Today, the attention of all countries of the world and international organizations is directed to the Middle East region. The Middle East is a strategically important region and has enormous energy potential, including a large amount of hydrocarbons. In this regard, we can say that the stability of this region directly affects the stability of the world as a whole. Historically, the Middle East has been a very attractive territory for various reasons. The one who controlled this strategically important zone possessed tremendous power and wealth. Despite the declining role of the region as a crossroads between different continents in connection with the development of the global system of transport communications, the strategic importance of the Middle East in recent decades has not only not decreased, but, on the contrary, has grown significantly. Also, the energy factor remains the main reason for the increased attention to the region. As you know, the technologies of modern civilization are almost completely dependent on the extraction of organic energy. Therefore, the distribution of resources has gradually turned into one of the most important elements in building the current system of international relations. The desire to establish control over them is the cause of numerous conflicts in the region.
The article deals with the treatment of primary disseminated breast cancer. Statistics are presented that in various countries around 10% of patients treat stage IV disease. In most cases, these are patients with T3-4 and multiple metastases in the lymph nodes. Metastases are most often detected in bones, lungs, and liver, and several organs are also affected. Standards have not yet been developed and therefore there are disagreements regarding the tactics of treating patients in this category. The article presents data from multicenter scientific research and clinical recommendations for the treatment of patients with primary disseminated breast cancer, taking into account the biological characteristics of the tumor.