medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2017-6-118-122medsovet-1896Research ArticleОнкоурологияOncourologyВОЗМОЖНОСТИ ПРИМЕНЕНИЯ РАДИЯ-223 В ЛЕЧЕНИИ РАКА ПРЕДСТАТЕЛЬНОЙ ЖЕЛЕЗЫPOSSIBILITIES OF RADIUM-223 APPLICATION IN THERAPY OF PROSTATE GLAND CANCERГРИЦКЕВИЧА. А.GRITSKEVICHA. A.

к.м.н.

PhD in medicine

МИШУГИНС. В.MISHUGINS. V.

к.м.н.

PhD in medicine

РУСАКОВИ. Г.RUSAKOVI. G.

д.м.н., профессор

MD, Prof.

Институт хирургии им. А.В. ВишневскогоРоссияVishnevskiy Institute of SurgeryRussian FederationГородская клиническая больница №57РоссияMunicipal Clinical Hospital No. 57Russian FederationГородская клиническая больница №57 Национальный медицинский исследовательский радиологический центрРоссияMunicipal Clinical Hospital No. 57 National Medical Research and Radiological CenterRussian Federation20172006201706118122Copyright © ГРИЦКЕВИЧ А.А., МИШУГИН С.В., РУСАКОВ И.Г., 20172017ГРИЦКЕВИЧ А.А., МИШУГИН С.В., РУСАКОВ И.Г.GRITSKEVICH A.A., MISHUGIN S.V., RUSAKOV I.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/1896

В последние годы было разработано несколько терапевтических вариантов, значительно повышающих выживаемость пациентов с метастатическим кастрационно-резистентным РПЖ (мКРРПЖ). Наличие нескольких активных агентов предоставляет онкологам беспрецедентную возможность адаптировать свой выбор к клиническим характеристикам каждого пациента, к каждой линии лечения, но в то же время создает проблему определения оптимальной терапевтической последовательности для отдельного больного. Вследствие эволюции стратегии лечения, сложности процесса оценки динамики лечения и вариабельности клинических аспектов заболевания мультидисциплинарный подход приобретает сегодня первостепенное значение. В настоящей статье представлены мнения и рекомендации экспертной междисциплинарной группы (Милан, Италия) по использованию радия-223 у мужчин с мКРРПЖ.

In recent years several therapeutic options have been developed that significantly improve the survival of patients with metastatic treatment-resistant prostate gland cancer (mCRPC). The presence of several active agents gives oncologists an unprecedented opportunity to adapt their choices to the clinical characteristics of each patient, to each treatment line, but at the same time raises the problem of determining the optimal therapeutic sequence for the individual. Due to evolution of the therapeutic strategy, difficulty of the process of the therapy dynamics evaluation and variability of the clinical disease aspects the multi-disciplinary approach currently acquires the primary importance. This article presents the views and recommendations of the expert of the Interdisciplinary Group (Milan, Italy) on the use of Radium-223 in men with mCRPC.

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The authors declare that there are no conflicts of interest present.