cancerspЮжно-Российский онкологический журнал/ South Russian Journal of CancerSouth Russian Journal of Cancer2686-9039АНО "Перспективы онкологии"10.37748/2686-9039-2026-7-3-6UXIRDFcancersp-428Research ArticleОБЗОРЫREVIEWSСтратегические подходы к медицинской реабилитации больных раком молочной железыStrategic approaches to medical rehabilitation of patients with breast cancerhttps://orcid.org/0000-0002-5027-5331МкртчянЛ. С.MkrtchianL. S.

 

Мкртчян Лиана Сирекановна – д.м.н., заведующая отделом медицинской реабилитации и восстановительных технологий Медицинского радиологического научного центра им. А. Ф. Цыба – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Министерства здравоохранения Российской Федерации, г. Обнинск, Российская Федерация; профессор кафедры «Акушерство и гинекология» Обнинского института атомной энергетики – филиал ФГАОУ ВО «Национальный исследовательский ядерный университет «МИФИ», г. Обнинск, Российская Федерация

ORCID: https://orcid.org/0000-0002-5027-5331, eLibrary SPIN: 3352-0814, AuthorID: 147713, Scopus Author ID: 6601999343, WoS ResearcherID: JBJ-0493-2023

 

Liana S. Mkrtchian – Dr. Sci. (Medicine), Head of Department of Medical Rehabilitation and Restorative Technologies, A. Tsyb Medical Radiological Research Centre – Branch of the National Medical Research Radiological Centre, Obninsk, Russian Federation; Professor at the Department of Obstetrics and Gynecology, Obninsk Institute for Nuclear Power Engineering – Branch of the National Research Nuclear University «MEPhI», Obninsk, Russian Federation

ORCID: https://orcid.org/0000-0002-5027-5331, eLibrary SPIN: 3352-0814, AuthorID: 147713, Scopus Author ID: 6601999343, WoS ResearcherID: JBJ-0493-2023

liana6969@mail.ruhttps://orcid.org/0000-0001-6481-1724КукошМ. Ю.KukoshM. Yu.

 

Кукош Мария Юрьевна – к.м.н., старший научный сотрудник отдела медицинской реабилитации и восстановительных технологий Медицинского радиологического научного центра им. А. Ф. Цыба – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Министерства здравоохранения Российской Федерации, г. Обнинск, Российская Федерация; доцент кафедры онкологии и гематологии факультета непрерывного медицинского образования Медицинского института ФГАОУ ВО «Российский университет дружбы народов», г. Москва, Российская Федерация

ORCID: https://orcid.org/0000-0001-6481-1724, eLibrary SPIN: 9093-8296, AuthorID: 824956

 

Mariya Yu. Kukosh – Cand. Sci. (Medicine), Senior Researcher at the Department of Medical Rehabilitation and Rehabilitation Technologies, A. Tsyb Medical Radiological Research Centre – Branch of the National Medical Research Radiological Centre, Obninsk, Russian Federation; Associate Professor, Department of Oncology and Hematology, Medical Institute, Peoples' Friendship University of Russia, Moscow, Russian Federation

ORCID: https://orcid.org/0000-0001-6481-1724, eLibrary SPIN: 9093-8296, AuthorID: 824956

https://orcid.org/0009-0009-5700-329XВоличеваЕ. А.VolichevaE. A.

 

Воличева Елена Алексеевна – медицинский реабилитолог отдела медицинской реабилитации и восстановительных технологий Медицинского радиологического научного центра им. А. Ф. Цыба – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Министерства здравоохранения Российской Федерации, г. Обнинск, Российская Федерация

ORCID: https://orcid.org/0009-0009-5700-329X, eLibrary SPIN: 9431-7412, AuthorID: 1327998

 

Elena A. Volicheva – medical rehabilitologist of Medical Rehabilitation and Rehabilitation Technologies, A. Tsyb Medical Radiological Research Centre – Branch of the National Medical Research Radiological Centre, Obninsk, Russian Federation

eLibrary SPIN: 9431-7412, AuthorID: 1327998

https://orcid.org/0000-0003-3258-0954ХайловаЖ. В.KhailovaZh. V.

 

Хайлова Жанна Владимировна – к.м.н., заместитель директора по организационно-методической работе Медицинского радиологического научного центра им. А. Ф. Цыба – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Министерства здравоохранения Российской Федерации, г. Обнинск, Российская Федерация; руководитель Центра координации деятельности учреждений регионов в области онкологии и радиологии ФГБУ «Национальный медицинский исследовательский центр радиологии» Министерства здравоохранения Российской Федерации, г. Обнинск, Российская Федерация

ORCID: https://orcid.org/0000-0003-3258-0954, eLibrary SPIN: 8830-9753, AuthorID: 1140942, Scopus Author ID: 57216869171

 

Zhanna V. Khailova – Cand. Sci. (Medicine), Deputy Director for Organizational and Methodological Work, A. Tsyb Medical Radiological Research Centre – Branch of the National Medical Research Radiological Centre, Obninsk, Russian Federation; Head of the Center for Coordination of Regional Institutions in Oncology and Radiology, National Medical Research Radiological Centre, Obninsk, Russian Federation

ORCID: https://orcid.org/0000-0003-3258-0954, eLibrary SPIN: 8830-9753, AuthorID: 1140942, Scopus Author ID: 57216869171

https://orcid.org/0000-0001-7689-6032ИвановС. А.IvanovS. A.

