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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">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33667/2078-5631-2019-2-17(392)-43-48</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-1281</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>Статьи</subject></subj-group></article-categories><title-group><article-title>Химиолучевая терапия немелкоклеточного рака легкого: наиболее частые осложнения лечения и методы борьбы с ними</article-title><trans-title-group xml:lang="en"><trans-title>Chemotherapy of Non-Small Cell Lung Cancer: Most Frequent Complications of Treatment and Methods of Dealing with them</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>Деньгина</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Dengina</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к. м. н.</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>Митин</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Mitin</surname><given-names>T. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к. м. н., отделение радиационной медицины </p></bio><bio xml:lang="en"><p>Department of Radiation Medicine</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Черных</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Chernykh</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к. м. н.</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГУЗ «Областной клинический онкологический диспансер», г. Ульяновск</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Regional Clinical Cancer Centre, Ulyanovsk</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Орегонский университет здоровья и науки, г. Портленд</institution><country>Соединённые Штаты Америки</country></aff><aff xml:lang="en"><institution>Oregon Health &amp; Science University, Portland</institution><country>United States</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Онкорадиологический центр на базе ГБУЗ МО «Подольская городская клиническая больница», г. Подольск</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Oncoradiological Centre of Podolsk City Clinical Hospital, Podolsk</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>27</day><month>11</month><year>2019</year></pub-date><volume>2</volume><issue>17</issue><issue-title>Диагностика и онкотерапия</issue-title><fpage>43</fpage><lpage>48</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Деньгина Н.В., Митин Т.В., Черных М.В., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Деньгина Н.В., Митин Т.В., Черных М.В.</copyright-holder><copyright-holder xml:lang="en">Dengina N.V., Mitin T.V., Chernykh M.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-alphabet.com/jour/article/view/1281">https://www.med-alphabet.com/jour/article/view/1281</self-uri><abstract><p>Химиолучевая терапия является краеугольным камнем в лечении больных местнораспространенным немелкоклеточным раком легкого (НМРЛ). Тем не менее, по данным официальной статистики, в России подобное лечение проводится крайне редко, несмотря на то, что первичный местнораспространенный рак легкого выявляется у трети больных. Одной из наиболее частых причин, препятствующих более широкому применению метода, считается высокая токсичность химиолучевого лечения больных с опухолями внутригрудных локализаций. В данном обзоре приведены наиболее частые варианты осложнений и методы их профилактики и борьбы с ними.</p></abstract><trans-abstract xml:lang="en"><p>Chemoradiotherapy is the cornerstone in the treatment of patients with locally advanced lung cancer. However, according to official statistics in Russia, such treatment is extremely rare, despite the fact that the primary locally advanced lung cancer is detected in more than 30 % of cases. One of the most frequent obstacles for the wider use of chemoradiotherapy is its high toxicity for patients with intrathoracic tumors. This review presents the most common complications and methods for their prevention, treatment and control.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>немелкоклеточный рак легкого</kwd><kwd>химиолучевая терапия</kwd><kwd>осложнения</kwd></kwd-group><kwd-group xml:lang="en"><kwd>non-small cell lung cancer</kwd><kwd>chemoradiotherapy</kwd><kwd>complications</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">Torre LA, Bray F, Siegel RL, et al. Global cancer statistics, 2012. CA Cancer J Clin 2015;65:87–108.</mixed-citation><mixed-citation xml:lang="en">Torre LA, Bray F, Siegel RL, et al. Global cancer statistics, 2012. CA Cancer J Clin 2015;65:87–108.