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目的探讨青年人胃癌的临床、病理特点。方法对2000年1月～2007年1月经胃镜(或手术)后病理确诊的青年人胃癌(≤35岁)28例进行分析。结果本组青年人胃癌28例,占同期收治胃癌的7.4%,青年人胃癌发病率女性明显高于男性,临床缺乏特征性表现,较早发生转移,容易误诊。组织病理学类型以低分化腺癌和粘液细胞癌居多,占64.3%。结论临床晚期癌多,病理组织学分化差是青年人胃癌预后差的重要因素。提高对青年人胃癌的警惕性,加强对其胃外表现和转移症状的认识,做到早期诊断、早期治疗,是提高疗效、改善预后的关键。
Objective To investigate the clinical and pathological features of gastric cancer in young people. Methods A total of 28 gastric cancer patients (≤35 years old) diagnosed by gastroscope (or surgery) pathology from January 2000 to January 2007 were analyzed. Results The group of young patients with gastric cancer in 28 cases, accounting for 7.4% of gastric cancer over the same period, the incidence of gastric cancer in young women was significantly higher than men, the lack of clinical features of the performance of early metastasis, easily misdiagnosed. Histopathologic types are mostly poorly differentiated adenocarcinoma and mucinous cell carcinoma, accounting for 64.3%. Conclusions The more advanced clinical stage and poor histopathological differentiation are the important prognostic factors of young gastric cancer. Improve the vigilance of gastric cancer in young people, and strengthen their understanding of the symptoms and metastasis of gastric extravasation. To achieve early diagnosis and early treatment is the key to improve curative effect and improve prognosis.