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Неходжкинские лимфомы твердой мозговой оболочки
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Babicheva L.G., Baikov V.V., Leenman E.E. et al. Dural non-Hodgkin’s lymphomas. Journal of Modern Oncology. 2016; 18 (2): 19–26.
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Ключевые слова: неходжкинская лимфома, твердая мозговая оболочка, лимфома маргинальной зоны, лучевая терапия, прогноз, первичная лимфома центральной нервной системы.
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Primary presentation of intradural non-Hodgkin lymphoma (PDL) is rare. Most published cases of PDL are single-patient reports. This lesion occurs more often in middle-aged women, in contrast to brain parenchyma primary central nervous system lymphoma (PCNSL), which has a slight male predilection. In contrast with parenchymal PCNSL, there has been no clear association between acquired and congenital immunosuppression and the development of PDL. The pathogenesis of PDL is not well understood because the dura is devoid of any lymphoid tissue. One hypothesis is that a benign inflammatory condition of the dura could attract polyclonal lymphocytes from which a monoclonal lymphoma could arise. B-cell lymphomas of mucosa-associated lymphoid tissue (MALT) have been recognized as an important pathologic subtype. A PDL is more indolent and has a better prognosis than parenchymal PCNSL or systemic lymphoma with CNS metastasis. However, further studies with longer clinical follow up are necessary to assess the final outcome in these patients. In general, patients with marginal zone lymphoma have a favorable outcome, with a 5-year overall survival rate greater than 86%, without significant differences between gastrointestinal and nongastrointestinal and between localized and disseminated disease.
Key words: non-Hodgkin lymphoma, dura mater, marginal zone lymphoma, radiotherapy, prognosis, primary central nervous system lymphoma.
2. Поддубная И.В., Османов Е.А., Москаленко О.А. и др. Клинические аспекты MALT-лимфом. Информационный бюллетень «Вестник». 2009; 10 (561). / Poddubnaia I.V., Osmanov E.A., Moskalenko O.A. i dr. Klinicheskie aspekty MALT-limfom. Informatsionnyi biulleten' “Vestnik”. 2009; 10 (561). [in Russian]
3. Abdel Aziz KM, Van Loveren HR. Primary lymphoma of Meckel's cave mimicking trigeminal schwannoma: case report. Neurosurgery 1999; 44: 859–62.
4. Abdullah S, Morgensztern D, Rosado MF, Lossos IS. Primary lymphoblastic B-cell lymphoma of the cranial dura mater: a case report and review of the literature. Leuk Lymphoma 2005; 46: 1651–7.
5. Abrey LE, Batchelor TT, Ferreri AJ et al. Report of an international workshop to standardize baseline evaluation and response criteria for primary CNS lymphoma. J Clin Oncol 2005; 23: 5034–43.
6. Abrey LE, Yahalom J, DeAngelis LM. Treatment for primary CNS lymphoma: the next step. J Clin Oncol 2000; 18: 3144–50.
7. Altundag MK, Ozisik Y, Yalcin S et al. Primary low grade B-cell lymphoma of the dura in an immunocompetent patient. J Exp Clin Cancer Res 2000; 19: 249–51.
8. Amaker BH, Ghatak NR, Jebraili SA et al. Primary T-cell-rich B-cell lymphoma masquerading as a meningioma. Arch Pathol Lab Med 2000; 124: 1700–3.
9. Arcaini L, Paulli M, Boveri E et al: Splenic and nodal marginal zone lymphomas are indolent disorders at high hepatitis C virus seroprevalence with distinct presenting features but similar morphologic and phenotypic profiles. Cancer 2004; 100: 107–15.
10. Assaf C, Coupland SE, Hummel M et al. Relapse of primary extranodal marginal-zone B-cell lymphoma of the dura mater. Lancet Oncol 2005; 6: 187–9.
11. Benouaich A, Delord JP, Danjou M et al. Primary dural lymphoma: a report of two cases with review of the literature. Rev Neurol (Paris) 2003 (Fr); 159: 652–8.
12. Beriwal S, Hou JS, Miyamoto C, Garcia-Young JA. Primary dural low grade BCL-2 negative follicular lymphoma: a case report. J Neurooncol 2003; 61: 23–5.
