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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">173</article-id><article-id pub-id-type="doi">10.17650/2222-1468-2015-5-3-55-58</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">Successful treatment for disseminated nasopharyngeal cancer with bone marrow metastases: a clinical case</article-title><trans-title-group xml:lang="ru"><trans-title>Успешное лечение распространенного рака носоглотки с метастатическим поражением костного мозга (клиническое наблюдение)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Radzhabova</surname><given-names>Z. A.</given-names></name><name xml:lang="ru"><surname>Раджабова</surname><given-names>З. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Tkachenko</surname><given-names>E. V.</given-names></name><name xml:lang="ru"><surname>Ткаченко</surname><given-names>Е. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>elenatkachen@yandex.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Morozov</surname><given-names>I. A.</given-names></name><name xml:lang="ru"><surname>Морозов</surname><given-names>И. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff3"/><xref ref-type="aff" rid="aff4"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Rakitina</surname><given-names>D. A.</given-names></name><name xml:lang="ru"><surname>Ракитина</surname><given-names>Д. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Nazhmudinov</surname><given-names>R. A.</given-names></name><name xml:lang="ru"><surname>Нажмудинов</surname><given-names>Р. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">N.N. Petrov Research Institute of Oncology, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБУ «НИИ онкологии им. Н. Н. Петрова» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">68 Leningradskaya St., Pesochnyi Settlement, Saint Petersburg, 197758, Russia</institution></aff><aff><institution xml:lang="ru">Россия, 197758, Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Territorial Clinical Cancer Center</institution></aff><aff><institution xml:lang="ru">ГУЗ «Краевой клинический центр онкологии»</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">164 Voronezhskoe Shosse, Khabarovsk, 680042, Russia</institution></aff><aff><institution xml:lang="ru">Россия, 680042, Хабаровск, Воронежское шоссе, 164</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2015-11-24" publication-format="electronic"><day>24</day><month>11</month><year>2015</year></pub-date><volume>5</volume><issue>3</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>55</fpage><lpage>58</lpage><history><date date-type="received" iso-8601-date="2015-11-24"><day>24</day><month>11</month><year>2015</year></date><date date-type="accepted" iso-8601-date="2015-11-24"><day>24</day><month>11</month><year>2015</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2015, Radzhabova Z.A., Tkachenko E.V., Morozov I.A., Rakitina D.A., Nazhmudinov R.A.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2015, Раджабова З.А., Ткаченко Е.В., Морозов И.А., Ракитина Д.А., Нажмудинов Р.А.</copyright-statement><copyright-year>2015</copyright-year><copyright-holder xml:lang="en">Radzhabova Z.A., Tkachenko E.V., Morozov I.A., Rakitina D.A., Nazhmudinov R.A.</copyright-holder><copyright-holder xml:lang="ru">Раджабова З.А., Ткаченко Е.В., Морозов И.А., Ракитина Д.А., Нажмудинов Р.А.</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/173">https://ogsh.abvpress.ru/jour/article/view/173</self-uri><abstract xml:lang="en"><p>Despite the low incidence of nasopharyngeal tumors, the treatment of patients with this disease remains an important and intricate issue. Its risk factors include smoking and alcoholism. About 60% of nasopharyngeal cancer cases are detected at Stages III–IV due to the fact that the early disease stages are latent. The diagnosis of the disease is difficult because of the specific features of the anatomy of the nasopharynx and physicians’ errors. Chemotherapy can relieve pain in patients and considerably improve their quality of life. Chemoradiation therapy is a main treatment option for locally advanced forms. The now range of choice of chemopreparations is narrow so data on successful