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Chargari C, Soria JC, Deutsch E. Controversies and challenges regarding the impact of radiation therapy on survival. Annals of Oncology 00: 1–9, 2012</mixed-citation><mixed-citation xml:lang="en">Chargari C, Soria JC, Deutsch E. Controversies and challenges regarding the impact of radiation therapy on survival. Annals of Oncology 00: 1–9, 2012</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">O’Rourke N, Roqué i Figuls M, Farré Bernadó N, Macbeth F. Concurrent chemoradiotherapy in non-small cell lung cancer. Cochrane Database Syst Rev 2010;6: CD 002140.</mixed-citation><mixed-citation xml:lang="en">O’Rourke N, Roqué i Figuls M, Farré Bernadó N, Macbeth F. Concurrent chemoradiotherapy in non-small cell lung cancer. Cochrane Database Syst Rev 2010;6: CD 002140.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Auperin A, Le Pechoux С, Rolland E, et al. Meta-Analysis of Concomitant Versus Sequential Radiochemotherapy in Locally Advanced Non–Small-Cell Lung Cancer. J Clin Oncol 2010;28(13):2181–2190.</mixed-citation><mixed-citation xml:lang="en">Auperin A, Le Pechoux С, Rolland E, et al. Meta-Analysis of Concomitant Versus Sequential Radiochemotherapy in Locally Advanced Non–Small-Cell Lung Cancer. J Clin Oncol 2010;28(13):2181–2190.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Vokes EE, Herndon II JE, Kelley MJ, et al. Induction chemotherapy followed by chemoradiotherapy compared with chemoradiotherapy alone for regionally advanced unresectable stage III non– small-cell lung cancer: Cancer and Leukemia Group B. J Clin Oncol 25:1698–1704.</mixed-citation><mixed-citation xml:lang="en">Vokes EE, Herndon II JE, Kelley MJ, et al. Induction chemotherapy followed by chemoradiotherapy compared with chemoradiotherapy alone for regionally advanced unresectable stage III non– small-cell lung cancer: Cancer and Leukemia Group B. J Clin Oncol 25:1698–1704.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Belani CP, Choy H, Bonomi P, et al. Combined chemoradiotherapy regimens of paclitaxel and carboplatin for locally advanced non-small-cell lung cancer: a randomized phase II locally advanced multi-modality protocol. J Clin Oncol. 2005;23:5883–5891.</mixed-citation><mixed-citation xml:lang="en">Belani CP, Choy H, Bonomi P, et al. Combined chemoradiotherapy regimens of paclitaxel and carboplatin for locally advanced non-small-cell lung cancer: a randomized phase II locally advanced multi-modality protocol. J Clin Oncol. 2005;23:5883–5891.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Hanna N, Neubauer M, Yiannoutsos C, et al. Phase III study of cisplatin, etoposide, and concurrent chest radiation with or without consolidation docetaxel in patients with inoperable stage III non-small-cell lung cancer: the Hoosier Oncology Group and U. S. Oncology. J Clin Oncol 2008;26:5755–60.</mixed-citation><mixed-citation xml:lang="en">Hanna N, Neubauer M, Yiannoutsos C, et al. Phase III study of cisplatin, etoposide, and concurrent chest radiation with or without consolidation docetaxel in patients with inoperable stage III non-small-cell lung cancer: the Hoosier Oncology Group and U. S. Oncology. J Clin Oncol 2008;26:5755–60.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Jalal SI, Riggs HD, Melnyk A, et al. Updated survival and outcomes for older adults with inoperable stage III non-small-cell lung cancer treated with cisplatin, etoposide, and concurrent chest radiation with or without consolidation docetaxel: analysis of a phase III trial from the Hoosier Oncology Group (HOG) and US Oncology. Ann Oncol 2012;23:1730–1738</mixed-citation><mixed-citation xml:lang="en">Jalal SI, Riggs HD, Melnyk A, et al. Updated survival and outcomes for older adults with inoperable stage III non-small-cell lung cancer treated with cisplatin, etoposide, and concurrent chest radiation with or without consolidation docetaxel: analysis of a phase III trial from the Hoosier Oncology Group (HOG) and US Oncology. Ann Oncol 2012;23:1730–1738</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Состояние онкологической помощи населению России в 2017 году. Под ред. А. Д. Каприна, В. В. Старинского, Г. В. Петровой. М.: МНИОИ им. П. А. Герцена, 2018.</mixed-citation><mixed-citation xml:lang="en">Состояние онкологической помощи населению России в 2017 году. Под ред. А. Д. Каприна, В. В. Старинского, Г. В. Петровой. М.: МНИОИ им. П. А. Герцена, 2018.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Miller K et al. Cancer treatment and survivorship statistics, 2016. CA Cancer J Clin 2016 Jul;66(4):271–89</mixed-citation><mixed-citation xml:lang="en">Miller K et al. Cancer treatment and survivorship statistics, 2016. CA Cancer J Clin 2016 Jul;66(4):271–89</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Лактионов К. К., Артамонова Е. В., Бредер В. В., Горбунова В. А., Моисеенко Ф. В., Реутова Е. В., Сакаева Д. Д., Смолин А. В., Тер-Ованесов М. Д. Практические рекомендации по лекарственному лечению немелкоклеточного рака легкого. Злокачественные опухоли 2018;8(3), спецвыпуск 2.