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本文报告30岁以下青年人大肠癌56例,男性30例,女性26例,其发病率为11.3％,临床主要表现为血便(78.5％),腹痛(55％),腹胀(50.2％),与老年人大肠癌临床表现基本相同。青年人预后比较差。从有随访结果的24例中分析组织学改变与预后的关系,组织学类型中腺癌预后最好,印戒细胞癌预后差。浸润深度达浆膜层或浆膜外者,有肠系膜淋巴结转移或其他器官侵犯预后差。
This article reports 56 cases of colorectal cancer in young people under the age of 30, 30 males and 26 females, the incidence rate is 11.3%, the main clinical manifestations are bloody stools (78.5%), abdominal pain (55%), abdominal distension (50.2%), and The clinical manifestations of colorectal cancer in the elderly are basically the same. Young people have a poor prognosis. The relationship between histological changes and prognosis was analyzed from 24 patients with follow-up results. Adenocarcinoma of the histological type had the best prognosis and signet ring cell carcinoma had a poor prognosis. Infiltration depth deeper than the serosa or serosa, mesenteric lymph node metastasis or other organ invasion is poor prognosis.