青年人胃癌79例临床分析

Gastric cancer in young people:A clinical analysis of 79 cases

  • 摘要: 目的 探讨青年人胃癌的临床、病理特点, 提高对青年人胃癌的临床诊治水平。 方法 对我院2002-2012年住院的79例≤35岁青年胃癌患者的临床资料进行回顾性分析, 并且与同期收治的随机抽取的100例中老年胃癌患者进行比较。 结果 79例青年胃癌患者占同期住院胃癌患者的2.2% (79/3 590), 在性别、病变部位、内镜下分型、临床分期及病理类型中, 青年人与中老年人胃癌差异均有统计学意义 (P<0.05) 。青年胃癌患者男女比例为1.1∶1。肿瘤好发部位为胃窦部:Borramnn分型溃疡浸润型多见, 临床分期Ⅳ期占68.4% (54/79);病理类型以低分化腺癌为主。 结论 青年人胃癌的恶性程度较高, 早期诊断至关重要。

     

    Abstract: Objective To improve the diagnosis and treatment of gastric cancer in young people by studying its clinical and pathological characteristics. Methods Clinical data about 79 gastric cancer patients with their age≤35 years admitted to our hospital from 2002 to 2012 were retrospectively analyzed and compared with those about 100 gastric cancer patients with their age >35 years. Results The 79 gastric cancer patients with their age≤35 years accounted for 2.2% of the total hospitalized gastric cancer patients(79/3 590) during the study period.The gender,and the cancer location,endoscopic classification,clinical stage,and histological type were significant different between the two groups.The male/ female ratio was 1.1∶1.The tumor occurred most often in gastric antrum.Ulcerated infiltrating type was most common according to Bormann classification with stage Ⅳ accounted for 68.4%(54/79) and poorly differentiated adenocarcinoma was most common according to its pathological typing. Conclusion The malignancy of gastric cancer is rather high in young people and its early diagnosis is of great importance.

     

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