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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">ymj</journal-id><journal-title-group><journal-title xml:lang="ru">Якутский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Yakut Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1813-1905</issn><issn pub-type="epub">2312-1017</issn><publisher><publisher-name>ЯНЦ КМП</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.25789/YMJ.2025.91.05</article-id><article-id custom-type="elpub" pub-id-type="custom">ymj-1618</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 RESEARCH</subject></subj-group></article-categories><title-group><article-title>Перспективы выявления рака яичников при генетическом исследовании аспирата из полости матки</article-title><trans-title-group xml:lang="en"><trans-title>Prospects for the detection of ovarian cancer by genetic testing of aspirate from the uterine cavity</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0005-8204-705X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Графская</surname><given-names>М. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Grafskaya</surname><given-names>M. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Графская Мария Юрьевна – к.м.н., докторант.</p><p>344037, Ростов-наДону, 14-я линия, 63</p></bio><email xlink:type="simple">mariagrafskaja@ya.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/0000-0002-1084-5176</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вереникина</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Verenikina</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Вереникина Екатерина Владимировна – д.м.н., зав. Отделением.</p><p>344037, Ростов-наДону, 14-я линия, 63</p></bio><email xlink:type="simple">ekat.veren@yandex.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/0000-0002-1397-837X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Максимов</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Maksimov</surname><given-names>A. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Максимов Алексей Юрьевич – д.м.н., проф., зам. ген. Директора.</p><p>344037, Ростов-наДону, 14-я линия, 63</p></bio><email xlink:type="simple">rnioi@list.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/0000-0003-3545-9359</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Демидова</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Demidova</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Демидова Александра Александровна – д.м.н., доцент, зав. Кафедрой.</p><p>344022, Ростов-на-Дону, пер. Нахичеванский, 29</p></bio><email xlink:type="simple">alald@inbox.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-3611-6749</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Bova</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бова Елена Викторовна – к.м.н., доцент.</p><p>344022, Ростов-на-Дону, пер. Нахичеванский, 29</p></bio><email xlink:type="simple">bova_ev@rostgmu.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>Нажева</surname><given-names>М. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Nazheva</surname><given-names>M. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Нажева Марина Ибрагимовна – к.м.н., доцент.</p><p>344022, Ростов-на-Дону, пер. Нахичеванский, 29</p></bio><email xlink:type="simple">nazheva@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9374-6009</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дубатова</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Dubatova</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дубатова Ирина Владимировна – к.м.н., доцент.</p><p>344022, Ростов-на-Дону, пер. Нахичеванский, 29</p></bio><email xlink:type="simple">dubatovaiv@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>ФГБУ «Национальный медицинский исследовательский центр онкологии» Минздрава России</institution><country>Russian Federation</country></aff><aff xml:lang="ru" id="aff-2"><institution>ФГБОУ ВО «Ростовский государственный медицинский университет» Минздрава России</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>22</day><month>09</month><year>2025</year></pub-date><volume>0</volume><issue>3</issue><fpage>24</fpage><lpage>28</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Графская М.Ю., Вереникина Е.В., Максимов А.Ю., Демидова А.А., Бова Е.В., Нажева М.И., Дубатова И.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Графская М.Ю., Вереникина Е.В., Максимов А.Ю., Демидова А.А., Бова Е.В., Нажева М.И., Дубатова И.В.</copyright-holder><copyright-holder xml:lang="en">Grafskaya M.Y., Verenikina E.V., Maksimov A.Y., Demidova A.A., Bova E.V., Nazheva M.I., Dubatova I.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://ymj.elpub.ru/jour/article/view/1618">https://ymj.elpub.ru/jour/article/view/1618</self-uri><abstract><p>В статье у больных серозной карциномой яичников проведено генетическое исследование биологических образцов из аспирата полости матки с целью выявления мутаций генов, характерных для опухолевого поражения яичников. Доказано, что в аспирате из полости матки присутствуют диагностически значимые количества клеток или фрагментов клеток рака яичников, необходимых для проведения молекулярно-генетического анализа и обнаружения мутаций генов TP53, FAT3, CSMD3, BRAF, KRAS. Мутации генов BRCA1/2 встречаются редко. Обнаружение мутаций генов TP53, FAT3, CSMD3, BRAF, KRAS в клетках аспирата из полости матки требует проведения активного диагностического поиска в отношении выявления серозной карциномы яичников.</p></abstract><trans-abstract xml:lang="en"><p>In the article, a genetic study of biological samples from uterine cavity aspirate was performed in patients with serous ovarian carcinoma in order to identify gene mutations characteristic of ovarian tumor lesions. It has been proven that the aspiration from the uterine cavity contains diagnostically significant numbers of cells or fragments of ovarian cancer cells necessary for molecular genetic analysis and detection of mutations in the TP53, FAT3, CSMD3, BRAF, and KRAS genes. Mutations of the BRCA1/2 genes are rare. The detection of TP53, FAT3, CSMD3, BRAF, and KRAS gene mutations in uterine aspirate cells requires an active diagnostic search for the detection of ovarian serous carcinoma.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>рак яичников</kwd><kwd>серозная карцинома</kwd><kwd>морбидное ожирение</kwd><kwd>онкогенные мутации</kwd><kwd>аспирационная биопсия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>ovarian cancer</kwd><kwd>serous carcinoma</kwd><kwd>morbid obesity</kwd><kwd>oncogenic mutations</kwd><kwd>aspiration biopsy</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">Возможности скрининга рака тела матки по содержанию молекулярных маркеров в моче и вагинально-цервикальном секрете / О.И. Кит [и др.] // Клиническая лабораторная диагностика. 2023. 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