我院1975年10月至1987年12月经手术病理证实为食管胃贲门癌684例，其中35岁以下青年15例，占同期住院病人的2.31％。早期往往误诊为咽炎、食管炎、神经官能症，一旦确诊均属中晚期，手术后平均生存不到18个月。为了提高对青年食管胃贲门癌的诊治水平，结合文献，重点对早期诊断和治疗加以分析。 In our hospital from October 1975 to December 1987, 684 cases of esophageal, gastric, and cardiac cancers were confirmed by surgery and pathology. Among them, 15 were under 35 years of age, accounting for 2.31% of the inpatients in the same period. In the early stages, it was often misdiagnosed as pharyngitis, esophagitis, and neurosis. Once diagnosed, they were in the middle and late stages and had an average survival of less than 18 months after surgery. In order to improve the level of diagnosis and treatment of esophageal, gastric, and cardiac cancers in young people, a combination of literature will focus on early diagnosis and treatment.