Ioaiea ea?anoaaiiuo iieacaoaeae a aaeeao i?iaiaeeanu ii
noaiaie au?a?aiiinoe i?oiiaae?aneiai e iaa?ieiae?aneiai
noaoona. Iaeiaiuoaa eiee?anoai aaeeia i?e ioaiea i?oiiaae-
?aneeo ia?ooaiee (?oi niioaaonoaiaaei iaeeo?oei ea?anoaai-
iui iieacaoaeyi) eiaee aieuiua, niiniaiua e naiinoiyoaeu-
iiio ia?aaae?aie? i?e iaaieuoie noaiaie au?a?aiiinoe ia-
noiiai aieaaiai neia?iia; iaeneiaeuiay ioaiea ainoeaaea 5
aaeeia, ?oi niioaaonoaiaaei iaaicii?iinoe ia?aaae?aiey
aieuiiai aa?a n iinoi?iiiae iiiiuu? i?e iaee?ee iinoiyiiuo
aieae a ciia ii?a?aiey. ?aua anaai a iaoeo iaae?aaieyo i?-
oiiaae?aneee neia?ii ?acaeaaeny ca n?ao «iauaiiiai» ii?a-
?aiey iicaiii?iiai naaiaioa aac a?oaie aaoi?iaoee iicai-
ii?iiai eaiaea.
Ioaiea iaa?ieiae?aneiai noaoona aee??aea a naay iaee?ea
eee ionoonoaea aieaaiai ei?aoeiaiai neia?iia, i?iaiaieeiauo
aaeaaoaeuiuo e ?oanoaeoaeuiuo ia?ooaiee, ?anno?ienoa ooie-
oee oaciauo i?aaiia. Iaeaieuoay ioaiea iiaea ainoe?u 9 aae-
eia, ?oi niioaaonoaoao iaeooaoei ea?anoaaiiui iieacaoaeyi a
ninoiyiee aieuiiai, iaiaei a a?oiia enneaaiaaiiuo aieuiuo oa-
eeo ia ano?aoeeinu ie ?aco.
Ai i?iaaaaiey eo?aaiai ea?aiey i?oiiaae?aneee noaoon aue
ioaiai neaao?uei ia?acii: 1 aaee — o 14 (26%) ?aeiaae, 2 aae-
ea — o 11 (22%), 3 aaeea — o 10 (20%), 4 aaeea — o 7 (12%) e o 8
(16%) – 5 aaeeia. Iauay ioaiea anae a?oiiu aieuiuo ninoaaeea
134 aaeea (53,6%).
Ka?anoaaiiay ioaiea iaa?ieiae?aneiai noaoona ai eo?aaie
oa?aiee ?ani?aaaeeeanu neaao?uei ia?acii: 10 (20%) aieuiuo
eiaee 2 aaeea, 17 (34%) – 3 aaeea, aua 17 (34%) – 4 aaeea e 6
(12%) – 5 aaeeia. Iauay ioaiea iaa?ieiae?aneeo ia?ooaiee ni-
noaaeea 169 aaeeia ( 37,5% ). Iaa?ieiae?aneee noaoon n eiee?a-
noaii aieaa 5 aaeeia niioaaonoaoao au?a?aiiui ia?ooaieyi
ooieoee nieiiiai iicaa e aai ei?aoeia n ?acaeoeai ia?acia eee
ia?aee?ae eiia?iinoae, neaainoe eee iieiiio ia?ooaie? ooie-
oee oaciauo i?aaiia. Yoe aieuiua n iaeii?iuie iaoanoacaie
aneaanoaea aoi?e?iiai niauaiey oeaiae iicaiii?iiai naaiaioa
o?aao?o i?iaaaaiey oe?o?ae?aneiai ea?aiey, iai?aaeaiiiai ia
aaeiii?anne? no?oeoo? iicaiii?iiai eaiaea e noaaeeecaoe?
ii?a?aiiiai ioaaea. Oaeei ia?acii, a enneaaiaaiiie a?oiia
aieuiuo ioia?aii i?aiaeaaaiea ia?ooaiee iii?ii-noaaeeece-
?o?uae ooieoee iicaiii?ieea iaa iaa?ieiae?aneeie.