chemotherapy are particularly valuable. The effectiveness of therapy depends on a patient’s general health state and comorbid condition. The frequency of complications after chemotherapy is high. Some patients are at risk for febrile neutropenia. The risk factors include over 65 years of age; hyponutrition; previous aggressive chemotherapy; the presence of open wounds; chronic obstructive pulmonary disease; and low hemoglobin levels. It is necessary to thoroughly control clinical blood tests, to alleviate the manifestations of mucositis, to evaluate the effect of performed therapy after each even cycle, and to perform computed tomography of the chest and abdomen and spiral computed tomography of the head and neck. In the absence of contraindications to radiotherapy, this technique should be considered during treatment planning. In patients with nasopharyngeal cancer, the efficiency of performed chemoradiation treatment is higher than that of chemotherapy only.</p></abstract><trans-abstract xml:lang="ru"><p/></trans-abstract><kwd-group xml:lang="en"><kwd>nasopharyngeal cancer</kwd><kwd>recurrence</kwd><kwd>nasopharyngeal squamous cell carcinoma</kwd><kwd>chemotherapy</kwd><kwd>cisplatin</kwd><kwd>docetaxel</kwd><kwd>blood indicators</kwd><kwd>chemotherapy complications</kwd><kwd>chest computed tomography</kwd><kwd>abdominal computed tomography</kwd><kwd>osteoscintigraphy</kwd><kwd>spiral computed tomography of the head and neck</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>рак носоглотки</kwd><kwd>рецидив</kwd><kwd>плоскоклеточный рак носоглотки</kwd><kwd>химиотерапия</kwd><kwd>показатели крови</kwd><kwd>осложнения от химиотерапии</kwd><kwd>компьютерная томография органов грудной клетки</kwd><kwd>компьютерная томография органов брюшной полости</kwd><kwd>остеосцинтиграфия</kwd><kwd>спиральная компьютерная томография головы и шеи</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">1. Давыдов М.И., Аксель Е.М. Статистика злокачественных новообразований в России и странах СНГ в 2012 году. М., 2014. [Davydov М.I., Аxel Е.М. Statistics of malignant abnormalities in Russia and CIS countries in the 2012. Мoscow, 2014. (In Russ.)].</mixed-citation><mixed-citation xml:lang="ru">Давыдов М.И., Аксель Е.М. Статистика злокачественных новообразований в России и странах СНГ в 2012 году. М., 2014. [Davydov М.I., Аxel Е.М. Statistics of malignant abnormalities in Russia and CIS countries in the 2012. Мoscow, 2014. (In Russ.)].</mixed-citation></citation-alternatives></ref><ref id="B2"><label>2.</label><citation-alternatives><mixed-citation xml:lang="en">2.Пачес А.И. Опухоли головы и шеи. М.: Практическая медицина, 2013. [Paches А.I. Head and neck tumors. Мoscow: Prakticheskaya Meditsina, 2013. (In Russ.)].</mixed-citation><mixed-citation xml:lang="ru">Пачес А.И. Опухоли головы и шеи. М.: Практическая медицина, 2013. [Paches А.I. Head and neck tumors. Мoscow: Prakticheskaya Meditsina, 2013. (In Russ.)].</mixed-citation></citation-alternatives></ref><ref id="B3"><label>3.</label><citation-alternatives><mixed-citation xml:lang="en">3. Чебнер Б.Э., Линч Т.Дж., Лонго Д.Л. Руководство по онкологии. Под ред. В.А. Хайленко. М.: МЕДпресс-информ, 2011. С. 629–44. [Chebner B.E., Lynch Т.J., Longo D.L. Oncology manual. Ed by: V.А. Haylenko. Мoscow: МЕDpress-inform, 2011. Pp. 629–44. (In Russ.)].</mixed-citation><mixed-citation xml:lang="ru">Чебнер Б.Э., Линч Т.Дж., Лонго Д.Л. Руководство по онкологии. Под ред. В.А. Хайленко. М.: МЕДпресс-информ, 2011. С. 629–44. [Chebner B.E., Lynch Т.J., Longo D.L. Oncology manual. Ed by: V.А. Haylenko. Мoscow: МЕDpress-inform, 2011. Pp. 629–44. (In Russ.)].</mixed-citation></citation-alternatives></ref><ref id="B4"><label>4.</label><citation-alternatives><mixed-citation xml:lang="en">4. Касчиато Д. Онкология. М.: Практика, 2008. С. 215–49. [Casciato D. Oncology. Мoscow: Praktika, 2008. Pp. 215–49. (In Russ.)].</mixed-citation><mixed-citation xml:lang="ru">Касчиато Д. Онкология. М.: Практика, 2008. С. 215–49. [Casciato D. Oncology. Мoscow: Praktika, 2008. Pp. 215–49. (In Russ.)].</mixed-citation></citation-alternatives></ref><ref id="B5"><label>5.</label><citation-alternatives><mixed-citation xml:lang="en">5. Чиссов В.