13. Bodi I, Hussain A, Gullan RW, Safa AS. 56-year-old female with right frontal tumor of the dura. Brain Pathol 2003; 13: 417–8.
14. Beltran BE, Kuritzky B, Castillo JJ et al. Extranodal marginal zone lymphoma of the cranial dura mater: report of three cases and systematic review of the literature. Leukemia & Lymphoma 2013; 54 (10): 2306–9.
15. Estevez M, Chu C, Pless M. Small B-cell lymphoma presenting as diffuse dural thickening with cranial neuropathies. J Neurooncol 2002; 59: 243–7.
16. Ferreri AJ, Guidoboni M, Ponzoni M et al: Evidence for an association between Chlamydia psittaci and ocular adnexal lymphomas. J Natl Cancer Inst 2004; 96: 586–94.
17. Freudenstein D, Bornemann A, Ernemann U et al. Intracranial malignant B-cell lymphoma of the dura. Clin Neuropathol 2000; 19: 34–7.
18. Goetz P, Lafuente J, Revesz T et al. Primary low-grade B-cell lymphoma of mucosa-associated lymphoid tissue of the dura mimicking the presentation of an acute subdural hematoma. Case report and review of the literature. J Neurosurg 2002; 96: 611–4.
19. Hodgson D, David KM, Powell M et al. Intra cranial extracerebral follicular lymphoma mimicking a sphenoid wing meningioma. J Neurol Neurosurg Psychiatry 1999; 67: 251–2.
20. Isaacson PG, Du MQ. MALT lymphoma: from morphology to molecules. Nature Rev Cancer 2004; 4: 644–53.
21. Iwamoto FM, DeAngelis LM, Abrey LE. Primary dural lymphomas: a clinicopathologic study of treatment and outcome in eight patients. Neurology 2006; 66: 1763–5.
22. Jazy FK, Shehata WM, Tew JM et al. Primary intracranial lymphoma of the dura. Arch Neurol 1980; 37: 528–9.
23. Johnson MD, Kinney MC, Scheithauer BW et al. Primary intracerebral Hodgkin's disease mimicking meningioma: case report. Neurosurgery 2000; 47: 454–6.
24. Johnson MD, Powell SZ, Boyer PJ et al. Dural lesions mimicking meningiomas. Hum Pathol 2002; 33:1211–26.
25. Kambham N, Chang Y, Matsushima AY. Primary low-grade B-cell lymphoma of mucosa-associated lymphoid tissue (MALT) arising in dura. Clin Neuropathol 1998; 17: 311–7.
26. Kelley TW, Prayson RA, Barnett GH et al. Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue arising in the lateral ventricle. Leuk Lymphoma 2005; 46: 1423–7.
27. Kumar S, Kumar D, Kaldjian EP et al. Primary low-grade B-cell lymphoma of the dura: a mucosa associated lymphoid tissue-type lymphoma. Am J Surg Pathol 1997; 21: 81–7.
28. Lachance DH, O'Neill BP, Macdonald DR et al: Primary leptomeningeal lymphoma. Report of 9 cases, diagnosis with immunocytochemical analysis, and review of literature. Neurology 1991; 41: 95–100.
29. Lecuit M, Abachin E, Martin A et al. Immunoproliferative small intestinal disease associated with Campylobacter jejuni. N Engl J Med 2004; 350: 239–48.
30. Lehman NL, Horoupian DS, Warnke RA et al. Dural marginal zone lymphoma with massive amyloid deposition: rare low-grade primary central nervous system B-cell lymphoma. Case report. J Neurosurg 2002; 96: 368–72.
31. Martinelli G, Laszlo D, Ferreri AJ et al. Clinical activity of rituximab in gastric marginal zone non-Hodgkin's lymphoma resistant to or not eligible for anti-Helicobacter pylori therapy. J Clin Oncol 2005; 23: 1979–83.
32. Mesfin FB, Drazin D, Berry S et al. Diffuse Follicle center lymphoma of the spine: A primary epidural lymphoma? Clin Neuropathol 2009; 28: 395–9.
33. Miller M, Loffe V, Ruffin WK, Giri PG. Primary MALT lymphoma of the dura in a patient with active scleroderma. Clin Adv Hematol Oncol 2004; 2: 815–9.
