<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<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 custom-type="elpub" pub-id-type="custom">medalphabet-639</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>Эффективность неоадъювантного курса дистанционной лучевой терапии в режиме стереотаксической радиотерапии в комплексном лечении больного ПЭКомой параректальной клетчатки</article-title><trans-title-group xml:lang="en"><trans-title>Efficacy of neoadjuvant course of remote radiation therapy in stereotactic radiotherapy in complex treatment of patients with PEComa of pararectal tissue</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>Назаренко</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Nazarenko</surname><given-names>A. 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>Мусаев</surname><given-names>Э. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Musaev</surname><given-names>E. R.</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>Медведев</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Medvedev</surname><given-names>S. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Романов</surname><given-names>Д. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Romanov</surname><given-names>D. S.</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>Софронов</surname><given-names>Д. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Sofronov</surname><given-names>D. I.</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>Заспа</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Zaspa</surname><given-names>O. 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>Ткачев</surname><given-names>С. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Tkachyov</surname><given-names>S. I.</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>Алиева</surname><given-names>С. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Alieva</surname><given-names>S. B.</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>Борисова</surname><given-names>Т. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Borisova</surname><given-names>T. N.</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>Глебовская</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Glebovskaya</surname><given-names>V. 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>Болдырева</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Boldyreva</surname><given-names>V. 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>Федосеенко</surname><given-names>Д. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Fedoseenko</surname><given-names>D. I.</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>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>Московский научно-исследовательский институт имени П. А. Герцена - филиал ФГБУ «Национальный медицинский исследовательский радиологический центр» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Moscow Research Institute n.a. P. A. Herzen - a Branch of the National Medical Radiological Research Centre</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>16</day><month>05</month><year>2018</year></pub-date><volume>1</volume><issue>15</issue><issue-title>Диагностика и онкотерапия</issue-title><fpage>49</fpage><lpage>52</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Назаренко А.В., Мусаев Э.Р., Медведев С.В., Романов Д.С., Софронов Д.И., Заспа О.А., Ткачев С.И., Алиева С.Б., Борисова Т.Н., Глебовская В.В., Болдырева В.А., Федосеенко Д.И., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Назаренко А.В., Мусаев Э.Р., Медведев С.В., Романов Д.С., Софронов Д.И., Заспа О.А., Ткачев С.И., Алиева С.Б., Борисова Т.Н., Глебовская В.В., Болдырева В.А., Федосеенко Д.И.</copyright-holder><copyright-holder xml:lang="en">Nazarenko A.V., Musaev E.R., Medvedev S.V., Romanov D.S., Sofronov D.I., Zaspa O.A., Tkachyov S.I., Alieva S.B., Borisova T.N., Glebovskaya V.V., Boldyreva V.A., Fedoseenko D.I.