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Пневмонэктомия с резекцией бифуркации трахеи в лечении пациентов c немелкоклеточным раком легкого: непосредственные и отдаленные результаты
Пневмонэктомия с резекцией бифуркации трахеи в лечении пациентов c немелкоклеточным раком легкого: непосредственные и отдаленные результаты
Дадыев И.А., Давыдов М.М., Абдуллаев А.Г. и др. Пневмонэктомия с резекцией бифуркации трахеи в лечении пациентов c немелкоклеточным раком легкого: непосредственные и отдаленные результаты. Современная Онкология. 2018; 20 (4): 36–40. DOI: 10.26442/18151434.2018.4.180152
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Аннотация
Цель исследования – сравнение непосредственных и отдаленных результатов лечения больных немелкоклеточным раком легкого с опухолевым поражением бифуркации трахеи, которым выполнялась пневмонэктомия с резекцией бифуркации трахеи, в зависимости от выполненного варианта резекции.
Материалы и методы. Мы провели ретроспективное нерандомизированное клиническое исследование с выделением следующих групп пациентов: больные, которым выполнена пневмонэктомия с циркулярной резекцией бифуркации трахеи, – 47 человек; больные, которым выполнена пневмонэктомия с краевой и клиновидной резекцией бифуркации трахеи, – 18 человек. Оценка эффективности непосредственных и отдаленных результатов проводилась методом статистической обработки при помощи программы Statistic 6.0. Проведен анализ случай–контроль с сопоставлением исследуемых групп. Проведена оценка времени операции, интра- и послеоперационных осложнений в зависимости от типа выполненной резекции бифуркации трахеи.
Результаты. Частота терапевтических осложнений составила 27,7%, хирургических – 18,5%. Послеоперационная летальность составила 8,5% в группе циркулярных резекций и 11,1% – в группе пациентов, перенесших краевую или клиновидную резекцию. Показатели 5-летней общей выживаемости в группе краевой и клиновидной резекции бифуркации трахеи составили 11,1%, а в группе циркулярной – 32,6%.
Ключевые слова: местно-распространенный рак легкого, пневмонэктомия с резекцией бифуркации трахеи, циркулярная резекция бифуркации трахеи, краевая резекция бифуркации трахеи, клиновидная резекция бифуркации трахеи.
Materials and methods. We performed retrospective nonrandomized clinical trial with following groups of patients: patients underwent pneumonectomy with sleeve carinal resection (47 patients); patients underwent pneumonectomy with marginal and wedge carinal resection (18 patients). Statistical analysis was made using Statistic 6.0 program. Case-control analysis of the both groups was performed to evaluate short- and long-term treatment outcomes of different carinal resection techniques in patients with NSCLC and carina involvement.
Results. Frequency of non-surgical and surgical complications was 27.7% and 18.5% correspondingly. Postoperative mortality was 8.5% in sleeve carinal resection group and 11.1% in marginal and wedge carinal resection group. Five-year survival rates were 32.6% in sleeve carinal resection group and 11.1% in marginal wedge carinal resection group.
Key words: locally advanced lung cancer, sleeve carinal pneumonectomy, carinal resection, marginal carinal resection, wedge carinal resection.
Материалы и методы. Мы провели ретроспективное нерандомизированное клиническое исследование с выделением следующих групп пациентов: больные, которым выполнена пневмонэктомия с циркулярной резекцией бифуркации трахеи, – 47 человек; больные, которым выполнена пневмонэктомия с краевой и клиновидной резекцией бифуркации трахеи, – 18 человек. Оценка эффективности непосредственных и отдаленных результатов проводилась методом статистической обработки при помощи программы Statistic 6.0. Проведен анализ случай–контроль с сопоставлением исследуемых групп. Проведена оценка времени операции, интра- и послеоперационных осложнений в зависимости от типа выполненной резекции бифуркации трахеи.
Результаты. Частота терапевтических осложнений составила 27,7%, хирургических – 18,5%. Послеоперационная летальность составила 8,5% в группе циркулярных резекций и 11,1% – в группе пациентов, перенесших краевую или клиновидную резекцию. Показатели 5-летней общей выживаемости в группе краевой и клиновидной резекции бифуркации трахеи составили 11,1%, а в группе циркулярной – 32,6%.
