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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">tumors</journal-id><journal-title-group><journal-title xml:lang="ru">Malignant tumours</journal-title><trans-title-group xml:lang="en"><trans-title>Malignant tumours</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2224-5057</issn><issn pub-type="epub">2587-6813</issn><publisher><publisher-name>Rosoncoweb</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18027/2224-5057-2024-047</article-id><article-id custom-type="elpub" pub-id-type="custom">tumors-1476</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>КОНСЕНСУС</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CONSENSUS</subject></subj-group></article-categories><title-group><article-title>Российский консенсус по профилактике, диагностике и лечению рака желудка. Вопросы инструментальной диагностики</article-title><trans-title-group xml:lang="en"><trans-title>Russian consensus on prevention, diagnosis and treatment of gastric cancer. Questions of instrumental diagnostics</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5128-001X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Амелина</surname><given-names>И. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Amelina</surname><given-names>I. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Инна Дмитриевна Амелина</p><p>197758; ул. Ленинградская, 68; п. Песочный; Санкт-Петербург</p></bio><bio xml:lang="en"><p>Inna Dmitrievna Amelina</p><p>197758; 68 Leningradskaya St.; Saint Petersburg; Pesochnyy</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5733-4691</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Галкова</surname><given-names>З. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Galkova</surname><given-names>Z. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Залина Викторовна Галкова</p><p>117997; ул. Островитянова, 1; Москва</p></bio><bio xml:lang="en"><p>Zalina Viktorovna Galkova</p><p>117997; 1 Ostrovityanova St.; Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7185-7165</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Долгушин</surname><given-names>Б. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Dolgushin</surname><given-names>B. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Борис Иванович Долгушин</p><p>127473; ул. Делегатская, 20, стр. 1; Москва</p></bio><bio xml:lang="en"><p>Boris Ivanovich Dolgushin</p><p>127473; Build. 1, 20 Delegatskaya St.; Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7254-5411</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Израилов</surname><given-names>Р. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Izrailov</surname><given-names>R. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Роман Евгеньевич Израилов</p><p>111123; Новогиреевская ул., 1, корп. 1; Москва</p></bio><bio xml:lang="en"><p>Roman Evgenevich Izrailov</p><p>111123; Build. 1, 1 Novogireevskaya St.; Moscow</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9357-0998</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кармазановский</surname><given-names>Г. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Karmazanovskii</surname><given-names>G. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Григорий Григорьевич Кармазановский</p><p>117997; ул. Большая Серпуховская, 27; Москва</p></bio><bio xml:lang="en"><p>Grigorii Grigorevich Karmazanovskii</p><p>117997; 27 Bolshaya Serpukhovskaya St.; Moscow</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кашин</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kashin</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>150000; ул. Революционная, 5; Ярославль</p></bio><bio xml:lang="en"><p>150000; 5 Revolyutsionnaya St.; Yaroslavl</p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2003-098X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ким</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kim</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Виктория Анатольевна Ким</p><p>111123; Новогиреевская ул., 1, корп. 1; Москва</p></bio><bio xml:lang="en"><p>Viktoriya Anatolevna Kim</p><p>111123; Build. 1, 1 Novogireevskaya St.; Moscow</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5592-839X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кулезнева</surname><given-names>Ю. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kulezneva</surname><given-names>Yu. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юлия Валерьевна Кулезнева</p><p>111123; Новогиреевская ул., 1, корп. 1; Москва</p></bio><bio xml:lang="en"><p>Yuliya Valerevna Kulezneva</p><p>111123; Build. 1, 1 Novogireevskaya St.; Moscow</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0829-7809</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Малихова</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Malikhova</surname><given-names>O. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ольга Александровна Малихова</p><p>115478; Каширское шоссе, 23; Москва</p></bio><bio xml:lang="en"><p>Olga Aleksandrovna Malikhova</p><p>115478; 23 Kashirskoe Shosse; Moscow</p></bio><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1779-003X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Медведева</surname><given-names>Б. