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目的:探讨青年人大肠癌临床表现、病理特点。方法:回顾性分析四川省成都市第五人民医院普外科1997年7月至2007年12月收治的23例35岁以下青年大肠癌患者临床资料。结果:23例青年大肠癌患者平均年龄24.5岁,男女比例为2.8∶1;病变部位以直肠多见,组织学分型以低分化腺癌与印戒细胞癌最多;Dukes分期:A期1例,B期3例,C期13例,D期6例。结论:青年大肠癌表现为病理分化程度低、Dukes分期晚,更具进展性。提高认识及早期行肠镜检查有助于早期诊断。
Objective: To investigate the clinical features and pathological features of colorectal cancer in young people. Methods: The clinical data of 23 patients with colorectal cancer under 35 years of age admitted from July 1997 to December 2007 in the Fifth People’s Hospital of Chengdu, Sichuan Province were analyzed retrospectively. Results: The average age of 23 cases of young patients with colorectal cancer was 24.5 years old, the ratio of male to female was 2.8: 1. Most of the lesions were rectal. The histological types were poorly differentiated adenocarcinoma and signet ring cell carcinoma. Dukes stage: B in 3 cases, C in 13 cases, D in 6 cases. Conclusion: Colorectal cancer in young patients showed pathological differentiation degree is low, Dukes stage is late, more progressive. Awareness and early colonoscopy help early diagnosis.