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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">zdor</journal-id><journal-title-group><journal-title xml:lang="ru">Проблемы здоровья и экологии</journal-title><trans-title-group xml:lang="en"><trans-title>Health and Ecology Issues</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2220-0967</issn><issn pub-type="epub">2708-6011</issn><publisher><publisher-name>Gomel State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51523/2708-6011.2023-20-3-17</article-id><article-id custom-type="elpub" pub-id-type="custom">zdor-2599</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>СЛУЧАЙ ИЗ КЛИНИЧЕСКОЙ ПРАКТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL CASES</subject></subj-group></article-categories><title-group><article-title>Периферическая неспецифицированная Т-клеточная лимфома с поражением сердца и крупных сосудов средостения</article-title><trans-title-group xml:lang="en"><trans-title>Peripheral unspecified T-cell lymphoma with damage to the heart and large vessels of the mediastinum</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5579-4173</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Николаева</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikolaeva</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Николаева Наталья Владимировна, к.м.н, доцент, доцент кафедры внутренних болезней № 2 с курсом ФПКиП</p><p>г. Гомель</p></bio><bio xml:lang="en"><p>Natalia V. Nikolaeva, Candidate of Medical Sciences, Associate Professor of the Department of Internal Diseases №.2 with the course of the Faculty of Advanced Training and Retraining</p><p>Gomel</p></bio><email xlink:type="simple">nikolaeva.n.v@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/0000-0002-2875-1178</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кривелевич</surname><given-names>Н. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Krivelevich</surname><given-names>N. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кривелевич Наталия Борисовна, к.м.н., доцент кафедры внутренних болезней № 2 с курсом ФПКиП</p><p>г. Гомель</p></bio><bio xml:lang="en"><p>Natalia B. Krivelevich, Candidate of Medical Sciences, Associate Professor of the Department of Internal Diseases №2 with the course of the Faculty of Advanced Training and Retraining</p><p>Gomel</p></bio><email xlink:type="simple">krivelevich@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/0000-0003-4838-1140</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Осипенко</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Osipenko</surname><given-names>D. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Осипенко Дмитрий Васильевич, к.м.н., доцент кафедры хирургических болезней № 1 с курсом сердечно-сосудистой хирургии; врач анестезиолог-реаниматолог (заведующий) отделения анестезиологии и реанимации с палатами интенсивной терапии</p><p>г. Гомель</p></bio><bio xml:lang="en"><p>Dzmitry V. Osipenko, Candidate of Medical Sciences, Associate Professor of the Department of Surgical Diseases №1 with a course of Cardiovascular Surgery; Anesthesiologist-resuscitator (Head) of the Department of Anesthesiology and Resuscitation with Intensive Care Units</p><p>Gomel</p></bio><email xlink:type="simple">osipenko081081@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8405-1571</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Березняцкий</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Berezniatsky</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Березняцкий Алексей Владимирович, врач-кардиолог (заведующий) кардиологического отделения № 1</p><p>г. Гомель</p></bio><bio xml:lang="en"><p>Alexey V. Berezniatsky, Cardiologist (Head) of the Department of Cardiology № 1</p><p>Gomel</p></bio><email xlink:type="simple">alexberr@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0959-8606</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дорогокупец</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Dorogokupets</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дорогокупец Анна Викторовна, врач-кардиолог кардиологического отделения № 1</p><p>г. Гомель</p></bio><bio xml:lang="en"><p>Anna V. Dorogokupets, Cardiologist of the Department of Cardiology №1</p><p>Gomel</p></bio><email xlink:type="simple">andovi@ya.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0867-9391</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Почуйко</surname><given-names>Е. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Pocuiko</surname><given-names>E. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Почуйко Елена Борисовна, врач-кардиолог кардиологического отделения № 1</p><p>г. Гомель</p></bio><bio xml:lang="en"><p>Elena B. Pocuiko, Cardiologist of the Department of Cardiology №1</p><p>Gomel</p></bio><email xlink:type="simple">lena.pochuiko@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7136-2381</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Калилец</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kalilets</surname><given-names>K. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Калилец Екатерина Алексеевна, студентка лечебного факультета</p><p>г. Гомель</p></bio><bio xml:lang="en"><p>Katsiaryna A. Kalilets, Student of the Faculty of General Medicine</p><p>Gomel</p></bio><email xlink:type="simple">ekaterinakalilec45@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3553-5908</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Аноничева</surname><given-names>А. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Anonicheva</surname><given-names>A. Dz.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Аноничева Анастасия Дмитриевна, студентка лечебного факультета</p><p>г. Гомель</p></bio><bio xml:lang="en"><p>Anastasia Dz. Anonicheva, Student of the Faculty of General Medicine</p><p>Gomel</p></bio><email xlink:type="simple">a.anonicheva@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Гомельский государственный медицинский университет</institution></aff><aff xml:lang="en"><institution>Gomel State Medical University</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Гомельский государственный медицинский университет; Гомельский областной клинический кардиологический центр</institution></aff><aff xml:lang="en"><institution>Gomel State Medical University; Gomel Regional Clinical Cardiological Сenter</institution></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Гомельский областной клинический кардиологический центр</institution></aff><aff xml:lang="en"><institution>Gomel Regional Clinical Cardiological Сenter</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>27</day><month>09</month><year>2023</year></pub-date><volume>20</volume><issue>3</issue><fpage>129</fpage><lpage>136</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Николаева Н.В., Кривелевич Н.Б., Осипенко Д.В., Березняцкий А.В., Дорогокупец А.В., Почуйко Е.Б., Калилец Е.А., Аноничева А.Д., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Николаева Н.В., Кривелевич Н.Б., Осипенко Д.В., Березняцкий А.В., Дорогокупец А.В., Почуйко Е.Б., Калилец Е.А., Аноничева А.Д.</copyright-holder><copyright-holder xml:lang="en">Nikolaeva N.V., Krivelevich N.B., Osipenko D.V., Berezniatsky A.V., Dorogokupets A.V., Pocuiko E.B., Kalilets K.A., Anonicheva A.D.</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://journal.gsmu.by/jour/article/view/2599">https://journal.gsmu.by/jour/article/view/2599</self-uri><abstract><p>Периферическая неспецифицированная Т-клеточная лимфома без дополнительного уточнения (ПТКЛ БДУ) — это опухолевое новообразование, развивающееся из зрелых Т-лимфоцитов и NK-клеток. ПТКЛ БДУ — редкое злокачественное новообразование, встречающееся чаще всего у мужчин, преимущественно старше 60 лет. Данный вид лимфомы составляет около 15 % от всех неходжкинских лимфом. В статье описан клинический случай ПТКЛ БДУ, который был труден в диагностическом плане.</p></abstract><trans-abstract xml:lang="en"><p>Peripheral unspecified T-cell lymphoma not otherwise specified (PTCL NOS) is a malignant neoplasm that develops from mature T-lymphocytes and NK cells. PTCL NOS is a rare malignant neoplasm that occurs most often in men, predominantly over 60 years of age. This type of lymphoma accounts for about 15% of all non-Hodgkin’s lymphomas. The paper describes a clinical case of PTCL NOS , which was difficult to diagnose.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>опухоли средостения</kwd><kwd>Т-клеточная лимфома</kwd><kwd>диагностика лимфомы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>mediastinal tumors</kwd><kwd>T-cell tumors</kwd><kwd>lymphoma</kwd><kwd>pathological anatomy</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">Поляцкин И.Л., Артемьева А.С., Криволапов Ю.А. Пересмотренная Классификация ВОЗ опухолей гемопоэтичекой и лимфоидной тканей, 2017 (4-е издание): опухоли лимфоидной ткани. Архив патологии. 2019;81(3):59-65. DOI: https://doi.org/10.17116/patol20198103159</mixed-citation><mixed-citation xml:lang="en">Polyatskin IL, Artemyeva AS, Krivolapov YuA. Revised WHO classification of tumors of hematopoietic and lymphoid tissues, 2017 (4th edition): lymphoid tumors. 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