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Medvedeva</surname><given-names>B. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115478; Каширское шоссе, 23; Москва</p></bio><bio xml:lang="en"><p>Bela Mikhailovna Medvedeva</p><p>115478; 23 Kashirskoe Shosse; Moscow</p></bio><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2647-4362</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Недолужко</surname><given-names>И. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Nedoluzhko</surname><given-names>I. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>111123; Новогиреевская ул., 1, корп. 1; Москва</p></bio><bio xml:lang="en"><p>Ivan Yurevich Nedoluzhko</p><p>111123; Build. 1, 1 Novogireevskaya St.; Moscow</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6972-8644</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Парфенчикова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Parfenchikova</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Елена Владимировна Парфенчикова</p><p>111123; Новогиреевская ул., 1, корп. 1; Москва</p></bio><bio xml:lang="en"><p>Elena Vladimirovna Parfenchikova</p><p>111123; Build. 1, 1 Novogireevskaya St.; Moscow</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8101-2155</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пирогов</surname><given-names>С. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Pirogov</surname><given-names>S. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сергей Сергеевич Пирогов</p><p>125284; 2-й Боткинский пр-д, 3; Москва</p></bio><bio xml:lang="en"><p>Sergei Sergeevich Pirogov</p><p>125284; 3 2nd Botkinskiy proezd; Moscow</p></bio><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5543-199X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Семенов</surname><given-names>Н. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Semenov</surname><given-names>N. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Николай Евгеньевич Семенов</p><p>111123; Новогиреевская ул., 1, корп. 1; Москва</p></bio><bio xml:lang="en"><p>Nikolai Evgenevich Semenov</p><p>111123; Build. 1, 1 Novogireevskaya St.; Moscow</p></bio><email xlink:type="simple">n.semenov@mknc.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5462-2388</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Солодинина</surname><given-names>Е. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Solodinina</surname><given-names>E. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Елена Николаевна Солодинина</p><p>143421; ул. Рублёвское предместье, 2, корп. 2; Московская область, городской округ Красногорск, д. Глухово</p></bio><bio xml:lang="en"><p>Elena Nikolaevna Solodinina</p><p>143421; Build 2, 2 Gluhovo, Rublevskoe predmeste St.; Moscow Region</p></bio><xref ref-type="aff" rid="aff-9"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Старков</surname><given-names>Ю. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Starkov</surname><given-names>Yu. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>117997; ул. Большая Серпуховская, 27; Москва</p></bio><bio xml:lang="en"><p>117997; 27 Bolshaya Serpukhovskaya St.; Moscow</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4271-0273</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ткаченко</surname><given-names>О. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Tkachenko</surname><given-names>O. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Олег Борисович Ткаченко</p><p>197758; ул. Ленинградская, 68; п. Песочный; Санкт-Петербург</p></bio><bio xml:lang="en"><p>Oleg Borisovich Tkachenko</p><p>197758; 68 Leningradskaya St.; Pesochnyy; Saint Petersburg </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4533-1658</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шевкунов</surname><given-names>Л. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Shevkunov</surname><given-names>L. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лев Николаевич Шевкунов</p><p>117997; ул. Островитянова, 1; Москва</p></bio><bio xml:lang="en"><p>Lev Nikolaevich Shevkunov</p><p>117997; 1 Ostrovityanova St.; Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0010-5294</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шишин</surname><given-names>К. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shishin</surname><given-names>K. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Виктория Васильевна Щадрова</p><p>111123; Новогиреевская ул., 1, корп. 1; Москва</p></bio><bio xml:lang="en"><p>Kirill Vyacheslavovich Shishin</p><p>111123; Build. 1, 1 Novogireevskaya St.; Moscow</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3451-0896</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Щадрова</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shchadrova</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>111123; Новогиреевская ул., 1, корп. 1; Москва</p></bio><bio xml:lang="en"><p>Viktoriya Vasilevna Shchadrova</p><p>111123; Build. 