Постановление Правительства Пермского края от 24.12.2015 № 1139-п

¦      ¦                      ¦                  ¦длинных трубчатых костей ¦               ¦                              ¦           ¦

¦      +----------------------+------------------+-------------------------+---------------+------------------------------+-----------+

¦      ¦                      ¦    C43, C43.5,   ¦злокачественные          ¦хирургическое  ¦широкое иссечение меланомы    ¦           ¦

¦      ¦                      ¦   C43.6, C43.7,  ¦новообразования кожи     ¦лечение        ¦кожи с пластикой дефекта      ¦           ¦

¦      ¦                      ¦   C43.8, C43.9,  ¦                         ¦               ¦кожно-мышечным лоскутом на    ¦           ¦

¦      ¦                      ¦    C44, C44.5,   ¦                         ¦               ¦сосудистой ножке              ¦           ¦

¦      ¦                      ¦   C44.6, C44.7,  ¦                         ¦               ¦                              ¦           ¦

¦      ¦                      ¦   C44.8, C44.9   ¦                         ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦широкое иссечение опухоли     ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦кожи с                        ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦реконструктивно-пластическим  ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦компонентом комбинированное   ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦(местные ткани и эспандер)    ¦           ¦

¦      ¦                      ¦                  +-------------------------+---------------+------------------------------+           ¦

¦      ¦                      ¦                  ¦местнораспространенные   ¦хирургическое  ¦изолированная                 ¦           ¦

¦      ¦                      ¦                  ¦формы первичных и        ¦лечение        ¦гипертермическая регионарная  ¦           ¦

¦      ¦                      ¦                  ¦метастатических меланом  ¦               ¦химиоперфузия конечностей     ¦           ¦

¦      ¦                      ¦                  ¦кожи конечностей         ¦               ¦                              ¦           ¦

¦      +----------------------+------------------+-------------------------+---------------+------------------------------+-----------+

¦      ¦                      ¦        C48       ¦местнораспространенные и ¦хирургическое  ¦удаление первичных и          ¦           ¦

¦      ¦                      ¦                  ¦диссеминированные формы  ¦лечение        ¦рецидивных неорганных         ¦           ¦

¦      ¦                      ¦                  ¦первичных и рецидивных   ¦               ¦забрюшинных опухолей с        ¦           ¦

¦      ¦                      ¦                  ¦неорганных опухолей      ¦               ¦ангиопластикой                ¦           ¦

¦      ¦                      ¦                  ¦забрюшинного пространства¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦удаление первичных и          ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦рецидивных неорганных         ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦забрюшинных опухолей с        ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦реконструктивно-пластическим  ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦компонентом                   ¦           ¦

¦      ¦                      ¦                  +-------------------------+---------------+------------------------------+           ¦

¦      ¦                      ¦                  ¦местнораспространенные   ¦хирургическое  ¦удаление первичных,           ¦           ¦

¦      ¦                      ¦                  ¦формы первичных и        ¦лечение        ¦рецидивных и метастатических  ¦           ¦

¦      ¦                      ¦                  ¦метастатических опухолей ¦               ¦опухолей брюшной стенки с     ¦           ¦

¦      ¦                      ¦                  ¦брюшной стенки           ¦               ¦реконструктивно-пластическим  ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦компонентом                   ¦           ¦

¦      +----------------------+------------------+-------------------------+---------------+------------------------------+-----------+

¦      ¦                      ¦   C49.1, C49.2,  ¦первичные                ¦хирургическое  ¦иссечение новообразования     ¦           ¦

¦      ¦                      ¦   C49.3, C49.5,  ¦злокачественные          ¦лечение        ¦мягких тканей с               ¦           ¦

¦      ¦                      ¦   C49.6, C47.1,  ¦новообразования мягких   ¦               ¦микрохирургической пластикой  ¦           ¦

¦      ¦                      ¦   C47.2, C47.3,  ¦тканей туловища и        ¦               ¦                              ¦           ¦

