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目的分析青年人胃癌发病特点。方法对我院1993～2002年33例有完整临床病理资料的35岁以下青年人胃癌进行分析。结果青年组胃癌女性多于男性(1.35：1)。组织分型以低分化腺癌、未分化癌多见(分别占51.52%和36.36%),病程短、转移早、晚期多。确诊方法主要以胃镜、上消化道钡餐造影,并经手术及病理证实。结论青年人胃癌恶性度高,警示指标隐匿,较难早期诊断。提高对青年人胃癌的诊治水平,对早期诊断、减少误诊、提高疗效、改善预后具有重要意义。
Objective To analyze the incidence of gastric cancer in young people. Methods 33 cases of gastric cancer in our hospital from 1993 to 2002 with complete clinical and pathological data under 35 years of age were analyzed. Results There were more women with gastric cancer than men in the youth group (1.35: 1). Tissue type to poorly differentiated adenocarcinoma, undifferentiated carcinoma more common (51.52% and 36.36% respectively), short course of disease, early metastasis and late metastasis. Diagnostic methods mainly endoscopy, upper gastrointestinal barium meal angiography, and confirmed by surgery and pathology. Conclusion The young patients have high malignant degree of gastric cancer and hidden warning indicators, which make it harder to diagnose early. Improving the diagnosis and treatment of gastric cancer in young people is of great significance for early diagnosis, reducing misdiagnosis, improving curative effect and improving prognosis.