摘要
目的探讨青年人大肠癌的临床特点及内镜表现和诊治方法。方法对40例青年人大肠癌的临床资料进行回顾性的分析。结果大肠癌在镜下的典型表现为隆起的肿瘤顶部形成溃疡,有的呈菜花状表现,表面糜烂附有分泌物和污秽物,触之易出血,活检弹性差。随访5年,行根治术20例,其中8例生存达5年,5年生存率为20%,另4例术后2年中随访行姑息性手术及结肠造瘘。12例术后1～2年内死亡。结论青年大肠癌恶性程度高,病程长,预后差,误诊率高,宜尽早诊治手术。
Objective To study the clinical characteristics, endoscopic features and diagnostic measure for colonic carcinoma in young people. Methods The clinical data of colonic carcinoma in 40 young patients were retrospectively reviewed and analyzed. Results The typical manifestations of colonic carcinoma under endoscopy are ulceration on the surface of elevated tumor mass, some of them manifested as cauliflower like mass, and its erosive surface defiled with mucous secretion and filth. It is very easy to be bleeding on contact and its elasticity is poor at biopsy. Among them, 20 cases have been followed up for 5 years after radical operation, 8 of them are survived for 5 years, the five year survival rate being 20% , and the other 4 cases performed palliative operation during the follow - up period of 2 years. 12 of them died within 1 to 2 years after the operation. Conclusion The clinical features of colonic carcinoma in young people are characterized by higher grade of malignancy, longer duration in course, poorer prognosis and higher misdiagnostic rate, and it should be operated as soon as the confirmation of diagnosis.
出处
《临床和实验医学杂志》
2009年第3期31-32,共2页
Journal of Clinical and Experimental Medicine
关键词
大肠癌
青年人
回顾性的临床分析
Colonic carcinoma
Young people
Retrospective clinical analysis