¦      ¦                      ¦   C47.5, C43.5   ¦конечностей,             ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦злокачественные          ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦новообразования          ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦периферической нервной   ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦системы туловища, нижних ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦и верхних конечностей    ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦Ia-b, IIa-b, III, IVa-b  ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦стадии                   ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  +-------------------------+---------------+------------------------------+           ¦

¦      ¦                      ¦                  ¦местнораспространенные   ¦хирургическое  ¦изолированная                 ¦           ¦

¦      ¦                      ¦                  ¦формы первичных и        ¦лечение        ¦гипертермическая регионарная  ¦           ¦

¦      ¦                      ¦                  ¦метастатических сарком   ¦               ¦химиоперфузия конечностей     ¦           ¦

¦      ¦                      ¦                  ¦мягких тканей конечностей¦               ¦                              ¦           ¦

¦      +----------------------+------------------+-------------------------+---------------+------------------------------+-----------+

¦      ¦                      ¦    C50, C50.1,   ¦злокачественные          ¦хирургическое  ¦радикальная мастэктомия по    ¦           ¦

¦      ¦                      ¦   C50.2, C50.3,  ¦новообразования молочной ¦лечение        ¦Маддену, Пейти - Дайсену,     ¦           ¦

¦      ¦                      ¦   C50.4, C50.5,  ¦железы 0-IV стадии       ¦               ¦Холстеду - Майеру с пластикой ¦           ¦

¦      ¦                      ¦   C50.6, C50.8,  ¦                         ¦               ¦подмышечно-подключично-подлопа¦           ¦

¦      ¦                      ¦       C50.9      ¦                         ¦               ¦точной области композитным    ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦мышечным трансплантатом       ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦радикальная мастэктомия по    ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦Маддену, Пейти - Дайсену,     ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦Холстеду - Майеру с           ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦перевязкой лимфатических      ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦сосудов                       ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦подмышечно-подключично-подлопа¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦точной области с              ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦использованием                ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦микрохирургической техники    ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦радикальная мастэктомия по    ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦Маддену, Пейти - Дайсену,     ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦Холстеду - Майеру с пластикой ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦кожно-мышечным лоскутом       ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦прямой мышцы живота и         ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦использованием                ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦микрохирургической техники    ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦подкожная мастэктомия (или    ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦субтотальная радикальная      ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦резекция молочной железы) с   ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦одномоментной маммопластикой  ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦широчайшей мышцей спины или   ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦широчайшей мышцей спины в     ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦комбинации с эндопротезом     ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦подкожная мастэктомия (или    ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦субтотальная радикальная      ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦резекция молочной железы) с   ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦одномоментной маммопластикой  ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦широчайшей мышцей спины       ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦и(или) большой грудной мышцей ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦в комбинации с эндопротезом   ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦подкожная мастэктомия (или    ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦субтотальная радикальная      ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦резекция молочной железы) с   ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦одномоментной маммопластикой  ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦кожно-мышечным лоскутом       ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦прямой мышцы живота или       ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦кожно-мышечным лоскутом       ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦прямой мышцы живота в         ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦комбинации с эндопротезом, в  ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦том числе с применением       ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦микрохирургической техники    ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦радикальная расширенная       ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦модифицированная мастэктомия  ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦с закрытием дефекта           ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦кожно-мышечным лоскутом       ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦прямой мышцы живота, в том    ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦числе с применением           ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦микрохирургической техники    ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦подкожная радикальная         ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦мастэктомия с одномоментной   ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦пластикой эндопротезом и      ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦сетчатым имплантатом          ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦мастэктомия радикальная       ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦расширенная модифицированная  ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦с пластическим закрытием      ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦дефекта грудной стенки        ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦различными вариантами         ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦кожно-мышечных лоскутов       ¦           ¦

¦      +----------------------+------------------+-------------------------+---------------+------------------------------+-----------+

¦      ¦                      ¦        C51       ¦злокачественные          ¦хирургическое  ¦расширенная вульвэктомия с    ¦           ¦

