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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">10.18027/2224-5057-2025-053</article-id><article-id custom-type="elpub" pub-id-type="custom">tumors-1497</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 профилактики, ранней диагностики, предраковых заболеваний</article-title><trans-title-group xml:lang="en"><trans-title>Russian consensus on prevention, diagnostics and treatment of gastric cancer. Issues of prevention, early diagnostics, and precancerous diseases</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9542-3580</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Абдулхаков</surname><given-names>С. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Abdulkhakov</surname><given-names>S. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Абдулхаков Сайяр Рустамович </p><p>420008 Казань, Кремлевская ул., 18, корп. 1</p></bio><bio xml:lang="en"><p>Abdulkhakov Sayyar Rustamovich</p><p>Build 1, 18 Kremlevskaya St., Kazan 420008</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/0000-0003-1724-9980</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алексеенко</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Alekseenko</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Алексеенко Сергей Алексеевич </p><p>680000 Хабаровск, Муравьева-Амурского ул., 35</p></bio><bio xml:lang="en"><p>Alekseenko Sergey Alekseevich</p><p>35 St., Khabarovsk 680000</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/0000-0002-4007-7112</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Андреев</surname><given-names>Д. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Andreev</surname><given-names>D. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Андреев Дмитрий Николаевич </p><p>127473 Москва, ул. Делегатская, 20, стр. 1 </p></bio><bio xml:lang="en"><p>Andreev Dmitry Nikolaevich</p><p>Build. 1, 20 Delegatskaya St., Moscow 127473</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/0000-0003-4075-4096</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бакулина</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Bakulina</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бакулина Наталья Валерьевна </p><p>191015 Санкт-Петербург, ул. Кирочная, 41 </p></bio><bio xml:lang="en"><p>Bakulina Natalya Valerievna</p><p>41 Kirochnaya St., Saint Petersburg 191015</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/0000-0003-2815-3992</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бордин</surname><given-names>Д. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Bordin</surname><given-names>D. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бордин Дмитрий Станиславович </p><p>111123 Москва, Новогиреевская ул., 1, корп. 1 </p></bio><bio xml:lang="en"><p>Bordin Dmitry Stanislavovich</p><p>Build. 1, 1 Novogireevskaya St., Moscow 111123</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/0000-0001-7254-5411</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>Израилов Роман Евгеньевич </p><p>111123 Москва, Новогиреевская ул., 1, корп. 1 </p></bio><bio xml:lang="en"><p>Izrailov Roman Evgenievich</p><p>Build. 1, 1 Novogireevskaya St., Moscow 111123</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/0000-0002-4417-8076</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Исаков</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Isakov</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Исаков Василий Андреевич </p><p>109240 Москва, Устьинский проезд, 2 / 14</p></bio><bio xml:lang="en"><p>Isakov Vasily Andreevich</p><p>2/14 Ustinsky Pr., Moscow 109240</p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Курилович</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kurilovich</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>630089 Новосибирск, ул. Бориса Богаткова, 175 / 1 </p></bio><bio xml:lang="en"><p>175/1 Bogatkova St., Novosibirsk 630089</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/0000-0001-7760-2091</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кучерявый</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kucheryavyy</surname><given-names>Yu. