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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">perinatology</journal-id><journal-title-group><journal-title xml:lang="ru">Российский вестник перинатологии и педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1027-4065</issn><issn pub-type="epub">2500-2228</issn><publisher><publisher-name>Ltd. “The National Academy of Pediatric Science and Innovation”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21508/1027-4065-2019-64-3-28-36</article-id><article-id custom-type="elpub" pub-id-type="custom">perinatology-890</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>ОБЗОР ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Остеосаркома – на пути к персонализированной терапии. Часть II: персонализированная терапия будущего</article-title><trans-title-group xml:lang="en"><trans-title>Osteosarcoma – on the way to personalized therapy. Part II: personalized therapy of the future</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8398-7001</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рыков</surname><given-names>М. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Rykov</surname><given-names>M. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рыков Максим Юрьевич – к.м.н., зам директора</p><p>доцент кафедры онкологии лечебного факультета</p><p>гл. внештатный детский специалист-онколог Минздрава России по Центральному федеральному округу</p><p>SPIN-код: 7652-0122</p></bio><email xlink:type="simple">wordex2006@rambler.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2310-3259</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сенжапова</surname><given-names>Э. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Sengapova</surname><given-names>E. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сенжапова Эльмира Рифатовна – к.м.н., науч. сотр. отделения опухолей опорно-двигательного аппарата</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФБГУ «Национальный медицинский исследовательский центр онкологии им. академика Н.Н. Блохина» Минздрава России, НИИ детской онкологии и гематологии; &#13;
ФГАОУ ВО «Первый московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Blockhin Medical Research Center of Oncology; &#13;
Sechenov First Moscow State Medical University (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФБГУ «Национальный медицинский исследовательский центр онкологии им. академика Н.Н. Блохина» Минздрава России, НИИ детской онкологии и гематологии</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Blockhin Medical Research Center of Oncology</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>30</day><month>06</month><year>2019</year></pub-date><volume>64</volume><issue>3</issue><fpage>28</fpage><lpage>36</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ltd. “The National Academy of Pediatric Science and Innovation”, 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Ltd. “The National Academy of Pediatric Science and Innovation”</copyright-holder><copyright-holder xml:lang="en">Ltd. “The National Academy of Pediatric Science and Innovation”</copyright-holder><license xlink:href="https://www.ped-perinatology.ru/jour/about/submissions#copyrightNotice" xlink:type="simple"><license-p>https://www.ped-perinatology.ru/jour/about/submissions#copyrightNotice</license-p></license></permissions><self-uri xlink:href="https://www.ped-perinatology.ru/jour/article/view/890">https://www.ped-perinatology.ru/jour/article/view/890</self-uri><abstract><p>Саркомы костей составляют 7% в структуре злокачественных новообразований у детей, из них 35–50% – остеосаркомы. Значительная часть пациентов выявляется на распространенных стадиях заболеваний, что диктует необходимость поиска новых подходов к лечению. При этом оптимальная терапевтическая стратегия неизвестна, результаты лечения детей остаются неудовлетворительными. В части II описаны достижения в области персонализированной терапии, которые иллюстрируют вектор развития принципов терапии столь сложных заболеваний, которые еще несколько лет назад являлись для большинства пациентов фатальными.</p></abstract><trans-abstract xml:lang="en"><p>Bone sarcomas account for 7% in the structure of malignant tumors in children, osteosarcomas take 35–50% of them. A significant proportion of patients are diagnosed at the spread stages of the disease, dictating the need to search for new approachesto treatment. Herewith the optimal therapeutic strategy is unknown, the results of treatment of children remain unsatisfactory. Part II describes the achievements in the field of personalized therapy, illustrating the vector of development of the principles of treatment of such complex diseases, which were fatal for most patients a few years ago.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>детская онкология</kwd><kwd>остеосаркома</kwd><kwd>персонализированная терапия</kwd><kwd>химиотерапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>pediatric oncology</kwd><kwd>osteosarcoma</kwd><kwd>personalized therapy</kwd><kwd>chemotherapy</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">Cui Q., Jiang W., Guo J., Cheng L., Dingfeng L., Xiaohong W. et al. Relationship between hypermetylated MGMT gene and osteosarcoma necrosis rate after chemotherapy. Pathol Oncol Res 2011; 17: 587–591. 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