¦      ¦                      ¦                  ¦новообразования вульвы   ¦лечение        ¦реконструктивно-пластическим  ¦           ¦

¦      ¦                      ¦                  ¦I-III стадии             ¦               ¦компонентом                   ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦вульвэктомия с двухсторонней  ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦расширенной                   ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦подвздошно-паховой            ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦лимфаденэктомией и            ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦интраоперационной             ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦фотодинамической терапией     ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦вульвэктомия с определением   ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦сторожевых лимфоузлов и       ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦расширенной лимфаденэктомией  ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦вульвэктомия с двухсторонней  ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦подвздошно-паховой            ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦лимфаденэктомией              ¦           ¦

¦      +----------------------+------------------+-------------------------+---------------+------------------------------+-----------+

¦      ¦                      ¦        C52       ¦злокачественные          ¦хирургическое  ¦удаление опухоли влагалища с  ¦           ¦

¦      ¦                      ¦                  ¦новообразования          ¦лечение        ¦реконструктивно-пластическим  ¦           ¦

¦      ¦                      ¦                  ¦влагалища II-III стадии  ¦               ¦компонентом                   ¦           ¦

¦      ¦                      ¦                  ¦                         +---------------+------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦удаление опухоли влагалища с  ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦резекцией смежных органов,    ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦пахово-бедренной              ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦лимфаденэктомией              ¦           ¦

¦      +----------------------+------------------+-------------------------+---------------+------------------------------+-----------+

¦      ¦                      ¦        C53       ¦злокачественные          ¦хирургическое  ¦радикальная абдоминальная     ¦           ¦

¦      ¦                      ¦                  ¦новообразования шейки    ¦лечение        ¦трахелэктомия                 ¦           ¦

¦      ¦                      ¦                  ¦матки                    ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦радикальная влагалищная       ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦трахелэктомия с               ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦видеоэндоскопической тазовой  ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦лимфаденэктомией              ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦расширенная экстирпация матки ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦с парааортальной              ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦лимфаденэктомией, резекцией   ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦смежных органов               ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦нервосберегающая расширенная  ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦экстирпация матки с           ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦придатками и тазовой          ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦лимфаденэктомией              ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦нервосберегающая расширенная  ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦экстирпация матки с           ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦транспозицией яичников и      ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦тазовой лимфаденэктомией      ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦расширенная экстирпация матки ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦с придатками или с            ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦транспозицией яичников после  ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦предоперационной лучевой      ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦терапии                       ¦           ¦

¦      +----------------------+------------------+-------------------------+---------------+------------------------------+-----------+

¦      ¦                      ¦        C54       ¦злокачественные          ¦хирургическое  ¦расширенная экстирпация матки ¦           ¦

¦      ¦                      ¦                  ¦новообразования тела     ¦лечение        ¦с парааортальной              ¦           ¦

¦      ¦                      ¦                  ¦матки                    ¦               ¦лимфаденэктомией и            ¦           ¦

¦      ¦                      ¦                  ¦(местнораспространенные  ¦               ¦субтотальной резекцией        ¦           ¦

¦      ¦                      ¦                  ¦формы). Злокачественные  ¦               ¦большого сальника             ¦           ¦

¦      ¦                      ¦                  ¦новообразования          ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦эндометрия IA-III        ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  +-------------------------+               +------------------------------+           ¦

¦      ¦                      ¦                  ¦стадии с осложненным     ¦               ¦нервосберегающая экстирпация  ¦           ¦

¦      ¦                      ¦                  ¦соматическим статусом    ¦               ¦матки с придатками, с верхней ¦           ¦

¦      ¦                      ¦                  ¦(тяжелая степень         ¦               ¦третью влагалища и тазовой    ¦           ¦

¦      ¦                      ¦                  ¦ожирения, тяжелая        ¦               ¦лимфаденкэтомией              ¦           ¦