34. Miranda RN, Glantz LK, Myint MA et al. Stage IE non-Hodgkin's lymphoma arising from the dura: a clinicopathologic study of five cases. Arch Pathol Lab Med 1996; 120: 254–60.
35. Mneimneh WS, Ashraf МА, El-Kadi О et al. Primary dural lymphoma: A novel concept of heterogeneous disease. Pathol Int 2013; 63 (1): 68–72.
36. Nguyen D, Nathwani BN. Primary meningeal small lymphocytic lymphoma. Am J Surg Pathol 1989; 13: 67–70.
37. Park I, Huh J, Kim JH, Lee SW et al. Primary central nervous system marginal zone B-cell lymphoma of the Basal Ganglia mimicking low-grade glioma: a case report and review of the literature. Clin Lymphoma Myeloma 2008; 8 (5): 305–8. Doi: 10.3816/CLM.2008.n.043.
38. Puri DR, Tereffe W, Yahalom J. Low-dose and limited-volume radiotherapy alone for primary dural marginal zone lymphoma: Treatment approach and review of published data. Int J Radiat Oncol Biol Phys 2008; 71: 1425–35.
39. Razaq W, Goel A, Amin A, Grossbard ML. Primary central nervous system mucosa-associated lymphoid tissue lymphoma: case report and literature review. Clin Lymphoma Myeloma 2009; 9 (3): E5–9. Doi: 10.3816/CLM.2009.n.052.
40. Riccioni L, Morigi F, Cremonini AM. Follicular lymphoma of the dura associated with meningioma: A case report and review of the literature. Neuropathology 2007; 27: 278–3.
41. Rottnek M, Strauchen J, Moore F, Morgello S. Primary dural mucosa-associated lymphoid tissue-type lymphoma: case report and review of the literature. J Neurooncol 2004; 68: 19–23.
42. Sanjeevi A, Krishnan J, Bailey PR, Catlett J. Extranodal marginal zone B-cell lymphoma of malt type involving the cavernous sinus. Leuk Lymphoma 2001; 42: 1133–7.
43. Scott TF, Hogan EL, Carter TD et al. Primary intracranial meningeal lymphoma. Am J Med 1990; 89: 536–8.
44. Thieblemont C, Bastion Y, Berger F et al. Mucosa-associated lymphoid tissue gastrointestinal and nongastrointestinal lymphoma beh * avior: analysis of 108 patients. J Clin Oncol 1997; 15: 1624–30.
45. Thieblemont C, Berger F, Dumontet C et al. Mucosa-associated lymphoid tissue lymphoma is a disseminated disease in one third of 158 patients analyzed. Blood 2000; 95: 802–6.
46. Tsang RW, Gospodarowicz MK, Pintilie M et al. Localized mucosa-associated lymphoid tissue lymphoma treated with radiation therapy has excellent clinical outcome. J Clin Oncol 2003; 21: 4157–64.
47. Tsukada T, Ohno T, Tsuji K et al. Primary epidural non-Hodgkin’s lymphoma in clinical stage IEA presenting with paraplegia and showing complete recovery after combination therapy. Intern Med 1992; 31: 513–5.
48. Tu PH, Giannini C, Judkins AR et al. Clinicopathologic and genetic profile of intracranial marginal zone lymphoma: a primary low-grade CNS lymphoma that mimics meningioma. J Clin Oncol 2005; 23: 5718–27.
49. Venkataraman G, Rizzo KA, Chavez JJ et al. Marginal zone lymphomas involving meningeal dura: possible link to IgG4-related diseases. Mod Pathol 2011; 24 (3): 355–66. Doi: 10.1038/modpathol.2010. 206. Epub 2010 Nov 19.
50. Yamada M, Hirahara K, Tomosugi T et al. Extranodal marginal zone lymphoma of the dura: a case report. 2012; 40 (12): 1079–85.
51. Zinzani PL, Magagnoli M, Galieni P et al. Nongastrointestinal low-grade mucosa-associated lymphoid tissue lymphoma: analysis of 75 patients. J Clin Oncol 1999; 17: 1254–8.
52. Zucca E, Conconi A, Pedrinis E et al. Nongastric marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue. Blood 2003; 101: 2489–95.
