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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">problendo</journal-id><journal-title-group><journal-title xml:lang="ru">Проблемы Эндокринологии</journal-title><trans-title-group xml:lang="en"><trans-title>Problems of Endocrinology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0375-9660</issn><issn pub-type="epub">2308-1430</issn><publisher><publisher-name>Endocrinology Research Centre</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14341/probl201460251-67</article-id><article-id custom-type="elpub" pub-id-type="custom">problendo-6930</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>Статьи</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>Федеральные клинические рекомендации по диагностике и лечению адренокортикального рака</article-title><trans-title-group xml:lang="en"><trans-title>Federal clinical practice guidelines on the diagnostics and treatment of adrenocortical cancer</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>Мельниченко</surname><given-names>Г А</given-names></name><name name-style="western" xml:lang="en"><surname>Melnichenko</surname><given-names>G A</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"/><email xlink:type="simple">-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Стилиди</surname><given-names>И С</given-names></name><name name-style="western" xml:lang="en"><surname>Stilidi</surname><given-names>I S</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"/><email xlink:type="simple">-</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>Алексеев</surname><given-names>Б Я</given-names></name><name name-style="western" xml:lang="en"><surname>Alekseev</surname><given-names>B Ya</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"/><email xlink:type="simple">-</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Горбунова</surname><given-names>В А</given-names></name><name name-style="western" xml:lang="en"><surname>Gorbunova</surname><given-names>V A</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"/><email xlink:type="simple">-</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>Бельцевич</surname><given-names>Д Г</given-names></name><name name-style="western" xml:lang="en"><surname>Beltsevich</surname><given-names>D G</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"/><email xlink:type="simple">beltsevich@rambler.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Райхман</surname><given-names>А О</given-names></name><name name-style="western" xml:lang="en"><surname>Raikhman</surname><given-names>A O</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"/><email xlink:type="simple">-</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кузнецов</surname><given-names>Н С</given-names></name><name name-style="western" xml:lang="en"><surname>Kuznetsov</surname><given-names>N S</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"/><email xlink:type="simple">-</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жуков</surname><given-names>Н В</given-names></name><name name-style="western" xml:lang="en"><surname>Zhukov</surname><given-names>N V</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"/><email xlink:type="simple">-</email><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бохян</surname><given-names>В Ю</given-names></name><name name-style="western" xml:lang="en"><surname>Bokhyan</surname><given-names>V Yu</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"/><email xlink:type="simple">-</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГБОУ ВПО «Первый московский государственный университет им. И.М. Сеченова» Минздрава России, Москва</institution></aff><aff xml:lang="en"><institution>Endocrinology Research Centre, Moscow; Sechenov First Moscow State Medical Univesity, Moscow</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ «Российский онкологический научный центр им. Н.Н. Блохина» РАМН, Москва</institution></aff><aff xml:lang="en"><institution>N.N. Blokhin Russian Cancer Research Center of the Russian Academy of Medical Sciences, Moscow</institution></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБУ «Московский научно-исследовательский онкологический институт им. П.А. Герцена» Минздрава России</institution></aff><aff xml:lang="en"><institution>P.A. Hertsen Moscow Cancer Research Institute, Moscow</institution></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБУ «Эндокринологический научный центр» Минздрава России, Москва</institution></aff><aff xml:lang="en"><institution>Endocrinology Research Centre, Moscow</institution></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>ГБОУ ВПО «Первый московский государственный университет им. И.М. Сеченова» Минздрава России, Москва</institution></aff><aff xml:lang="en"><institution>Sechenov First Moscow State Medical Univesity, Moscow</institution></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>ФГБУ «Московский научно-исследовательский онкологический институт им. П.А. Герцена» Минздрава России; ФГБУ «ФНКЦ детской гематологии, онкологии и иммунологии им. Д. Рогачева» Минздрава России, Москва</institution></aff><aff xml:lang="en"><institution>P.A. Hertsen Moscow Cancer Research Institute, Moscow; Federal Scientific Clinical Centre of Pediatric Hematology Oncology Immunology named after Dmitry Rogachev, Moscow</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>15</day><month>04</month><year>2014</year></pub-date><volume>60</volume><issue>2</issue><issue-title>ТОМ 60, №2 (2014)</issue-title><fpage>51</fpage><lpage>67</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Мельниченко Г.А., Стилиди И.С., Алексеев Б.Я., Горбунова В.А., Бельцевич Д.Г., Райхман А.О., Кузнецов Н.С., Жуков Н.В., Бохян В.Ю., 2014</copyright-statement><copyright-year>2014</copyright-year><copyright-holder xml:lang="ru">Мельниченко Г.А., Стилиди И.С., Алексеев Б.Я., Горбунова В.А., Бельцевич Д.Г., Райхман А.О., Кузнецов Н.С., Жуков Н.В., Бохян В.Ю.</copyright-holder><copyright-holder xml:lang="en">Melnichenko G.A., Stilidi I.S., Alekseev B.Y., Gorbunova V.A., Beltsevich D.G., Raikhman A.O., Kuznetsov N.S., Zhukov N.V., Bokhyan V.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://www.probl-endojournals.ru/jour/article/view/6930">https://www.probl-endojournals.ru/jour/article/view/6930</self-uri><abstract><p>Определение гормональной активности и злокачественного потенциала - актуальнейший вопрос диагностики и выбора лечебной тактики при опухолях надпочечников. Адренокортикальный рак (АКР) - достаточно редкое заболевание, которое характеризуется плохими прогностическими показателями. Встречаемость АКР 0,5-2 случая на миллион населения, в структуре инциденталом надпочечников не более чем в 2-4% наблюдений. Для широкого обсуждения предлагается проект клинических рекомендаций по диагностике и лечению АКР, предназначенного для онкологов, хирургов, эндокринологов, специалистов по лучевой диагностике, патоморфологов и др.</p></abstract><trans-abstract xml:lang="en"><p>Statement of hormonal activity and potential malignancy are the most important issues of diagnosis and selection of appropriate treatment way for patients with adrenal tumors. Adrenal cortical carcinoma (ACC) is rare disease with poor prognosis. Incidience of ACC is about 0.5-2 per million, and no more then 2-4% among adrenal tumors. This draft of guidelines of diagnosis and treatment of ACC is offered to common discussion among wide round of specialists.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>опухоли надпочечника</kwd><kwd>адренокортикальный рак</kwd><kwd>рак коры надпочечника</kwd><kwd>феохромоцитома</kwd><kwd>параганглиома</kwd><kwd>гиперкортицизм</kwd><kwd>митотан</kwd></kwd-group><kwd-group xml:lang="en"><kwd>adrenal tumors</kwd><kwd>adrenal cortical cancer</kwd><kwd>pheochromocytoma</kwd><kwd>paraganglioma</kwd><kwd>hypercortysolism</kwd><kwd>mitotane</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">Berruti A, Baudin E, Gelderblom H, Haak HR, Porpiglia F, Fassnacht M, Pentheroudakis G. Adrenal cancer: ESMO (European Society for Medical Oncology) Clinical Practice Guidelines for diagnosis, treatment and follow-up on behalf of the ESMO Guidelines Working Group. 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