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本组男性4例,女性10例。年龄20岁以下2例,21-25岁1例,26-30岁11例,最低年龄18岁,平均年龄为27岁。年龄越小,预后越差。病程一般均较短,多数均在1-2年内。主要症状上腹部疼痛14例,多数并伴有消化不良及反酸呕吐;急性穿孔者5例;局部可触及肿块4例。部分病例早期无特殊症状,晚期则多出血或穿孔。癌瘤部位手术切除13例中窦部10例,体部、贲门、全胃各1例。癌瘤巨体形态,溃疡型9例。弥漫型和结节型各2例。组织学类型,低分化腺癌6例,未分化癌6例,粘液细胞癌2例。作者还对青午人胃癌的发生率以及女性发病率高的原因,症状,癌瘤好发部位,组织学类型等问题进行了讨论。
This group of 4 males and 10 females. There were 2 cases under the age of 20, 1 case of 21-25 years old, 11 cases of 26-30 years old, and the minimum age was 18 years old. The average age was 27 years old. The younger the age, the worse the prognosis. The course of the disease is generally short, and most of them are within 1-2 years. The main symptoms were epigastric pain in 14 cases, most of which were accompanied by dyspepsia and acid reflux vomiting; 5 cases of acute perforation; 4 cases of locally palpable masses. In some cases, there were no specific symptoms in the early stages, and in later stages, more bleeding or perforation occurred. Surgical resection of cancerous area was performed in 13 cases with sinus in 10 cases and body, cardia, and total stomach in 1 case. Carcinoma giant form, ulcer type in 9 cases. Diffuse and nodular types were 2 cases each. Histological types included 6 poorly differentiated adenocarcinomas, 6 undifferentiated carcinomas, and 2 mucinous cell carcinomas. The authors also discussed the incidence of cancer in Qingwu population, the causes of women’s high incidence, symptoms, the locations of cancerous tumors, and the type of histology.