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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-2015-8-55-59</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-229</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>ОНКОЛОГИЯ И ОНКОГЕМАТОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ONCOLOGY AND ONCOHEMATOLOGY</subject></subj-group></article-categories><title-group><article-title>Вторая линия противоопухолевой терапии метастатического колоректального рака: стратегия лечения</article-title><trans-title-group xml:lang="en"><trans-title>Second line anti-cancer therapy for metastatic colorectal cancer: treatment strategy</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>Воронцова</surname><given-names>К. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Vorontsova</surname><given-names>K. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><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><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вышинская</surname><given-names>Г. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Vyshinskaya</surname><given-names>G. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Российский онкологический научный центр им. Н.Н. Блохина, Москва</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N. N. Blokhin Cancer Research Center, Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2015</year></pub-date><pub-date pub-type="epub"><day>30</day><month>12</month><year>2015</year></pub-date><volume>0</volume><issue>8</issue><fpage>55</fpage><lpage>59</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Воронцова К.А., Доброва Н.В., Вышинская Г.В., 2015</copyright-statement><copyright-year>2015</copyright-year><copyright-holder xml:lang="ru">Воронцова К.А., Доброва Н.В., Вышинская Г.В.</copyright-holder><copyright-holder xml:lang="en">Vorontsova K.A., Dobrova N.V., Vyshinskaya G.V.</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/229">https://www.med-sovet.pro/jour/article/view/229</self-uri><abstract><p>Колоректальный рак занимает одну из лидирующих позиций в мире в структуре онкологической заболеваемости. За последние десятилетия достигнуты значительные успехи в лечении метастатического колоректального рака. Однако расширение спектра эффективных противоопухолевых препаратов формирует и ряд сложностей при выборе оптимальных схем лекарственной терапии у больных с метастазами колоректального рака. В статье изложены современные аспекты II линии лечения метастатического колоректального рака, рекомендации по выбору режимов химиотерапии и назначению таргет-ных препаратов.</p></abstract><trans-abstract xml:lang="en"><p>Colorectal cancer is one of the most widespread cancers globally. Over the past decade, there has been a significant progress in the treatment of metastatic colorectal cancer. However, an increase in the range of effective anticancer drugs is associated with a number of difficulties in determining the adequate drug treatment regimens for patients with metastatic colorectal cancer. The article describes the current aspects of II line treatment of metastatic colorectal cancer, guidelines for the selection of chemotherapy regimens and appointment of targeted drugs.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>колоректальный рак II линия терапии иринотекан</kwd><kwd>оксалиплатин таргетная терапия бевацизумаб</kwd><kwd>афлиберцепт цетуксимаб</kwd><kwd>панитумумаб</kwd><kwd>colorectal cancer</kwd><kwd>II line treatment</kwd><kwd>irinotecan</kwd><kwd>oxaliplatin</kwd><kwd>targeted therapy</kwd><kwd>bevacizumab</kwd><kwd>aflibercept</kwd><kwd>cetuximab</kwd><kwd>pan</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">FerLay J, Soerjomataram I, Ervik M et al. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11. 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