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Сибирский онкологический журнал

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РАСПРОСТРАНЕННЫЙ РАК ГОРТАНИ: ОБЗОР ЛИТЕРАТУРЫ

https://doi.org/10.21294/1814-4861-2019-18-5-97-107

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Аннотация

Актуальность. Плоскоклеточная карцинома гортани остается самым распространенным злокачественным новообразованием области головы и шеи во многих западных странах. По данным мировой литературы, ежегодно в мире регистрируется 238 000 случаев рака гортани и 106 000 летальных исходов от этого заболевания. Гортань играет ключевую роль для таких важных функций организма, как дыхание, голосообразование, защита дыхательных путей и глотание. Таким образом, цель лечения рака гортани – обеспечить максимально возможный контроль над прогрессированием онкологического заболевания с одновременной оптимизацией функциональных результатов.

Целью исследования является обзор хирургических и нехирургических вариантов лечения поздних стадий рака гортани, а также доказательств, подтверждающих эффективность каждого из них, включая онкологические результаты (общая выживаемость, безрецидивная выживаемость, локальный контроль над болезнью, функциональные результаты и связанное с ним качество жизни).

Материал и методы. Поиск литературы осуществлялся в поисковых системах Medline, Cochrane Library, Elibrary, включались исследования с 1987 по 2016 г.

Выводы. Парадигма лечения последних стадий рака гортани перешла от оперативного вмешательства (тотальной ларингэктомии) в качестве золотого стандарта лечения к нехирургическому органосохраняющему лечению с использованием лучевой терапии или химиолучевой терапии. Однако возникли опасения относительно функциональных результатов после химиолучевой терапии, а также возможного снижения общей выживаемости у пациентов с раком гортани.

Об авторах

З. А-Г. Раджабова
ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Петрова» Минздрава России
Россия

Раджабова Замира Ахмед-Гаджиевна, кандидат медицинских наук, заведующая хирургическим отделением опухолей головы и шеи

 г. Санкт-Петербург, 197758, пос. Песочный, ул. Ленинградская, 68

SPIN-код: 5137-6393

Researcher ID (WOS): X-6941-2018



М. А. Котов
ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Петрова» Минздрава России
Россия

Котов Максим Андреевич, врач-онколог

 г. Санкт-Петербург, 197758, пос. Песочный, ул. Ленинградская, 68

SPIN-код: 5761-6697

Researcher ID (WOS): X-5062-2018



М. А. Эберт
ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Петрова» Минздрава России
Россия

Эберт Мария Альбертовна, клинический ординатор

 г. Санкт-Петербург, 197758, пос. Песочный, ул. Ленинградская, 68

SPIN-код: 7830-1339

Researcher ID (WOS): X-5390-2018



А. С. Митрофанов
ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Петрова» Минздрава России
Россия

Митрофанов Александр Сергеевич, клинический ординатор

 г. Санкт-Петербург, 197758, пос. Песочный, ул. Ленинградская, 68

SPIN-код: 9891-4050

Researcher ID (WOS): X-5078-2018



М. А. Раджабова
ФГБВОУВО «Военно-медицинская академия им. С.М. Кирова»
Россия

Раджабова Мадина Абдурахмановна

г. Санкт-Петербург, 194044, ул. Академика Лебедева, 6

SPIN-код: 5004-8995

Researcher ID (WOS): X-9163-2018

 



Е. В. Левченко
ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Петрова» Минздрава России
Россия

Левченко Евгений Владимирович, доктор медицинских наук, профессор, заведующий хирургическим отделением торакальной онкологии

 г. Санкт-Петербург, 197758, пос. Песочный, ул. Ленинградская, 68

SPIN-код: 2743-8968

Researcher ID (WOS): X-8697-2018



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Для цитирования:


Раджабова З.А., Котов М.А., Эберт М.А., Митрофанов А.С., Раджабова М.А., Левченко Е.В. РАСПРОСТРАНЕННЫЙ РАК ГОРТАНИ: ОБЗОР ЛИТЕРАТУРЫ. Сибирский онкологический журнал. 2019;18(5):97-107. https://doi.org/10.21294/1814-4861-2019-18-5-97-107

For citation:


Radzhabova Z.A., Kotov M.A., Ebert M.A., Mitrophanov A.S., Radzhabova M.A., Levchenko E.V. ADVANCED LARYNGEAL CANCER (LITERATURE REVIEW). Siberian journal of oncology. 2019;18(5):97-107. (In Russ.) https://doi.org/10.21294/1814-4861-2019-18-5-97-107

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