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1. Gubkin A.V., Zvonkov E.E., Kremenetskaia A.M., Kravchenko S.K. Pervichnye limfoproliferativnye zabolevaniia tsentral'noi nervnoi sistemy. Klin. onkogematologiia. 2008; 1 (4). [in Russian]
2. Poddubnaia I.V., Osmanov E.A., Moskalenko O.A. i dr. Klinicheskie aspekty MALT-limfom. Informatsionnyi biulleten' “Vestnik”. 2009; 10 (561). [in Russian]
3. Abdel Aziz KM, Van Loveren HR. Primary lymphoma of Meckel's cave mimicking trigeminal schwannoma: case report. Neurosurgery 1999; 44: 859–62.
4. Abdullah S, Morgensztern D, Rosado MF, Lossos IS. Primary lymphoblastic B-cell lymphoma of the cranial dura mater: a case report and review of the literature. Leuk Lymphoma 2005; 46: 1651–7.
5. Abrey LE, Batchelor TT, Ferreri AJ et al. Report of an international workshop to standardize baseline evaluation and response criteria for primary CNS lymphoma. J Clin Oncol 2005; 23: 5034–43.
6. Abrey LE, Yahalom J, DeAngelis LM. Treatment for primary CNS lymphoma: the next step. J Clin Oncol 2000; 18: 3144–50.
7. Altundag MK, Ozisik Y, Yalcin S et al. Primary low grade B-cell lymphoma of the dura in an immunocompetent patient. J Exp Clin Cancer Res 2000; 19: 249–51.
8. Amaker BH, Ghatak NR, Jebraili SA et al. Primary T-cell-rich B-cell lymphoma masquerading as a meningioma. Arch Pathol Lab Med 2000; 124: 1700–3.
9. Arcaini L, Paulli M, Boveri E et al: Splenic and nodal marginal zone lymphomas are indolent disorders at high hepatitis C virus seroprevalence with distinct presenting features but similar morphologic and phenotypic profiles. Cancer 2004; 100: 107–15.
10. Assaf C, Coupland SE, Hummel M et al. Relapse of primary extranodal marginal-zone B-cell lymphoma of the dura mater. Lancet Oncol 2005; 6: 187–9.
11. Benouaich A, Delord JP, Danjou M et al. Primary dural lymphoma: a report of two cases with review of the literature. Rev Neurol (Paris) 2003 (Fr); 159: 652–8.
12. Beriwal S, Hou JS, Miyamoto C, Garcia-Young JA. Primary dural low grade BCL-2 negative follicular lymphoma: a case report. J Neurooncol 2003; 61: 23–5.
13. Bodi I, Hussain A, Gullan RW, Safa AS. 56-year-old female with right frontal tumor of the dura. Brain Pathol 2003; 13: 417–8.
14. Beltran BE, Kuritzky B, Castillo JJ et al. Extranodal marginal zone lymphoma of the cranial dura mater: report of three cases and systematic review of the literature. Leukemia & Lymphoma 2013; 54 (10): 2306–9.
15. Estevez M, Chu C, Pless M. Small B-cell lymphoma presenting as diffuse dural thickening with cranial neuropathies. J Neurooncol 2002; 59: 243–7.
16. Ferreri AJ, Guidoboni M, Ponzoni M et al: Evidence for an association between Chlamydia psittaci and ocular adnexal lymphomas. J Natl Cancer Inst 2004; 96: 586–94.
17. Freudenstein D, Bornemann A, Ernemann U et al. Intracranial malignant B-cell lymphoma of the dura. Clin Neuropathol 2000; 19: 34–7.
18. Goetz P, Lafuente J, Revesz T et al. Primary low-grade B-cell lymphoma of mucosa-associated lymphoid tissue of the dura mimicking the presentation of an acute subdural hematoma. Case report and review of the literature. J Neurosurg 2002; 96: 611–4.
19. Hodgson D, David KM, Powell M et al. Intra cranial extracerebral follicular lymphoma mimicking a sphenoid wing meningioma. J Neurol Neurosurg Psychiatry 1999; 67: 251–2.
20. Isaacson PG, Du MQ. MALT lymphoma: from morphology to molecules. Nature Rev Cancer 2004; 4: 644–53.
21. Iwamoto FM, DeAngelis LM, Abrey LE. Primary dural lymphomas: a clinicopathologic study of treatment and outcome in eight patients. Neurology 2006; 66: 1763–5.
