Imatinib (IM) appearance has changed approaches to chronic myeloid leukemia (CML) therapy. Second generation tyrosine kinase inhibitors (TKI) — nilotinib and dasatinib, developed soon after IM, and are already widely used in CML patients with inefficiency or intolerance of them. Considering availability in clinical practice of tree TKI, allogeneic hematopoietic stem cell transplantation (HSCT) and new preparations development, there is a real treatment of all patients with CML, which was recently considered as fatal disease. In first two parts of article general information about CML, issues concerning HSCT, TKI mechanisms of action and safety are discussed. In this part TKI therapy efficacy and modern treatment recommendation for CML patients in different phases are presented.

   Immunomodulatory preparations (IMP) — lenalidomide (СС-5013, Revlimid®) and pomlidomide (CC-4047, Actimid®) — a new class of the medical products which are thalidomide synthetic derivatives. In comparison with initial compound they possess higher therapeutic activity and the optimized profile of toxic complications. In this review modern data on IMP antitumor activity with reference to multiple myeloma therapy are presented. Results of clinical study of lenalidomide in first-line therapy, in relapsed/refractory multiple myeloma and as a maintenance therapy after transplantation are shown.

   During the last decade in Russian clinics significant success in treatment of children with Hodgkin lymphoma has been reached. However, the using of doxorubicin in combination with mediastinal radiotherapy in cases of initial mediastinum involvement contributes to cardiomyopathy occurrence in different time from ending therapy. We have evaluated the cardiac status in 42 children with Hodgkin lymphoma after chemoradiotherapy. Evaluation of cardiac function was performed using standard M-mode echocardiography (with calculation ejection fraction- EF, left ventricular shortening fraction — FS) and electrocardiography with estimation of rate, rhythm and QTc duration. Reduced contractility was detected in 5 (11.9 %) children after chemoradiotherapy, that requires cardiac function monitoring and cardiologist’s consultation.

   Examination results of 59 patients with diffuse large B-cells lymphoma (DBLCL) and hepatitis C and B infection are presented. Control group was constituted by 59 patients with DLBCL without virus markers. The obtained results suggest possible etiopathogenetic role of hepatitis C virus in DLBCL development that clinically displayed more frequent spleen lesion and overall survival improvement in this subgroup of patients.

   By present time safety problems of gene therapy are widely discussed among scientists of all world. In this review results of clinical researches are summarized; explanations concerning side effects of vectors integration are given; factors that can cause genotoxicity are discussed. Approaches which can save or increase clinical efficacy of gene therapy with use as targets hematopoietic stem cells, thus significantly reduced risk of leukemia development and other side effects related to vectors including in genome, are presented.