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кучерявый Юрий Александрович </p><p>121609 Москва, Крылатская ул., 40, стр. 24</p></bio><bio xml:lang="en"><p>Kucheryavyy Yuriy Aleksandrovich </p><p>Build 24, 40 Krylatskaya St., Moscow 121609</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/0000-0002-6581-7017</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ливзан</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Livzan</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ливзан Мария Анатольевна </p><p>644099 Омск, ул. Ленина, 12</p></bio><bio xml:lang="en"><p>Livzan Maria Anatolyevna</p><p>12 Lenina St., Omsk 644099</p></bio><xref ref-type="aff" rid="aff-9"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6114-564X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Маев</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Maev</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Маев Игорь Вениаминович </p><p>127473 Москва, ул. Делегатская, 20, стр. 1 </p></bio><bio xml:lang="en"><p>Maev Igor Veniaminovich</p><p>Build. 1, 20 Delegatskaya St., Moscow 127473</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/0000-0001-6816-3058</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Морозов</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Morozov</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Морозов Сергей Владимирович </p><p>109240 Москва, Устьинский проезд, 2 / 14</p><p>125993 Москва, ул. Баррикадная, 2 / 1, стр. 1 </p></bio><bio xml:lang="en"><p>Morozov Sergey Vladimirovich</p><p>2/14 Ustinsky Pr., Moscow 109240</p><p>Build. 1,2/1 Barrikadnaya St., Moscow 125993</p></bio><xref ref-type="aff" rid="aff-10"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5156-2842</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Осипенко</surname><given-names>М. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Osipenko</surname><given-names>M. F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Осипенко Марина Федоровна </p><p>Новосибирск, 630091 Новосибирск, ул. Красный проспект, 52 </p></bio><bio xml:lang="en"><p>Osipenko Marina Fedorovna</p><p>52 Red prospekt St., Novosibirsk 630091</p></bio><xref ref-type="aff" rid="aff-11"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2280-3931</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пасечников</surname><given-names>В. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Pasechnikov</surname><given-names>V. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Пасечников Виктор Дмитриевич </p><p>355035 Ставрополь, ул. Комсомольская, 65 А </p></bio><bio xml:lang="en"><p>Pasechnikov Viktor Dmitrievich</p><p>65 A Komsomolskaya St., Stavropol 355035</p></bio><xref ref-type="aff" rid="aff-12"/></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>Семенов Николай Евгеньевич </p><p>111123 Москва, Новогиреевская ул., 1, корп. 1 </p></bio><bio xml:lang="en"><p>Semenov Nikolay Evgenievich</p><p>Build. 1, 1 Novogireevskaya St., Moscow 111123</p><p> </p></bio><email xlink:type="simple">n.semenov@mknc.ru</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хомерики</surname><given-names>С. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Khomeriki</surname><given-names>S. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>111123 Москва, Новогиреевская ул., 1, корп. 1 </p></bio><bio xml:lang="en"><p>Build. 1, 1 Novogireevskaya St., Moscow 111123</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/0000-0002-9980-2294</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Цуканов</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Tsukanov</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Цуканов Владислав Владимирович </p><p>660022 Красноярск, ул. Партизана Железняка, 3Г </p></bio><bio xml:lang="en"><p>Tsukanov Vladislav Vladimirovich </p><p>3G Partisan Zheleznyak St., Krasnoyarsk 660022</p></bio><xref ref-type="aff" rid="aff-13"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6479-9515</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Эмбутниекс</surname><given-names>Ю. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Embutnieks</surname><given-names>Yu. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Эмбутниекс Юлия Викторовна </p><p>111123 Москва, Новогиреевская ул., 1, корп. 1 </p></bio><bio xml:lang="en"><p>Embutnieks Yulia Viktorovna</p><p>Build. 1, 1 Novogireevskaya St., Moscow 111123</p></bio><xref ref-type="aff" rid="aff-5"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО «Казанский (Приволжский) федеральный университет»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kazan (Volga Region) Federal University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО «Дальневосточный государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Far Eastern State Medical University of the Ministry of Health of the Russian Federation</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>ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И. И. Мечникова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>North-Western State Medical University named after I.I. Mechnikov</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><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-6"><aff