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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">medinfo</journal-id><journal-title-group><journal-title xml:lang="ru">Актуальные проблемы теоретической и клинической медицины</journal-title><trans-title-group xml:lang="en"><trans-title>Actual Problems of Theoretical and Clinical Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2790-1289</issn><issn pub-type="epub">2790-1297</issn><publisher><publisher-name>Казахстанско-Российский медицинский университет</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24412/2790-1289-2022-4-7174</article-id><article-id custom-type="elpub" pub-id-type="custom">medinfo-257</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>КЛИНИЧЕСКИЙ СЛУЧАЙ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL CASE</subject></subj-group></article-categories><title-group><article-title>Рак мочевого пузыря, шейки матки при беременности. Сложный пациент</article-title><trans-title-group xml:lang="en"><trans-title>Cancer of the bladder, cervix during pregnancy. A difficult patient</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9122-0268</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сафаргалиев</surname><given-names>М. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Safargaliyev</surname><given-names>M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Малик Ербатырович Сафаргалиев, магистр медицины</p><p>Алматы</p></bio><bio xml:lang="en"><p>Malik Safargaliyev</p><p>Almaty</p></bio><email xlink:type="simple">87761313137@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/0000-0001-7034-3605</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Джамбулова</surname><given-names>Б. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Dzhambulova</surname><given-names>B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бела Тельмановна Джамбулова, к. м. н., доцент</p><p>Алматы</p></bio><bio xml:lang="en"><p>Bela Dzhambulova</p><p>Almaty</p></bio><email xlink:type="simple">uro-krmu@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/0000-0002-0857-6253</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Нысанбаев</surname><given-names>А. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Nysanbayev</surname><given-names>A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Абдулла Дуйсенбекович Нысанбаев, к. м. н., доцент</p><p>Алматы</p></bio><bio xml:lang="en"><p>Abdulla Nysanbayev</p><p>Almaty</p></bio><email xlink:type="simple">abdollan@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">НУО «Казахстанско-Российский медицинский университет»<country>Казахстан</country></aff><aff xml:lang="en">NEI «Kazakh-Russian Medical University»<country>Kazakhstan</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>14</day><month>12</month><year>2022</year></pub-date><volume>0</volume><issue>4</issue><fpage>71</fpage><lpage>74</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Сафаргалиев М.Е., Джамбулова Б.Т., Нысанбаев А.Д., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Сафаргалиев М.Е., Джамбулова Б.Т., Нысанбаев А.Д.</copyright-holder><copyright-holder xml:lang="en">Safargaliyev M., Dzhambulova B., Nysanbayev 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://kazrosmedjournal.krmu.edu.kz/jour/article/view/257">https://kazrosmedjournal.krmu.edu.kz/jour/article/view/257</self-uri><abstract><p>   Статья описывает клинчиский случай выявления рака мочевого пузыря и шейки матки при беременности, с быстро прогрессирующим течением и локальным поражением нескольких систем организма. Несмотря на доступность различных методов диагностики (компьютерная томография, обзорная экскреторная урография, пункции под УЗИ-контролем, МРТ), распознавание данной патологии весьма затруднительно ввиду отсутствия патогномоничных признаков. Дальнейшие мероприятия по улучшению диагностики, по всей видимости, должны носить углубленный характер онконастороженности.</p></abstract><trans-abstract xml:lang="en"><p>   The article describes a clinical case of detection of bladder and cervical cancer during pregnancy, with a rapidly progressive course and local lesion of several body systems. Despite the availability of various diagnostic methods (computed tomography, overview excretory urography, ultrasound-controlled punctures, MRI), recognition of this pathology is very difficult due to the absence of pathognomonic signs. Further measures to improve diagnostics, apparently, should have an in-depth nature of oncological alertness.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>рак шейки матки</kwd><kwd>рак мочевого пузыря</kwd><kwd>беременность</kwd><kwd>гидронефроз</kwd><kwd>кесарево сечение</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cervical cancer</kwd><kwd>bladder cancer</kwd><kwd>pregnancy</kwd><kwd>hydronephrosis</kwd><kwd>caesarean section</kwd></kwd-group><funding-group xml:lang="ru"><funding-statement>Финансирование отсутствует</funding-statement></funding-group><funding-group xml:lang="en"><funding-statement>Financing absent</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">Charlotte Maggen, Jasmijn Linssen, Mina Mhallem Gziri, Paolo Zola, Elyce Cardonick, Christianne J M de Groot, Alvaro Cabrera Garcia, Robert Fruscio, Vit Drochytek, Kristel Van Calsteren, Maarten Albersen, Frédéric Amant. 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