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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">10.33667/2078-5631-2020-20-30-33</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-1650</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>Неоадъювантная терапия рака молочной железы. Значение резидуальной болезни</article-title><trans-title-group xml:lang="en"><trans-title>Neoadjuvant therapy for breast cancer. Value of residual disease</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>Коваленко</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Kovalenko</surname><given-names>E. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кандидат медицинских наук, старший научный сотрудник онкологического отделения лекарственных методов лечения (химиотерапевтического) № 1.</p><p>Москва</p></bio><bio xml:lang="en"><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>Артамонова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Artamonova</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор медицинских наук, профессор, зав. онкологическим отделением лекарственных методов лечения (химиотерапевтическим) № 11, профессор кафедры онкологии и лучевой терапии.</p><p>Москва</p></bio><bio xml:lang="en"><p>Russian National Research Medical University n.a. N.I. Pirogov</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр онкологии имени Н.Н. Блохина» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Medical Research Centre of Oncology n.a. N.N. Blokhin</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГАОУ ВО «Российский национальный исследовательский медицинский университет имени Н. И. Пирогова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>10</day><month>10</month><year>2020</year></pub-date><volume>0</volume><issue>20</issue><issue-title>Диагностика и онкотерапия (2)</issue-title><fpage>30</fpage><lpage>33</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Коваленко Е.И., Артамонова Е.В., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Коваленко Е.И., Артамонова Е.В.</copyright-holder><copyright-holder xml:lang="en">Kovalenko E.I., Artamonova E.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/1650">https://www.med-alphabet.com/jour/article/view/1650</self-uri><abstract><p>Лекарственное лечение является неотъемлемой частью комплексного подхода при раннем и местнораспространенном раке молочной железы. В статье рассмотрены основные цели и принципы неоадъювантной химиотерапии при различных подтипах рака молочной железы, взаимосвязь между полной патоморфологической регрессией и отдаленными результатами, подходы к терапии резидуальной болезни. Унифицированная оценка остаточной опухоли по системе RCB после проведенной неоадъювантной химиотерапии позволяет четко выделить прогностические группы пациентов с различным ответом на лечение и в свою очередь планировать им дополнительную лекарственную терапию.</p></abstract><trans-abstract xml:lang="en"><p>Drug treatment is an integral part of the complex approach for early and locally advanced breast cancer. The article considers the main goals and principles of neoadjuvant chemotherapy for different breast cancer subtypes, the relationship between complete pathomorpho-logical response and long-term results as well as approaches to the treatment of residual disease. A unified residual tumor assessment based on calculating the RCB-index after neoadjuvant chemotherapy allows to identify patient prognostic groups with different responses to treatment and, in turn, to plan additional therapy for them.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>рак молочной железы</kwd><kwd>неоадъювантная химиотерапия</kwd><kwd>полный патоморфоз</kwd><kwd>резидуальная опухоль</kwd><kwd>RCB</kwd><kwd>терапия резидуальной болезни</kwd></kwd-group><kwd-group xml:lang="en"><kwd>breast cancer</kwd><kwd>neoadjuvant chemotherapy</kwd><kwd>pathomorphological complete response</kwd><kwd>residual tumor</kwd><kwd>RCB</kwd><kwd>residual disease treatment</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">RastogiP., Anderson S., Barry H.D. et al. Preoperative Chemotherapy: Updates of National Surgical Adjuvant Breast and Bowel Project Protocols B-18 and B-27. 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