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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">nogr</journal-id><journal-title-group><journal-title xml:lang="ru">Экспериментальная и клиническая гастроэнтерология</journal-title><trans-title-group xml:lang="en"><trans-title>Experimental and Clinical Gastroenterology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-8658</issn><publisher><publisher-name>«Global Media Technologies»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.31146/1682-8658-ecg-244-12-103-112</article-id><article-id custom-type="elpub" pub-id-type="custom">nogr-3287</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>Статьи</subject></subj-group></article-categories><title-group><article-title>Факторы риска и некоторые аспекты канцеропревенции рака поджелудочной железы</article-title><trans-title-group xml:lang="en"><trans-title>Risk factors and some aspects of pancreatic cancer prevention</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9421-5146</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Быкова</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Bykova</surname><given-names>A. P.</given-names></name></name-alternatives><email xlink:type="simple">vulpesruber@yandex.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/0000-0002-5056-4504</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Козлова</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kozlova</surname><given-names>I. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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/0000-0002-0981-1083</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тихонова</surname><given-names>Т. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Tikhonova</surname><given-names>T. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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/0000-0002-4654-9344</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пахомова</surname><given-names>А. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Pakhomova</surname><given-names>A. L.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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>Лекарева</surname><given-names>Л. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Lekareva</surname><given-names>L. I.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Саратовский государственный медицинский университет им. В.И. Разумовского» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Saratov State Medical University named after V.I. Razumovsky (Razumovsky 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>26</day><month>02</month><year>2026</year></pub-date><volume>0</volume><issue>12</issue><fpage>103</fpage><lpage>112</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Быкова А.П., Козлова И.В., Тихонова Т.А., Пахомова А.Л., Лекарева Л.И., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Быкова А.П., Козлова И.В., Тихонова Т.А., Пахомова А.Л., Лекарева Л.И.</copyright-holder><copyright-holder xml:lang="en">Bykova A.P., Kozlova I.V., Tikhonova T.A., Pakhomova A.L., Lekareva L.I.</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.nogr.org/jour/article/view/3287">https://www.nogr.org/jour/article/view/3287</self-uri><abstract><p>Рак поджелудочной железы (РПЖ) - высокозлокачественная опухоль пищеварительной системы с плохим прогнозом. У большинства пациентов с РПЖ диагноз устанавливается на поздней стадии или при метастазировании из-за его агрессивных характеристик и отсутствия типичных ранних симптомов. Это ограничивает возможности лечения и обусловливает низкую пятилетнюю выживаемость в 3-15%. При этом РПЖ встречается относительно редко, и скрининг бессимптомного взрослого населения в настоящее время не считают целесообразным. Цель этого обзора - освещение основных направлений в разработке стратегии раннего скрининга РПЖ: выявление групп высокого риска и соответствующие методы, рекомендуемые для детального исследования в этих когортах.</p></abstract><trans-abstract xml:lang="en"><p>Pancreatic cancer is a malignant tumor of the digestive system with a poor prognosis. Most patients suffering from pancreatic cancer are diagnosed only at a late stage due to its aggressiveness and lack of early symptoms. This limits treatment options and results in a low five-year survival rate of 3-15%. However, pancreatic cancer is relatively rare, so screening of asymptomatic adults is not currently considered viable. The main purpose of this review is to highlight the main development strategies of early pancreatic cancer screening. This review is an in-depth analysis of the main methods of identifying high-risk groups and the procedures of carrying out a detailed study in these cohorts.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>рак поджелудочной железы</kwd><kwd>факторы риска</kwd><kwd>скрининг</kwd><kwd>методы визуализации поджелудочной железы</kwd><kwd>онкомаркеры</kwd><kwd>биомаркеры</kwd></kwd-group><kwd-group xml:lang="en"><kwd>pancreatic cancer</kwd><kwd>risk factors</kwd><kwd>screening</kwd><kwd>imaging of pancreatic cancer</kwd><kwd>tumor markers</kwd><kwd>biomarkers</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">Clinical guidelines. 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