Ключевые слова: местно-распространенный рак легкого, пневмонэктомия с резекцией бифуркации трахеи, циркулярная резекция бифуркации трахеи, краевая резекция бифуркации трахеи, клиновидная резекция бифуркации трахеи.
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Materials and methods. We performed retrospective nonrandomized clinical trial with following groups of patients: patients underwent pneumonectomy with sleeve carinal resection (47 patients); patients underwent pneumonectomy with marginal and wedge carinal resection (18 patients). Statistical analysis was made using Statistic 6.0 program. Case-control analysis of the both groups was performed to evaluate short- and long-term treatment outcomes of different carinal resection techniques in patients with NSCLC and carina involvement.
Results. Frequency of non-surgical and surgical complications was 27.7% and 18.5% correspondingly. Postoperative mortality was 8.5% in sleeve carinal resection group and 11.1% in marginal and wedge carinal resection group. Five-year survival rates were 32.6% in sleeve carinal resection group and 11.1% in marginal wedge carinal resection group.
Key words: locally advanced lung cancer, sleeve carinal pneumonectomy, carinal resection, marginal carinal resection, wedge carinal resection.
Полный текст
Список литературы
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7. Дадыев И.А., Давыдов М.М., Чекини А.К. и др. Резекция бифуркации трахеи в лечении больных немелкоклеточным раком легкого (обзор литературы). Сиб. онкол. журн. 2018; 17 (5): 94–105. DOI: 10.21294/1814-4861-2018-17-5-94-105 / Dadyev I.A., Davydov M.M., Chekini A.K. i dr. Rezektsiia bifurkatsii trakhei v lechenii bol'nykh nemelkokletochnym rakom legkogo (obzor literatury). Sib. onkol. zhurn. 2018; 17 (5): 94–105. DOI: 10.21294/1814-4861-2018-17-5-94-105 [in Russian]
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10. De Perrot M, Fadel E, Mercier O et al. Long-term results after carinal resection for carcinoma: does the benefit warrant the risk? General Thoracic Surgery 2006; 131 (1): 81–9.
11. Mitchell JD, Mathisen DJ, Wright CD et al. Resection for bronchogenic carcinoma involving the carina: long-term results and effect of nodal status on outcome. J Thorac Cardiovasc Surg 2001; 121: 465–71.
12. Kazumichi Y. Results of surgical resection for tracheobronchial cancer involving the tracheal carina. General Thoracic and Cardiovascular Surgery 2007; 55 (6): 231–9.
13. Porhanov VA, Poliakov IS, Selvaschuk AP et al. Indications and results of sleeve carinal resection. Eur J Cardiothorac Surg 2002; 22: 685–94.
14. Regnard JF, Perrotin C, Giovannetti R et al. Resection for tumors with carinal involvement: technical aspects, results, and prognostic factors. Ann Thorac Surg 2005; 80: 1841–6.
15. Левченко Е.В., Ергнян С.М., Шутов В.А., Барчук А.С. Хирургические вмешательства с циркулярной резекцией бифуркации трахеи при лечении больных со злокачественными новообразованиями бронхов. Хирургия. 2016; 1 (Вып. 2). DOI: 10.17116/hirurgia20161216-22 / Levchenko E.V., Ergnian S.M., Shutov V.A., Barchuk A.S. Khirurgicheskie vmeshatel'stva s tsirkuliarnoi rezektsiei bifurkatsii trakhei pri lechenii bol'nykh so zlokachestvennymi novoobrazovaniiami bronkhov. Khirurgiia. 2016; 1 (Vyp. 2). DOI: 10.17116/hirurgia20161216-22 [in Russian]
16. Macchiarini P, Altmayer M, Go T et al., Hannover Interdisciplinary Intrathoracic Tumor Task Force Group. Technical innovations of carinal resection for nonsmall-cell lung cancer. Ann Thorac Surg 2006; 82 (6): 1989–97; discussion 1997.
17. Galetta D, Da Lorenzo S. Early and Long-Term Results of Tracheal Sleeve Pneumonectomy for Lung Cancer After Induction Therapy. Ann Thorac Surg 2018; 105 (4): 1017–23. https://doi.org/10.1016/j.athoracsur.2017.11.052
18. Rea F, Marulli G, Schiavon M et al. Tracheal sleeve pneumonectomy for non small cell lung cancer (NSCLC): short and long-term results in a single institution. Lung Cancer 2008; 61: 202–8.
