Tumors of female reproductive systemTumors of female reproductive systemОпухоли женской репродуктивной системы1994-40981999-8627Publishing House ABV Press44710.17650/1994-4098-2015-11-3-43-60MAMMOLOGY. TREATMENTМАММОЛОГИЯ. ЛЕЧЕНИЕGeneral St. Gallen-2015 guidelines for the treatment of early breast cancer (adapted by the experts of the Russian Society of Breast Oncologists)Общие рекомендации по лечению раннего рака молочной железы St. Gallen-2015, адаптированные экспертами Российского общества онкомаммологовSemiglazovV. F.СемиглазовВ. Ф.
Russian Federation
PaltuevR. M.ПалтуевР. М.
Russian Federation
SemiglazovV. V.СемиглазовВ. В.
Russian Federation
DashyanG. A.ДашянГ. А.
Russian Federation
SemiglazovaT. Yu.СемиглазоваТ. Ю.
Russian Federation
KrivorotkoP. V.КриворотькоП. В.
Russian Federation
NikolaevK. S.НиколаевК. С.
Russian Federation
1609201511343601509201515092015https://ojrs.abvpress.ru/ojrs/article/view/447

General St. Gallen-2015 guidelines for the treatment of early breast cancer (adapted by the experts of the Russian Society of Breast Oncologists) 

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. 

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