</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/639">https://www.med-alphabet.com/jour/article/view/639</self-uri><abstract><p>ПЭКома-мезенхимальная злокачественная опухоль, оптимальная тактика лечения которой остается невыработанной из-за редкости встречаемости этой опухоли. Основным методом лечения является хирургический, однако поиск решений, которые могли бы повысить эффективность резекции и улучшить отдаленные результаты, продолжается. В данной работе представлен случай относительной эффективности предоперационного гормонально-лучевого лечения больного ПЭКомой параректальной клетчатки: зафиксированная степень лечебного патоморфоза в удаленной опухоли оказалась выше таковой в приведенном крупном метанализе, а период наблюдения до возобновления болезни после комплексного лечения по поводу рецидивной опухоли - больше, чем при хирургическом лечении по поводу первичной опухоли.</p></abstract><trans-abstract xml:lang="en"><p>PEComa is a mesenchymal malignant tumor, which optimal treatment strategy remains undeveloped because of the rarity of occurrence of this tumor. The main treatment is surgery, but investigators continue to search for solutions that could enhance the effectiveness of resection and improve long-term results. This paper presents the case of the relative effectiveness of preoperative hormonal and radiation therapy patient with pelvic PEComa: fixed degree of therapeutic effect in remote tumor was higher than that in the above large meta analysis, and the follow-up to the resumption of the disease after complex treatment of a relapsing tumor is greater than in the primary tumor s surgical treatment.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ПЭКома</kwd><kwd>неоадъювантное лечение</kwd><kwd>лечебный патоморфоз</kwd><kwd>стереотаксическая радиотерапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>PEComa</kwd><kwd>neoadjuvant treatment</kwd><kwd>therapeutic effect</kwd><kwd>stereotactic radiotherapy</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">Fadare О., Parkash V., Yilmaz Y., et al. Perivascular epithelioid cell tumor (PEComa) of the uterine cervix associated with intraabdominal ‘PEComatosis’: A clinico-pathological study with comparative genomic hybridization analysis. World J Surg Oncol 2004;2:35. PMID: 15494070. DOI: 10.1186/1477-7819-2-35.</mixed-citation><mixed-citation xml:lang="en">Fadare О., Parkash V., Yilmaz Y., et al. Perivascular epithelioid cell tumor (PEComa) of the uterine cervix associated with intraabdominal ‘PEComatosis’: A clinico-pathological study with comparative genomic hybridization analysis. World J Surg Oncol 2004;2:35. PMID: 15494070. DOI: 10.1186/1477-7819-2-35.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Cuevas Herreros O., Escobar Lezcano L., Rodriguez Blaco M., Artigas Raventos V. PEComa, a Rare Epithelioid Cell Tumor. Cir Esp 2015;93: e65-7. DOI: 10.1016/j. cireng.2013.07.034.</mixed-citation><mixed-citation xml:lang="en">Cuevas Herreros O., Escobar Lezcano L., Rodriguez Blaco M., Artigas Raventos V. PEComa, a Rare Epithelioid Cell Tumor. Cir Esp 2015;93: e65-7. DOI: 10.1016/j. cireng.2013.07.034.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Folpe A. L., Mentzel T., Lehr H. A., et al. Perivascular epithelioid cell neoplasms of soft tissue and gynecologic origin: a clinico-pathologic study of 26 cases and review of the literature. Am J Surg Pathol 2005; 29: 1558-75. PMID: 16327428.</mixed-citation><mixed-citation xml:lang="en">Folpe A. L., Mentzel T., Lehr H. A., et al. Perivascular epithelioid cell neoplasms of soft tissue and gynecologic origin: a clinico-pathologic study of 26 cases and review of the literature. Am J Surg Pathol 2005; 29: 1558-75. PMID: 16327428.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Hussain T., Al-Hamali S. Pathophysiology and management aspects of adrenal angiomyolipomas. Ann R CollSurg Engl2012; 94: 224-6. PMID: 22613297. DOI: 10.1308/0 03588412X13171221498541.</mixed-citation><mixed-citation xml:lang="en">Hussain T., Al-Hamali S. Pathophysiology and management aspects of adrenal angiomyolipomas. Ann R CollSurg Engl2012; 94: 224-6. PMID: 22613297. DOI: 10.1308/0 03588412X13171221498541.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Нечушкина И. В., Карселадзе А. И. Пекомы. Обзор литературы и клиническое наблюдение. Саркомы костей, мягких тканей и опухоли кожи 2016; 2: 32-43.