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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">10.18027/2224-5057-2017-1-78-83</article-id><article-id custom-type="elpub" pub-id-type="custom">tumors-332</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>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL REPORTS</subject></subj-group></article-categories><title-group><article-title>Применение монотерапии винорелбином в лечении метастатического рака молочной железы в г. Москве в 2015 году</article-title><trans-title-group xml:lang="en"><trans-title>Vinorelbine as a monotherapy in metastatic breast cancer treatment</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>ХИСАМОВ</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>KHISAMOV</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач-хирург</p></bio><bio xml:lang="en"><p>MD surgeon</p></bio><email xlink:type="simple">arthisamov@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>ПРОСТОВ</surname><given-names>М. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>PROSTOV</surname><given-names>M. Y.</given-names></name></name-alternatives><bio xml:lang="ru"><p>медицинский статистик</p></bio><bio xml:lang="en"><p>medical statistician</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>БЯХОВ</surname><given-names>М. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>BYAKHOV</surname><given-names>M. Y.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д. м.н., профессор, главный онколог Московской области, зам. директора по онкологии</p></bio><bio xml:lang="en"><p>MD, PhD, DSc, professor, chief oncologist of Moscow region, deputy-chief in oncology</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Московский клинический научный центр</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Moscow Clinical Scientific Center</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>фонд «Онкопрогресс»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>«Oncoprogress Foundation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>05</day><month>07</month><year>2017</year></pub-date><volume>0</volume><issue>1</issue><fpage>78</fpage><lpage>83</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; ХИСАМОВ А.А., ПРОСТОВ М.Ю., БЯХОВ М.Ю., 2017</copyright-statement><copyright-year>2017</copyright-year><copyright-holder xml:lang="ru">ХИСАМОВ А.А., ПРОСТОВ М.Ю., БЯХОВ М.Ю.</copyright-holder><copyright-holder xml:lang="en">KHISAMOV A.A., PROSTOV M.Y., BYAKHOV M.Y.</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/332">https://www.malignanttumors.org/jour/article/view/332</self-uri><abstract><p>Цель: проанализировать результаты лечения винорелбином у пациентов с метастатическим раком молочной железы (РМЖ).Пациенты и методы: Всего в 2015 г. в г. Москве было выявлено 5943 случaев установления диагноза РМЖ. С IV стадией заболевания наблюдалось 2378 пациентов. Из них лечение винорелбином получили 113 пациентов, получили другие виды химиотерапии – 1056 пациентов, не проводилось никакого лечения 1209 пациентам. В качестве 1-й линии терапии препарат получили 13,5% больных, 2-й линии – 59,7%, 3-й линии – 26,8%.Результаты: При расчете доверительных интервалов 1-летней выживаемости между группой больных, получивших лечение винорелбином (ДИ 95%; 0.25–1.0), получивших другие виды лечения (ДИ 95%; 0.47–1.0) и не получивших лечения вообще (ДИ 95%; 0.32–0.49), достоверной разницы получено не было, однако, отмечена четкая тенденция к появлению разницы между группой больных, получивших винорелбин и группой пациентов, не получивших никакого лечения.Заключение: Винорелбин является эффективным и хорошо переносимым препаратом при лечении больных с метастатическим РМЖ, однако необходимо проведениерандомизированных мультицентровых исследований с целью оценить его эффективность в качестве монотерапии у больных с метастатическим РМЖ.</p></abstract><trans-abstract xml:lang="en"><p>Aim: to analyze the results of treatment with vinorelbine in patients with metastatic breast cancer (BC).Patients and methods: There were 5943 of new cases of BC in Moscow and there were 2378 patients with IV stage of the disease. 113 patients were treated with vinorelbine as a monotherapy, 1056 had other options of chemotherapy and 1209 patients had no treatment. As a first-line therapy vinorelbine was used in 13.5% of patients, as a second-line – in 59.7% and as a third-line – in 26.8%.Results: There were no significant difference in 1-year survival between group of treatment with vinorelbine (CI 95%; 0.25–1.0), group of other options of chemotherapy (CI 95%; 0.47–1.0) and group with no treatment (CI 95%; 0.32–0.49). But there were a clear tendency of increasing of difference between vinorelbine group and group without treatment.Conclusion: Vinorelbine is an ef fective and well-tolerated agent in patients with metastatic BC. But randomized multicenter trials are needed to evaluate ef ficacy of vinorelbine as amonotherapy.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>метастатический рак молочной железы</kwd><kwd>винорелбин</kwd><kwd>монотерапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>metastatic breast cancer</kwd><kwd>vinorelbine</kwd><kwd>monotherapy</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">Siegel R.L., Miller K.D., Jemal A. Cancer statistics, 2016.CA Cancer J. Clin 2016;66:7–30.</mixed-citation><mixed-citation xml:lang="en">Siegel R.L., Miller K.D., Jemal A. Cancer statistics, 2016.CA Cancer J. Clin 2016;66:7–30.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">American Cancer Society. Cancer Facts &amp; Figures 2016.</mixed-citation><mixed-citation xml:lang="en">American Cancer Society. 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