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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">astmed</journal-id><journal-title-group><journal-title xml:lang="ru">Астраханский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Astrakhan medical journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1992-6499</issn><publisher><publisher-name>ФГБОУ ВО Астраханский ГМУ Минздрава России</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.48612/agmu/2022.17.2.109.113</article-id><article-id custom-type="elpub" pub-id-type="custom">astmed-170</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>НАБЛЮДЕНИЯ ИЗ ПРАКТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>OBSERVATIONS FROM PRACTICE</subject></subj-group></article-categories><title-group><article-title>СЛУЧАЙ ЗАПУЩЕННОГО РАКА ЯИЧНИКОВ У 18-ЛЕТНЕЙ ПАЦИЕНТКИ</article-title><trans-title-group xml:lang="en"><trans-title>A CASE OF ADVANCED OVARIAN CANCER IN EIGHTEEN-YEAR-OLD WOMAN</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Синчихин</surname><given-names>С. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Sinchikhin</surname><given-names>S. P.</given-names></name></name-alternatives><email xlink:type="simple">doc_sinchihin@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Павлов</surname><given-names>Р. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Pavlov</surname><given-names>R. V.</given-names></name></name-alternatives><email xlink:type="simple">rwpavlov@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Телегина</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Telegina</surname><given-names>I. V.</given-names></name></name-alternatives><email xlink:type="simple">ivtelegina@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ашихмина</surname><given-names>О. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Ashikhmina</surname><given-names>O. I.</given-names></name></name-alternatives><email xlink:type="simple">79064551986@list.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Салий</surname><given-names>М. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Saliy</surname><given-names>M. G.</given-names></name></name-alternatives><email xlink:type="simple">vas1996len@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Биктауова</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Biktauova</surname><given-names>S. A.</given-names></name></name-alternatives><email xlink:type="simple">sabina563147@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Астраханский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Astrakhan State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Астраханский государственный медицинский университет; Городская клиническая больница № 3 им. С.М. Кирова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Astrakhan State Medical University; Municipal Clinical Hospital No. 3 named after S.M. Kirov</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Городская клиническая больница № 3 им. С.М. Кирова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Municipal Clinical Hospital No. 3 named after S.M. Kirov</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>27</day><month>02</month><year>2023</year></pub-date><volume>17</volume><issue>2</issue><fpage>109</fpage><lpage>113</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Синчихин С.П., Павлов Р.В., Телегина И.В., Ашихмина О.И., Салий М.Г., Биктауова С.А., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Синчихин С.П., Павлов Р.В., Телегина И.В., Ашихмина О.И., Салий М.Г., Биктауова С.А.</copyright-holder><copyright-holder xml:lang="en">Sinchikhin S.P., Pavlov R.V., Telegina I.V., Ashikhmina O.I., Saliy M.G., Biktauova S.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.astmedj.ru/jour/article/view/170">https://www.astmedj.ru/jour/article/view/170</self-uri><abstract><p>Рассмотрен случай запущенного рака яичников у 18-летней пациентки, которой экстренно была выполнена радикальная операция в связи с прогрессирующим злокачественным процессом и некрозом опухоли. Акцентировано внимание на соблюдении принципа онконастороженности у пациенток любого возраста, которые имеют опухолевидные образования, исходящие из придатков матки. Отмечена необходимость комплексного обследования указанной категории больных.</p></abstract><trans-abstract xml:lang="en"><p>The article presents a case of advanced ovarian cancer in an 18-year-old patient who underwent emergency radical surgery due to the spread of the malignant process and tumour necrosis. Attention is focused on compliance with the principle of “cancer alertness” in patients of any age with neoplasms of uterine appendages. The need for a comprehensive examination in this category of patients was noted.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>рак яичника</kwd><kwd>молодой репродуктивный возраст</kwd><kwd>экстренная операция</kwd><kwd>некроз опухоли</kwd></kwd-group><kwd-group xml:lang="en"><kwd>ovarian cancer</kwd><kwd>young reproductive age</kwd><kwd>emergency surgery</kwd><kwd>tumour necrosis</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">Bray F., Ferlay J., Soerjomataram I., Siegel R. L., Torre L. A., Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: a cancer journal for clinicians. 2018. Vol. 68, no. 6. P. 394-424.</mixed-citation><mixed-citation xml:lang="en">Bray F., Ferlay J., Soerjomataram I., Siegel R. L., Torre L. A., Jemal A. 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