¦      ¦                      ¦                  ¦степень сахарного        ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦диабета и т.д.)          ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦экстирпация матки с           ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦транспозицией яичников и      ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦тазовой лимфаденэктомией      ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦экстирпация матки с           ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦придатками, верхней третью    ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦влагалища, тазовой            ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦лимфаденэктомией и            ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦интраоперационной лучевой     ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦терапией                      ¦           ¦

¦      +----------------------+------------------+-------------------------+---------------+------------------------------+-----------+

¦      ¦                      ¦        C56       ¦злокачественные          ¦хирургическое  ¦экстирпация матки с           ¦           ¦

¦      ¦                      ¦                  ¦новообразования яичников ¦лечение        ¦придатками, субтотальная      ¦           ¦

¦      ¦                      ¦                  ¦I-IV стадии. Рецидивы    ¦               ¦резекция большого сальника с  ¦           ¦

¦      ¦                      ¦                  ¦злокачественных          ¦               ¦интраоперационной             ¦           ¦

¦      ¦                      ¦                  ¦новообразований яичников ¦               ¦флюоресцентной диагностикой и ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦фотодинамической терапией     ¦           ¦

¦      +----------------------+------------------+-------------------------+---------------+------------------------------+-----------+

¦      ¦                      ¦  C53, C54, C56,  ¦рецидивы злокачественных ¦хирургическое  ¦тазовые эвисцерации           ¦           ¦

¦      ¦                      ¦       C57.8      ¦новообразований тела     ¦лечение        ¦                              ¦           ¦

¦      ¦                      ¦                  ¦матки, шейки матки и     ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦яичников                 ¦               ¦                              ¦           ¦

¦      +----------------------+------------------+-------------------------+---------------+------------------------------+-----------+

¦      ¦                      ¦        C60       ¦рак полового члена I-IV  ¦хирургическое  ¦резекция полового члена с     ¦           ¦

¦      ¦                      ¦                  ¦стадии                   ¦лечение        ¦пластикой                     ¦           ¦

¦      +----------------------+------------------+-------------------------+---------------+------------------------------+-----------+

¦      ¦                      ¦        C61       ¦рак предстательной       ¦хирургическое  ¦радикальная простатэктомия    ¦           ¦

¦      ¦                      ¦                  ¦железы II стадии         ¦лечение        ¦промежностным доступом        ¦           ¦

¦      ¦                      ¦                  ¦(T1c-2bN0M0), уровень    ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦ПСА менее 10 нг/мл,      ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦сумма баллов по Глисону  ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦менее 7                  ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  +-------------------------+               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦рак предстательной       ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦железы II стадии,        ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦T1b-T2cNxMo              ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  +-------------------------+               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦рак предстательной       ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦железы II-III стадии     ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦(T1c-2bN0M0) с высоким   ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦риском регионарного      ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦метастазирования         ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  +-------------------------+               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦локализованный рак       ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦предстательной железы    ¦               ¦                              ¦           ¦

¦      ¦                      ¦                  ¦I-II стадии, T1-2cN0M0   ¦               ¦                              ¦           ¦

¦      +----------------------+------------------+-------------------------+---------------+------------------------------+-----------+

¦      ¦                      ¦        C64       ¦рак единственной почки с ¦хирургическое  ¦резекция почечной лоханки с   ¦           ¦

¦      ¦                      ¦                  ¦инвазией в лоханку почки ¦лечение        ¦пиелопластикой                ¦           ¦

¦      ¦                      ¦                  +-------------------------+---------------+------------------------------+           ¦

¦      ¦                      ¦                  ¦злокачественные          ¦хирургическое  ¦радикальная нефрэктомия с     ¦           ¦

¦      ¦                      ¦                  ¦новообразования почки    ¦лечение        ¦расширенной забрюшинной       ¦           ¦

¦      ¦                      ¦                  ¦III-IV стадии            ¦               ¦лимфаденэктомией              ¦           ¦

¦      ¦                      ¦                  +-------------------------+---------------+------------------------------+           ¦

