidelines for Liver Cancer Examination and Treatment khuy\u1ebfn ngh\u1ecb si\u00eau \u00e2m 6 th\u00e1ng m\u1ed9t l\u1ea7n v\u00e0 \u0111\u00e1nh gi\u00e1 ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m ung th\u01b0 [2]. \u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 \u201cnguy c\u01a1 c\u1ef1c cao\u201d m\u1eafc b\u1ec7nh x\u01a1 gan do HBV v\u00e0 HCV, hi\u1ec7p h\u1ed9i khuy\u1ebfn ngh\u1ecb n\u00ean si\u00eau \u00e2m th\u01b0\u1eddng xuy\u00ean h\u01a1n c\u1ee9 m\u1ed7i 3-4 th\u00e1ng, x\u00e9t nghi\u1ec7m ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m ung th\u01b0 (AFP, AFP-L3, PIVKA) v\u00e0 ch\u1ee5p CT\/MRI \u0111\u1ed9ng kh\u00f4ng b\u1eaft bu\u1ed9c c\u1ee9 m\u1ed7i 6-12 th\u00e1ng.<\/p>\n

\u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi Nh\u1eadt tr\u1ebb tu\u1ed5i v\u00e0 kh\u1ecfe m\u1ea1nh h\u01a1n, h\u1ec7 th\u1ed1ng gi\u00e1m s\u00e1t c\u1ee7a qu\u1ed1c gia n\u00e0y \u00e1p d\u1ee5ng chi\u1ebfn l\u01b0\u1ee3c ph\u00e2n t\u1ea7ng nguy c\u01a1, trong \u0111\u00f3 b\u00e1c s\u0129 s\u1ebd \u0111\u00e1nh gi\u00e1 tr\u01b0\u1edbc, sau \u0111\u00f3 s\u1eed d\u1ee5ng c\u00e1c c\u00f4ng c\u1ee5 ch\u1ea9n \u0111o\u00e1n ph\u00f9 h\u1ee3p v\u1edbi \u0111\u1ed9 tu\u1ed5i v\u00e0 ti\u1ec1n s\u1eed ki\u1ec3m tra s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n. B\u1ec7nh nh\u00e2n tr\u1ebb tu\u1ed5i c\u00f3 th\u1ec3 c\u00f3 ti\u1ec1n s\u1eed m\u1eafc vi\u00eam gan si\u00eau vi nh\u01b0ng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0 ch\u01b0a \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc s\u1ee9c kh\u1ecfe tr\u01b0\u1edbc \u0111\u00f3. \u0110\u1ec3 \u0111\u1ea3m b\u1ea3o nh\u1eefng c\u00e1 nh\u00e2n n\u00e0y kh\u00f4ng b\u1ecb b\u1ecf s\u00f3t, ch\u00fang t\u00f4i \u0111ang n\u1ed7 l\u1ef1c s\u00e0ng l\u1ecdc h\u1ecd t\u1ea1i n\u01a1i l\u00e0m vi\u1ec7c v\u00e0 s\u1eed d\u1ee5ng c\u00e1c c\u00f4ng c\u1ee5 gi\u00e1m s\u00e1t ti\u00ean ti\u1ebfn h\u01a1n \u0111\u1ec3 n\u1eafm b\u1eaft qu\u1ea7n th\u1ec3 n\u00e0y m\u1ed9t c\u00e1ch to\u00e0n di\u1ec7n v\u00e0 nhanh ch\u00f3ng.<\/p>\n

