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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">246</article-id><article-id pub-id-type="doi">10.17650/2222-1468-2016-6-4-19-25</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>DIAGNOSIS AND TREATMENT OF HEAD AND NECK TUMORS</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ДИАГНОСТИКА И ЛЕЧЕНИЕ ОПУХОЛЕЙ ГОЛОВЫ И ШЕИ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">SURGICAL TREATMENT OF HEAD AND NECK CUTANEOUS MELANOMA: A MODERN APPROACH TO THE PROBLEM</article-title><trans-title-group xml:lang="ru"><trans-title>ОСОБЕННОСТИ ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ МЕЛАНОМЫ КОЖИ ГОЛОВЫ И ШЕИ. СОВРЕМЕННЫЙ ВЗГЛЯД НА ПРОБЛЕМУ</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><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>Department of Oncology, Medical Faculty.</p><p>Build. 2, 8 Trubetskaya St., Moscow 119991</p></bio><bio xml:lang="ru"><p>Максим Бокманович Пак - кафедра онкологии лечебного факультета.</p><p>119991 Москва, ул. Трубецкая, 8, стр. 2, <ext-link ext-link-type="uri" xlink:href="mailto:mbpak@yandex.ru">mbpak@yandex.ru</ext-link></p></bio><email>mbpak@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><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>Department of Oncology, Medical Faculty.</p><p>Build. 2, 8 Trubetskaya St., Moscow 119991; 23 Kashirskoe Shosse, Moscow 115478</p></bio><bio xml:lang="ru"><p>Кафедра онкологии лечебного факультета ПМГМУ.</p><p>119991 Москва, ул. Трубецкая, 8, стр. 2; 115478 Москва, Каширское шоссе, 23</p></bio><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Demidov</surname><given-names>L. V.</given-names></name><name xml:lang="ru"><surname>Демидов</surname><given-names>Л. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Department of Oncology, Medical Faculty FMSMU</p><p>Build. 2, 8 Trubetskaya St., Moscow 119991; 23 Kashirskoe Shosse, Moscow 115478</p></bio><bio xml:lang="ru"><p>Кафедра онкологии лечебного факультета ПМГМУ.</p><p>119991 Москва, ул. Трубецкая, 8, стр. 2; 115478 Москва, Каширское шоссе, 23</p></bio><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Azizyan</surname><given-names>R. I.</given-names></name><name xml:lang="ru"><surname>Азизян</surname><given-names>Р. И.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>23 Kashirskoe Shosse, Moscow 115478</p></bio><bio xml:lang="ru"><p>115478 Москва, Каширское шоссе, 23</p></bio><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Brzhezovskiy</surname><given-names>V. Zh.</given-names></name><name xml:lang="ru"><surname>Бржезовский</surname><given-names>В. Ж.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>23 Kashirskoe Shosse, Moscow 115478</p></bio><bio xml:lang="ru"><p>115478 Москва, Каширское шоссе, 23</p></bio><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Stelmakh</surname><given-names>D. K.</given-names></name><name xml:lang="ru"><surname>Стельмах</surname><given-names>Д. К.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>23 Kashirskoe Shosse, Moscow 115478</p></bio><bio xml:lang="ru"><p>115478 Москва, Каширское шоссе, 23</p></bio><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Utyashev</surname><given-names>I. А.</given-names></name><name xml:lang="ru"><surname>Утяшев</surname><given-names>И. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>23 Kashirskoe Shosse, Moscow 115478</p></bio><bio xml:lang="ru"><p>115478 Москва, Каширское шоссе, 23</p></bio><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Agabekyan</surname><given-names>G. O.</given-names></name><name xml:lang="ru"><surname>Агабекян</surname><given-names>Г. О.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>23 Kashirskoe Shosse, Moscow 115478</p></bio><bio xml:lang="ru"><p>115478 Москва, Каширское шоссе, 23</p></bio><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">I.M. Sechenov First Moscow State Medical University</institution></aff><aff><institution xml:lang="ru">Первый Московский государственный медицинский университет имени И.М. Сеченова</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">N.N. Blokhin Russian Cancer Research Center</institution></aff><aff><institution xml:lang="ru">Российский онкологический научный центр имени Н.Н. Блохина</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2016-12-08" publication-format="electronic"><day>08</day><month>12</month><year>2016</year></pub-date><volume>6</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>19</fpage><lpage>25</lpage><history><date date-type="received" iso-8601-date="2017-04-08"><day>08</day><month>04</month><year>2017</year></date><date date-type="accepted" iso-8601-date="2017-04-08"><day>08</day><month>04</month><year>2017</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2016, Pak M.B., Mudunov A.M., Demidov L.V., Azizyan R.I., Brzhezovskiy V.Z., Stelmakh D.K., Utyashev I.А., Agabekyan G.O.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2016, Пак М.Б., Мудунов А.М., Демидов Л.В., Азизян Р.И., Бржезовский В.Ж., Стельмах Д.К., Утяшев И.А., Агабекян Г.О.</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="en">Pak M.B., Mudunov A.M., Demidov L.V., Azizyan R.I., Brzhezovskiy V.Z., Stelmakh D.K., Utyashev I.А., Agabekyan G.O.</copyright-holder><copyright-holder xml:lang="ru">Пак М.Б., Мудунов А.М., Демидов Л.В., Азизян Р.И., Бржезовский В.Ж., Стельмах Д.К., Утяшев И.А., Агабекян Г.О.</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/246">https://ogsh.abvpress.ru/jour/article/view/246</self-uri><abstract xml:lang="en"><p>Cutaneous melanoma (CM) is a highly aggressive malignant tumor. The incidence of CM is 1–4 % of all cancers and 3–5 % of all malignant neoplasms of the skin. According to different authors, CM is localized in the area of head and neck (H&amp;N) in 22–46 %. Despite revolutionary discoveries in recent years in the treatment of metastatic melanoma, the main treatment option of primary СМ is still surgery. However, the question about the size of surgical margins and tissue sparing excision is still pending, particularly in the area of the head and neck. Despite the possibilities of modern methods of revealing of metastases in lymph nodes (LN),  diagnosis of “latent” metastases in LN and further tactics of treatment remains the matter of argument. The purpose of this publication is to review the literature on the current problem in the surgical treatment of СМ of the H&amp;N.</p><p>This article is the result of analysis of publication devoted to surgical treatment and diagnosis of СМ metastases in the LN of the H&amp;N.</p></abstract><trans-abstract xml:lang="ru"><p/></trans-abstract><kwd-group xml:lang="en"><kwd>cutaneous melanoma</kwd><kwd>head and neck</kwd><kwd>overall survival</kwd><kwd>surgical margins</kwd><kwd>wide excision</kwd><kwd>sentinel lymph node</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>меланома кожи</kwd><kwd>голова и шея</kwd><kwd>общая выживаемость</kwd><kwd>хирургический отступ</kwd><kwd>широкое иссечение</kwd><kwd>сторожевой лимфатический узел</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. Двойрин В.В., Церковный Г.Ф., Аксель Е.М. 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