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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">10.18027/2224-5057-2026-068</article-id><article-id custom-type="elpub" pub-id-type="custom">tumors-1632</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>КЛИНИЧЕСКИЕ СЛУЧАИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL NOTES</subject></subj-group></article-categories><title-group><article-title>Лечение пациентов RAS-мутированным колоректальным раком с метастатическим поражением легких</article-title><trans-title-group xml:lang="en"><trans-title>Treatment of patients with R AS-mutated colorectal cancer with lung metastases</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8649-7438</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мурзаханова</surname><given-names>К. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Murzakhanova</surname><given-names>K. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Карина Ильгизовна Мурзаханова</p><p>115478 Москва, Каширское шоссе, 23</p><p>125993 Москва, ул. Баррикадная, 2 / 1, стр. 1</p></bio><bio xml:lang="en"><p>Karina Ilgizovna Murzakhanova</p><p>23 Kashirskoe Shosse, Moscow 115478</p><p>Build. 1, 2 / 1 Barrikadnaya St., Moscow 125993</p></bio><email xlink:type="simple">karina.murzaxanova@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7753-3081</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кузнецова</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuznetsova</surname><given-names>O. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Олеся Алексеевна Кузнецова</p><p>115478 Москва, Каширское шоссе, 23</p></bio><bio xml:lang="en"><p>Olesya Alekseevna Kuznetsova</p><p>23 Kashirskoe Shosse, Moscow 115478</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/0000-0001-9732-4033</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Макиев</surname><given-names>Г. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Makiev</surname><given-names>G. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Георгий Георгиевич Макиев</p><p>115478 Москва, Каширское шоссе, 23</p></bio><bio xml:lang="en"><p>Georgy Georgievich Makiev</p><p>23 Kashirskoe Shosse, Moscow 115478</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/0000-0002-3193-9008</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Липатов</surname><given-names>Д. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Lipatov</surname><given-names>D. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Данила Олегович Липатов</p><p>115478 Москва, Каширское шоссе, 23</p></bio><bio xml:lang="en"><p>Danila Olegovich Lipatov</p><p>23 Kashirskoe Shosse, Moscow 115478</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/0000-0002-6557-3868</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ерошин</surname><given-names>Ю. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Eroshin</surname><given-names>Yu. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юрий Владимирович Ерошин</p><p>115478 Москва, Каширское шоссе, 23</p></bio><bio xml:lang="en"><p>Yuri Vladimirovich Eroshin</p><p>23 Kashirskoe Shosse, Moscow 115478</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Худоеров</surname><given-names>Д. Х.</given-names></name><name name-style="western" xml:lang="en"><surname>Khudoerov</surname><given-names>D. H.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115478 Москва, Каширское шоссе, 23</p></bio><bio xml:lang="en"><p>23 Kashirskoe Shosse, Moscow 115478</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/0000-0003-2245-214X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Трякин</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Tryakin</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Алексей Александрович Трякин</p><p>115478 Москва, Каширское шоссе, 23</p></bio><bio xml:lang="en"><p>Alexey Alexandrovich Tryakin</p><p>23 Kashirskoe Shosse, Moscow 115478</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «Научный медицинский исследовательский центр онкологии им. Н. Н. Блохина» Минздрава России; ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» 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; Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ «Научный 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><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>21</day><month>04</month><year>2026</year></pub-date><volume>16</volume><issue>1</issue><elocation-id>108–117</elocation-id><permissions><copyright-statement>Copyright &amp;#x00A9; Мурзаханова К.И., Кузнецова О.А., Макиев Г.Г., Липатов Д.О., Ерошин Ю.В., Худоеров Д.Х., Трякин А.А., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Мурзаханова К.И., Кузнецова О.А., Макиев Г.Г., Липатов Д.О., Ерошин Ю.В., Худоеров Д.Х., Трякин А.А.</copyright-holder><copyright-holder xml:lang="en">Murzakhanova K.I., Kuznetsova O.A., Makiev G.G., Lipatov D.O., Eroshin Y.V., Khudoerov D.H., Tryakin A.A.</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/1632">https://www.malignanttumors.org/jour/article/view/1632</self-uri><abstract><p>Цель: представить и проанализировать клинические результаты лечения пациентов с RAS-мутированным метастатическим колоректальным раком на основе двух наблюдений, оценив эффективность проведенных схем системной терапии, а также продемонстрировать факторы, влияющие на тактику лечения и ответ опухоли. Представленные случаи продемонстрировали необходимость в поиске новых маркеров и в персонализированном подходе к терапии у пациентов с колоректальным раком. Полученные наблюдения были сопоставлены с актуальными данными литературы, что позволяет продемонстрировать практическую значимость индивидуализированного подхода к лечению пациентов с RAS-мутированным метастатическим колоректальным раком.</p></abstract><trans-abstract xml:lang="en"><p>Objective: to present and analyze the clinical treatment outcomes of patients with RAS-mutated metastatic colorectal cancer based on two case reports, assessing the efficacy of systemic therapy regimens, and demonstrating factors influencing treatment strategy and tumor response. These cases demonstrate the need for new markers and a personalized approach to therapy in patients with colorectal cancer. These observations were compared with current literature data, demonstrating the practical value of an individualized approach to treating patients with RAS-mutated metastatic colorectal cancer.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>KRAS-мутации</kwd><kwd>метастатический колоректальный рак</kwd><kwd>анти-VEGF терапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>KRAS mutations</kwd><kwd>metastatic colorectal cancer</kwd><kwd>anti-VEGF therapy</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">Sung H., Ferlay J., Siegel R.L., et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin 2021;71(3):209–249. https://doi.org/10.3322/caac.21660</mixed-citation><mixed-citation xml:lang="en">Sung H., Ferlay J., Siegel R.L., et al. 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