</mixed-citation><mixed-citation xml:lang="en">Нечушкина И. В., Карселадзе А. И. Пекомы. Обзор литературы и клиническое наблюдение. Саркомы костей, мягких тканей и опухоли кожи 2016; 2: 32-43.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Bleeker J. S., Quevedo J. F., Folpe A. L. ‘Malignant’ Perivascular Epithelioid Cell Neoplasm: Risk Stratification and Treatment Strategies. Sarcoma. Volume 2012, Article ID 541626. DOI: 10.1155/2012/541626.</mixed-citation><mixed-citation xml:lang="en">Bleeker J. S., Quevedo J. F., Folpe A. L. ‘Malignant’ Perivascular Epithelioid Cell Neoplasm: Risk Stratification and Treatment Strategies. Sarcoma. Volume 2012, Article ID 541626. DOI: 10.1155/2012/541626.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Jeon I.S., Lee S.M. Multimodal treatment using surgery, radiotherapy, and chemotherapy in a patient with a perivascular epithelioid cell tumor of the uterus. Journal of Pediatric Hematology/ Oncology 2005; 27: 681-4. PMID: 16344678.</mixed-citation><mixed-citation xml:lang="en">Jeon I.S., Lee S.M. Multimodal treatment using surgery, radiotherapy, and chemotherapy in a patient with a perivascular epithelioid cell tumor of the uterus. Journal of Pediatric Hematology/ Oncology 2005; 27: 681-4. PMID: 16344678.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Jeon I. S., Yi D. Y. Acute lymphoblastic leukemia secondary to chemoradiotherapy for perivascular epithelioid cell tumor of uterus. Pediatric hematology and oncology 2009; 26: 85-8. PMID: 19322738. DOI: 10.1080/08880010902754859.</mixed-citation><mixed-citation xml:lang="en">Jeon I. S., Yi D. Y. Acute lymphoblastic leukemia secondary to chemoradiotherapy for perivascular epithelioid cell tumor of uterus. Pediatric hematology and oncology 2009; 26: 85-8. PMID: 19322738. DOI: 10.1080/08880010902754859.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Osei D. A., Alvandi F., Brooks J. S., Ogilvie C. M. PEComa of the upper extremity: a unique case and description of an initial response to neoadjuvant chemotherapy. Sarcoma. Volume 2007, Article ID 53056. PMID: 18274609. DOI: 10.1155/2007/53056.</mixed-citation><mixed-citation xml:lang="en">Osei D. A., Alvandi F., Brooks J. S., Ogilvie C. M. PEComa of the upper extremity: a unique case and description of an initial response to neoadjuvant chemotherapy. Sarcoma. Volume 2007, Article ID 53056. PMID: 18274609. DOI: 10.1155/2007/53056.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Ong L. Y., Hwang W.S., Wong A., et al. Perivascular epithelioid cell tumour of the vagina in an 8 year old girl. Journal of Pediatric Surgery 2007; 42 (3): 564-6. PMID: 17336201. DOI: 10.1016/j.jpedsurg.2006.10.050.</mixed-citation><mixed-citation xml:lang="en">Ong L. Y., Hwang W.S., Wong A., et al. Perivascular epithelioid cell tumour of the vagina in an 8 year old girl. Journal of Pediatric Surgery 2007; 42 (3): 564-6. PMID: 17336201. DOI: 10.1016/j.jpedsurg.2006.10.050.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Weinreb I., Howarth D., Latta E., et al. Perivascular epithelioid cell neoplasms (PEComas): four malignant cases expanding the histopathologi-calspectrum and a description of a unique finding. Virchows Arch 2007; 450 (4): 463-70. PMID: 17377813. DOI: 10.1007/s00428-007-0378-7.</mixed-citation><mixed-citation xml:lang="en">Weinreb I., Howarth D., Latta E., et al. Perivascular epithelioid cell neoplasms (PEComas): four malignant cases expanding the histopathologi-calspectrum and a description of a unique finding. Virchows Arch 2007; 450 (4): 463-70. PMID: 17377813. DOI: 10.1007/s00428-007-0378-7.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Yamashita K., Fletcher C. D. PEComa presenting in bone: clinicopathologic analysis of 6 cases and literature review. American Journal of Surgical Pathology 2010; 34 (11): 1622-9. PMID: 20975340. DOI: 10.1097/ PAS.0b013e3181f5974f.</mixed-citation><mixed-citation xml:lang="en">Yamashita K., Fletcher C. D. PEComa presenting in bone: clinicopathologic analysis of 6 cases and literature review. American Journal of Surgical Pathology 2010; 34 (11): 1622-9. PMID: 20975340. DOI: 10.1097/ PAS.0b013e3181f5974f.</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>