22. Jazy FK, Shehata WM, Tew JM et al. Primary intracranial lymphoma of the dura. Arch Neurol 1980; 37: 528–9.
23. Johnson MD, Kinney MC, Scheithauer BW et al. Primary intracerebral Hodgkin's disease mimicking meningioma: case report. Neurosurgery 2000; 47: 454–6.
24. Johnson MD, Powell SZ, Boyer PJ et al. Dural lesions mimicking meningiomas. Hum Pathol 2002; 33:1211–26.
25. Kambham N, Chang Y, Matsushima AY. Primary low-grade B-cell lymphoma of mucosa-associated lymphoid tissue (MALT) arising in dura. Clin Neuropathol 1998; 17: 311–7.
26. Kelley TW, Prayson RA, Barnett GH et al. Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue arising in the lateral ventricle. Leuk Lymphoma 2005; 46: 1423–7.
27. Kumar S, Kumar D, Kaldjian EP et al. Primary low-grade B-cell lymphoma of the dura: a mucosa associated lymphoid tissue-type lymphoma. Am J Surg Pathol 1997; 21: 81–7.
28. Lachance DH, O'Neill BP, Macdonald DR et al: Primary leptomeningeal lymphoma. Report of 9 cases, diagnosis with immunocytochemical analysis, and review of literature. Neurology 1991; 41: 95–100.
29. Lecuit M, Abachin E, Martin A et al. Immunoproliferative small intestinal disease associated with Campylobacter jejuni. N Engl J Med 2004; 350: 239–48.
30. Lehman NL, Horoupian DS, Warnke RA et al. Dural marginal zone lymphoma with massive amyloid deposition: rare low-grade primary central nervous system B-cell lymphoma. Case report. J Neurosurg 2002; 96: 368–72.
31. Martinelli G, Laszlo D, Ferreri AJ et al. Clinical activity of rituximab in gastric marginal zone non-Hodgkin's lymphoma resistant to or not eligible for anti-Helicobacter pylori therapy. J Clin Oncol 2005; 23: 1979–83.
32. Mesfin FB, Drazin D, Berry S et al. Diffuse Follicle center lymphoma of the spine: A primary epidural lymphoma? Clin Neuropathol 2009; 28: 395–9.
33. Miller M, Loffe V, Ruffin WK, Giri PG. Primary MALT lymphoma of the dura in a patient with active scleroderma. Clin Adv Hematol Oncol 2004; 2: 815–9.
34. Miranda RN, Glantz LK, Myint MA et al. Stage IE non-Hodgkin's lymphoma arising from the dura: a clinicopathologic study of five cases. Arch Pathol Lab Med 1996; 120: 254–60.
35. Mneimneh WS, Ashraf МА, El-Kadi О et al. Primary dural lymphoma: A novel concept of heterogeneous disease. Pathol Int 2013; 63 (1): 68–72.
36. Nguyen D, Nathwani BN. Primary meningeal small lymphocytic lymphoma. Am J Surg Pathol 1989; 13: 67–70.
37. Park I, Huh J, Kim JH, Lee SW et al. Primary central nervous system marginal zone B-cell lymphoma of the Basal Ganglia mimicking low-grade glioma: a case report and review of the literature. Clin Lymphoma Myeloma 2008; 8 (5): 305–8. Doi: 10.3816/CLM.2008.n.043.
38. Puri DR, Tereffe W, Yahalom J. Low-dose and limited-volume radiotherapy alone for primary dural marginal zone lymphoma: Treatment approach and review of published data. Int J Radiat Oncol Biol Phys 2008; 71: 1425–35.
39. Razaq W, Goel A, Amin A, Grossbard ML. Primary central nervous system mucosa-associated lymphoid tissue lymphoma: case report and literature review. Clin Lymphoma Myeloma 2009; 9 (3): E5–9. Doi: 10.3816/CLM.2009.n.052.
40. Riccioni L, Morigi F, Cremonini AM. Follicular lymphoma of the dura associated with meningioma: A case report and review of the literature. Neuropathology 2007; 27: 278–3.
41. Rottnek M, Strauchen J, Moore F, Morgello S. Primary dural mucosa-associated lymphoid tissue-type lymphoma: case report and review of the literature. J Neurooncol 2004; 68: 19–23.
