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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.2019.65.29</article-id><article-id custom-type="elpub" pub-id-type="custom">ymj-863</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>НАУЧНЫЕ ОБЗОРЫ И ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>SCIENTIFIC REVIEWS AND LECTURES</subject></subj-group></article-categories><title-group><article-title>Лечение детей с остеосаркомой</article-title><trans-title-group xml:lang="en"><trans-title>Treatment of children with osteosarcoma</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>Сенжапова</surname><given-names>Э. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Senzhapova</surname><given-names>E. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сенжапова Эльмира Рифатовна – к.м.н., н.с.</p></bio><bio xml:lang="en"><p>Sengapova Elmira, PhD, Scientific Researcher of the Research Institute of the Pediatric Oncology and Hematology</p><p>115478, Moscow, Kashirskoye sh., 24</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8398-7001</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рыков</surname><given-names>М. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Rykov</surname><given-names>M. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рыков Максим Юрьевич – к.м.н., зам. Директора;</p><p>Доцент</p><p>гл. внештат. детский специалист онколог Минздрава России по центральному федеральному округу</p></bio><bio xml:lang="en"><p>Rykov Maxim, PhD, Deputy Director of the Scientific Researcher of the Research Institute of the Pediatric Oncology and Hematology;</p><p>associate professor of the Department of Oncology</p><p>the chief freelance children’s specialist oncologist of the Ministry of Health of Russia in the Central Federal District</p><p>115478, Moscow, Kashirskoye sh., 24</p></bio><email xlink:type="simple">wordex2006@rambler.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Минздрава России (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.N. Blockhin Medical Research Center of Oncology of the Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>НИИ ДОГ ФГБУ «НМИЦ онкологии им. Н.Н. Блохина» Минздрава России;&#13;
ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Минздрава России (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.N. Blockhin Medical Research Center of Oncology of the Ministry of Health of Russia;&#13;
First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>16</day><month>08</month><year>2025</year></pub-date><volume>0</volume><issue>1</issue><fpage>94</fpage><lpage>102</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Сенжапова Э.Р., Рыков М.Ю., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Сенжапова Э.Р., Рыков М.Ю.</copyright-holder><copyright-holder xml:lang="en">Senzhapova E.R., Rykov 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://ymj.elpub.ru/jour/article/view/863">https://ymj.elpub.ru/jour/article/view/863</self-uri><abstract><p>В статье приведены статистические данные, описывающие заболеваемость остеосаркомой у детей, классификация остеосаркомы, описание основных локализаций, а также подробное описание существующих протоколов лечения, включая персонализированную терапию. Подробно описаны литературные данные – результаты лечения детей с остеосаркомой с применением различных курсов химиотерапии, а также новые подходы к лечению, включая персонализированную терапию. Отмечено, что результаты лечения детей с первичной метастатической остеосаркомой, рецидивом и рефрактерным течением заболевания остаются неудовлетворительными.</p></abstract><trans-abstract xml:lang="en"><p>The article presents statistical data of the incidence of osteosarcoma in children, the classification of osteosarcoma, a description of the main localizations, as well as a detailed description of existing treatment protocols, including personalized therapy. Literary data are described in detail – the results of treatment of children with osteosarcoma using different courses of chemotherapy, as well as new approaches to treatment, including personalized therapy. It is noted that the results of treatment of children with primary metastatic osteosarcoma, relapse and refractory course of the disease remain unsatisfactory.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>детская онкология</kwd><kwd>остеосаркома</kwd><kwd>химиотерапия</kwd><kwd>персонализированная терапия</kwd><kwd>комбинированное лечение</kwd></kwd-group><kwd-group xml:lang="en"><kwd>pediatric oncology</kwd><kwd>osteosarcoma</kwd><kwd>chemotherapy</kwd><kwd>personalized therapy</kwd><kwd>combined treatment</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">Пунанов Ю.А. Результаты комбинированного лечения детей и подростков с остеосаркомой / Ю.А. Пунанов, Т.В. Андреева, Г.И. Гафтон, Ю.В Гудзь, С.А. Сафонова, В.В. Набоков, В.И. Новик // Онкопедиатрия. – 2014. – № 1(2). – C. 49-53.</mixed-citation><mixed-citation xml:lang="en">Punanov Y.A. 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