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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/2079-701X-2017-14-67-76</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-2169</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Химиотерапия злокачественных опухолей</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Malignant tumor chemotherapy</subject></subj-group></article-categories><title-group><article-title>ХИМИОТЕРАПИЯ В ЛЕЧЕНИИ ЛОКАЛИЗОВАННОГО И МЕТАСТАТИЧЕСКОГО РАКА ТОЛСТОЙ КИШКИ: НОВОЕ И ЕЩЕ НЕ ЗАБЫТОЕ  СТАРОЕ</article-title><trans-title-group xml:lang="en"><trans-title>CHEMOTHERAPY IN THE MANAGEMENT OF LOCALIZED AND METASTATIC COLON CANCER: NEW AND YET UNFORGOTTEN APPROACHES</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Доброва</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Dobrova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кандидат медицинских наук.</p><p>Москва</p></bio><bio xml:lang="en"><p>PhD in medicine.</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гордеева</surname><given-names>О. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Gordeeva</surname><given-names>O. O.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Черноглазова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Chernoglazova</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кандидат медицинских наук.</p><p>Москва</p></bio><bio xml:lang="en"><p>PhD  in medicine.</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Трякин</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Tryakin</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор медицинских наук.</p><p>Москва</p></bio><bio xml:lang="en"><p>MD.</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Национальный медицинский исследовательский  центр онкологии им. Н.Н. Блохина Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Blokhin Russian Cancer Research  Centre of the Ministry of Health</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>14</day><month>11</month><year>2017</year></pub-date><volume>0</volume><issue>14</issue><fpage>67</fpage><lpage>76</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Доброва Н.В., Гордеева О.О., Черноглазова Е.В., Трякин А.А., 2017</copyright-statement><copyright-year>2017</copyright-year><copyright-holder xml:lang="ru">Доброва Н.В., Гордеева О.О., Черноглазова Е.В., Трякин А.А.</copyright-holder><copyright-holder xml:lang="en">Dobrova N.V., Gordeeva O.O., Chernoglazova E.V., Tryakin A.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/2169">https://www.med-sovet.pro/jour/article/view/2169</self-uri><abstract><p>За  последние  пару  десятков  лет  мы  стали свидетелями  существенного прогресса  в  лечении  метастатического колоректального рака: появление новых таргетных  препаратов и дифференцированного подхода  к их назначению, расширение показаний к резекции метастазов в печени и легких привели к увеличению продолжительности  жизни пациентов этой группы. Тем не менее  химиотерапия остается основой лекарственного лечения рака толстой кишки. В данной работе мы рассматриваем ряд новых подходов, касающихся применения химиотерапии при III  и IV стадиях заболевания.</p></abstract><trans-abstract xml:lang="en"><p>Over the course of the past couple of decades, we have witnessed some significant improvements in the treatment of metastatic colorectal cancer: the emergence of novel targeted drugs and a differentiated approach to their administration, the extension of indications for surgical resection for liver and lungs metastases has resulted in the increased life expectancy among patients in this group. Nevertheless, chemotherapy remains the treatment of choice for colon cancer. In this paper, we discuss new approaches to the use of chemotherapy on stages III and IV of colorectal cancer.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>метастатический колоректальный рак</kwd><kwd>рак толстой кишки</kwd><kwd>химиотерапия</kwd><kwd>оксалиплатин</kwd><kwd>5-фторурацил</kwd><kwd>иринотекан</kwd></kwd-group><kwd-group xml:lang="en"><kwd>metastatic colorectal cancer</kwd><kwd>colon cancer</kwd><kwd>chemotherapy</kwd><kwd>Oxaliplatin</kwd><kwd>5-fluorouracil</kwd><kwd>Irinotecan</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Каприн А.Д., Старинский В. В., Петрова Г. В. (ред.). Злокачественные новообразования в России в 2014 году (заболеваемость и смертность). М.: ФГБУ «МНИОИ им. П. А. Герцена» Минздрава России, 2016. 250 с.</mixed-citation><mixed-citation xml:lang="en">Каприн А.Д., Старинский В. В., Петрова Г. В. (ред.). 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