И. Алгоритмы диагностики и лечения злокачественных новообразований. М., 2010. С. 15–70. [Chissov V.I. Аlgorythms of diagnostics and treatment of malignant abnormalities. Мoscow, 2010. Pp. 15–70. (In Russ.)].</mixed-citation><mixed-citation xml:lang="ru">Чиссов В.И. Алгоритмы диагностики и лечения злокачественных новообразований. М., 2010. С. 15–70. [Chissov V.I. Аlgorythms of diagnostics and treatment of malignant abnormalities. Мoscow, 2010. Pp. 15–70. (In Russ.)].</mixed-citation></citation-alternatives></ref><ref id="B6"><label>6.</label><citation-alternatives><mixed-citation xml:lang="en">6. RUSSCO. Практические рекомендации по лекарственному лечению злокачественных опухолей. Практические рекомендации по поддерживающей терапии в онкологии. Доступно по ссылке: http://www.rosoncoweb.ru/standarts/RUSSCO/. [RUSSCO. Practicalrecommendations on the pharmaceutical treatment of malignant tumors. Practical recommendations on the supporting therapy in oncology. Available by link: http://www.rosoncoweb.ru/standarts/RUSSCO/. (In Russ.)].</mixed-citation><mixed-citation xml:lang="ru">RUSSCO. Практические рекомендации по лекарственному лечению злокачественных опухолей. Практические рекомендации по поддерживающей терапии в онкологии. Доступно по ссылке: http://www.rosoncoweb.ru/standarts/RUSSCO/. [RUSSCO. Practicalrecommendations on the pharmaceutical treatment of malignant tumors. Practical recommendations on the supporting therapy in oncology. Available by link: http://www.rosoncoweb.ru/standarts/RUSSCO/. (In Russ.)].</mixed-citation></citation-alternatives></ref><ref id="B7"><label>7.</label><citation-alternatives><mixed-citation xml:lang="en">7. Горбунова В.А. Этюды химиотерапии. М., 2006. [Gorbunova V.А. Etudes of chemotherapy. Мoscow, 2006. (In Russ.)].</mixed-citation><mixed-citation xml:lang="ru">Горбунова В.А. Этюды химиотерапии. М., 2006. [Gorbunova V.А. Etudes of chemotherapy. Мoscow, 2006. (In Russ.)].</mixed-citation></citation-alternatives></ref><ref id="B8"><label>8.</label><citation-alternatives><mixed-citation xml:lang="en">8. Руководство по химиотерапии опухолевых заболеваний. Под ред. Н.И. Переводчиковой, В.А. Горбуновой. М.: Практическая медицина, 2011. [Manual on the chemotherapy of tumor diseases. By eds.: N.I. Perevodchikova, V.A. Gorbunova. Мoscow: Prakticheskaya Meditsina, 2011. (In Russ.)].</mixed-citation><mixed-citation xml:lang="ru">Руководство по химиотерапии опухолевых заболеваний. Под ред. Н.И. Переводчиковой, В.А. Горбуновой. М.: Практическая медицина, 2011. [Manual on the chemotherapy of tumor diseases. By eds.: N.I. Perevodchikova, V.A. Gorbunova. Мoscow: Prakticheskaya Meditsina, 2011. (In Russ.)].</mixed-citation></citation-alternatives></ref><ref id="B9"><label>9.</label><citation-alternatives><mixed-citation xml:lang="en">9. Краткое руководство по лечению опухолевых заболеваний. Под ред.: Майкла М. Боядзиса, Питера Ф. Лебоуица, Джеймса Н. Фрейма, Тайто Фоджо. М.: Практическая медицина, 2009. С. 792–835. [Short manual on the treatment of tumor diseases. By eds.: Michael М. Boyadzis, Peter F. Lebowitz, James N. Frame, Tayto Foggio. Мoscow: Prakticheskaya Meditsina, 2009. Pp. 792–835. (In Russ.)].</mixed-citation><mixed-citation xml:lang="ru">Краткое руководство по лечению опухолевых заболеваний. Под ред.: Майкла М. Боядзиса, Питера Ф. Лебоуица, Джеймса Н. Фрейма, Тайто Фоджо. М.: Практическая медицина, 2009. С. 792–835. [Short manual on the treatment of tumor diseases. By eds.: Michael М. Boyadzis, Peter F. Lebowitz, James N. Frame, Tayto Foggio. Мoscow: Prakticheskaya Meditsina, 2009. Pp. 792–835. (In Russ.)].</mixed-citation></citation-alternatives></ref><ref id="B10"><label>10.</label><citation-alternatives><mixed-citation xml:lang="en">10. Противоопухолевая химиотерапия. Под ред. Р.Т. Скила. М.: ГЭОТАР-Медиа, 2011. С. 303–3. [Antitumoral chemotherapy. By ed. R.Т. Skil. Мoscow: GEOTAR-Меdiа, 2011. Pp. 303–3. (In Russ.)].</mixed-citation><mixed-citation xml:lang="ru">Противоопухолевая химиотерапия. Под ред. Р.Т. Скила. М.: ГЭОТАР-Медиа, 2011. С. 303–3. [Antitumoral chemotherapy. By ed. R.Т. Skil. Мoscow: GEOTAR-Меdiа, 2011. Pp. 303–3. (In Russ.)].</mixed-citation></citation-alternatives></ref></ref-list></back></article>
