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Тазовая хирургия и онкология

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Метастатический колоректальный рак. Эволюция лечебных подходов: взгляд хирурга‑онколога

https://doi.org/10.17650/2686-9594-2021-11-1-42-59

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Аннотация

В статье обсуждается эволюция развития лечебных подходов при первично‑метастатическом колоректальном раке, роль хирургического метода на разных этапах комбинированного и комплексного лечения, в том числе и стратегии «сначала печень». На основании данных крупных метаанализов последних 5 лет анализируются возможности проведения периоперационной и неоадъювантной полихимиотерапии у больных раком ободочной и прямой кишки с синхронными отдаленными метастазами в печени, приведены современные данные о возможности использования лучевой терапии на первичную опухоль при данной патологии, а также риски и преимущества такого подхода, приводятся данные клинических исследований.

Об авторах

В. А. Алиев
ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России
Россия

Вячеслав Афандиевич Алиев  

115478 Москва, Каширское шоссе, 24



З. З. Мамедли
ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России
Россия

115478 Москва, Каширское шоссе, 24



Ю. А. Барсуков
ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России
Россия

115478 Москва, Каширское шоссе, 24



З. А. Дудаев
ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России
Россия

115478 Москва, Каширское шоссе, 24



П. А. Тихонов
ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России
Россия

115478 Москва, Каширское шоссе, 24



Д. В. Подлужный
ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России
Россия

115478 Москва, Каширское шоссе, 24



С. Г. Гайдаров
ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России
Россия

115478 Москва, Каширское шоссе, 24



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Для цитирования:


Алиев В.А., Мамедли З.З., Барсуков Ю.А., Дудаев З.А., Тихонов П.А., Подлужный Д.В., Гайдаров С.Г. Метастатический колоректальный рак. Эволюция лечебных подходов: взгляд хирурга‑онколога. Тазовая хирургия и онкология. 2021;11(1):42-59. https://doi.org/10.17650/2686-9594-2021-11-1-42-59

For citation:


 Aliev V.A., Mamedli Z.Z., Barsukov Yu. ., Dudaev Z.A., Tikhonov P.A., Podluzhnyy D.V., Gaydarov S.G. Metastatic colorectal cancer. Evolution of treatment strategies: surgeons’ point of view. Pelvic Surgery and Oncology. 2021;11(1):42-59. (In Russ.) https://doi.org/10.17650/2686-9594-2021-11-1-42-59

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