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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">amedj</journal-id><journal-title-group><journal-title xml:lang="ru">Амурский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Amur Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2311-5068</issn><issn pub-type="epub">3033-831X</issn><publisher><publisher-name>Амурская государственная медицинская академия</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24412/2311-5068-2024-12-1-57</article-id><article-id custom-type="elpub" pub-id-type="custom">amedj-44</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>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ. Наблюдения из практики</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL RESEARCH. Practice Observations</subject></subj-group></article-categories><title-group><article-title>Случай синдрома первично множественных злокачественных опухолей у ребенка 10 лет</article-title><trans-title-group xml:lang="en"><trans-title>Sluchai sindroma pervichno mnozhestvennykh zlokachestvennykh opukholei u rebenka 10 let [a case of the syndrome of primary multiple malignant tumors in a 10-year-old child].</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>Моногарова</surname><given-names>Л. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Monogarova</surname><given-names>L. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Моногарова Людмила Ивановна, канд. мед. наук, доцент кафедры педиатрии</p><p>675000, Амурская область, г. Благовещенск, ул. Горького, 95.</p></bio><email xlink:type="simple">Limono1@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>Колчина</surname><given-names>Т. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Kolchina</surname><given-names>T. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Колчина Татьяна Леонидовна, заведующая детской поликлиникой № 4</p><p>675000, Амурская область, г. Благовещенск, ул. Больничная, 45.</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Писарева</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Pisareva</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Писарева Анастасия Александровна, эндокринолог детской поликлиники № 4</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО Амурская ГМА Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Amur State Medical Academy of the Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ГАУЗ АО «Детская городская клиническая больница»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>SAHCI AR Children’s City Clinical Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>18</day><month>12</month><year>2025</year></pub-date><volume>12</volume><issue>1</issue><fpage>58</fpage><lpage>61</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Моногарова Л.И., Колчина Т.Л., Писарева А.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Моногарова Л.И., Колчина Т.Л., Писарева А.А.</copyright-holder><copyright-holder xml:lang="en">Monogarova L.I., Kolchina T.L., Pisareva 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.amedj.ru/jour/article/view/44">https://www.amedj.ru/jour/article/view/44</self-uri><abstract><p>Представлено клиническое наблюдение ребенка 10 лет, у которого в периоде клинико-гематологической ремиссии острого лимфобластного лейкоза был выявлен папиллярный рак щитовидной железы с метастазом в лимфатическом узле. Данный клинический случай подтверждает необходимость длительного и тщательного диспансерного наблюдения пациентов с онкологической патологией, что будет способствовать своевременному выявлению и рациональному лечению вторых злокачественных опухолей.</p></abstract><trans-abstract xml:lang="en"><p>The article presents a clinical case of a 10-year-old child who, during the period of clinical and hematological remission of acute lymphoblastic leukemia, was diagnosed with papillary thyroid cancer with metastasis in the lymph node. This clinical case confirms the need for long-term and thorough follow-up of patients with oncological pathology, which will contribute to the timely detection and rational treatment of second malignant tumors.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>cиндром первично множественных злокачественных опухолей</kwd><kwd>лейкоз</kwd><kwd>рак</kwd><kwd>ребенок</kwd></kwd-group><kwd-group xml:lang="en"><kwd>syndrome of primary multiple malignant tumors</kwd><kwd>leukemia</kwd><kwd>cancer</kwd><kwd>childy</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">Мерабишвили В. М. Регистрация и учет больных с первично-множественными злокачественными новообразованиями // Вопросы онкологии. 2000. Т. 46. № 1. С. 40–43.</mixed-citation><mixed-citation xml:lang="en">Merabishvili VM. Registration and accounting of patients with primary multiple malignant neoplasms. 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