 

Иванов Сергей Анатольевич – д.м.н., член-корреспондент РАН, директор Медицинского радиологического научного центра им. А. Ф. Цыба – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Министерства здравоохранения Российской Федерации, г. Обнинск, Российская Федерация; профессор кафедры онкологии и рентгенорадиологии им. В. П. Харченко Медицинского института ФГАОУ ВО «Российский университет дружбы народов», г. Москва, Российская Федерация

ORCID: https://orcid.org/0000-0001-7689-6032, eLibrary SPIN: 4264-5167, AuthorID: 710405, Scopus Author ID: 16070399200, WoS ResearcherID: N-8221-2017

 

Sergey A. Ivanov – Dr. Sci. (Medicine), Corresponding Member of the RAS, Director of A. Tsyb Medical Radiological Research Centre – Branch of the National Medical Research Radiological Centre, Obninsk, Russian Federation; Professor of the Department of Oncology and Radiology named after V.P. Kharchenko at the Medical Institute, Peoples' Friendship University of Russia, Moscow, Russian Federation

ORCID: https://orcid.org/0000-0001-7689-6032, eLibrary SPIN: 4264-5167, AuthorID: 710405, Scopus Author ID: 16070399200, WoS ResearcherID: N-8221-2017

https://orcid.org/0000-0001-8784-8415КапринА. Д.KaprinA. D.

 

Каприн Андрей Дмитриевич – д.м.н., профессор, академик РАН, академик РАО, директор Московского научно-исследовательского онкологического института им. П. А. Герцена – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Министерства здравоохранения Российской Федерации, г. Москва, Российская Федерация; генеральный директор ФГБУ «Национальный медицинский исследовательский центр радиологии» Министерства здравоохранения Российской Федерации, г. Обнинск, Российская Федерация; заведующий кафедрой онкологии и рентгенорадиологии им. В. П. Харченко Медицинского института ФГАОУ ВО «Российский университет дружбы народов», г. Москва, Российская Федерация

ORCID: https://orcid.org/0000-0001-8784-8415, eLibrary SPIN: 1759-8101, AuthorID: 96775, Scopus Author ID: 6602709853, WoS ResearcherID: K-1445-2014

 

Andrey D. Kaprin – Dr. Sci. (Medicine), Professor, Academician of the Russian Academy of Sciences, Academician of the Russian Academy of Education, Director of P. Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre, Moscow, Russian Federation, General Director of National Medical Research Radiological Centre, Obninsk, Russian Federation, Head of the Department of Oncology and Radiology named after V.P. Kharchenko at the Medical Institute, Peoples' Friendship University of Russia, Moscow, Russian Federation

ORCID: https://orcid.org/0000-0001-8784-8415, eLibrary SPIN: 1759-8101, AuthorID: 96775, Scopus Author ID: 6602709853, WoS ResearcherID: K-1445-2014

Медицинский радиологический научный центр им. А. Ф. Цыба – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Министерства здравоохранения Российской Федерации; <p> Обнинский институт атомной энергетики – филиал ФГАОУ ВО «Национальный исследовательский ядерный университет «МИФИ» <p> г. Обнинск, Российская ФедерацияA. Tsyb Medical Radiological Research Centre – Branch of the National Medical Research Radiological Centre; <p> Obninsk Institute for Nuclear Power Engineering – Branch of the National Research Nuclear University «MEPhI» <p> Obninsk, Russian FederationМедицинский радиологический научный центр им. А. Ф. Цыба – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Министерства здравоохранения Российской Федерации, г. Обнинск, Российская Федерация; <p> Российский университет дружбы народов, г. Москва, Российская ФедерацияA. Tsyb Medical Radiological Research Centre – Branch of the National Medical Research Radiological Centre, Obninsk, Russian Federation <p> Peoples Friendship University of Russia (RUDN University), Moscow, Russian FederationМедицинский радиологический научный центр им. А. Ф. Цыба – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Министерства здравоохранения Российской Федерации <p> г. Обнинск, Российская ФедерацияA. Tsyb Medical Radiological Research Centre – Branch of the National Medical Research Radiological Centre <p> Obninsk, Russian FederationМедицинский радиологический научный центр им. А. Ф. Цыба – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Министерства здравоохранения Российской Федерации, г. Обнинск, Российская Федерация; <p> Национальный медицинский исследовательский центр радиологии Министерства здравоохранения Российской Федерации, г. Обнинск, Российская Федерация; <p>A. Tsyb Medical Radiological Research Centre – Branch of the National Medical Research Radiological Centre; <p> National Medical Research Radiological Centre <p> Obninsk, Russian FederationМедицинский радиологический научный центр им. А. Ф. Цыба – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Министерства здравоохранения Российской Федерации, г. Обнинск, Российская Федерация; <p> Российский университет дружбы народов, г. Москва, Российская ФедерацияA. Tsyb Medical Radiological Research Centre – Branch of the National Medical Research Radiological Centre, Obninsk, Russian Federation; <p> Peoples Friendship University of Russia (RUDN University), Moscow, Russian FederationНациональный медицинский исследовательский центр радиологии Министерства здравоохранения Российской Федерации, г. Обнинск, Российская Федерация; <p> Московский научно-исследовательский онкологический институт им. П. А. Герцена – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Министерства здравоохранения Российской Федерации, г. Москва, Российская Федерация; <p> Российский университет дружбы народов, г. Москва, Российская ФедерацияNational Medical Research Radiological Centre, Obninsk, Russian Federation;<p> P. Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre, Moscow, Russian Federation;<p> Peoples Friendship University of Russia (RUDN University), Moscow, Russian Federation2026060920267375104Copyright &#x00A9; Мкртчян Л.С., Кукош М.Ю., Воличева Е.А., Хайлова Ж.В., Иванов С.А., Каприн А.Д., 20262026Мкртчян Л.С., Кукош М.Ю., Воличева Е.А., Хайлова Ж.В., Иванов С.А., Каприн А.Д.Mkrtchian L.S., Kukosh M.Y., Volicheva E.A., Khailova Z.V., Ivanov S.A., Kaprin A.D.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.cancersp.com/jour/article/view/428

