Общие рекомендации по лечению раннего рака молочной железы St. Gallen-2015, адаптированные экспертами Российского общества онкомаммологов
https://doi.org/10.17650/1994-4098-2015-11-3-43-60
Аннотация
В марте 2015 г. завершила работу 14-я Международная конференция по раку молочной железы St. Gallen-2015, проведенная в Вене впервые.
Как и прежде, конференция закончилась принятием консенсус-документа о рекомендациях по местному и системному лечению ранних (операбельных) стадий рака молочной железы. Не все страны, включая Европу и Северную Америку, безоговорочно принимают отдельные положения рекомендаций. В частности, эксперты Российского общества онкомаммологов (РООМ) подходят с осторожностью к оценке «чистых» хирургических краев при выполнении органосохраняющего лечения, а также к планированию лечения минимальных опухолей pT1b–cN0M0. Впервые в практике работы конференции St. Gallen были рассмотрены и учтены в общих рекомендациях отдельные предложения экспертов РООМ по планированию адъювантного лечения в зависимости от биологических и клинико-анатомических характеристик заболевания. Многие положения наших рекомендаций 2012–2013 гг. нашли свое отражение в итоговой резолюции международного консенсуса St. Gallen. Это касается как лечебно-ориентированной классификации подгрупп рака молочной железы в целом, так и проблем стандартизации оценки маркера активности опухоли Ki-67 в различных лабораториях и вопроса об улучшении прогностической эффективности использования маркеров ER и PR.
Основные положения рекомендаций St. Gallen учитываются при разработке ESMO.
Об авторах
В. Ф. СемиглазовРоссия
Р. М. Палтуев
Россия
В. В. Семиглазов
Россия
Г. А. Дашян
Россия
Т. Ю. Семиглазова
Россия
П. В. Криворотько
Россия
К. С. Николаев
Россия
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Рецензия
Для цитирования:
Семиглазов В.Ф., Палтуев Р.М., Семиглазов В.В., Дашян Г.А., Семиглазова Т.Ю., Криворотько П.В., Николаев К.С. Общие рекомендации по лечению раннего рака молочной железы St. Gallen-2015, адаптированные экспертами Российского общества онкомаммологов. Опухоли женской репродуктивной системы. 2015;11(3):43-60. https://doi.org/10.17650/1994-4098-2015-11-3-43-60
For citation:
Semiglazov V.F., Paltuev R.M., Semiglazov V.V., Dashyan G.A., Semiglazova T.Yu., Krivorotko P.V., Nikolaev K.S. General St. Gallen-2015 guidelines for the treatment of early breast cancer (adapted by the experts of the Russian Society of Breast Oncologists). Tumors of female reproductive system. 2015;11(3):43-60. (In Russ.) https://doi.org/10.17650/1994-4098-2015-11-3-43-60
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