42. Sanjeevi A, Krishnan J, Bailey PR, Catlett J. Extranodal marginal zone B-cell lymphoma of malt type involving the cavernous sinus. Leuk Lymphoma 2001; 42: 1133–7.
43. Scott TF, Hogan EL, Carter TD et al. Primary intracranial meningeal lymphoma. Am J Med 1990; 89: 536–8.
44. Thieblemont C, Bastion Y, Berger F et al. Mucosa-associated lymphoid tissue gastrointestinal and nongastrointestinal lymphoma beh * avior: analysis of 108 patients. J Clin Oncol 1997; 15: 1624–30.
45. Thieblemont C, Berger F, Dumontet C et al. Mucosa-associated lymphoid tissue lymphoma is a disseminated disease in one third of 158 patients analyzed. Blood 2000; 95: 802–6.
46. Tsang RW, Gospodarowicz MK, Pintilie M et al. Localized mucosa-associated lymphoid tissue lymphoma treated with radiation therapy has excellent clinical outcome. J Clin Oncol 2003; 21: 4157–64.
47. Tsukada T, Ohno T, Tsuji K et al. Primary epidural non-Hodgkin’s lymphoma in clinical stage IEA presenting with paraplegia and showing complete recovery after combination therapy. Intern Med 1992; 31: 513–5.
48. Tu PH, Giannini C, Judkins AR et al. Clinicopathologic and genetic profile of intracranial marginal zone lymphoma: a primary low-grade CNS lymphoma that mimics meningioma. J Clin Oncol 2005; 23: 5718–27.
49. Venkataraman G, Rizzo KA, Chavez JJ et al. Marginal zone lymphomas involving meningeal dura: possible link to IgG4-related diseases. Mod Pathol 2011; 24 (3): 355–66. Doi: 10.1038/modpathol.2010. 206. Epub 2010 Nov 19.
50. Yamada M, Hirahara K, Tomosugi T et al. Extranodal marginal zone lymphoma of the dura: a case report. 2012; 40 (12): 1079–85.
51. Zinzani PL, Magagnoli M, Galieni P et al. Nongastrointestinal low-grade mucosa-associated lymphoid tissue lymphoma: analysis of 75 patients. J Clin Oncol 1999; 17: 1254–8.
52. Zucca E, Conconi A, Pedrinis E et al. Nongastric marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue. Blood 2003; 101: 2489–95.
1 ГБОУ ДПО Российская медицинская академия последипломного образования Минздрава России. 125993, Россия, Москва, ул. Баррикадная, д. 2/1;
2 ГБОУ ВПО Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П.Павлова Минздрава России. 197022, Россия, Санкт-Петербург, ул. Льва Толстого, д. 6/8;
3 ГБОУ ВПО Северо-Западный государственный медицинский университет им. И.И.Мечникова Минздрава России. 191015, Россия, Санкт-Петербург, ул. Кирочная, д. 41;
4 ФГБУ Российский научный центр радиологии и хирургических технологий Минздрава России. 197758, Россия, Санкт-Петербург, Ленинградская ул., 70 пос. Песочный;
5 СПб ГБУЗ Городская клиническая больница №31. 197110, Россия, Санкт-Петербург, пр-т Динамо, д. 3
*lalibabicheva@mail.ru
________________________________________________
L.G.Babicheva*1, V.V.Baikov2, E.E.Leenman3, Yu.N.Vinogradova4, N.V.Ilyin4, V.V.Ryabchikova5, I.V.Poddubnaya1
1 Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation. 125993, Russian Federation, Moscow, ul. Barrikadnaia, d. 2/1;
2 I.M.Pavlov First Saint Petersburg State Medical University of the Ministry of Health of the Russian Federation. 197022, Russian Federation, Saint Petersburg, ul. L'va Tolstogo, d. 6/8;
3 I.I.Mechnikov State Northwestern Medical University of the Ministry of Health of the Russian Federation. 191015, Russian Federation, Saint Petersburg, ul. Kirochnaia, d. 41;
4 FSBEI Russian Research Center for Radiology and Surgical Technologies. 197758, Russian Federation, Saint Petersburg, Leningradskaia ul., 70 pos. Pesochnyi;
5 Сity Clinical Hospital №31. 197110, Russian Federation, Saint Petersburg, pr-t Dinamo, d. 3
*lalibabicheva@mail.ru