Nh\u1eefng n\u1ed7 l\u1ef1c gi\u00e1m s\u00e1t c\u1ee7a Nh\u1eadt B\u1ea3n c\u0169ng \u0111\u01b0\u1ee3c b\u1ed5 tr\u1ee3 b\u1eb1ng c\u00e1c s\u00e1ng ki\u1ebfn x\u00e3 h\u1ed9i v\u00e0 truy\u1ec1n th\u00f4ng, bao g\u1ed3m c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh truy\u1ec1n h\u00ecnh ho\u1eb7c chi\u1ebfn d\u1ecbch v\u1ec1 vi\u00eam gan si\u00eau vi v\u00e0 HCC. Bs. Kaneko l\u01b0u \u00fd: \u201cT\u1ea1i c\u01a1 s\u1edf c\u1ee7a ch\u00fang t\u00f4i, b\u1ec7nh nh\u00e2n v\u00e0 c\u1ed9ng \u0111\u1ed3ng \u0111\u01b0\u1ee3c ph\u1ed5 bi\u1ebfn ki\u1ebfn th\u1ee9c v\u1ec1 b\u1ec7nh kh\u00f4ng tri\u1ec7u ch\u1ee9ng v\u00e0 gan nhi\u1ec5m m\u1ee1 nh\u01b0 m\u1ed9t nguy c\u01a1 ung th\u01b0 gan, cung c\u1ea5p d\u1ecbch v\u1ee5 theo d\u00f5i b\u1ec7nh b\u1eb1ng ch\u1ee5p chi\u1ebfu \u0111\u1ed1i v\u1edbi t\u00ecnh tr\u1ea1ng x\u01a1 gan ti\u1ebfn tri\u1ec3n, t\u1ed5 ch\u1ee9c c\u00e1c h\u1ed9i th\u1ea3o kh\u00f4ng ch\u1ec9 cho b\u1ec7nh nh\u00e2n m\u00e0 c\u00f2n cho c\u1ea3 b\u00e1c s\u0129 \u0111a khoa c\u1ea7n ki\u1ec3m tra chi ti\u1ebft v\u00e0 c\u0169ng ti\u1ebfn h\u00e0nh nghi\u00ean c\u1ee9u v\u1ec1 d\u1eef li\u1ec7u ki\u1ec3m tra s\u1ee9c kh\u1ecfe y t\u1ebf\u201d.<\/p>\n

C\u00e1c l\u0129nh v\u1ef1c ch\u01b0a \u0111\u01b0\u1ee3c \u0111\u00e1p \u1ee9ng nhu c\u1ea7u v\u00e0 hy v\u1ecdng cho t\u01b0\u01a1ng lai<\/h3>\n

M\u1eb7c d\u00f9 l\u00e0 qu\u1ed1c gia \u0111i \u0111\u1ea7u th\u1ebf gi\u1edbi v\u1ec1 gi\u00e1m s\u00e1t HCC, Bs. Kaneko th\u1eeba nh\u1eadn r\u1eb1ng Nh\u1eadt B\u1ea3n v\u1eabn c\u00f2n nhi\u1ec1u kh\u00eda c\u1ea1nh c\u1ea7n c\u1ea3i thi\u1ec7n. \u00d4ng l\u01b0u \u00fd: \u201cH\u1ec7 th\u1ed1ng s\u00e0ng l\u1ecdc ung th\u01b0 c\u1ee7a Nh\u1eadt B\u1ea3n kh\u00e1 t\u1ed1t nh\u01b0ng v\u1eabn c\u00f2n t\u1ed3n t\u1ea1i nhi\u1ec1u kh\u00f3 kh\u0103n trong vi\u1ec7c theo d\u00f5i b\u1ec7nh nh\u00e2n.\u201d \u201cB\u1ec7nh nh\u00e2n ung th\u01b0 d\u1ea1 d\u00e0y ho\u1eb7c \u0111\u1ea1i tr\u00e0ng \u0111\u01b0\u1ee3c theo d\u00f5i trong 5 n\u0103m sau ph\u1eabu thu\u1eadt v\u00e0 kh\u00f4ng theo d\u00f5i th\u00eam n\u1eefa n\u1ebfu kh\u00f4ng b\u1ecb t\u00e1i ph\u00e1t. Nh\u01b0ng \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n HCC, r\u1ea5t kh\u00f3 \u0111\u1ec3 bi\u1ebft khi n\u00e0o n\u00ean k\u1ebft th\u00fac qu\u00e1 tr\u00ecnh theo d\u00f5i.\u201d<\/p>\n

