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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">uzspbgmu</journal-id><journal-title-group><journal-title xml:lang="ru">Учёные записки Первого Санкт-Петербургского государственного медицинского университета имени академика И. П. Павлова</journal-title><trans-title-group xml:lang="en"><trans-title>The Scientific Notes of the Pavlov University</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1607-4181</issn><issn pub-type="epub">2541-8807</issn><publisher><publisher-name>Academician I.P. Pavlov First St. Petersburg State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24884/1607-4181-2025-32-1-31-42</article-id><article-id custom-type="elpub" pub-id-type="custom">uzspbgmu-1114</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>ОБЗОРЫ И ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS AND LECTURES</subject></subj-group></article-categories><title-group><article-title>Аспекты лечения пациентов с абдоминальной онкопатологией на фоне хронической болезни почек</article-title><trans-title-group xml:lang="en"><trans-title>Aspects of treatment of patients with abdominal oncopathology against the background of chronic kidney disease</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5153-2061</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Палтышев</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Paltyshev</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Палтышев Илья Александрович, кандидат медицинских наук, врач-онколог онкологического отделения № 1, руководитель отделения детской хирургии НИИ хирургии и неотложной медицины, доцент кафедры онкологии ФПО</p><p>197022, Санкт-Петербург, ул. Льва Толстого, д. 6-8</p></bio><bio xml:lang="en"><p>Paltyshev Ilya A., Cand. of Sci. (Med.), Oncologist of the Oncological Department №1, Head of the Department of Pediatric Surgery of the Research Institute of Surgery and Emergency Medicine, Associate Professor of the Department of Oncology of the Faculty of Postgraduate Education</p><p>6-8, L’va Tolstogo str., Saint Petersburg, 197022</p></bio><email xlink:type="simple">Eexss@mail.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/0000-0003-0830-3797</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Беляев</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Belyaev</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Беляев Михаил Алексеевич, кандидат медицинских наук, научный сотрудник, руководитель отделения абдоминальной онкологии, зам. главного врача клиники по онкологии</p><p>197022, Санкт-Петербург, ул. Льва Толстого, д. 6-8</p></bio><bio xml:lang="en"><p>Belyaev Mikhail A., Cand. of Sci. (Med.), Research Fellow, Head of the Department of Abdominal Oncology, Deputy Chief Physician of Oncology Clinic</p><p>6-8, L’va Tolstogo str., Saint Petersburg, 197022</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8514-5377</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Захаренко</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Zakharenko</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Захаренко Александр Анатольевич, доктор медицинских наук, профессор, зав. кафедрой онкологии ФПО</p><p>197022, Санкт-Петербург, ул. Льва Толстого, д. 6-8</p></bio><bio xml:lang="en"><p>Zakharenko Aleksandr A., Dr. of Sci. (Med.), Professor, Head of the Department of Oncology of the Faculty of Postgraduate Education</p><p>6-8, L’va Tolstogo str., Saint Petersburg, 197022</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pavlov University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>07</day><month>06</month><year>2025</year></pub-date><volume>32</volume><issue>1</issue><fpage>31</fpage><lpage>42</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Палтышев И.А., Беляев М.А., Захаренко А.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Палтышев И.А., Беляев М.А., Захаренко А.А.</copyright-holder><copyright-holder xml:lang="en">Paltyshev I.A., Belyaev M.A., Zakharenko A.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.sci-notes.ru/jour/article/view/1114">https://www.sci-notes.ru/jour/article/view/1114</self-uri><abstract><p>Онконефрология – раздел медицинской науки, находящийся на стыке специальностей (онкология и нефрология), которая занимается аспектами заболеваний почек, возникших на фоне лечения онкологических заболеваний, а также течением онкологического процесса на фоне ранее выявленной хронической болезни почки (ХБП). Обзор литературы освещает отдельные проблемы, связанных с лечением онкологических больных на фоне дисфункции почек: эпидемиологию, особенности проведения диагностических и динамических обследований, проведение хирургического и химиотерапевтического лечения, а также ряд организационных проблем, которые возникают при планировании лечения этой сложной группы.</p></abstract><trans-abstract xml:lang="en"><p>Onconephrology is a branch of medical science located at the junction of specialties (oncology and nephrology), which deals with aspects of kidney diseases that have arisen against the background of cancer treatment, as well as the course of the oncological process against the background of previously identified chronic kidney disease (CKD). The literature review highlights some problems related to the treatment of cancer patients with kidney dysfunction: epidemiology, features of diagnostic and dynamic examinations, surgical and chemotherapeutic treatment, as well as a number of organizational problems that arise when planning treatment for this complex group.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>хроническая болезнь почки</kwd><kwd>гемодиализ</kwd><kwd>почечная недостаточность</kwd><kwd>рак</kwd><kwd>химиотерапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>chronic kidney disease</kwd><kwd>hemodialysis</kwd><kwd>kidney failure</kwd><kwd>cancer</kwd><kwd>chemotherapy</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Авторы выражают благодарность в редактировании текста и консультативной работе с материалом директору клиники НИИ нефрологии ФГБОУ ВО ПСПбГМУ им. И. П. Павлова доктору медицинских наук, профессору Добронравову Владимиру Александровичу.</funding-statement><funding-statement xml:lang="en">The authors express their gratitude in the editing of the text and consultative work with material to the Director of the Clinic of the Research Institute of Neurology of the Pavlov University, Doctor of medical sciences, Professor Dobronravov Vladimir Aleksandrovich.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Lam A. Q., Humphreys B. D. Onco-nephrology: AKI in the cancer patient // Clinical journal of the American Society of Nephrology: CJASN. – 2012. – Vol. 7, № 10. – P. 1692–1700. https://doi.org/10.2215/CJN.03140312.</mixed-citation><mixed-citation xml:lang="en">Lam A. Q., Humphreys B. D. 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