Рак молочной железы (РМЖ) лидирует в структуре онкозаболеваемости и смертности среди женщин, при этом отмечается тенденция к омоложению больных. Успехи специализированного лечения улучшили показатели выживаемости, но сопряжены с выраженным психофизическим дефицитом, снижающим качество жизни пациенток. Клиническая и социально-экономическая значимость проблемы обусловливает разработку реабилитационных программ, учитывающих весь комплекс возникающих инвалидизирующих осложнений.

Цель исследования

Цель исследования. Консолидация лечебно-методологических подходов к реабилитации больных РМЖ для восстановления функционального статуса и качества жизни пациенток после противоопухолевого лечения.

Материалы и методы

Материалы и методы. Проведен анализ отечественных и зарубежных публикаций в базах PubMed, eLIBRARY и CyberLeninka за период 2005–2026 гг., изучены результаты рандомизированных клинических исследований, систематических обзоров и актуальных руководств (ASCO, NCCN, Минздрава России) по применению физических, физиотерапевтических, психологических, нутрициологических и других методов в реабилитационных программах пациенток с РМЖ.

Результаты

Результаты. На основании анализа международного опыта и практики отдела медицинской реабилитации и восстановительных технологий МРНЦ им. А. Ф. Цыба систематизированы стратегические подходы к восстановительному лечению больных РМЖ. Показана высокая эффективность мультидисциплинарной реабилитации, снижающей риски стойких осложнений специализированного лечения и ускоряющей социальную реинтеграцию.

Заключение

Заключение. Парадигма реабилитации при РМЖ базируется на мультимодальном подходе, объединяющем функциональную адаптацию методами физической реабилитации, высокотехнологичной физиотерапии, эстетической медицины и психосоциальную поддержку. Переход к превентивным стратегиям междисциплинарного воздействия с момента постановки диагноза является залогом восстановления качества жизни пациентов.

Breast cancer (BC) ranks first in cancer incidence and mortality among women, with a trend toward an increasingly younger age at diagnosis. Advances in specialized cancer treatment have improved survival outcomes but are associated with substantial physical and psychological impairments that reduce patients’ quality of life. The clinical and socioeconomic significance of this problem necessitates the development of rehabilitation programs addressing the full spectrum of disabling complications.

Purpose of the study

Purpose of the study. To consolidate therapeutic and methodological approaches to the rehabilitation of patients with BC aimed at restoring functional status and quality of life following anticancer treatment.

Materials and methods

Materials and methods. Russian and international publications indexed in PubMed, eLIBRARY, and CyberLeninka from 2005 to 2026 were analyzed. The results of randomized clinical trials, systematic reviews, and current guidelines (ASCO, NCCN, and the Russian Ministry of Health) on the use of physical rehabilitation, physiotherapy, psychological, nutritional, and other interventions in rehabilitation programs for patients with breast cancer were reviewed.

Results

Results. Based on an analysis of international experience and the clinical practice of the Department of Medical Rehabilitation and Restorative Technologies of the A. Tsyb Medical Radiological Research Center, strategic approaches to the rehabilitation of patients with breast cancer were systematized. Multidisciplinary rehabilitation was shown to be highly effective in reducing the risk of persistent complications associated with specialized cancer treatment and accelerating patients’ social reintegration.

Conclusion

Conclusion. The rehabilitation paradigm for breast cancer is based on a multimodal approach combining functional adaptation through physical rehabilitation, advanced physiotherapy, aesthetic medicine, and psychosocial support. The transition to preventive interdisciplinary strategies initiated at the time of diagnosis is essential for restoring patients’ quality of life.

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The authors declare that there are no conflicts of interest present.