¦      ¦                      ¦                  ¦рак почки I-III стадии   ¦               ¦радикальная нефрэктомия с     ¦           ¦

¦      ¦                      ¦                  ¦T1a-T3aNxMo              ¦               ¦резекцией соседних органов    ¦           ¦

¦      ¦                      ¦                  ¦                         +---------------+------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦хирургическое  ¦удаление рецидивной опухоли   ¦           ¦

¦      ¦                      ¦                  ¦                         ¦лечение        ¦почки с расширенной           ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦лимфаденэктомией              ¦           ¦

¦      ¦                      ¦                  ¦                         +---------------+------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦удаление рецидивной опухоли   ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦почки с резекцией соседних    ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦органов                       ¦           ¦

¦      +----------------------+------------------+-------------------------+---------------+------------------------------+-----------+

¦      ¦                      ¦        C67       ¦рак мочевого пузыря I-IV ¦хирургическое  ¦цистпростатвезикулэктомия с   ¦           ¦

¦      ¦                      ¦                  ¦стадии                   ¦лечение        ¦пластикой мочевого резервуара ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦сегментом тонкой кишки        ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦передняя экзентерация таза    ¦           ¦

¦      +----------------------+------------------+-------------------------+---------------+------------------------------+-----------+

¦      ¦                      ¦        C74       ¦рак надпочечника I-III   ¦хирургическое  ¦лапароскопическое удаление    ¦           ¦

¦      ¦                      ¦                  ¦стадии (T1a-T3aNxMo)     ¦лечение        ¦рецидивной опухоли            ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦надпочечника с расширенной    ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦лимфаденэктомией              ¦           ¦

¦      ¦                      ¦                  ¦                         +---------------+------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦удаление рецидивной опухоли   ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦надпочечника с резекцией      ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦соседних органов              ¦           ¦

¦      ¦                      ¦                  +-------------------------+---------------+------------------------------+           ¦

¦      ¦                      ¦                  ¦рак надпочечника III-IV  ¦хирургическое  ¦лапароскопическая расширенная ¦           ¦

¦      ¦                      ¦                  ¦стадии                   ¦лечение        ¦адреналэктомия или            ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦адреналэктомия с резекцией    ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦соседних органов              ¦           ¦

+------+----------------------+------------------+-------------------------+---------------+------------------------------+-----------+

¦  19  ¦Комбинированное       ¦  C00, C01, C02,  ¦злокачественные          ¦комбинированное¦внутриартериальная или        ¦           ¦

¦      ¦лечение               ¦ C03, C04, C05.0, ¦новообразования головы и ¦лечение        ¦системная предоперационная    ¦           ¦

¦      ¦злокачественных       ¦  C05, C06, C07,  ¦шеи T3-4, рецидив        ¦               ¦полихимиотерапия с            ¦           ¦

¦      ¦новообразований,      ¦  C08, C09, C10,  ¦                         ¦               ¦последующей операцией в       ¦           ¦

¦      ¦сочетающее обширные   ¦  C11, C12, C13,  ¦                         ¦               ¦течение одной госпитализации  ¦           ¦

¦      ¦хирургические         ¦ C14, C15.0, C30, ¦                         ¦               ¦                              ¦           ¦

¦      ¦вмешательства и       ¦  C31, C32, C33,  ¦                         ¦               ¦                              ¦           ¦

¦      ¦лекарственное         ¦ C43, C44, C49.0, ¦                         ¦               ¦                              ¦           ¦

¦      ¦противоопухолевое     ¦     C69, C73     ¦                         ¦               ¦                              ¦           ¦

¦      ¦лечение, требующее    ¦                  ¦                         ¦               ¦                              ¦           ¦

¦      ¦интенсивной           ¦                  ¦                         ¦               ¦                              ¦           ¦

¦      ¦поддерживающей и      ¦                  ¦                         ¦               ¦                              ¦           ¦

