C) My, carcinoma tuyen la loai ung thu te bao khong nho
cua phoi Via ngoai vi nen loai nay thuang khong c6 trieu
chung cho den khi chung dugfc phat hien tren phim X - quang ngirc. Loai nay thuong c6 xu huong di can den phan khac ciia
ca the nhu xuong, he than kinh trung uong (nao va tuy song),
tuyen thuong than, gan va phoi doi dien.
Thuong CO seo trong carcinom tuyen. Doi khi ung thu
phat tri^n trong nhung vung seo cu cua ph6i. Trong nhung truong hop khac thi seo xuat hien sau khi ung thu phat trien.
Carcinoma ph6 quan ph6i va phk quan la carcinom tk bao khong nho duoc tim thiy tren khSp duomg ho hap. Khi dugc phat hien n8u la mot khoi don doc tren phim X - quang ph6i thi tien lugng t6t. T i le song con 5 nam sau p h l u thuat la 75- 90 %. Tuy nhien, n l u no xuit hien duoi dang Ian toa thi tien lugrng xau.
Carcinoma bao gai chiem ti le 30-40 % cua loai
carcinom tl bao khong nho. Loai nay c6 xu huomg d trung
tam cua ph6i, thuong trong khi quan. V i nhung ung thu nay
nam g i n hoac trong khi dao nen chung thuong gay trieu
chung som. Ho dam mau la trieu chung thuong nhat. Ung thu
CO t h i gay tat khi dao lam kho tho va viem ph6i.
Carcinoma t l bao Ion c h i l m khoang 10% cua loai te bao khong nho. Loai ung thu nay thuong c6 it dac diem rieng biet v6 ciu tnic khi xem duoi kinh hien v i . Rat kho de phan biet no voi loai ung thu di can tir noi khac den phoi.
Ung thir te bao nho cua phoi
Day la loai nang nhat va tien luong xkn nhat cua ph6i.
Loai nay thuong c6 xu huong phat trien nhanh va di can som
den cac phan khac cua co the.
Loai nay thuong thay la mot khoi nam 6 trung tam cua phoi tren phim X quang. Ton thuong nguyen phat gieo rgc den hach bach huyet ciia ngirc va vao mau di den cac phan khac cua co the nhu gan, nao, tuy s6ng, than, tuy, va tuyin thuong than.
Hiem khi loai nay dugfC dieu trj bang phau thuat v i ung thu nguyen phat qua Ion khi phat hien hoac da di can r6i. Tuy nhien loai nay dap ung tdt voi xa trj va hoa t r i .
Trieu chung cua benh nhan ung thu- ph6i la gi
Loai te bao gai va te bao nho co the gay ra ho, tho nong, dam mau, dau nguc, kho khe hoac viem ph6i. Carcinoma te bao tuyen thuong o phan ngoai cua phoi va gay nen dau nguc khi tho, ho hoac tho nong. Da s6 benh nhan khong co trieu chung khi benh dugc phat hien dau tien tren phim X quang nguc.
Carcinoma te bao nho va te bao tuyin cua ph6i dugc phat hien dau tien voi trieu chung cua benh di can. D\ku nay co nghTa la trieu chung lien quan d i n noi ma ung thu di can d i n , khong nhat thiet tai ph6i.
Nhung trieu chung chi ra ung thu da Ian rgng bao g6m khan giong, nuot kho, sung mat, tay va c6. D i can t l bao ung thu den cac co quan khac ngoai phoi lien quan d i n tat ca cac loai ung thu cua phoi nhung thuong nhat la loai ung thu te bao nho va carcinoma te bao tuyen. Nhuc d^u, met, te tay hoac yeu liet la chi diem ggi y ung thu di can den nao hoac tuy song. D i l u nay yeu cau dieu tri khan cap. Dau xuong hoac dau bung la trieu chung cua ung thu di can d i n