1, 1 Novogireevskaya St.; Moscow</p></bio><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н. Н. Петрова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N. N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н. И. Пирогова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N. I. Pirogov Russian National Research Medical University, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А. И. Евдокимова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>A. I. Yevdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ГБУЗ г. Москвы «Московский клинический научно-практический центр им. А. С. Логинова Департамента здравоохранения г. Москвы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>A. S. Loginov Moscow Clinical Scientific Center, Moscow Healthcare Department</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр хирургии им. А. В. Вишневского» Минздрава России; Россия</institution><country>Россия</country></aff><aff xml:lang="en"><institution>A. V. Vishnevsky National Medical Research Center of Surgery</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>ФГБОУ ВО «Ярославский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Yaroslavl State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н. Н. Блохина» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N. N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>Московский научно-исследовательский онкологический институт им. П. А. Герцена — филиал ФГБУ «Национальный&#13;
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 Center, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-9"><aff xml:lang="ru"><institution>АО «Ильинская больница»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Ilyinskaya hospital</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>24</day><month>08</month><year>2025</year></pub-date><volume>15</volume><issue>2</issue><fpage>66</fpage><lpage>72</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Амелина И.Д., Галкова З.В., Долгушин Б.И., Израилов Р.Е., Кармазановский Г.Г., Кашин С.В., Ким В.А., Кулезнева Ю.В., Малихова О.А., Медведева Б.М., Недолужко И.Ю., Парфенчикова Е.В., Пирогов С.С., Семенов Н.Е., Солодинина Е.Н., Старков Ю.Г., Ткаченко О.Б., Шевкунов Л.Н., Шишин К.В., Щадрова В.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Амелина И.Д., Галкова З.В., Долгушин Б.И., Израилов Р.Е., Кармазановский Г.Г., Кашин С.В., Ким В.А., Кулезнева Ю.В., Малихова О.А., Медведева Б.М., Недолужко И.Ю., Парфенчикова Е.В., Пирогов С.С., Семенов Н.Е., Солодинина Е.Н., Старков Ю.Г., Ткаченко О.Б., Шевкунов Л.Н., Шишин К.В., Щадрова В.В.</copyright-holder><copyright-holder xml:lang="en">Amelina I.D., Galkova Z.V., Dolgushin B.I., Izrailov R.E., Karmazanovskii G.G., Kashin S.V., Kim V.A., Kulezneva Y.V., Malikhova O.A., Medvedeva B.M., Nedoluzhko I.Y., Parfenchikova E.V., Pirogov S.S., Semenov N.E., Solodinina E.N., Starkov Y.G., Tkachenko O.B., Shevkunov L.N., Shishin K.V., Shchadrova V.V.</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.malignanttumors.org/jour/article/view/1476">https://www.malignanttumors.org/jour/article/view/1476</self-uri><abstract><p>   Российский консенсус по профилактике, диагностике и лечению рака желудка подготовлен по инициативе Московского клинического научного центра им А. С. Логинова ДЗМ по Дельфийской системе. </p><p>   Его целью явилась консолидация мнений отечественных специалистов по наиболее актуальным вопросам профилактики, скрининга, диагностики и лечения рака желудка. </p><p>   Междисциплинарный подход обеспечен участием ведущих гастроэнтерологов, онкологов и хирургов. В данной статье представлены ключевые нерешенные вопросы хирургического лечения рака желудка, а также позиции Российского консенсуса по ним.</p><p>   Цель статьи: Представить положения Российского консенсуса по профилактике, диагностике и лечению рака желудка, касающиеся аспектов инструментальной диагностики.</p></abstract><trans-abstract xml:lang="en"><p>   The Russian consensus on prevention, diagnostic and treatment of gastric cancer was prepared on the initiative of the Moscow clinical scientific center named after A. S. Loginov on the Delphi method.</p><p>   Its aim was to clarify and consolidate the opinions of specialists on the most relevant issues of prevention, diagnosis and treatment of gastric cancer.</p><p>   An interdisciplinary approach was provided by the participation of leading gastroenterologists, oncologists and surgeons.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>консенсус</kwd><kwd>рак желудка</kwd><kwd>эндоскопия</kwd><kwd>компьютерная томография при раке желудка</kwd><kwd>инструментальная диагностика рака желудка</kwd></kwd-group><kwd-group xml:lang="en"><kwd>consensus</kwd><kwd>CT</kwd><kwd>endoscopy in gastric cancer diagnosis</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Статья подготовлена без спонсорской поддержки</funding-statement><funding-statement xml:lang="en">The article was prepared without sponsorship</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Smyth E.C., Verheij M., Allum W., et al. 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