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<article 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" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Head and Neck Tumors</journal-id><journal-title-group><journal-title xml:lang="en">Head and Neck Tumors</journal-title><trans-title-group xml:lang="ru"><trans-title>Опухоли головы и шеи</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2222-1468</issn><issn publication-format="electronic">2411-4634</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1111</article-id><article-id pub-id-type="doi">10.17650/2222-1468-2025-15-3-124-130</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>CLINICAL CASE</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЙ СЛУЧАЙ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">mTOR inhibitor as off-label option in treatment of progressive refractory nasopharyngeal carcinoma</article-title><trans-title-group xml:lang="ru"><trans-title>Возможности персонализированного подхода в лечении распространенного рецидивирующего рака носоглотки</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0918-3857</contrib-id><name-alternatives><name xml:lang="en"><surname>Mudunov</surname><given-names>A. M.</given-names></name><name xml:lang="ru"><surname>Мудунов</surname><given-names>А. М.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>111 1st Uspenskoe Shosse, Lapino, Moscow  Region 143081</p><p>Bld. 2, 8 Trubetskaya St., Moscow 11999</p></bio><bio xml:lang="ru"><p>143081 Московская обл., д. Лапино, 1-е Успенское шоссе, 111</p><p>119991 Москва, ул. Трубецкая, 8, стр. 2</p></bio><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9372-3328</contrib-id><name-alternatives><name xml:lang="en"><surname>Khabazov</surname><given-names>A. M.</given-names></name><name xml:lang="ru"><surname>Хабазова</surname><given-names>А. М.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>66 Sevastopolsky Prospekt, 116152 Moscow</p></bio><bio xml:lang="ru"><p>116152 Москва, Севастопольский пр-кт, 66</p></bio><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4546-0011</contrib-id><name-alternatives><name xml:lang="en"><surname>Pak</surname><given-names>M. B.</given-names></name><name xml:lang="ru"><surname>Пак</surname><given-names>М. Б.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Maxim Bokmanovich Pak </p><p>66 Sevastopolsky Prospekt, 116152 Moscow</p></bio><bio xml:lang="ru"><p>Максим Бокманович Пак </p><p>116152 Москва, Севастопольский пр-кт, 66</p></bio><email>mbpak@yandex.ru</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8727-6111</contrib-id><name-alternatives><name xml:lang="en"><surname>Berelavichus</surname><given-names>S. V.</given-names></name><name xml:lang="ru"><surname>Берелавичус</surname><given-names>С. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>66 Sevastopolsky Prospekt, 116152 Moscow</p></bio><bio xml:lang="ru"><p>116152 Москва, Севастопольский пр-кт, 66</p></bio><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7690-731X</contrib-id><name-alternatives><name xml:lang="en"><surname>Chen</surname><given-names>H.</given-names></name><name xml:lang="ru"><surname>Чэнь</surname><given-names>Х.</given-names></name></name-alternatives><address><country country="CN">China</country></address><bio xml:lang="en"><p>8 South Gongren Gymnasium Road, Chaoyang District, Beijing 100006</p></bio><bio xml:lang="ru"><p>100006 Пекин, район Чаоян, South Gongren Gymnasium Road, 8</p></bio><xref ref-type="aff" rid="aff4"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Clinical Hospital “Lapino” of the “Mother and Child” Group of companies</institution></aff><aff><institution xml:lang="ru">Клинический госпиталь «Лапино» группы компаний «Мать и дитя»</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Sechenov University, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГАОУ ВО Первый Московский государственный медицинский университет им. И. М. Сеченова Минздрава России (Сеченовский Университет)</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Specialized Medical Center of the Bank of Russia</institution></aff><aff><institution xml:lang="ru">Многопрофильный медицинский центр Банка России</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">Beijing Chao-Yang hospital, Capital Medical University</institution></aff><aff><institution xml:lang="ru">Пекинская больница Чао-Ян, Столичный медицинский университет</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2025-11-03" publication-format="electronic"><day>03</day><month>11</month><year>2025</year></pub-date><volume>15</volume><issue>3</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>124</fpage><lpage>130</lpage><history><date date-type="received" iso-8601-date="2025-11-03"><day>03</day><month>11</month><year>2025</year></date><date date-type="accepted" iso-8601-date="2025-11-03"><day>03</day><month>11</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2025, Mudunov A.M., Khabazov A.M., Pak M.B., Berelavichus S.V., Chen H.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2025, Мудунов А.М., Хабазова А.М., Пак М.Б., Берелавичус С.В., Чэнь Х.</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="en">Mudunov A.M., Khabazov A.M., Pak M.B., Berelavichus S.V., Chen H.</copyright-holder><copyright-holder xml:lang="ru">Мудунов А.М., Хабазова А.М., Пак М.Б., Берелавичус С.В., Чэнь Х.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://ogsh.abvpress.ru/jour/article/view/1111">https://ogsh.abvpress.ru/jour/article/view/1111</self-uri><abstract xml:lang="en"><p>Nasopharyngeal carcinoma (NpC) is a malignant tumor developing from the non-keratinizing epithelium of the nasopharynx. In 2022, more that 530,000 new NpC cases were registered worldwide. The rate of NpC in the Russian federation reaches 0.3 % among all malignancies and up to 2 % of head and neck cancers. The 5-year overall survival rate varies from 90 % in patients with stage I NpC to 40 % in those with stage Iv NpC. Over 40 % of newly diagnosed NpC patients already have stage Iv disease.</p><p>In this article, we report a case of successful treatment of a patient with locally advanced recurrent nasopharyngeal carcinoma.</p></abstract><trans-abstract xml:lang="ru"><p>Рак носоглотки (назофарингеальная карцинома) – злокачественная опухоль, развивающаяся из неороговевающего эпителия носоглотки. В 2022 г. в мире зафиксировано более 530 тыс. новых случаев данной патологии. В РФ рак носоглотки составляет 0,3 % всех злокачественных новообразований и до 2 % всех злокачественных опухолей головы и шеи. пятилетняя общая выживаемость при заболевании I стадии составляет 90 %, Iv – 40 %. более чем у 40 % пациентов рак носоглотки диагностируют на Iv стадии.</p><p>В статье представлен клинический случай успешного лечения пациентки с распространенным рецидивирующим раком носоглотки.</p></trans-abstract><kwd-group xml:lang="en"><kwd>nasopharyngeal cancer</kwd><kwd>nasopharyngeal carcinoma</kwd><kwd>omprehensive genomic profiling</kwd><kwd>extensive molecular testing</kwd><kwd>AKT1</kwd><kwd>molecular diagnostics of nasopharyngeal cancer</kwd><kwd>targeted therapy</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>рак носоглотки</kwd><kwd>назофарингеальная карцинома</kwd><kwd>комплексное геномное профилирование</kwd><kwd>расширенно агностика рака носоглотки</kwd><kwd>таргетная терапия</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">Encyclopedia of clinical Oncology: basic tools and methods for the diagnosis and treatment of malignant neoplasms. 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