Đặc điểm mô bệnh học ung thư tế bào đáy da vùng đầu mặt cổ điều trị tại Bệnh viện K, da liễu và răng hàm mặt trung ương

DAC DIEM Mfi BENH HOC UNG THITTE DAO DAY DA VUNG DAU MAT CO

DIEU TRJ TAI DENH VIEN K. DA Liiu VA RANG HAM MAT TRUNG UDNG

TOM TAT

Muc tieu: Md td ddc diim md bdnh hqccua ung

thu t i bdo ddy da vung diu, mdt, cd tai Bdnh vidn

Rdng Hdm M$t Trung uong Hd NQi, Bdnh vidn K vd

Bdnh vidn Da L iiu Trung uong tCr 01/01/2007 din

31/12/2012. Phuvng phip nghiin ciru: M6 td hdi

cuu duxyc tiin hdnh trdn 248 hd sa bdnh dn cua

nhCmg b$nh nhdn dd d iiu tri ung thu b iiu md t i bdo

ddy da vung diu, mdt cd tu thdng 01/2007 d in thdng

12/2012, trong dd 168 h i so b$nh dn tai Bdnh vi$n K,

75 hd sa bdnh dn tai Benh vidn Da liiu Trung uang

vd cd 05 hd sa bdnh dn t$i Bdnh vidn Rdng hdm mdt

Tmng uang. Ket qud nghiin curu: Bdnh nhdn cd cdc

bdnh ly trdn da cd s in (57 hd so)chiim ty I$ 22,9%,

trong dd chu y iu gdp ndt rudi (75,4%). Thi cue hay

gdp n h it (74,6%); th i xa (16,1%); th i hdn hyp

(9,3%). S i/ tiin thin cua bdnh & giai do$n I Id chu

y iu (57,7%), giai doan II (37,9%), giai doan III (4,4%).

Khdng cd bdnh nhdn (j giai doan IV. K it ludn: Thi

bdnh hay gdp Id th i cuc (74,6%). Khdng cd bdnh

nhdn di cdn h?ch vd di cdn xa.

Tip khda: Ung thu t i bdo ddy, hd so bdnh dn, md

bdnh hQC.

SUMMARY

THE HISTOLOGICAL CHARACTERISTICS OF

BASAL-CELL CARCINOMA IN PATIENTS TREATED IN K

HOSPITAL, NATIONAL HOSPITAL OF DERMATOLOGY

AND VENEREOLOGY AND HANOI NATIONAL

HOSPITAL OF ODONTO - STOMATOLOGY

Objectives: Describe clinical signs of basal-cell

carcinoma in patients treated in K hospital, National

hospital of Dermatology and Venereology and Hanoi

National Hospital of Odonto - Stomatology from

1/2007 to 12/2012. Methods: A retrospective,

descriptive study in 248 medical records of patients

were treated with basal-cell carcinoma from 1/2007 to

12/2012, in which 168 medical records are in K

hospital, 75 medical records are in national hospital of

dermatology and venereology and 05 medical records

are in in Hanoi National Hospital of Odonto -

Stomatology. Results: Patients with skin diseases

(57 records) accounting for 22.9%, mainly moles

(75.4%). The most common type of basal-cell

carcinoma is nodular (74.6%); sclerosing (16.1%);

morpheaform (9.3%). The developing basal cell

carcinoma is mainly in state I (57.7%), state II

(37.9%), state III (4.4%).There is no patient in state

IV. Conclusion: The most common type of basal-cell

carcinoma is nodular (74.6%), there is no patient with

metastasis.

Keywords: basal-cell carcinoma, medical

records, histological characteristics.

TRUONG MANH DONG, VUONG QUOC CUONG

OAT VAN OE

Ung thu biiu md t l bdo ddy chiim khodng han

70% cdc loai ung thir da khdng hdc td vdn ty Ife mic

tdng din theo tudi, duac udc tinh dao ddng trong

khodng 10-100 trudng hap/100.000 ngudi tuy theo

khu vi/c [1], [2], Cf My cd khoang 800 000 ngudi My

m ic bfenh mdi ndm, Id mdt ty Ife rit cao trong ung thir

[3]. Tuy ty Ife ti> vong do ung thir t l bdo ddy thip

nhung anh hudng cua n6 ddi vdn sue khde cdng

d6ng Id rit quan trong khi tinh d in su m it chuc

ndng, biln dang vd cdc anh huang v l tdm sinh ly cua

ngudi bfenh. Y iu t6 d nhilm mdi trudng Id nguyfen

nhdn gdy nhiiu loai ung thu, ngudi ta ddnh gid ring

su suy giam 5% cua ting Ozone s i Idm tdng 10%

ung thu t l bdo ddy d ngudi [4],

Trong nghifen cuu Idm sdng vd diiu tri binh, ting

k it cua Trln Thanh Cudng (2005): 90% ung thu biiu

md t l bdo ddy d vung diu, c l [5], Trln Vdn Thiip

(2005) Id 93% [2]; Bui Xudn Trudng (1999) thiy ung

thu biiu md t l bdo ddy cd ty Ife tdi phdt 3,3% [6]; Bd

Thu Hdng (2004): ty II sing thfem cua ung thu biiu

md t l bdo ddy 94,5% [7],

O Vifet Nam cd nhiiu nghifen cuu v l ung thu da

nhung ddc diim Idm sdng, md bfenh hoc, ty Ife tdi phdt

sau diiu tri cua ung thu biiu md t l bdo ddy vung

diu, mdt, cd cdn it. Do vdy chung tdi tiin hdnh

nghifen cuu d l tdi "Ddc diim md bdnh hoc ung thu t i

bdo ddy da vung d iu mdt cd d iiu tri tai B inh vidn K,

Da L iiu vd Rdng Hdm Mdt Trung ucmg' vdi mge tifeu:

Md ta ddc diim md bfenh hpc cua ung thu t l bdo ddy

da vung diu, mdt, cd tai Bfenh vifen Rdng Hdm Mdt

Trung uang Hd Ndi. Bfenh vifen K vd Bfenh vifen Da

Lifeu Trung uang tir 01/01/2007 d in 31/12/2012.

061 TU’QTNG VA PHUOTNG PHAP NGHlfeN CLTU

1. Ddi tirang nghifen cOu

Hd sa bfenh dn cua bfenh nhdn dugrc chin dodn Id

ung thu t l bdo ddy da vung diu, mdt c6 vd duqrc

diiu trj tgi Bfenh vifen Rdng Hdm Mdt Trung uang,

Bfenh vifen K, Bfenh vifen Da lifeu Trung uang, tir

01/2007-12/2012.

2. Phuang phdp nghifen ci>u

Thiet ke nghiin ciru: Md td hdi cuu

C& miu: 248 hd sa bfenh dn aia nhung bfenh nhdn

dd diiu tri ung thu biiu md t l bdo ddy da vung diu,

mdt cd tCr thdng 01/2007 d in thdng 12/2012, trong dd

168 hd sa bfenh dn t?i Bfenh vifen K, 75 hd sa bfenh dn

t?i Bfenh vifen Da liiu Trung uang vd cd 05 hd sa bfenh

dn tai Bfenh vifen Rdng hdm m$t Trung uang.

50 Y HOC THVC HANH (905) - S6 2/2014