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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">10.18027/2224-5057-2017-3-5-12</article-id><article-id custom-type="elpub" pub-id-type="custom">tumors-386</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>Проблемы выбора стратегии скрининга рака молочной железы у женщин старших возрастных групп</article-title><trans-title-group xml:lang="en"><trans-title>Problems of choice in breast cancer screening strategy in elderly women</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>Лесько</surname><given-names>К. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Lesko</surname><given-names>K. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к. м. н., врач-рентгенолог отделения лучевой диагностики №1, старший научный сотрудник отдела последипломного образования и науки</p></bio><bio xml:lang="en"><p>MD, Ph.D. Med, radiologist, Department of Radiology N1, Senior Researcher of Educational and Scientific Department</p></bio><email xlink:type="simple">k.lesko@mknc.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>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, заместитель директора по онкологии ГБУЗ «Московский клинический научно-практический центр имени А.С. Логинова ДЗМ», заместитель Главного внештатного специалиста-онколога</p></bio><bio xml:lang="en"><p>MD, DSc Med, PhD Med, Professor, Deputy Director, A.S. Loginov Moscow Clinical Scientific Center Moscow Health Department, Deputy Main oncologist of Moscow Health Department</p></bio><email xlink:type="simple">k.lesko@mknc.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>Абдураимов</surname><given-names>А. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Abduraimov</surname><given-names>A. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д. м. н., руководитель проекта развития маммологии, заместитель директора по образовательной деятельности ГБУЗ «Московский клинический научно-практический центр имени А.С. Логинова ДЗМ», профессор кафедры лучевой диагностики ФГБОУ ВО МГМСУ им. А.И. Евдокимова Минздрава России</p></bio><bio xml:lang="en"><p>MD, DSc Med, PhD Med., Head of Mammology Development Project, Deputy Director, A.S. Loginov Moscow Clinical Scientific Center Moscow Health Department, Professor of radiology department, FSBEI HE A.I. Yevdokimov MSMSU MOH Russia</p></bio><email xlink:type="simple">k.lesko@mknc.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Михайлова</surname><given-names>З. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Mikhaylova</surname><given-names>Z. F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д. м. н., ведущий научный сотрудник отдела последипломного образования и науки</p></bio><bio xml:lang="en"><p>MD, DSc Med, PhD Med, Leading Researcher of the Educational and Scientific Department</p></bio><email xlink:type="simple">k.lesko@mknc.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>Карпова</surname><given-names>С. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Karpova</surname><given-names>S. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кандидат медицинских наук, старший научный сотрудник отдела последипломного образования и науки, врач-онколог клинико-диагностического отделения</p></bio><bio xml:lang="en"><p>MD, Ph.D. Med, Oncologist, Senior Researcher of the Educational and Scientific Department</p></bio><email xlink:type="simple">k.lesko@mknc.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГБУЗ «Московский клинический научно-практический центр имени А. С. Логинова ДЗМ»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>A.S. Loginov Moscow Clinical Scientific Center</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ГБУЗ «Московский клинический научно-практический центр имени А. С. Логинова ДЗМ»;&#13;
ФГБОУ ВО МГМСУ им. А. И. Евдокимова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>A.S. Loginov Moscow Clinical Scientific Center;&#13;
FSBEI HE A. I. Yevdokimov MSMSU</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>17</day><month>11</month><year>2017</year></pub-date><volume>0</volume><issue>3</issue><fpage>5</fpage><lpage>12</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Лесько К.А., Бяхов М.Ю., Абдураимов А.Б., Михайлова З.Ф., Карпова С.Н., 2017</copyright-statement><copyright-year>2017</copyright-year><copyright-holder xml:lang="ru">Лесько К.А., Бяхов М.Ю., Абдураимов А.Б., Михайлова З.Ф., Карпова С.Н.</copyright-holder><copyright-holder xml:lang="en">Lesko K.A., Byakhov M.Y., Abduraimov A.B., Mikhaylova Z.F., Karpova S.N.</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/386">https://www.malignanttumors.org/jour/article/view/386</self-uri><abstract><p>В статье отражен современный взгляд на различные варианты проведения скрининга рака молочной железы (РМЖ) у пожилых женщин. Особое внимание уделено сложностям и противоречиям в определении возрастных рамок к проведению маммографического скрининга РМЖ, существующим в научной литературе. На основании анализа статистических данных по г. Москве авторами сделаны выводы о возможности проведения маммо-графического скрининга РМЖ у женщин в возрасте 75 лет и старше при условии индивидуального подхода к включению в программу скрининга РМЖ с учетом коморбидности.</p><sec><title> </title><p> </p></sec><sec><title> </title><p> </p></sec></abstract><trans-abstract xml:lang="en"><p>The article describes modern view on early breast cancer diagnosis in elderly women. The emphasis was made on controversies and problems of breast cancer mammography screening in women older than 75 years. As a result of Moscow breast cancer statistics analysis the authors made a conclusion that breast cancer mammographic screening could be performed in women 75 years or older. Final decision of inclusion or exclusion needs to be accepted individually in each case, and should be made regarding individual comorbidity of patients.</p><p> </p></trans-abstract><kwd-group xml:lang="ru"><kwd>рак молочной железы</kwd><kwd>пожилые женщины</kwd><kwd>скрининг</kwd><kwd>маммография</kwd></kwd-group><kwd-group xml:lang="en"><kwd>breast cancer</kwd><kwd>elderly women</kwd><kwd>screening</kwd><kwd>mammography</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">Ervik M., Lam F., Ferlay J. et al. Cancer Today, Lyon, France: International agency for research on cancer, 2016, available at: http://gco.iarc.fr / today (September 20, 2016).</mixed-citation><mixed-citation xml:lang="en">Ervik M., Lam F., Ferlay J. et al. 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