</mixed-citation><mixed-citation xml:lang="en">Лактионов К. К., Артамонова Е. В., Бредер В. В., Горбунова В. А., Моисеенко Ф. В., Реутова Е. В., Сакаева Д. Д., Смолин А. В., Тер-Ованесов М. Д. Практические рекомендации по лекарственному лечению немелкоклеточного рака легкого. Злокачественные опухоли 2018;8(3), спецвыпуск 2.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Ezer N, Smith CB, Galsky MD, et al. Cisplatin vs. carboplatin-based chemoradiotherapy in patients &gt;65 years of age with stage III nonsmall cell lung cancer. Radiother Oncol. 2014 Aug;112(2):272–8.</mixed-citation><mixed-citation xml:lang="en">Ezer N, Smith CB, Galsky MD, et al. Cisplatin vs. carboplatin-based chemoradiotherapy in patients &gt;65 years of age with stage III nonsmall cell lung cancer. Radiother Oncol. 2014 Aug;112(2):272–8.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Santana-Davila R, Devisetty K, Szabo A, et al: Cisplatin and etoposide versus carboplatin and paclitaxel with concurrent radiotherapy for stage III non–small-cell lung cancer: An analysis of Veterans Health Administration data. J Clin Oncol doi: 10.1200/JCO.2014.56.2587</mixed-citation><mixed-citation xml:lang="en">Santana-Davila R, Devisetty K, Szabo A, et al: Cisplatin and etoposide versus carboplatin and paclitaxel with concurrent radiotherapy for stage III non–small-cell lung cancer: An analysis of Veterans Health Administration data. J Clin Oncol doi: 10.1200/JCO.2014.56.2587</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Steuer CE, Behera M. et al. Comparison of Concurrent Use of Thoracic Radiation With Either Carboplatin-Paclitaxel or Cisplatin-Etoposide for Patients With Stage III Non-Small-Cell Lung Cancer: A Systematic Review. JAMA Oncol. 2017 Aug 1;3(8):1120–1129.</mixed-citation><mixed-citation xml:lang="en">Steuer CE, Behera M. et al. Comparison of Concurrent Use of Thoracic Radiation With Either Carboplatin-Paclitaxel or Cisplatin-Etoposide for Patients With Stage III Non-Small-Cell Lung Cancer: A Systematic Review. JAMA Oncol. 2017 Aug 1;3(8):1120–1129.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Vokes EE, Herndon JE, Crawford J, et al: Randomized phase II study of cisplatin with gemcitabine or paclitaxel or vinorelbine as induction chemotherapy followed by concomitant chemoradiotherapy for stage IIIB non-small-cell lung cancer: cancer and leukemia group B study 9431. J Clin Oncol 2002;20:4191–4198</mixed-citation><mixed-citation xml:lang="en">Vokes EE, Herndon JE, Crawford J, et al: Randomized phase II study of cisplatin with gemcitabine or paclitaxel or vinorelbine as induction chemotherapy followed by concomitant chemoradiotherapy for stage IIIB non-small-cell lung cancer: cancer and leukemia group B study 9431. J Clin Oncol 2002;20:4191–4198</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Werner-Wasik M: Treatment-related esophagitis. Semin Oncol 2005;32: S 60-S 66.</mixed-citation><mixed-citation xml:lang="en">Werner-Wasik M: Treatment-related esophagitis. Semin Oncol 2005;32: S 60-S 66.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Palma DA et al. Predicting Radiation Pneumonitis after Chemoradiotherapy for Lung Cancer: An International Individual Patient Data Meta-analysis. Int J Radiat Oncol Biol Phys. 2013 February 1; 85(2): 444–450.</mixed-citation><mixed-citation xml:lang="en">Palma DA et al. Predicting Radiation Pneumonitis after Chemoradiotherapy for Lung Cancer: An International Individual Patient Data Meta-analysis. Int J Radiat Oncol Biol Phys. 2013 February 1; 85(2): 444–450.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Parashar B, Edwards A, et al. Chemotherapy significantly increases the risk of radiation pneumonitis in radiation therapy of advanced lung cancer. Am J Clin Oncol. 2011 Apr;34(2):160–4.</mixed-citation><mixed-citation xml:lang="en">Parashar B, Edwards A, et al. Chemotherapy significantly increases the risk of radiation pneumonitis in radiation therapy of advanced lung cancer. Am J Clin Oncol. 2011 Apr;34(2):160–4.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Palma et al. Predicting radiation pneumonitis after chemoradiation therapy for lung cancer: an international individual patient data meta-analysis. Int J Radiat Oncol Biol Phys 2013;85(2):444–50.</mixed-citation><mixed-citation xml:lang="en">Palma et al. Predicting radiation pneumonitis after chemoradiation therapy for lung cancer: an international individual patient data meta-analysis. Int J Radiat Oncol Biol Phys 2013;85(2):444–50.