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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">oncotomsk</journal-id><journal-title-group><journal-title xml:lang="ru">Сибирский онкологический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Siberian journal of oncology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1814-4861</issn><issn pub-type="epub">2312-3168</issn><publisher><publisher-name>Tomsk National Research Medical Сепtеr of the Russian Academy of Sciences</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21294/1814-4861-2023-22-5-96-104</article-id><article-id custom-type="elpub" pub-id-type="custom">oncotomsk-2764</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Возможности мини- и неинвазивных методов термической деструкции в лечении больных агрессивным фиброматозом</article-title><trans-title-group xml:lang="en"><trans-title>Minimally-invasive and non-invasive methods of thermal destruction in the treatment of patients with aggressive fibromatosis</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5750-8492</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Москвичева</surname><given-names>Л. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Moskvicheva</surname><given-names>L. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москвичева Людмила Ивановна - кандидат медицинских наук, врач-онколог кабинета ультразвуковой диагностики и терапии. Author ID (Scopus): 57194061497.</p><p>125284, Москва, 2-й Боткинский пр-д, 3</p></bio><bio xml:lang="en"><p>Liudmila I. Moskvicheva - MD, PhD, Oncologist, Ultrasound Department, Author ID (Scopus): 57194061497.</p></bio><email xlink:type="simple">ludamed16@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Московский научно-исследовательский онкологический институт им. П.А. Герцена – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>P.A. Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre of the Ministryof Health of the Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>15</day><month>11</month><year>2023</year></pub-date><volume>22</volume><issue>5</issue><fpage>96</fpage><lpage>104</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Москвичева Л.И., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Москвичева Л.И.</copyright-holder><copyright-holder xml:lang="en">Moskvicheva L.I.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.siboncoj.ru/jour/article/view/2764">https://www.siboncoj.ru/jour/article/view/2764</self-uri><abstract><p>Цель исследования – характеристика различных методов локальной физической деструкции, применяемых в лечении больных агрессивным фиброматозом, и демонстрация международного опыта их применения.</p><sec><title>Материал и методы</title><p>Материал и методы. Обзор отечественных и зарубежных научных источников, представленных в базах данных РИНЦ (Российский индекс научного цитирования) и NcBi (National center for Biotechnology information) в период с 2002 по 2022 г., посвященных особенностям методов термической аблации (таких как радиочастотная и микроволновая аблация, криодеструкция, высокоинтенсивная фокусированная ультразвуковая терапия), применяющихся в терапии пациентов с десмоидными фибромами различной локализации, их безопасности и эффективности.</p></sec><sec><title>Результаты</title><p>Результаты. В обзоре представлены современные данные по безопасности и эффективности применения мини- и неинвазивных методов гипо- и гипертермической локальной деструкции у больных агрессивным фиброматозом, даны характеристики воздействия и указаны биологические эффекты при выполнении радиочастотной и микроволновой аблации, криодеструкции, высокоинтенсивной фокусированной ультразвуковой терапии, описаны основные ограничения методов, показания и противопоказания к их применению, а также используемые в клинической практике способы профилактики развития осложнений.</p></sec><sec><title>Заключение</title><p>Заключение. Описанные способы локальной деструкции применяют в клинической практике в основном с паллиативной и симптоматической целью, при упорном росте или рецидивировании опухоли, неэффективности других вариантов лечения или наличии противопоказаний к ним со стороны сопутствующей соматической патологии или функционального статуса пациента. Включение рассмотренных методов в план лечения больных агрессивным фиброматозом может способствовать снижению болевого синдрома, улучшению функционального статуса пациентов, а также достижению длительного периода жизни без прогрессирования опухолевого процесса.</p></sec></abstract><trans-abstract xml:lang="en"><p>The purpose of the study was to characterize various methods of local physical destruction used in the treatment of patients with aggressive fibromatosis and demonstrate international experience of their use.</p><sec><title>Material and Methods</title><p>Material and Methods. literature search was conducted in the electronic databases Rsci (Russian science citation index) and NcBi (National centre for Biotechnology information) in the interval time between 2002 and 2022. The review was devoted to the thermal ablation modalities (radiofrequency, microwave ablation, cryodestruction, high-intensity focused ultrasound ablations) used in therapy of patients with desmoid fibromas of various locations, as well as their safety and efficacy.</p></sec><sec><title>Results</title><p>Results. The review presents the current data on safety and efficacy of minimally-invasive and non-invasive methods of hypo- and hyperthermic local destruction in patients with aggressive fibromatosis, gives the characteristics of exposure and biological effects when performing radiofrequency and microwave ablation, cryodestruction, high-intensity focused ultrasound therapy, describes the main limitations of the methods, indications and contraindications for their application, as well as the methods of prevention of the development of desmoid fibromas.</p></sec><sec><title>Conclusion</title><p>Conclusion. The described methods of local destruction are used in clinical practice mainly for palliative and symptomatic purposes, in case of persistent tumor growth or recurrence, ineffectiveness of other treatment options or contraindications to them due to concomitant somatic pathology or functional status of the patient. Inclusion of these methods in the treatment plan of patients with aggressive fibromatosis can contribute to the reduction of pain syndrome, improvement of functional status of patients as well as long survival with no evidence of tumor progression.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>десмоидная фиброма</kwd><kwd>агрессивный фиброматоз</kwd><kwd>радиочастотная аблация</kwd><kwd>микроволновая аблация</kwd><kwd>криодеструкция</kwd><kwd>высокоинтенсивная фокусированная ультразвуковая терапия</kwd><kwd>HIFU-терапия</kwd><kwd>MRgHIFU</kwd><kwd>USgHIFU</kwd></kwd-group><kwd-group xml:lang="en"><kwd>desmoid fibroma</kwd><kwd>aggressive fibromatosis</kwd><kwd>radiofrequency ablation</kwd><kwd>microwave ablation</kwd><kwd>cryodestruction</kwd><kwd>high-intensity focused ultrasound therapy</kwd><kwd>HIFU therapy</kwd><kwd>MRgHIFU</kwd><kwd>USgHIFU</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Martínez Trufero J., Pajares Bernad I., Torres Ramón I., Hernando Cubero J., Pazo Cid R. 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