19. Albain KS, Scott CB, Rusch VR et al for RTOG, SWOG, NCIC, ECOG, CALGB, NCCTG. Phase III comparison of concurrent chemotherapy plus radiotherapy (CT/RT) and CT/RT followed by surgical resection for stage IIIA (pN2) non-small cell lung cancer (NSCLC): Initial results from intergroup trial 0139 (RTOG 93-09). Proc Am Soc Clin Oncol 2003; 22: Abstr. 2497.
20. Martin J, Ginsberg RJ, Venkatraman ES et al. Long-term results of combined-modality therapy in resectable non-small-cell lung cancer. J Clin Oncol 2002; 20: 1989–95.
21. Doddoli C, Thomas P, Thirion X et al. Post-operative complications in relation with induction therapy for lung cancer. Eur J Cardiothorac Surg 2001; 20: 385–90.
22. Jensik RJ, Faber LP, Kirtle CF et al. Survival in patients undergoing tracheal sleeve pneumonectomy for bronchogenic carcinoma. J Thorac Cardiovasc Surg 1982; 84: 489–96.
23. Deslauriers J, Beaulieu M, Bénazéra A, McClish A. Sleeve pneumonectomy for bronchogenic carcinoma. Ann Thorac Surg 1979; 28: 465–7.
24. Tapias LF, Ott HC, Mathisen DJ. Complications following carinal resections, sleeve resections. Thorac Surg Clin 2015; 25 (4): 435–47. DOI: 10.1016/j.thorsurg.2015.07.003.(Epub 2015 Sep 8. Review).
25. Dartevelle PG, Mitilian D, Fadel E. Extended surgery for T4 lung cancer: a 30 years’ experience. Gen Thorac Cardiovasc Surg 2017; 65 (6): 321–8. DOI 10.1007/s11748-017-0752-6
26. Shin S, Park JS, Shim YM et al. Carinal resection and reconstruction in thoracic malignancies. J Surg Oncol 2014; 110 (3): 239–44. DOI: 10.1002/jso.23643
2. Kaprin A.D., Starinskii V.V., Petrova G.V. Zlokachestvennye novoobrazovaniia v Rossii v 2016 godu (zabolevaemost' i smertnost') M.: FGBU "MNIOI im. P.A. Gertsena' Minzdrava Rossii, 2018. [in Russian]
3. Yildizeli B, Dartevelle PG, Fadel E et al. Results of Primary Surgery With T4 Non–Small Cell Lung Cancer During a 25-Year Period in a Single Center: The Benefit is Worth the Risk. Аnn Thorac Surg 2008; 86 (4): 1065–75.
4. Yildizeli B, Dartevelle PG, Fadel E et al. Radical resections for T4 lung cancer. Clin North Amer 2002; 82 (3): 573–87.
5. Detterbeck FC, Jones DR, Kernstine KH, Naunheim KS; American College of Physicians. Lung cancer. Special treatment issues. Chest 2003; 123 (1): 244S-258S.
6. Davydov M.I. Materialy 3-i mezhdunarodnoi konferentsii po torakal'noi khirurgii. M., 2005: 42. [in Russian]
7. Dadyev I.A., Davydov M.M., Chekini A.K. i dr. Rezektsiia bifurkatsii trakhei v lechenii bol'nykh nemelkokletochnym rakom legkogo (obzor literatury). Sib. onkol. zhurn. 2018; 17 (5): 94–105. DOI: 10.21294/1814-4861-2018-17-5-94-105 [in Russian]
8. Roviaro G, Vergani C, Maciocco M et al. Tracheal sleeve pneumonectomy: long-term outcome. Lung Cancer 2006; 52 (1): 105–10.
9. Trakhtenberg A.Kh., Kolbanov K.I. Atmosfera. Pul'monologiia i allergologiia. 2008; 4: 3–9. [in Russian]
10. De Perrot M, Fadel E, Mercier O et al. Long-term results after carinal resection for carcinoma: does the benefit warrant the risk? General Thoracic Surgery 2006; 131 (1): 81–9.
