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DOI 10.23648/UMBJ.2018.31.17217

УДК 618.146:618.19:616-006.04

 

СКРИНИНГ ОПУХОЛЕВЫХ ЗАБОЛЕВАНИЙ ОРГАНОВ РЕПРОДУКТИВНОЙ СИСТЕМЫ: ВОЗМОЖНОСТИ И ПЕРСПЕКТИВЫ

 

В.Е. Радзинский1, И.П. Аминодова2, Д.С. Крючко2

1ГАОУ ВО «Российский университет дружбы народов», г. Москва, Россия;

2АНО «Медицинский центр «Белая роза», г. Иваново, Россия

e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Актуальность проблемы скрининга опухолевых заболеваний репродуктивных органов (ОЗРО) обусловлена высокими показателями заболеваемости, тенденцией к «омоложению», неудовлетворительными результатами терапии. В России показатели активного выявления ОЗРО, диагностики в преинвазивной и ранней стадиях остаются низкими, оказывая неблагоприятное влияние на качество и продолжительность жизни пациентки и ее репродуктивную функцию.

Цель исследования. На основании анализа литературных источников установить причины неэффективности скрининга опухолевых заболеваний репродуктивных органов.

Результаты. Библиографический анализ современных принципов и методов скрининга показал, что основными причинами неудовлетворительных показателей скрининга и ранней диагностики ОЗРО следует считать низкие показатели скринингового охвата, противоречивость законодательной базы, несогласованность времени начала, окончания обследования и скринингового интервала, отсутствие единой информационной базы с возможностью фиксации и архивирования результатов обследования, нарушение логистики обмена данными проведенных исследований, выраженный диссонанс диагностических возможностей в различных регионах, отсутствие комплексного подхода и единой программы скрининга в масштабах страны.

Выводы. Одним из возможных вариантов решения существующей проблемы может стать выполнение комплексного диагностического обследования с одновременной оценкой состояния всех органов репродуктивной системы, включая молочные железы, с целью своевременного выявлении ОЗРО с формированием групп риска опухолевой патологии и коррекцией тактики ведения.

Ключевые слова: скрининг, рак молочной железы, рак шейки матки, опухолевые заболевания репродуктивных органов.

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DOI 10.23648/UMBJ.2018.31.17217

SCREENING OF TUMOR DISEASES OF REPRODUCTIVE SYSTEM: POSSIBILITIES AND PROSPECTS

 

V.E. Radzinskiy1, I.P. Aminodova2, D.S. Kryuchko2

1People’ Friendship University of Russia – RUDN University, Moscow, Russia;

2Women’s health center Belaya Roza, Ivanovo, Russia

e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

The urgency of reproductive system tumor disease (RSTD) screening is caused by high incidence rates, a tendency to renewal of youth, and unsatisfactory therapeutic results. In Russia, indicators of RSTD active detection and diagnosis during preinvasive and early stages remain low. Thus, such diseases adversely affect the women’s quality of life, life expectancy and reproductive function.

The objective of the paper is to establish the reasons for the inefficiency of RSTD screening analyzing the literature available.

Results. Literature analysis of modern screening principles and methods has shown that the main reasons for unsatisfactory RSTD screening and early diagnosis are low screening rates, legislative framework inconsistency, maladjustment at the beginning and the end of examination as well as in screening interval, lack of a single information base where all survey results are recorded and stored, problems in data exchange based on undertaken studies, profound diagnostic limitations in different regions, lack of an integrated approach and a single national screening program.

Conclusion. One of the possible solutions to the existing problem can be a comprehensive diagnostic examination with a simultaneous assessment of all organs of the reproductive system, including mammary glands, in order to timely identify RSTD, form risk groups for tumor pathology and correct management.

Keywords: screening, breast cancer, cervical cancer, reproductive system tumor diseases.

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