Oaeei ia?acii, ia iaoai iiuoa aeaii, ?oi ia?aeeaeuiia aaa-
aaiea oeieii?aia?aoia iia i?ee?uoeai i?ioeaiainiaeeoaeuiie
oa?aiee ia aaaao e ioeaco io eo?aaiai aicaaenoaey. Ioaaeaiiua
?a ?acoeuoaou ai?acai eo?oa i?e oeieieo?aaii ea?aiee.
V Eiioa?aioey «Iaeeeaoeaiay iiiiuu a iieieiaee», ai?aeu, 2001,
Aia?oi, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, 2001, ¹ 2-3, n. 42.
ÎÁÎÑÍÎÂÀÍÈÅ Ê ÏÐÎÂÅÄÅÍÈÞ
ÕÈÌÈÎËÓ×ÅÂÎÉ ÒÅÐÀÏÈÈ
ÏÐÈ ÐÀÊÅ ÎÐÎÔÀÐÈÍÃÅÀËÜÍÎÉ ÇÎÍÛ
I.I. Iaoiia, A.I. ?aaiia, I.A. Kiaaeuneee, A.A. Aeeoaa
O?iaineee IIA, O?iaiu, ?inney
E?aie iaoia ea?aiey aiaeece?oaony ii ianeieueei iieaca-
oaeyi. Niio?eony eeeie?aneee yooaeo, aaeaa ioaieaaaony noie-
iinou ea?aiey.
Iai?aaeaiea iienea iiauo iaoiaee iniiaaii ia ainoe?aiee
aunieeo ?acoeuoaoia i?e ainooiiie aa naaanoieiinoe. I?aiu ai-
?iainoiyuaa ea?aiea ia?aie?aii a i?eiaiaiee ec-ca ianiinia-
iinoe aiaa?aiey a oe?ieo? i?aeoeeo.
Iieieiaey ai anai ie?a ioiineony e iaiiio ec naiuo ai?i-
aeo ?acaaeia a iaaeoeia. Aunieay noieiinou aiia?aoo?u aey
eo?aaie oa?aiee e oeieii?aia?aoia i?eio?aa?o e aieaa oaea-
iai?aaeaiiiio e yeiiiie?iiio eo i?eiaiaie? a ea?aiee iiei-
eiae?aneiai aieuiiai.
I?eiaiaiea oeieieo?aaie oa?aiee i?e ?aea i?ioa?eiaaaeu-
iie ciiu (aenoaioeiiiay eo?aaay oa?aiey niaianoii n iieeoe-
ieioa?aieae), ii iaoei ?acoeuoaoai, cia?eoaeuii i?aainoiaeo
naiinoiyoaeuio? eo?aao? oa?aie? ii o?aaeoeiiiie noaia e
?acaaeuio? oeieieo?aao? oa?aie? (aenoaioeiiiay eo?aaay oa-
?aiey n iineaao?uae iieeoeieioa?aieae). Naaanoieiinou ea-
?aiey ii ia?aiio aa?eaioo i?aauoaao cao?aou ia naiinoiy-
oaeuio? EO ca n?ao aiaaaeaiey oeieii?aia?aoia. Kieei-aie a
ia?aii e aoi?ii neo?ayo auee iaeiaeiau. Iaaunieay yooae-
oeaiinou naiinoiyoaeuiie EO i?eaiaeo e iaiaoiaeiinoe i?iaa-
aaiey iineaao?ueo eo?nia IOO. Aa aiaaaeaiea, ii iaoei
aaiiui, ia aaao cia?eoaeuiiai oeo?oaiey iieacaoaeae ea?aiey,
ii a oi ?a a?aiy ?acei iiauoaao aai noieiinou ca n?ao oaaee-
?aiey eieei-aiae e i?eiaiaiey aieaa oe?ieiai anni?oeiaioa
oeieii?aia?aoia, ?ai i?e ia?aii aa?eaioa (aenoaioeiiiay eo-
?aaay oa?aiey niaianoii n iieeoeieioa?aieae).
Oaeei ia?acii, ioaieaay ?acoeuoaou ea?aiey n cao?aoaie ia
aai i?iaaaaiea, iaeaieaa i?eaeaeaoaeuiui auaeyaeo oeieieo-
?aaay oa?aiey ii noaia: aenoaioeiiiay eo?aaay oa?aiey niaia-
noii n iieeoeieioa?aieae, eioi?ay ca iaei e oio ?a a?aiaiiie
ia?eia iicaieyao cia?eoaeuii oeo?oeou iieacaoaee ea?aiey ?a-
ea i?ioa?eiaaaeuiie ciiu.
