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目的 :探讨青年人胃癌的临床、病理特点。方法 :收集 1995年 1月至 2 0 0 1年 12月 7年间经胃镜 (或手术 )病理确诊的胃癌病例 ,并就发现的 5 8例青年人胃癌发病情况及相关资料进行分析。将所有病例按年龄划分为青年组 (年龄 <40岁 )和中老年组(年龄 >40岁 )。结果 :青年人胃癌发病率女性高于男性 ,组织病理学类型以低分化腺癌 ( 3 6 2 0 %)、粘液细胞癌 ( 15 12 %)为多 ,病程≤ 6个月者占 5 3 44 %。幽门螺杆菌感染占 77 2 6%。结论 :临床病程短、病理组织学分化差是青年人胃癌预后差的重要原因。提高对青年人胃癌的认识 ,做到早期诊断、早期治疗 ,是改善预后的关键
Objective: To investigate the clinical and pathological features of gastric cancer in young people. Methods: The cases of gastric cancer confirmed by gastroscope (or surgery) pathology from January 1995 to December 2001 were collected. The incidence of gastric cancer in 58 young adults and related data were analyzed. All cases were divided into youth group (aged <40 years) and middle-aged and elderly group (aged> 40 years) by age. Results: The incidence of gastric cancer in young women was higher than that in men. The histopathological types were poorly differentiated adenocarcinoma (3620%) and mucinous cell carcinoma (1512%), and the duration of disease was less than 6 months %. Helicobacter pylori infection accounted for 77 2 6%. Conclusion: Short clinical course and poor histopathological differentiation are the important reasons for the poor prognosis of gastric cancer in young people. Improve awareness of young people with gastric cancer, early diagnosis, early treatment, is the key to improving the prognosis