Vi\u1ec7c n\u1eafm b\u1eaft th\u00eam b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u00f2i h\u1ecfi c\u00e1c c\u00f4ng ngh\u1ec7 m\u1edbi, bao g\u1ed3m c\u00e1c d\u1ea5u \u1ea5n sinh h\u1ecdc v\u00e0 c\u00e1c c\u00f4ng c\u1ee5 ch\u1ea9n \u0111o\u00e1n m\u1edbi, v\u00ec AFP, m\u1ed9t d\u1ea5u \u1ea5n ch\u1ea9n \u0111o\u00e1n ch\u00ednh cho HCC c\u00f9ng v\u1edbi PIVKA v\u00e0 c\u00e1c \u0111\u1ed3ng d\u1ea1ng AFP kh\u00e1c, kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng ch\u00ednh x\u00e1c, nh\u1ea1y c\u1ea3m ho\u1eb7c ch\u1ec9 ra b\u1ec7nh. Hi\u1ec7n nay, c\u00e1c b\u00e1c s\u0129 d\u1ef1a v\u00e0o c\u00e1c d\u1ea5u \u1ea5n sinh h\u1ecdc \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng th\u1ef1c t\u1eeb l\u00e2u trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng th\u01b0\u1eddng quy, s\u00e0ng l\u1ecdc ho\u1eb7c gi\u00e1m s\u00e1t b\u1ec7nh nh\u00e2n v\u00e0 ch\u1edd \u0111\u1ee3i c\u00e1c d\u1ea5u \u1ea5n sinh h\u1ecdc b\u1ed9 gen c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 y h\u1ecdc ch\u00ednh x\u00e1c.<\/p>\n

\u0110\u1ed1i v\u1edbi ho\u1ea1t \u0111\u1ed9ng l\u00e2m s\u00e0ng c\u1ee7a m\u00ecnh, Bs. Kaneko mu\u1ed1n c\u00f3 m\u1ed9t c\u00f4ng c\u1ee5 ch\u1ea9n \u0111o\u00e1n c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa c\u00e1c c\u00e1 nh\u00e2n, ti\u00ean l\u01b0\u1ee3ng v\u00e0 kh\u1ea3 n\u0103ng g\u00e2y ung th\u01b0, \u0111\u1ed3ng th\u1eddi c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. B\u00ean c\u1ea1nh y h\u1ecdc b\u1ed9 gen v\u00e0 y h\u1ecdc ch\u00ednh x\u00e1c, \u00f4ng hy v\u1ecdng s\u1ebd th\u1ea5y \u0111\u01b0\u1ee3c s\u1ef1 ti\u1ebfn b\u1ed9 trong c\u00e1c ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m HBV m\u1edbi, c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb m\u1edbi v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec3 ph\u00e2n bi\u1ec7t vi\u00eam gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u v\u1edbi t\u00ecnh tr\u1ea1ng gan nhi\u1ec5m m\u1ee1 \u0111\u01a1n thu\u1ea7n.<\/p>\n

Bs. Kaneko c\u0169ng l\u01b0u \u00fd r\u1eb1ng c\u00e1c ch\u00ednh s\u00e1ch thay \u0111\u1ed5i c\u1ee7a ch\u00ednh ph\u1ee7 s\u1ebd c\u00f3 \u00fd ngh\u0129a r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng s\u00e0ng l\u1ecdc v\u00e0 ch\u0103m s\u00f3c ung th\u01b0 gan. Bs. Kaneko chia s\u1ebb: \u201cC\u00e1c nh\u00e0 ho\u1ea1ch \u0111\u1ecbnh ch\u00ednh s\u00e1ch c\u1ea7n bi\u1ebft r\u1eb1ng vi\u1ec7c s\u00e0ng l\u1ecdc \u0111\u00fang c\u00e1ch cho ph\u00e9p ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm, \u0111\u1ed3ng th\u1eddi c\u1ea3i thi\u1ec7n ti\u00ean l\u01b0\u1ee3ng, nh\u01b0ng ph\u1ea3i c\u00f3 gi\u1edbi h\u1ea1n th\u1ef1c t\u1ebf v\u1ec1 chi ph\u00ed\u201d.<\/p>\n

