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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">medbio</journal-id><journal-title-group><journal-title xml:lang="ru">Медико-биологические проблемы жизнедеятельности</journal-title><trans-title-group xml:lang="en"><trans-title>Medical and Biological Problems of Life Activity</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2074-2088</issn><publisher><publisher-name>Республиканский научно-практический центр радиационной медицины и экологии человека</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.58708/2074-2088.2024-2(32)-23-28</article-id><article-id custom-type="elpub" pub-id-type="custom">medbio-377</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 ПРОБЛЕМНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS AND PROBLEM ARTICLES</subject></subj-group></article-categories><title-group><article-title>Новые подходы в диагностике и терапии множественной миеломы (обзор литературы)</article-title><trans-title-group xml:lang="en"><trans-title>New approaches in the diagnosis and treatment of multiple myeloma (review)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3488-6650</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Козич</surname><given-names>Ж. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Kozich</surname><given-names>Zh. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Врач-гематолог</p><p>г. Гомель</p></bio><email xlink:type="simple">jannakozi@rambler.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/0000-0001-7029-5500</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мартинков</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Martinkov</surname><given-names>V. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Гомель</p></bio><email xlink:type="simple">martinkov@rcrm.by</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>Климкович</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Klimkovich</surname><given-names>N. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><email xlink:type="simple">det.hematology@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>Руденкова</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Rudenkova</surname><given-names>T. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><email xlink:type="simple">t.rudenkova@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>Костюк</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kostyuk</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><email xlink:type="simple">jannakozi@rambler.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>Сердюкова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Serdyukova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Минск</p></bio><email xlink:type="simple">natserdukova@incloud.com</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>ГУ «РНПЦ радиационной медицины и экологии человека»</institution><country>Belarus</country></aff><aff xml:lang="ru" id="aff-2"><institution>Институт повышения квалификации и переподготовки кадров здравоохранения УО «Белорусский государственный медицинский университет»</institution><country>Belarus</country></aff><aff xml:lang="ru" id="aff-3"><institution>ГУ «Минский НПЦ хирургии, трансплантологии и гематологии»</institution><country>Belarus</country></aff><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>11</day><month>09</month><year>2024</year></pub-date><volume>0</volume><issue>2</issue><fpage>23</fpage><lpage>28</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Козич Ж.М., Мартинков В.Н., Климкович Н.Н., Руденкова Т.В., Костюк С.А., Сердюкова Н.В., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Козич Ж.М., Мартинков В.Н., Климкович Н.Н., Руденкова Т.В., Костюк С.А., Сердюкова Н.В.</copyright-holder><copyright-holder xml:lang="en">Kozich Z.M., Martinkov V.N., Klimkovich N.N., Rudenkova T.V., Kostyuk S.A., Serdyukova N.V.</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://medbio.ejournal.by/jour/article/view/377">https://medbio.ejournal.by/jour/article/view/377</self-uri><abstract><p>Множественная миелома – злокачественное новообразование, вызванное неконтролируемой пролиферацией опухолевых плазматических клеток. С внедрением новых препаратов и методов лечения в последнее десятилетие увеличилась глубина ответа и общая выживаемость пациентов с ММ. Однако ММ остается неизлечимым заболеванием с развитием рецидивов или рефрактерности к лечению. Поэтому поиск факторов прогноза является постоянной темой изучения многих исследований. Благодаря применению современных технологий в диагностике появилась возможность уже на начальном этапе выявлять группу пациентов с высоким риском прогрессии. Это позволяет разрабатывать новые стратегии в лечении. В данном обзоре представлены новые достижения в диагностике и лечении ММ.</p></abstract><trans-abstract xml:lang="en"><p>Multiple myeloma is a malignant neoplasm caused by the uncontrolled proliferation of tumor plasma cells. With the introduction of new drugs and treatments in the last decade, the response rate and overall survival rate of MM patients have increased. However, MM remains an incurable disease with relapses or refractoriness to treatment. Therefore, the search for prognostic factors is a constant topic of study in many researches. Due to the application of modern technologies in diagnostics, it has become possible to identify a group of patients at high risk at an early stage. This allows the development of new treatment strategies. This review presents new achievements in the diagnosis and treatment of MM.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>множественная миелома</kwd><kwd>проточная цитометрия</kwd><kwd>NGS</kwd><kwd>CAR-T клеточная терапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>multiple myeloma</kwd><kwd>flow cytometry</kwd><kwd>NGS</kwd><kwd>CAR-T cell therapy</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">Palumbo, A. Multiple myeloma / A. Palumbo, K.N. Anderson // Engl J Med. – 2011. – Т. 1046. – P. 10.</mixed-citation><mixed-citation xml:lang="en">Palumbo, A. 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