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<article 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" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Surgery and Oncology</journal-id><journal-title-group><journal-title xml:lang="en">Surgery and Oncology</journal-title><trans-title-group xml:lang="ru"><trans-title>Хирургия и онкология</trans-title></trans-title-group></journal-title-group><issn publication-format="electronic">2949-5857</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">754</article-id><article-id pub-id-type="doi">10.17650/2949-5857-2024-14-4-31-42</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>LITERATURE REVIEW</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ОБЗОР ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">Metastatic colon cancer: clinical practice guideline update in 2024</article-title><trans-title-group xml:lang="ru"><trans-title>Метастатический рак толстой кишки: обновление клинических рекомендаций в 2024 г.</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5615-7806</contrib-id><name-alternatives><name xml:lang="en"><surname>Fedyanin</surname><given-names>M. Yu.</given-names></name><name xml:lang="ru"><surname>Федянин</surname><given-names>М. Ю.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><bold>Mikhail Yu.Fedyanin </bold></p><p>24 <italic>Kashirskoe Shosse, Moscow 115522,</italic></p><p><italic>8 Sosenskiy Stan St., Moscow 108801,</italic></p><p><italic>70 Nizhnyaya Pervomayskaya St., Moscow 105203</italic></p></bio><bio xml:lang="ru"><p><bold>Михаил Юрьевич Федянин </bold></p><p><italic>115522 Москва, Каширское шоссе, 24,</italic></p><p><italic>108801 п. Коммунарка, ул. Сосенский стан, 8,</italic></p><p><italic>105203 Москва, ул. Нижняя Первомайская, 7</italic></p></bio><email>fedianinmu@mail.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1367-2079</contrib-id><name-alternatives><name xml:lang="en"><surname>Gladkov</surname><given-names>O. A.</given-names></name><name xml:lang="ru"><surname>Гладков</surname><given-names>О. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>9V Bluchera St., Chelyabinsk 454048, Russia;</italic></p><p><italic>42 Bluchera St., Chelyabinsk 454087</italic></p></bio><bio xml:lang="ru"><p><italic>454048 Челябинск, ул. Блюхера, 9В;</italic></p><p><italic>454087 Челябинск, ул. Блюхера, 42</italic></p></bio><xref ref-type="aff" rid="aff4"/><xref ref-type="aff" rid="aff5"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9303-8379</contrib-id><name-alternatives><name xml:lang="en"><surname>Gordeev</surname><given-names>S. S.</given-names></name><name xml:lang="ru"><surname>Гордеев</surname><given-names>С. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>24 Kashirskoe Shosse, Moscow 115522,</italic></p><p><italic>54 Odesskaya St., Tyumen 625023</italic></p></bio><bio xml:lang="ru"><p><italic>115522 Москва, Каширское шоссе, 24,</italic></p><p><italic>625023 Тюмень, ул. Одесская, 54</italic></p></bio><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff6"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6641-7229</contrib-id><name-alternatives><name xml:lang="en"><surname>Karachun</surname><given-names>A. M.</given-names></name><name xml:lang="ru"><surname>Карачун</surname><given-names>А. М.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>68 Leningradskaya St., Pesochnyy Settlement, Saint Petersburg 197758, </italic></p><p><italic> 41 Kirochnaya St., Saint-Petersburg 191015</italic></p></bio><bio xml:lang="ru"><p><italic>197758 Санкт-Петербург, п. Песочный, ул. Ленинградская, 68,</italic></p><p><italic>191015 Санкт-Петербург, ул. Кирочная, 41</italic></p></bio><xref ref-type="aff" rid="aff7"/><xref ref-type="aff" rid="aff8"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3852-3969</contrib-id><name-alternatives><name xml:lang="en"><surname>Kozlov</surname><given-names>N. A.</given-names></name><name xml:lang="ru"><surname>Козлов</surname><given-names>Н. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>24 Kashirskoe Shosse, Moscow 115522</italic></p></bio><bio xml:lang="ru"><p><italic>115522 Москва, Каширское шоссе, 24</italic></p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9289-1247</contrib-id><name-alternatives><name xml:lang="en"><surname>Mamedli</surname><given-names>Z. Z.</given-names></name><name xml:lang="ru"><surname>Мамедли</surname><given-names>З. З.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>24 Kashirskoe Shosse, Moscow 115522</italic></p></bio><bio xml:lang="ru"><p><italic>115522 Москва, Каширское шоссе, 24</italic></p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Rykov</surname><given-names>I. V.</given-names></name><name xml:lang="ru"><surname>Рыков</surname><given-names>И. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>2 Akkuratova St., Saint-Petersburg 197341</italic></p></bio><bio xml:lang="ru"><p><italic>197341 Санкт-Петербург, ул. Аккуратова, 2</italic></p></bio><xref ref-type="aff" rid="aff9"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2245-214X</contrib-id><name-alternatives><name xml:lang="en"><surname>Tryakin</surname><given-names>A. A.</given-names></name><name xml:lang="ru"><surname>Трякин</surname><given-names>А. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>24 Kashirskoe Shosse, Moscow 115522</italic></p></bio><bio xml:lang="ru"><p><italic>115522 Москва, Каширское шоссе, 24</italic></p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8571-7462</contrib-id><name-alternatives><name xml:lang="en"><surname>Tsukanov</surname><given-names>A. S.</given-names></name><name xml:lang="ru"><surname>Цуканов</surname><given-names>А. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>2 Salyama Adilya St., Moscow 123423</italic></p></bio><bio xml:lang="ru"><p><italic>123423 Москва, ул. Саляма Адиля, 2</italic></p></bio><xref ref-type="aff" rid="aff10"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Chernykh</surname><given-names>M. V.</given-names></name><name xml:lang="ru"><surname>Черных</surname><given-names>М. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>24 Kashirskoe Shosse, Moscow 115522,</italic></p><p><italic>8/2 Trubetskaya St., Moscow 119048</italic></p></bio><bio xml:lang="ru"><p><italic>115522 Москва, Каширское шоссе, 24,</italic></p><p><italic>119048 Москва, ул. Трубецкая, 8/2</italic></p></bio><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff11"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Moscow Multidisciplinary Clinical Center “Kommunarka”, Moscow Healthcare Department</institution></aff><aff><institution xml:lang="ru">ГБУЗ г. Москвы «Московский многопрофильный клинический центр «Коммунарка» Департамента здравоохранения г. Москвы»</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">National Medical and Surgical Center named after N.I. Pirogov, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБУ «Национальный медико-хирургический центр им. Н.И. Пирогова» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">Medical Oncology Center “EVIMED”</institution></aff><aff><institution xml:lang="ru">Медицинский онкологический центр «ЭВИМЕД»</institution></aff></aff-alternatives><aff-alternatives id="aff5"><aff><institution xml:lang="en">Chelyabinsk Regional Clinical Center of Oncology and Nuclear Medicine</institution></aff><aff><institution xml:lang="ru">ГАУЗ «Челябинский областной клинический центр онкологии и ядерной медицины»</institution></aff></aff-alternatives><aff-alternatives id="aff6"><aff><institution xml:lang="en">Tyumen State Medical University, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБОУ ВО «Тюменский государственный медицинский университет» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff7"><aff><institution xml:lang="en">N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Петрова» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff8"><aff><institution xml:lang="en">North-Western State Medical University named after I.I. Mechnikov, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff9"><aff><institution xml:lang="en">Almazov National Medical Research Center, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБУ «Национальный медицинский исследовательский центр им. В.А. Алмазова» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff10"><aff><institution xml:lang="en">Ryzhikh National Medical Research Center of Coloproctology, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБУ «Национальный медицинский исследовательский центр колопроктологии им. А.Н. Рыжих» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff11"><aff><institution xml:lang="en">I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2024-11-30" publication-format="electronic"><day>30</day><month>11</month><year>2024</year></pub-date><volume>14</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>31</fpage><lpage>42</lpage><history><date date-type="received" iso-8601-date="2024-11-29"><day>29</day><month>11</month><year>2024</year></date><date date-type="accepted" iso-8601-date="2024-11-29"><day>29</day><month>11</month><year>2024</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2024, Fedyanin M.Y., Gladkov O.A., Gordeev S.S., Karachun A.M., Kozlov N.A., Mamedli Z.Z., Rykov I.V., Tryakin A.A., Tsukanov A.S., Chernykh M.V.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2024, Федянин М.Ю., Гладков О.А., Гордеев С.С., Карачун А.М., Козлов Н.А., Мамедли З.З., Рыков И.В., Трякин А.А., Цуканов А.С., Черных М.В.</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="en">Fedyanin M.Y., Gladkov O.A., Gordeev S.S., Karachun A.M., Kozlov N.A., Mamedli Z.Z., Rykov I.V., Tryakin A.A., Tsukanov A.S., Chernykh M.V.</copyright-holder><copyright-holder xml:lang="ru">Федянин М.Ю., Гладков О.А., Гордеев С.С., Карачун А.М., Козлов Н.А., Мамедли З.З., Рыков И.В., Трякин А.А., Цуканов А.С., Черных М.В.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://onco-surgery.info/jour/article/view/754">https://onco-surgery.info/jour/article/view/754</self-uri><abstract xml:lang="en"><p>This article presents changes to clinical guidelines for the treatment of metastatic colon cancer in 2024. The new provisions in the clinical guidelines are complemented by a brief overview of the research results that underlie them. The changes considered concern not only systemic antitumor treatment, but also surgery and molecular genetic diagnostics. The differences between the recommendations of RUSSCO and the Ministry of Health of Russia are given. The introduction of information to determine the clinical benefit of expensive therapeutic options in relation to the use of the ESMO-MCBS and RUSSCO-MCBS scales is discussed.</p><p>Aim. Bringing information to a wide range of readers on planned changes in clinical guidelines.</p></abstract><trans-abstract xml:lang="ru"><p>В статье представлены изменения клинических рекомендаций по лечению метастатического рака толстой кишки в 2024 г. Новые положения в клинических рекомендациях дополнены кратким обзором результатов исследований, которые лежат в их основе. Рассмотренные изменения касаются не только системного противоопухолевого лечения, но и хирургии и молекулярно-генетической диагностики. Приведены отличия рекомендаций RUSSCO и Минздрава России. Обсуждается внесение информации по определению клинической пользы дорогостоящих терапевтических опций в отношении применения шкал ESMO-MCBS и RUSSCO-MCBS.</p><p>Цель исследования – предоставить обзор информации для широкого круга читателей по планируемым изменениям в клинических рекомендациях, касающихся метастатического рака толстой кишки.</p></trans-abstract><kwd-group xml:lang="en"><kwd>rectal cancer</kwd><kwd>colon cancer</kwd><kwd>colorectal cancer</kwd><kwd>clinical guidelines</kwd><kwd>chemotherapy</kwd><kwd>targeted therapy</kwd><kwd>immunotherapy</kwd><kwd>liver transplantation</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>рак прямой кишки</kwd><kwd>рак ободочной кишки</kwd><kwd>колоректальный рак</kwd><kwd>клинические рекомендации</kwd><kwd>химиотерапия</kwd><kwd>таргетная терапия</kwd><kwd>иммунотерапия</kwd><kwd>трансплантация печени</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Osterlund P., Salminen T., Soveri L.-M. et al. 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