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Antonia SJ et al. Durvalumab after Chemoradiotherapy in Stage III Non–Small-Cell Lung Cancer. N Engl J Med 2017; 377:1919–1929.</mixed-citation><mixed-citation xml:lang="en">Antonia SJ et al. Durvalumab after Chemoradiotherapy in Stage III Non–Small-Cell Lung Cancer. N Engl J Med 2017; 377:1919–1929.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Yılmaz UM, Erol S, et al. Chemoradiotherapy-Associated Myelosuppression: A Retrospective Analysis of Risk Factors for Patients with NonSmall Cell Lung Cancer. Eurasian J Pulmonol 2015; 17: 49–53</mixed-citation><mixed-citation xml:lang="en">Yılmaz UM, Erol S, et al. Chemoradiotherapy-Associated Myelosuppression: A Retrospective Analysis of Risk Factors for Patients with NonSmall Cell Lung Cancer. Eurasian J Pulmonol 2015; 17: 49–53</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Сакаева Д. Д., Орлова Р. В., Шабаева М. М. Практические рекомендации по лечению инфекционных осложнений фебрильной нейтропении и назначению колониестимулирующих факторов у онкологических больных. Практические рекомендации RUSSCO, версия 2018.</mixed-citation><mixed-citation xml:lang="en">Сакаева Д. Д., Орлова Р. В., Шабаева М. М. Практические рекомендации по лечению инфекционных осложнений фебрильной нейтропении и назначению колониестимулирующих факторов у онкологических больных. Практические рекомендации RUSSCO, версия 2018.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Kishida Y, HIROSE T, et al. Myelosuppression induced by concurrent chemoradiotherapy as a prognostic factor for patients with locally advanced non-small cell lung cancer. Oncology Letters 2011;2: 949–955.</mixed-citation><mixed-citation xml:lang="en">Kishida Y, HIROSE T, et al. Myelosuppression induced by concurrent chemoradiotherapy as a prognostic factor for patients with locally advanced non-small cell lung cancer. Oncology Letters 2011;2: 949–955.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Cheng Y. et al. Carboplatin-induced hematotoxicity among patients with non-small cell lung cancer: Analysis on clinical adverse events and drug-gene interactions. Oncotarget, 2017, Vol. 8, (No. 19), pp: 32228–32236.</mixed-citation><mixed-citation xml:lang="en">Cheng Y. et al. Carboplatin-induced hematotoxicity among patients with non-small cell lung cancer: Analysis on clinical adverse events and drug-gene interactions. Oncotarget, 2017, Vol. 8, (No. 19), pp: 32228–32236.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Практические рекомендации по поддерживающей и сопроводительной терапии RUSSCO, версия 2018 г.</mixed-citation><mixed-citation xml:lang="en">Практические рекомендации по поддерживающей и сопроводительной терапии RUSSCO, версия 2018 г.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Yazbeck VY, Villaruz L, Haley M, Socinski MA. Management of Normal Tissue Toxicity Associated With Chemoradiation (Primary Skin, Esophagus, and Lung). Cancer J. 2013; 19(3): 231–237.</mixed-citation><mixed-citation xml:lang="en">Yazbeck VY, Villaruz L, Haley M, Socinski MA. Management of Normal Tissue Toxicity Associated With Chemoradiation (Primary Skin, Esophagus, and Lung). Cancer J. 2013; 19(3): 231–237.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Carver JR, Shapiro CL, Ng A, et al. American Society of Clinical Oncology clinical evidence review on the ongoing care of adult cancer survivors: cardiac and pulmonary late effects. J Clin Oncol 2007;25(25):3991–4008.</mixed-citation><mixed-citation xml:lang="en">Carver JR, Shapiro CL, Ng A, et al. American Society of Clinical Oncology clinical evidence review on the ongoing care of adult cancer survivors: cardiac and pulmonary late effects. J Clin Oncol 2007;25(25):3991–4008.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">RTOG/EORTC Late Radiation Morbidity Scoring Schema URL: https://www.rtog.org/researchassociates/adverseeventreporting/rtogeortclateradiationmorbidityscoringschema.aspx</mixed-citation><mixed-citation xml:lang="en">RTOG/EORTC Late Radiation Morbidity Scoring Schema URL: https://www.rtog.org/researchassociates/adverseeventreporting/rtogeortclateradiationmorbidityscoringschema.aspx</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 Published: May 28, 2009 (v4.03: June 14, 2010) U.S.DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Cancer Institute URL: http://www.hrc.govt.nz/sites/default/files/CTCAE%20manual%20-%20DMCC.pdf</mixed-citation><mixed-citation xml:lang="en">Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 Published: May 28, 2009 (v4.03: June 14, 2010) U.S.DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Cancer Institute URL: http://www.hrc.govt.nz/sites/default/files/CTCAE%20manual%20-%20DMCC.pdf</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
