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вce журналы << Эндокринная хирургия << 2014 год << №1 <<
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Проект российских клинических рекомендаций по диагностике и лечению адренокортикального рака

Мельниченко Г.А., Стилиди И.С., Горбунова В.А., Алексеев Б.Я., Бельцевич Д.Г., Райхман А.О., Кузнецов Н.С., Жуков Н.В., Бохян В.Ю.
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Мельниченко Г.А. - академик РАМН, ФГБУ “Эндокринологический научный центр” МЗ РФ,
Стилиди И.С. - член-корр. РАМН, ФГБУ “Российский онкологический научный центр им. Н.Н. Блохина” РАМН,
Горбунова В.А. - проф., доктор мед. наук, ФГБУ “Российский онкологический научный центр им. Н.Н. Блохина” РАМН,
Алексеев Б.Я. - проф., доктор мед. наук, ФГБУ “Московский научно-исследовательский онкологический институт им. П.А. Герцена” МЗ РФ,
Бельцевич Д.Г. - доктор мед. наук, ФГБУ “Эндокринологический научный центр” МЗ РФ, beltsevich@rambler.ru,
Райхман А.О. - ГБОУ ВПО “Первый Московский государственный медицинский университет им. И.М. Сеченова” МЗ РФ,
Кузнецов Н.С. - проф., доктор мед. наук, ФГБУ “Эндокринологический научный центр” МЗ РФ,
Жуков Н.В. - канд. мед. наук, ФГБУ “Московский научно-исследовательский онкологический институт им. П.А. Герцена” МЗ РФ; ФГБУ “ФНКЦ детской гематологии, онкологии и иммунологии им. Д. Рогачева” МЗ РФ,
Бохян В.Ю. - доктор мед. наук, ФГБУ “Российский онкологический научный центр им. Н.Н. Блохина” РАМН,

Определение гормональной активности и злокачественного потенциала - актуальнейший вопрос диагностики и выбора лечебной тактики при опухолях надпочечников. Адренокортикальный рак (АКР) - достаточно редкое заболевание, которое характеризуется плохими прогностическими показателями. Встречаемость АКР - 0,5-2 случая на миллион населения, в структуре инциденталом надпочечников - не более чем 2-4% наблюдений. Для широкого обсуждения предлагается проект клинических рекомендаций по диагностике и лечению АКР, предназначенных для онкологов, хирургов, эндокринологов, специалистов по лучевой диагностике, патоморфологов и др.

Ключевые слова:
adrenal tumors, adrenal cortical cancer, pheochromocytoma, paraganglioma, hypercortysolism, mitotane, опухоли надпочечника, адренокортикальный рак, рак коры надпочечника, феохромоцитома, параганглиома, гиперкортицизм, митотан

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Draft of Russian Guidelines of Diagnosis and Treatment of Adrenal Cortical Cancer

Melnichenko G.A., Stilidi I.S., Gorbunova V.A., Alexeev B.Ya., Beltsevich D.G., Raykhman A.O., Kuznetsov N.S., Zhukov N.V., Bokhyan V.Yu.

Statement of hormonal activity and potential malignancy are the most important issues of diagnosis and selection of appropriate treatment way for patients with adrenal tumors. Adrenal cortical carcinoma (ACC) is rare disease with poor prognosis. Incidience of ACC is about 0.5-2 per million, and no more then 2-4% among adrenal tumors. This draft of guidelines of diagnosis and treatment of ACC is offered to common discussion among wide round of specialists.

Keywords:
adrenal tumors, adrenal cortical cancer, pheochromocytoma, paraganglioma, hypercortysolism, mitotane, опухоли надпочечника, адренокортикальный рак, рак коры надпочечника, феохромоцитома, параганглиома, гиперкортицизм, митотан

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