C\u00e1c qu\u1ed1c gia mu\u1ed1n h\u1ecdc h\u1ecfi th\u00e0nh c\u00f4ng c\u1ee7a Nh\u1eadt B\u1ea3n c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc k\u1ebft h\u1ee3p ch\u1ee5p chi\u1ebfu v\u1edbi gi\u00e1m s\u00e1t ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m ung th\u01b0 \u0111\u1ec3 ph\u00e2n lo\u1ea1i nguy c\u01a1 v\u00e0 tri\u1ec3n khai ph\u01b0\u01a1ng ph\u00e1p n\u00e0y trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng h\u00e0ng ng\u00e0y. L\u00e0m nh\u01b0 v\u1eady \u0111\u00e3 l\u00e0m t\u0103ng t\u1ef7 l\u1ec7 HCC \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm \u1edf Nh\u1eadt B\u1ea3n v\u00e0 t\u0103ng t\u1ef7 l\u1ec7 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i ch\u1ed7 v\u00e0 c\u1ea3i thi\u1ec7n ti\u00ean l\u01b0\u1ee3ng. X\u00e9t v\u1ec1 m\u1eb7t hi\u1ec7u qu\u1ea3 chi ph\u00ed, c\u00e1c qu\u1ed1c gia c\u00f3 ngu\u1ed3n l\u1ef1c t\u00e0i ch\u00ednh v\u00e0 c\u01a1 s\u1edf h\u1ea1 t\u1ea7ng y t\u1ebf s\u1ebd r\u1ea5t s\u00e1ng su\u1ed1t khi ti\u1ebfn h\u00e0nh gi\u00e1m s\u00e1t nh\u01b0 v\u1eady.<\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/p>\n

[1]<\/a>\u00a0 Kudo M. (2018). Management of Hepatocellular Carcinoma in Japan as a World-Leading Model. Liver cancer, 7(2), 134\u2013147. https:\/\/doi.org\/10.1159\/000484619<\/p>\n

[2]<\/a>\u00a0 Guideline on Liver Cancer Examination and Treatment. https:\/\/www.jsh.or.jp\/English\/examination_en\/. Xu\u1ea5t b\u1ea3n n\u0103m 2021.<\/p>\n","protected":false},"excerpt":{"rendered":"

Nh\u1eadt B\u1ea3n l\u00e0 qu\u1ed1c gia \u0111i \u0111\u1ea7u th\u1ebf gi\u1edbi v\u1ec1 gi\u00e1m s\u00e1t ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan (HCC), v\u1edbi ch\u01b0\u01a1ng tr\u00ecnh hi\u1ec7u qu\u1ea3 cho ph\u00e9p ph\u00e1t hi\u1ec7n ung th\u01b0 bi\u1ec3u m\u00f4 \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u d\u1eabn \u0111\u1ebfn k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng t\u00edch c\u1ef1c cho b\u1ec7nh nh\u00e2n (62% b\u1ec7nh nh\u00e2n HCC \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n […]<\/p>\n","protected":false},"author":1,"featured_media":85319,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"tags":[14799,14776],"pillarandcategory":[287,282,290],"reporter":[15220],"class_list":["post-147408","acf_article","type-acf_article","status-publish","has-post-thumbnail","hentry","tag-nhat-ban","tag-ung-thu-hoc","pillarandcategory-oncology","pillarandcategory-disease-area","pillarandcategory-liver-disease-hcc","reporter-shun-kaneko"],"acf":[],"_links":{"self":[{"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/acf_article\/147408","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/acf_article"}],"about":[{"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/types\/acf_article"}],"author":[{"embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/users\/1"}],"version-history":[{"count":1,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/acf_article\/147408\/revisions"}],"predecessor-version":[{"id":147452,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/acf_article\/147408\/revisions\/147452"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/media\/85319"}],"wp:attachment":[{"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/media?parent=147408"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/tags?post=147408"},{"taxonomy":"pillarandcategory","embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/pillarandcategory?post=147408"},{"taxonomy":"reporter","embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/reporter?post=147408"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}