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目的探讨青年人大肠癌的临床特征。方法回顾性分析1988-07~2004-07经结肠镜检出并经病理确诊的86例青年人大肠癌的临床资料。结果临床上主要表现为粘液血便、腹痛、腹泻等;以直肠癌多见,其次为乙状结肠癌,分别占大肠癌的52.3%和17.4%;内镜下形态以弥漫浸润型多见(37.2%),其次为息肉型(33.7%)和溃疡浸润型(20.9%);病理组织学以腺癌为多,占48.8%,未分化癌占34.9%,其中分化良好型占62.8%,分化不良型占37.2%。结论青年人大肠癌临床表现无特异性,误诊率高,恶性程度高,凡疑诊病例应行结肠镜等检查。
Objective To investigate the clinical features of colorectal cancer in young people. Methods The clinical data of 86 young colon cancer patients diagnosed by colonoscopy from 1988 to 2004-07 were retrospectively analyzed. The main clinical manifestations of mucus bloody stool, abdominal pain, diarrhea, etc .; rectal cancer more common, followed by sigmoid colon cancer, accounting for 52.3% and 17.4% of colorectal cancer; endoscopic invasive diffuse type more common (37.2% , Followed by polyp (33.7%) and ulcerative infiltration (20.9%). Histopathological features were adenocarcinoma (48.8%), undifferentiated carcinoma (34.9%), well differentiated type (62.8%), poorly differentiated 37.2%. Conclusion The clinical manifestations of colorectal cancer in young people are nonspecific, with high misdiagnosis rate and high malignant degree. Colonoscopy and other tests should be performed in patients with suspected colorectal cancer.