In this review we continue the publication of data on the problem of malignant neoplasms (MN) associated with human papillomavirus (HPV), in Russia. In a previous publication (Research’n Practical Medicine Journal 2016; 3(1): 66–78. DOI: 10.17709/2409-2231-2016-3-1-9) we at the first time presented the data on the incidence of malignant tumors associated with HPV in the Russian Federation for the period from 2009 to 2014. This article presents updated data on the incidence of in 2015, as well as data on mortality from the MN associated with HPV in Russia with the analysis of trends in men and women in different age groups. The statistics used in the article is calculated according to the annual state reporting documentation of the statistical form of the Ministry of health No. 7 and No. 35, forms 5 and Rosstat data, the combined database of the state of the cancer register of the Russian Federation.
СОБСТВЕННЫЕ ИССЛЕДОВАНИЯ • OWN INVESTIGATIONSЖурнал «Злокачественные опухоли» • № 1 -2017 г. (22) • www.malignanttumours.org Резюме Цель: проанализировать результаты лечения винорелбином у пациентов с метастатическим раком молочной железы (РМЖ). Пациенты и методы: Всего в 2015 г. в г. Москве было выявлено 5943 случaев установления диагноза РМЖ. С IV стадией заболевания наблюдалось 2378 пациентов. Из них лечение винорелбином получили 113 пациентов, получили другие виды химиотерапии -1056 пациентов, не проводилось никакого лечения 1209 пациентам. В качестве 1-й линии терапии препарат получили 13,5% больных, 2-й линии -59,7%, 3-й линии -26,8%. Результаты: При расчете доверительных интервалов 1-летней выживаемости между группой больных, получивших лечение винорелбином (ДИ 95%; 0.25-1.0), получивших другие виды лечения (ДИ 95%; 0.47-1.0) и не получивших лечения вообще (ДИ 95%; 0.32-0.49), достоверной разницы получено не было, однако, отмечена четкая тенденция к появлению разницы между группой больных, получивших винорелбин и группой пациентов, не получивших никакого лечения. Заключение: Винорелбин является эффективным и хорошо переносимым препаратом при лечении больных с метастатическим РМЖ, однако необходимо проведение рандомизированных мультицентровых исследований с целью оценить его эффективность в качестве монотерапии у больных с метастатическим РМЖ. Abstract Aim: to analyze the results of treatment with vinorelbine in patients with metastatic breast cancer (BC).Patients and methods: There were 5943 of new cases of BC in Moscow and there were 2378 patients with IV stage of the disease. 113 patients were treated with vinorelbine as a monotherapy, 1056 had other options of chemotherapy and 1209 patients had no treatment. As a first-line therapy vinorelbine was used in 13.5% of patients, as a second-line -in 59.7% and as a third-line -in 26.8%. Results: There were no significant difference in 1-year survival between group of treatment with vinorelbine (CI 95%; 0.25-1.0), group of other options of chemotherapy (CI 95%; 0.47-1.0) and group with no treatment (CI 95%; 0.32-0.49). But there were a clear tendency of increasing of difference between vinorelbine group and group without treatment. Conclusion: Vinorelbine is an effective and well-tolerated agent in patients with metastatic BC. But randomized multicenter trials are needed to evaluate efficacy of vinorelbine as a monotherapy.
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