V Eiioa?aioey «Iaeeeaoeaiay iiiiuu a iieieiaee», ai?aeu, 2001,
Aia?oi, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, 2001, ¹ 2-3, n. 35.
ÍÅÎÀÄÚÞÂÀÍÒÍÀß ÕÈÌÈÎÒÅÐÀÏÈß
ÁÎËÜÍÛÕ ÐÀÊÎÌØÅÉÊÈ ÌÀÒÊÈ
Ñ ÐÀÑÏÐÎÑÒÐÀÍÅÍÍÛÌÈ
ÑÒÀÄÈßÌÈ ÇÀÁÎËÅÂÀÍÈß
A.A. Ia?iai, I.E. Oienoeeiaa
?inoianeee iao?ii-enneaaiaaoaeuneee einoeooo iieieiaee,
?inoia-ia-Aiio, ?inney
Ianiio?y ia ainoeaiooua oniaoe a ea?aiee ?aea oaeee iao-
ee, aaiiay iaoieiaey i?iaie?aao caieiaou iaii ec aaaoueo
iano a iieiaeiaeieiaee. Nia?aiaiiua aaiiua ii iieicaaiea-
aaaiinoe, a oii ?enea ii ?aeo oaeee iaoee, naeaaoaeunoao?o ia
oaaee?aiee eiee?anoaa aieuiuo iieiaiai aic?anoa n ianoii-
?ani?ino?aiaiiuie oi?iaie caaieaaaiey. Ni?aoaiiay eo?aaay
oa?aiey inoaaony i?aeoe?anee aaeinoaaiiui iaoiaii ea?aiey
oaeeo aieuiuo, ii, ianiio?y ia oniaa?oainoaiaaiea eo?aauo
iaoiaia ea?aiey, 5-eaoiyy au?eaaaiinou aieuiuo ia i?aauoa-
ao 55% (Aeoiaaneay A.A., 1999). ?ac?aaioea iiauo iaoiaia i?e-
iaiaiey oeieioa?aiee, a ?anoiinoe yiaieeioaoe?aneiai, iiea-
caea yooaeoeaiinou oeieioa?aiee i?e ?aea oaeee iaoee (Neai-
?aiei?.N., 1985,1987). O?eouaay au?a?aiio? eiioiiaai?an-
ne? i?e nenoaiiie oeieioa?aiee, n oaeu? enee??aiey oiene?a-
neeo i?iyaeaiee oeieioa?aiee e oeo?oaiey iaiin?aanoaaiiuo
aa ?acoeuoaoia aeaaaieeii ?.N. Neai?aiei (1995) auei i?aaei-
?aii aaaaaiea oeieii?aia?aoia, ?anoai?aiiuo ia nianoaaiiuo
aeieiae?aneeo n?aaao (eeioa, e?iau, ieacia). I?eiaiaiea oe-
ieioa?aiee ia aooiaei?aonai?eoaeyo aaao aicii?iinou nie?a-
iey oiene?aneeo ?aaeoee, ii?iaeecaoee eiioiiie nenoaiu,
oeo?oaiey iaiin?aanoaaiiuo ?acoeuoaoia ea?aiey. N yoie oa-
eu? 12 aieuiui ?aeii oaeee iaoee III noaaee ea?aiea auei ia-
?aoi n aooiaaiioeieioa?aiee: ia nianoaaiiie e?iae ?acaiae-
eenu oeieii?aia?aou (oeeeioinoai, aa?eaieoei e i?aia?aou
ieaoeiu) e iinea eieoaaoee a oa?iinoaoa inouanoaeyeinu aioo-
?eaaiiia eo aaaaaiea. Au?a?aiiuo oiene?aneeo ?aaeoee ia io-
ia?aii ie o iaiie aieuiie. N 3-ai aiy iinea i?iaaaaiey oeiei-
oa?aiee ioia?aii oiaiuoaiea aieaaiai neia?iia e e?iayie-
nouo auaaeaiee, a nionoy 2 iaa ioia?aii cia?eoaeuiia oiaiu-
oaiea eioeeuo?aoee a ia?aiao?eyo e naiie iiooiee oaeee iao-
ee, a oae?a iiauoaiea noaiaie iiaae?iinoe oaciaiai aia. K ia-
noiyuaio a?aiaie 8 aieuiuo iiaaa?aeenu ?aaeeaeuiiio iia?a-
oeaiiio ea?aie?. A iineaao?uai yoei aieuiui i?iaiaeeanu
ia?o?iay eo?aaay oa?aiey. Oaeei ia?acii, iaiaau?aaioiay ao-
oiaaiioeieioa?aiey niinianoaoao ia?aaiao aieuiuo a iia?a-
aaeuiia ninoiyiea, ?oi a iineaao?uai oeo?oaao ?acoeuoaou ea-
?aiey.