11. Mitchell JD, Mathisen DJ, Wright CD et al. Resection for bronchogenic carcinoma involving the carina: long-term results and effect of nodal status on outcome. J Thorac Cardiovasc Surg 2001; 121: 465–71.
12. Kazumichi Y. Results of surgical resection for tracheobronchial cancer involving the tracheal carina. General Thoracic and Cardiovascular Surgery 2007; 55 (6): 231–9.
13. Porhanov VA, Poliakov IS, Selvaschuk AP et al. Indications and results of sleeve carinal resection. Eur J Cardiothorac Surg 2002; 22: 685–94.
14. Regnard JF, Perrotin C, Giovannetti R et al. Resection for tumors with carinal involvement: technical aspects, results, and prognostic factors. Ann Thorac Surg 2005; 80: 1841–6.
15. Levchenko E.V., Ergnian S.M., Shutov V.A., Barchuk A.S. Khirurgicheskie vmeshatel'stva s tsirkuliarnoi rezektsiei bifurkatsii trakhei pri lechenii bol'nykh so zlokachestvennymi novoobrazovaniiami bronkhov. Khirurgiia. 2016; 1 (Vyp. 2). DOI: 10.17116/hirurgia20161216-22 [in Russian]
16. Macchiarini P, Altmayer M, Go T et al., Hannover Interdisciplinary Intrathoracic Tumor Task Force Group. Technical innovations of carinal resection for nonsmall-cell lung cancer. Ann Thorac Surg 2006; 82 (6): 1989–97; discussion 1997.
17. Galetta D, Da Lorenzo S. Early and Long-Term Results of Tracheal Sleeve Pneumonectomy for Lung Cancer After Induction Therapy. Ann Thorac Surg 2018; 105 (4): 1017–23. https://doi.org/10.1016/j.athoracsur.2017.11.052
18. Rea F, Marulli G, Schiavon M et al. Tracheal sleeve pneumonectomy for non small cell lung cancer (NSCLC): short and long-term results in a single institution. Lung Cancer 2008; 61: 202–8.
19. Albain KS, Scott CB, Rusch VR et al for RTOG, SWOG, NCIC, ECOG, CALGB, NCCTG. Phase III comparison of concurrent chemotherapy plus radiotherapy (CT/RT) and CT/RT followed by surgical resection for stage IIIA (pN2) non-small cell lung cancer (NSCLC): Initial results from intergroup trial 0139 (RTOG 93-09). Proc Am Soc Clin Oncol 2003; 22: Abstr. 2497.
20. Martin J, Ginsberg RJ, Venkatraman ES et al. Long-term results of combined-modality therapy in resectable non-small-cell lung cancer. J Clin Oncol 2002; 20: 1989–95.
21. Doddoli C, Thomas P, Thirion X et al. Post-operative complications in relation with induction therapy for lung cancer. Eur J Cardiothorac Surg 2001; 20: 385–90.
22. Jensik RJ, Faber LP, Kirtle CF et al. Survival in patients undergoing tracheal sleeve pneumonectomy for bronchogenic carcinoma. J Thorac Cardiovasc Surg 1982; 84: 489–96.
23. Deslauriers J, Beaulieu M, Bénazéra A, McClish A. Sleeve pneumonectomy for bronchogenic carcinoma. Ann Thorac Surg 1979; 28: 465–7.
24. Tapias LF, Ott HC, Mathisen DJ. Complications following carinal resections, sleeve resections. Thorac Surg Clin 2015; 25 (4): 435–47. DOI: 10.1016/j.thorsurg.2015.07.003.(Epub 2015 Sep 8. Review).
25. Dartevelle PG, Mitilian D, Fadel E. Extended surgery for T4 lung cancer: a 30 years’ experience. Gen Thorac Cardiovasc Surg 2017; 65 (6): 321–8. DOI 10.1007/s11748-017-0752-6
26. Shin S, Park JS, Shim YM et al. Carinal resection and reconstruction in thoracic malignancies. J Surg Oncol 2014; 110 (3): 239–44. DOI: 10.1002/jso.23643
2. Каприн А.Д., Старинский В.В., Петрова Г.В. Злокачественные новообразования в России в 2016 году (заболеваемость и смертность) М.: ФГБУ «МНИОИ им. П.А. Герцена» Минздрава России, 2018. / Kaprin A.D., Starinskii V.V., Petrova G.V. Zlokachestvennye novoobrazovaniia v Rossii v 2016 godu (zabolevaemost' i smertnost') M.: FGBU "MNIOI im. P.A. Gertsena' Minzdrava Rossii, 2018. [in Russian]
3. Yildizeli B, Dartevelle PG, Fadel E et al. Results of Primary Surgery With T4 Non–Small Cell Lung Cancer During a 25-Year Period in a Single Center: The Benefit is Worth the Risk. Аnn Thorac Surg 2008; 86 (4): 1065–75.