¦      ¦коррегирующей терапии ¦                  ¦                         ¦               ¦                              ¦           ¦

¦      ¦                      +------------------+-------------------------+---------------+------------------------------+           ¦

¦      ¦                      ¦        C16       ¦местнораспространенный   ¦комбинированное¦хирургическое лечение с       ¦           ¦

¦      ¦                      ¦                  ¦рак желудка (T2N2M0,     ¦лечение        ¦последующим курсом            ¦           ¦

¦      ¦                      ¦                  ¦T3N1M0, T4N0M0, T3N2M0,  ¦               ¦химиотерапии в течение одной  ¦           ¦

¦      ¦                      ¦                  ¦T4N1-3M0-1) после        ¦               ¦госпитализации                ¦           ¦

¦      ¦                      ¦                  ¦операций в объеме R0     ¦               ¦                              ¦           ¦

¦      ¦                      +------------------+-------------------------+---------------+------------------------------+           ¦

¦      ¦                      ¦   C18, C19, C20  ¦местнораспространенный   ¦комбинированное¦хирургическое лечение с       ¦           ¦

¦      ¦                      ¦                  ¦колоректальный рак       ¦лечение        ¦последующим курсом            ¦           ¦

¦      ¦                      ¦                  ¦T1-2N1M0, T3- 4N1M0,     ¦               ¦химиотерапии в течение одной  ¦           ¦

¦      ¦                      ¦                  ¦T1-4N2M0                 ¦               ¦госпитализации                ¦           ¦

¦      ¦                      ¦                  +-------------------------+---------------+------------------------------+           ¦

¦      ¦                      ¦                  ¦метастатический          ¦комбинированное¦предоперационная химиотерапия ¦           ¦

¦      ¦                      ¦                  ¦колоректальный рак,      ¦лечение        ¦с применением таргетных       ¦           ¦

¦      ¦                      ¦                  ¦предполагающий           ¦               ¦лекарственных препаратов      ¦           ¦

¦      ¦                      ¦                  ¦использование на одном   ¦               ¦после проведения генетических ¦           ¦

¦      ¦                      ¦                  ¦из этапов лечения        ¦               ¦исследований (определение     ¦           ¦

¦      ¦                      ¦                  ¦хирургического метода    ¦               ¦мутаций) с последующим        ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦хирургическим лечением в      ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦течение одной госпитализации  ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               +------------------------------+           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦хирургическое лечение с       ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦последующим курсом            ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦химиотерапии с применением    ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦таргетных лекарственных       ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦препаратов после проведения   ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦генетических исследований     ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦(определение мутаций) в       ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦течение одной госпитализации  ¦           ¦

¦      +----------------------+------------------+-------------------------+---------------+------------------------------+-----------+

¦      ¦                      ¦        C34       ¦местнораспространенный   ¦комбинированное¦предоперационная или          ¦           ¦

¦      ¦                      ¦                  ¦рак легкого T3N1M0,      ¦лечение        ¦послеоперационная             ¦           ¦

¦      ¦                      ¦                  ¦T1-3N2M0, T4N0-2M0,      ¦               ¦химиотерапия с проведением    ¦           ¦

¦      ¦                      ¦                  ¦T1-4N3M0                 ¦               ¦хирургического вмешательства  ¦           ¦

¦      ¦                      ¦                  ¦                         ¦               ¦в течение одной госпитализации¦           ¦

¦      +----------------------+------------------+-------------------------+---------------+------------------------------+-----------+

¦      ¦                      ¦    C40, C41.2,   ¦первичные                ¦комбинированное¦внутриартериальная            ¦           ¦

¦      ¦                      ¦   C41.3, C41.4,  ¦злокачественные          ¦лечение        ¦химиотерапия с последующим    ¦           ¦

¦      ¦                      ¦   C41.8, C41.9   ¦новообразования костей и ¦               ¦хирургическим вмешательством  ¦           ¦