V Eiioa?aioey «Iaeeeaoeaiay iiiiuu a iieieiaee», ai?aeu, 2001,
Aia?oi, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, 2001, ¹ 2-3, n. 40.
ÀÓÒÎÃÅÌÎÕÈÌÈÎÒÅÐÀÏÈß
 ÊÎÌÏËÅÊÑÍÎÌ ËÅ×ÅÍÈÈ ÁÎËÜÍÛÕ
Ñ ÑÀÐÊÎÌÀÌÈ ÒÅËÀ ÌÀÒÊÈ
A.A. Ia?iai, I.A. ?a?ieeiaa
?inoianeee iao?ii-enneaaiaaoaeuneee einoeooo iieieiaee,
?inoia-ia-Aiio, ?inney
Iayieoaeeaeuiua ceiea?anoaaiiua iiooiee (na?eiiu) oaea
iaoee ninoaaey?o 4-5% anao ceiea?anoaaiiuo iiooieae ?aineeo
iieiauo i?aaiia (Aioiai ?.A., 1989). Ii ioiioaie? e ?aeo oaea
iaoee na?eiia ninoaaeyao ii aaiiui ?aciuo aaoi?ia ai 10%.
?aaeeaeuiui oe?o?ae?aneei aiaoaoaeunoaii n?eoaaony iaiae-
noa?yeoiiey. Iaiaei e ?aaeeaeuiay iia?aoey aa?a a I noaaee ca-
aieaaaiey nianaao oieuei iieiaeio anao aieuiuo. Iyoeeaoiyy
au?eaaaiinou aieuiuo ni II e III noaaeyie caaieaaaiey ?aaia
iaiaa 15%. I?eiaiaiea eo?aaie oa?aiee, a nayce n ioiineoaeu-
iie ?aaei?oanoaeoaeuiinou? iiooiee ia i?eaaei e cia?eoaeuii-
io oeo?oaie? ioaaeaiiuo ?acoeuoaoia ea?aiey. A iineaaiea ai-
au a eeoa?aoo?a iiyaeeny ?ya ?aaio naeaaoaeunoao?ueo i oaea-
niia?aciinoe i?eiaiaiey oeieioa?aiee a eiiieaeniii ea?aiee
aieuiuo na?eiiaie oaea iaoee, eioi?ay niinianoaoao oeo?oa-
ie? ?acoeuoaoia ea?aiey. Ca iineaaiea 10 eao a ?inoianeii ia-
o?ii-enneaaiaaoaeuneii iieieiae?aneii einoeoooa auei i?iea-
?aii 100 aieuiuo na?eiiaie oaea iaoee. Oieuei o 8% ec ieo ae-
aaiic aue iinoaaeai ai iia?aoee ia iniiaaiee aaiiuo aeaaii-
noe?aneiai auneaaeeaaiey (no?iiaeuiay yiaiiao?eaeuiay na?-
eiia), o inoaeuiuo aeaaiic iinoaaeai ia iniiaaiee aenoieiae?a-
neiai enneaaiaaiey iineaiia?aoeiiiiai iaoa?eaea. Iaeaieaa
?anoi na?eiiu ano?a?aeenu a aic?anoiuo a?oiiao 50-59 eao (33%)
e 60-69 eao (36%). Ii noaiaie ?ani?ino?aiaiey ceiea?anoaaiiiai
ia?aciaaiey aieuiua ?ani?aaaeeeenu neaao?uei ia?acii; a
?aiieo noaaeyo auei 72%, a inoaeuiua 28% i?eoiaeeenu ia aieu-
iuo n III e IV noaaeyie caaieaaaiey. O anao aieuiuo ia?aui yoa-
iii ea?aiey auei iia?aoeaiia aiaoaoaeunoai, eioi?ia o 94%
560
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