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Российские клинические рекомендации по диагностике и лечению высокодифференцированного рака щитовидной железы у взрослых, 2017 год

Бельцевич Д. Г., Ванушко В. Э., Румянцев П. О., Мельниченко Г. А., Кузнецов Н. С., Абросимов А. Ю., Поляков В. Г., Мудунов А. М., Подвязников С. О., Романов И. С., Поляков А. П., Слепцов И. В., Черник
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Бельцевич Дмитрий Германович - д.м.н., профессор, главный научный сотрудник отдела хирургии, ФГБУ “Эндокринологический научный центр” Минздрава России, belts67@gmail.com, 117036, Москва, улица Дм.Ульянова, д.11
Ванушко Владимир Эдуардович - д.м.н., главный научный сотрудник отдела хирургии, ФГБУ “Эндокринологический научный центр” Минздрава России, vanushko@gmail.com, 117036, Москва, улица Дм.Ульянова, д.11
Румянцев Павел Олегович - д.м.н., заведующий отделом радионуклидной диагностики и терапии, ФГБУ “Эндокринологический научный центр” Минздрава России, pavelrum@gmail.com, 117036, Москва, улица Дм.Ульянова, д.11
Мельниченко Галина Афанасьевна - д.м.н., профессор, академик РАН, директор Института клинической эндокринологии, ФГБУ “Эндокринологический научный центр” Минздрава России; ФГАОУ ВО “Первый Московский государственный медицинский университет им. И.М. Сеченова”, teofrast2000@mail.ru, 117036, Москва, улица Дм.Ульянова, д.11; 119992, Москва, ул. Трубецкая, д. 8, стр. 2
Кузнецов Николай Сергеевич - д.м.н., профессор, заведующий отделом эндокринной хирургии, ФГБУ “Эндокринологический научный центр” Минздрава России, kuznetsovnikolays@yandex.ru, 117036, Москва, улица Дм.Ульянова, д.11
Абросимов Александр Юрьевич - д.м.н., профессор, заведующий отделом фундаментальной патоморфологии, ФГБУ “Эндокринологический научный центр” Минздрава России, nikitarusskikh@mail.ru, 117036, Москва, улица Дм.Ульянова, д.11
Поляков Владимир Георгиевич - д.м.н., профессор, академик РАН, заместитель директора по научной работе НИИ детской онкологии и гематологии, ФГБУ “Российский онкологический научный центр им. Н.Н. Блохина” Минздрава России, vgp-04@mail.ru, 115478, г. Москва, Каширское шоссе, 24
Мудунов Али Мурадович - д.м.н., заведующий отделом опухолей головы и шеи, ФГБУ “Российский онкологический научный центр им. Н.Н. Блохина” Минздрава России, ali.mudunov@info.ru, 115478, г. Москва, Каширское шоссе, 24
Подвязников Сергей Олегович - д.м.н., профессор кафедры

В представленных клинических рекомендациях обсуждаются современные подходы к диагностике и лечению дифференцированного рака щитовидной железы у взрослых. Изменения в настоящей редакции Клинических рекомендаций касаются показаний к пункционной биопсии, скринингового определения концентрации кальцитонина, унификации заключений цитологического исследования, новых подходах к послеоперационной динамической стратификации риска рецидива, показаний к супрессивной и заместительной терапии, таргетной терапии йоднегативных форм дифференцированного рака щитовидной железы.

Ключевые слова:
дифференцированный рак щитовидной железы, ДРЩЖ, тонкоигольная аспирационная биопсия, ТАБ, скрининг, кальцитонин, цитология, супрессивная терапия, заместительная терапия, таргетная терапия, радиойод-резистентность, differentiated thyroid cancer, fine-needle aspiration, FNAB, FNA, screening, calcitonin, cytology, suppressive therapy, thyroid replacement therapy, targeted therapy, radioactive iodine-

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2017 Russian clinical practice guidelines for differentiated thyroid cancer diagnosis and treatment

Beltsevich D. G., Vanushko V. E., Rumiantsev P. O., Melnichenko G. A., Kuznetsov N. S., Abrosimov A. Y., Polyakov V. G., Mudunov A. M., Podvyaznikov S. O., Romanov I. S., Polyakov A. P., Sleptsov I. V

The Russian clinical practice guidelines for diagnosis and treatment of differentiated thyroid cancer is dedicated to the management of patients with differentiated thyroid cancer. The guideline modifications 2016 include the following matters: indication for fine-needle aspiration biopsy, calcitonin screening, standards for biopsy results, new positions of postoperative risk stratification, indication for suppressive therapy and thyroid replacement therapy, targeted therapy in patients with radioiodine-refractory differentiated thyroid cancer.

Keywords:
дифференцированный рак щитовидной железы, ДРЩЖ, тонкоигольная аспирационная биопсия, ТАБ, скрининг, кальцитонин, цитология, супрессивная терапия, заместительная терапия, таргетная терапия, радиойод-резистентность, differentiated thyroid cancer, fine-needle aspiration, FNAB, FNA, screening, calcitonin, cytology, suppressive therapy, thyroid replacement therapy, targeted therapy, radioactive iodine-

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