В настоящее время диссеминированный рак яичников относится к хроническим заболеваниям, при лечении которых один вид терапии дополняет другой; при рецидивирующих процессах требуется периодическая замена схем лечения. Выбор цитостатиков достаточно широк, однако в каждом конкретном случае тактика основывается на сочетании множества прогностических и предикторных факторов, а также принимаются во внимание шлейф токсичности после проведенного лечения и профиль предполагаемого. В представленной публикации обсуждаются необходимость и значение пролонгации бесплатинового интервала при рецидивах рака яичников. По предварительной оценке топотекан достаточно хорошо зарекомендовал себя в качестве препарата 2-й и последующих линий терапии рецидивов рака яичников для осуществления платиновой реиндукции.
Ключевые слова: рецидивы рака яичников, пролонгация бесплатинового интервала, топотекан.
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Nowadays disseminated ovarian cancer is a chronic disease, in the therapy of which one type of therapy completes the other; in case of recurrent ovarian cancer is important to change the regimens periodically. The choice of cytostatic drugs is quite wide, but in each case the tactic based on a combination of predictive factors, and also is important to take into account the toxicity after treatment. The article discusses the need and value of prolongation of platinum-free interval in relapsed ovarian cancer. In the preliminary assessment the Topotecan could be used as second-line and further-line treatment for recurrent ovarian cancer for platinum re-induction.
Key words: recurrent ovarian cancer, prolongation of platinum-free interval, topotecan.
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Авторы
Е.Ю.Московская, Е.Г.Новикова, И.А.Корнеева
ФГБУ Московский научно-исследовательский онкологический институт им. П.А.Герцена Минздрава России