4. Yildizeli B, Dartevelle PG, Fadel E et al. Radical resections for T4 lung cancer. Clin North Amer 2002; 82 (3): 573–87.
5. Detterbeck FC, Jones DR, Kernstine KH, Naunheim KS; American College of Physicians. Lung cancer. Special treatment issues. Chest 2003; 123 (1): 244S-258S.
6. Давыдов М.И. Материалы 3-й международной конференции по торакальной хирургии. М., 2005: 42. / Davydov M.I. Materialy 3-i mezhdunarodnoi konferentsii po torakal'noi khirurgii. M., 2005: 42. [in Russian]
7. Дадыев И.А., Давыдов М.М., Чекини А.К. и др. Резекция бифуркации трахеи в лечении больных немелкоклеточным раком легкого (обзор литературы). Сиб. онкол. журн. 2018; 17 (5): 94–105. DOI: 10.21294/1814-4861-2018-17-5-94-105 / Dadyev I.A., Davydov M.M., Chekini A.K. i dr. Rezektsiia bifurkatsii trakhei v lechenii bol'nykh nemelkokletochnym rakom legkogo (obzor literatury). Sib. onkol. zhurn. 2018; 17 (5): 94–105. DOI: 10.21294/1814-4861-2018-17-5-94-105 [in Russian]
8. Roviaro G, Vergani C, Maciocco M et al. Tracheal sleeve pneumonectomy: long-term outcome. Lung Cancer 2006; 52 (1): 105–10.
9. Трахтенберг А.Х., Колбанов К.И. Атмосфера. Пульмонология и аллергология. 2008; 4: 3–9. / Trakhtenberg A.Kh., Kolbanov K.I. Atmosfera. Pul'monologiia i allergologiia. 2008; 4: 3–9. [in Russian]
10. De Perrot M, Fadel E, Mercier O et al. Long-term results after carinal resection for carcinoma: does the benefit warrant the risk? General Thoracic Surgery 2006; 131 (1): 81–9.
11. Mitchell JD, Mathisen DJ, Wright CD et al. Resection for bronchogenic carcinoma involving the carina: long-term results and effect of nodal status on outcome. J Thorac Cardiovasc Surg 2001; 121: 465–71.
12. Kazumichi Y. Results of surgical resection for tracheobronchial cancer involving the tracheal carina. General Thoracic and Cardiovascular Surgery 2007; 55 (6): 231–9.
13. Porhanov VA, Poliakov IS, Selvaschuk AP et al. Indications and results of sleeve carinal resection. Eur J Cardiothorac Surg 2002; 22: 685–94.
14. Regnard JF, Perrotin C, Giovannetti R et al. Resection for tumors with carinal involvement: technical aspects, results, and prognostic factors. Ann Thorac Surg 2005; 80: 1841–6.
15. Левченко Е.В., Ергнян С.М., Шутов В.А., Барчук А.С. Хирургические вмешательства с циркулярной резекцией бифуркации трахеи при лечении больных со злокачественными новообразованиями бронхов. Хирургия. 2016; 1 (Вып. 2). DOI: 10.17116/hirurgia20161216-22 / Levchenko E.V., Ergnian S.M., Shutov V.A., Barchuk A.S. Khirurgicheskie vmeshatel'stva s tsirkuliarnoi rezektsiei bifurkatsii trakhei pri lechenii bol'nykh so zlokachestvennymi novoobrazovaniiami bronkhov. Khirurgiia. 2016; 1 (Vyp. 2). DOI: 10.17116/hirurgia20161216-22 [in Russian]
16. Macchiarini P, Altmayer M, Go T et al., Hannover Interdisciplinary Intrathoracic Tumor Task Force Group. Technical innovations of carinal resection for nonsmall-cell lung cancer. Ann Thorac Surg 2006; 82 (6): 1989–97; discussion 1997.
