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1972年1月～1992年1月,我院胃镜检查发现35岁以下胃癌35例,占同期胃镜检出胃癌(644例)的5.42％。本组男24例,女11例。弥漫型胃癌20例,溃疡型胃癌15例,其中早期胃癌2例(5.71％)。手术切除率37.2％,5年生存率11.4％。青年人胃癌预后差的主要原因:①在组织学类型上,分化差或弥漫型胃癌居多;②多数病人确诊延误。为了改善其预后,应重视青年人胃癌的早期诊断。本文讨论了青年人胃癌与胃溃疡的关系以及十二指肠溃疡与胃癌共存问题。强调对青年人胃溃疡患者应积极进行胃镜与病理学追踪检查;在胃镜检查时,如发现十二指肠溃疡,仍需对整个胃部进行仔细检查。
From January 1972 to January 1992, gastroscopy in our hospital found 35 cases of gastric cancer below the age of 35, accounting for 5.42% of gastric cancer (644 cases). This group of 24 males and 11 females. There were 20 cases of diffuse gastric cancer and 15 cases of ulcerated gastric cancer, including 2 cases of early gastric cancer (5.71%). The surgical resection rate was 37.2%, and the 5-year survival rate was 11.4%. The main causes of the poor prognosis of young patients with gastric cancer: 1 In the histological type, poorly differentiated or diffuse gastric cancer are mostly; 2 the majority of patients with delayed diagnosis. In order to improve its prognosis, we should pay attention to the early diagnosis of gastric cancer in young people. This article discusses the relationship between gastric cancer and gastric ulcer in young people and the coexistence of duodenal ulcer and gastric cancer. It is emphasized that young patients with gastric ulcers should actively undergo gastroscopy and pathological follow-up examinations; in the case of gastroscopy, if a duodenal ulcer is found, the entire stomach still needs to be carefully examined.