xml:lang="ru"><institution>ФГБУН «ФИЦ питания, биотехнологии и безопасности пищи»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Research Center for Nutrition, Biotechnology and Food Safety</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>Научно-исследовательский институт терапии и профилактической медицины филиал ФГБНУ «ФИЦ ИЦиГ СО РАН»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute of Internal and Preventive Medicine Branch of the Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>НУЗ ЦКБ № 2 им. Н. А. Семашко ОАО «РЖД»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Central Clinical Hospital No. 2 named after N. A. Semashko of Russian Railways</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-9"><aff xml:lang="ru"><institution>ФГБОУ ВО «Омский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Omsk State Medical University, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-10"><aff xml:lang="ru"><institution>ФГБУН «ФИЦ питания, биотехнологии и безопасности пищи» ; ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Research Center for Nutrition, Biotechnology and Food Safety ; Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-11"><aff xml:lang="ru"><institution>Медицинский консультативный центр ФГБОУ ВО «Новосибирский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Medical Advisory Center of Novosibirsk State Medical University, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-12"><aff xml:lang="ru"><institution>ЧУ «Центр образовательной и клинической гастроэнтерологии гепатологии и панкреатологии»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Center for Educational and Clinical Gastroenterology, Hepatology and Pancreatology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-13"><aff xml:lang="ru"><institution>ФГБНУ «ФИЦ Красноярский научный центр Сибирского отделения РАН», НИИ медицинских проблем Севера</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Research Center “Krasnoyarsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences» Research Institute for Medical Problems of the North</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>30</day><month>10</month><year>2025</year></pub-date><volume>15</volume><issue>3</issue><fpage>68</fpage><lpage>78</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Абдулхаков С.Р., Алексеенко С.А., Андреев Д.Н., Бакулина Н.В., Бордин Д.С., Израилов Р.Е., Исаков В.А., Курилович С.А., Кучерявый Ю.А., Ливзан М.А., Маев И.В., Морозов С.В., Осипенко М.Ф., Пасечников В.Д., Семенов Н.Е., Хомерики С.Г., Цуканов В.В., Эмбутниекс Ю.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Абдулхаков С.Р., Алексеенко С.А., Андреев Д.Н., Бакулина Н.В., Бордин Д.С., Израилов Р.Е., Исаков В.А., Курилович С.А., Кучерявый Ю.А., Ливзан М.А., Маев И.В., Морозов С.В., Осипенко М.Ф., Пасечников В.Д., Семенов Н.Е., Хомерики С.Г., Цуканов В.В., Эмбутниекс Ю.В.</copyright-holder><copyright-holder xml:lang="en">Abdulkhakov S.R., Alekseenko S.A., Andreev D.N., Bakulina N.V., Bordin D.S., Izrailov R.E., Isakov V.A., Kurilovich S.A., Kucheryavyy Y.A., Livzan M.A., Maev I.V., Morozov S.V., Osipenko M.F., Pasechnikov V.D., Semenov N.E., Khomeriki S.G., Tsukanov V.V., Embutnieks Y.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/1497">https://www.malignanttumors.org/jour/article/view/1497</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. Его целью явилась консолидация мнений отечественных специалистов по наиболее актуальным вопросам профилактики, скрининга, диагностики и лечения рака желудка. Междисциплинарный подход обеспечен участием ведущих гастроэнтерологов, онкологов и хирургов.</p></abstract><trans-abstract xml:lang="en"><p>The Russian consensus on prevention, diagnostics 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. Its aim was to clarify and consolidate the opinions of specialists on the most relevant issues of prevention, diagnostics and treatment of gastric cancer. 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>хирургическое лечение рака желудка</kwd><kwd>инструментальная диагностика рака желудка</kwd><kwd>лекарственное лечение рака желудка</kwd><kwd>скрининг и профилактика рака желудка</kwd></kwd-group><kwd-group xml:lang="en"><kwd>consensus</kwd><kwd>gastric cancer prevention</kwd><kwd>gastric cancer diagnosis</kwd><kwd>gastric cancer treatment</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">Pormohammad A., Mohtavinejad N., Gholizadeh P., et al. Global estimate of gastric cancer in Helicobacter pylori-in-fected population: A systematic review and meta-analysis. 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