17. Galetta D, Da Lorenzo S. Early and Long-Term Results of Tracheal Sleeve Pneumonectomy for Lung Cancer After Induction Therapy. Ann Thorac Surg 2018; 105 (4): 1017–23. https://doi.org/10.1016/j.athoracsur.2017.11.052
18. Rea F, Marulli G, Schiavon M et al. Tracheal sleeve pneumonectomy for non small cell lung cancer (NSCLC): short and long-term results in a single institution. Lung Cancer 2008; 61: 202–8.
19. Albain KS, Scott CB, Rusch VR et al for RTOG, SWOG, NCIC, ECOG, CALGB, NCCTG. Phase III comparison of concurrent chemotherapy plus radiotherapy (CT/RT) and CT/RT followed by surgical resection for stage IIIA (pN2) non-small cell lung cancer (NSCLC): Initial results from intergroup trial 0139 (RTOG 93-09). Proc Am Soc Clin Oncol 2003; 22: Abstr. 2497.
20. Martin J, Ginsberg RJ, Venkatraman ES et al. Long-term results of combined-modality therapy in resectable non-small-cell lung cancer. J Clin Oncol 2002; 20: 1989–95.
21. Doddoli C, Thomas P, Thirion X et al. Post-operative complications in relation with induction therapy for lung cancer. Eur J Cardiothorac Surg 2001; 20: 385–90.
22. Jensik RJ, Faber LP, Kirtle CF et al. Survival in patients undergoing tracheal sleeve pneumonectomy for bronchogenic carcinoma. J Thorac Cardiovasc Surg 1982; 84: 489–96.
23. Deslauriers J, Beaulieu M, Bénazéra A, McClish A. Sleeve pneumonectomy for bronchogenic carcinoma. Ann Thorac Surg 1979; 28: 465–7.
24. Tapias LF, Ott HC, Mathisen DJ. Complications following carinal resections, sleeve resections. Thorac Surg Clin 2015; 25 (4): 435–47. DOI: 10.1016/j.thorsurg.2015.07.003.(Epub 2015 Sep 8. Review).
25. Dartevelle PG, Mitilian D, Fadel E. Extended surgery for T4 lung cancer: a 30 years’ experience. Gen Thorac Cardiovasc Surg 2017; 65 (6): 321–8. DOI 10.1007/s11748-017-0752-6
26. Shin S, Park JS, Shim YM et al. Carinal resection and reconstruction in thoracic malignancies. J Surg Oncol 2014; 110 (3): 239–44. DOI: 10.1002/jso.23643
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Авторы
И.А.Дадыев*1,2, М.М.Давыдов1, А.Г.Абдуллаев1, И.О.Кулик1, З.А.Амбалова1, П.И.Ахмедов1, А.Ю.Анохин1, Б.М.Карашева2
1 ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н.Блохина» Минздрава России. 115478, Россия, Москва, Каширское ш., д. 23;
2 ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И.Евдокимова» Минздрава России. 127473, Россия, Москва, ул. Делегатская, д. 20/1
*islamik_07@mail.ru
1 N.N.Blokhin Russian Cancer Research Center of the Ministry of Health of the Russian Federation. 115478, Russian Federation, Moscow, Kashirskoe sh., d. 23;
2 A.I.Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of the Russian Federation. 127473, Russian Federation, Moscow, ul. Delegatskaia, d. 20, str. 1
*islamik_07@mail.ru
1 ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н.Блохина» Минздрава России. 115478, Россия, Москва, Каширское ш., д. 23;
2 ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И.Евдокимова» Минздрава России. 127473, Россия, Москва, ул. Делегатская, д. 20/1
*islamik_07@mail.ru
________________________________________________
1 N.N.Blokhin Russian Cancer Research Center of the Ministry of Health of the Russian Federation. 115478, Russian Federation, Moscow, Kashirskoe sh., d. 23;
2 A.I.Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of the Russian Federation. 127473, Russian Federation, Moscow, ul. Delegatskaia, d. 20, str. 1
*islamik_07@mail.ru
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