摘要
目的:分析青年人(35岁以下)胃癌的临床、病理特点,提高对青年人胃癌的诊治水平。方法:对1986年1月至2000年12月15年间我院收治的69例青年人胃癌,进行回顾性分析。结果:全组共69例,男性29例,占42.03%;女性40例,占57.97%;年龄最小15岁。组织学表现以低分化腺癌(40例,占57.97%)和粘液腺癌(13例,占18.80%)为多见(两者共占76.77%);确诊的主要方法是胃镜和上消化道造影检查,并经手术及病理证实。临床分期以Ⅲ、Ⅳ期占多数(58例占84%),年龄越小晚期比例越大。本组总的5年生存率为11.6%(8/69)。结论:青年人胃癌恶性度高,警示指标隐匿,较难早期诊断。提高对青年人胃癌的诊治水平对早期诊断、提高疗效、改善预后具有重要意义。
Objective : To analyze the clinicopathologic characteristics and to further im-prove the le vel of diagnosis and treatment of gastric cancer in young patients.Methods:Fr om1986to2000,1278patients with gastric cancer were admitted to our hospital.Of these,69cases were under the age of35.The clinicopathologic features of this young group were re viewed retro spec tively.Results:Total6 9young patients include a higher percentage of females(57.97%),poorly differen tiated and muco-cellular adenocarcinoma(76.77%),andⅢ?Ⅳstag e of TNM stage(84%).The younger the more in late stage,the poorer prognos is.Conclusion:Early di agnosis of gastric can cer in young people is difficult because of the rapid disease progression and the lack of significant symptoms .Increasing the awareness of gastric cancer in apparently healthy young people is very important for early diagnosis,successful treatment and better progno sis.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2003年第5期361-363,共3页
Chinese Journal of Clinical Oncology
关键词
胃肿瘤
临床
病理学
治疗
Stomach neoplasm Pathology Diagnosis Therapy