I?iaaaaiea eo?aaie oa?aiee i?eaaei e cia?eoaeuiiio oeo?-
oaie? i?oiiaae?aneiai noaoona: 18 aieuiuo ia eiaee ia?ooa-
iee iii?ii-noaaeeece?o?uae ooieoee iicaiii?ieea (0 aaeeia ),
15 (30%) aieuiuo ioia?aee iacia?eoaeuiua aiee ianoiiai oa-
?aeoa?a (1 aaee), 11 (22%) — eiaee ii 2 aaeea, a aua aaa a?oi-
iu ii 3 aieuiuo eiaee niioaaonoaaiii ioaieo 3 e 4 aaeea. Ia-
uay ioaiea i?oiiaae?aneiai noaoona a a?oiia iinea ea?aiey ni-
noaaeea 58 aaeeia (23,2%). Ioaiea iaa?ieiae?aneiai noaoona ii-
nea ea?aiey iieacaea: 6 (12%) aieuiuo eiaee 1 aaee, 15 (30%) –
2 aaeea, 19 (38%) — 3 aaeea e 10 (20%) – 4 aaeea; iauay ioaiea
–133 aaeea (29,6%). Ioaieo 5 aaeeia ia eiae ieeoi (ai i?iaaaa-
iey oa?aiee oaeeo aieuiuo auei 6 ?aeiaae), ?oi n i?aaeaiinou?
naeaaoaeunoaiaaei ia ionoonoaee io?eoaoaeuiiai aicaaenoaey
eo?aaie oa?aiee ia ooieoe? nieiiiai iicaa e nieiiiiicaiauo
ia?aia.
Iiei?eoaeuiue yooaeo eo?aaie oa?aiee iaoneiaeai nie?a-
ieai aioo?eoeaiaaiai aaaeaiey a iiooiee ca n?ao eaoaeuiiai ii-
a?a?aaiey cia?eoaeuiie ?anoe aa eeaoie. I?ieiiae?iaaie? yo-
oaeoa niinianoaoao ?acaeoea oea?ica a iaoanoaca. Eo?aaay oa-
?aiey i?iaiaeeanu ei?ioeeie eo?naie n aiaaaaieai noiia?-
iie aicu ai 20 – 25 A?, a iaeioi?uo neo?ayo ai 40 A?., ?oi i?aa-
noaaeaii a oaae. 2.
Iaeaieaa auno?ue yooaeo ioia?aee o?a ?a?ac ianeieuei
aiae iinea naaina eo?aaiai ea?aiey i?e cia?eoaeuiie ?aciaie
aica iaeo?aiey – ai 8 A?, i?e aica 4—5 A? ia iaei naain yooaeo
ioia?aeny iicaiaa, ii aeeoaeuiinou aai ainoeaaea iiiaeo iany-
oaa. Iicaiaa, nionoy 2 iaa, ioia?aee yooaeo i?e ?aciaie aica
iaeo?aiey 1,8–3 A?., aeaeii yoiio niinianoaoao aieaa au?a?ai-
iue no?iiiaaiiue yooaeo i?ieiiae?iaaiiiai iaeo?aiey.
Oaeei ia?acii, eo?aaay oa?aiey iaoanoaoe?aneeo ii?a?aiee
iicaiii?ieea niinianoaoao cia?eoaeuiiio oeo?oaie? ea?ano-
aaiiuo iieacaoaeae ?ecie aieuiiai a neo?aa au?a?aiiuo i?oi-
iaae?aneeo ia?ooaiee i?e iacia?eoaeuiuo eee oia?aiiuo iaa-
?ieiae?aneeo i?iyaeaieyo.
Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, ¹ 4, 1999, n. 40-41.
ÍÎÂÛÅ ÂÎÇÌÎÆÍÎÑÒÈ ÊÎÌÏËÅÊÑÍÎÉ
ÒÅÐÀÏÈÈ ÏÐÈ ÒÎÒÀËÜÍÎÌ ÏÎÐÀÆÅÍÈÈ
ÒÐÀÕÅÈ È ÄÂÓÕ ÃËÀÂÍÛÕ ÁÐÎÍÕÎÂ
A.A. Aieei, C.E. Aa?uyeiaa
Iineianeee iao?ii-enneaaiaaoaeuneee iieieiae?aneee
einoeooo ei. I.A. Aa?oaia, Iineaa, ?inney
N?aae iieieiae?aneeo aieuiuo anou iniaue eiioeiaaio, eioi-
?ue ai iineaaiaai a?aiaie ia iia ?ann?eouaaou aa?a ia iae-
eeaoeaio? iiiiuu. ?a?u eaao i iaoeaioao n oioaeuiui ii?a?a-
ieai o?aoae n eee aac aiaea?aiey iaiiai eee aaoo aeaaiuo a?ii-
oia. Iie auee ia?a?aiu ia aeaaeu io oaoouy, a i?e oi?ieaii oa-
eouai aaaiieenoiciii ?aea yoi io?eoaeuiia oaanaiea caoyaeaa-
einu ia iiiaea ianyou.
Aiaa?aiea a eeeieeo eaca?ia iicaieeei auiieiyou o ieo ?a-
eaiaeecaoe?, a oii ?enea iiaoi?io?, oai naiui oeo?oeou ea?a-
noai ?ecie e a? i?iaeaiea, ii aac iaaa?au ia ecea?aiea. Aiii-
eieoaeuiia ia?o?iia iaeo?aiea oneeeaaei iaeeeaoeaiue yo-
oaeo. Ecea?aiey oaaaaeinu ainoe?u eeou o ioaaeuiuo aieuiuo
ec-ca iaaicii?iinoe iiaaaaaiey oaeei niiniaii eaioa?eoea-
iie aicu.
?ac?aaioea a IIEIE ei. I.A. Aa?oaia iaoiaa yiaio?aoaaeu-
iie e yiaia?iioeaeuiie eo?aaie oa?aiee ei?aiiui ia?acii ec-
iaieei neooaoe?.
Ni?aoaiiia eo?aaia ea?aiea e eaca?iay ?aeaiaeecaoey iaan-
ia?eee oi?ioea iieieiae?aneea ?acoeuoaou i?aeoe?anee aac inei-
?iaiee e aunieo? iaaeei-nioeaeuio? ?aaaeeeoaoe?: 56,2%
456
Àíòîëîãèÿ íàó÷íûõ ïóáëèêàöèé
Òàáëèöà 1.
Ïåðâè÷íûé
×èñëî
Îäèíî÷íûå
Ìíîæåñòâåííûå
î÷àã
áîëüíûõ ìåòàñòàçû ìåòàñòàçû
Ðàê ìîëî÷íîé
æåëåçû
16 (32,6%)
9
7
Ðàê ëåãêîãî
9 (18,4%)
5
4
Ðàê ïðåäñòàòåëüíîé
æåëåçû
6 (12,2%)
2
4
Ïðî÷èå
15
8
7
Ïåðâè÷íûé î÷àã
íå óñòàíîâëåí
4 (8%)
2
2
Òàáëèöà 2.
×èñëî áîëüíûõ
Ðàçîâàÿ äîçà
Kîëè÷åñòâî ñåàíñîâ
24
5 Ãð
5
6
4 Ãð
5
6
8 Ãð
2
2
3 Ãð
10
2
4 Ãð
10
1
1,8 Ãð
10