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目的:进一步了解青少年大肠癌临床与病理特点。方法:对近20年收治的594例大肠癌中82例青少年大肠癌临床资料进行回顾性总结并分析。结果:青少年大肠癌以26~30岁多(56.1%);男女患病率相近;肿瘤分布以直肠和乙状结肠多见(79.3%);溃疡型达47.6%,远高于中老年组;粘液腺癌、中低分化腺癌和粘液癌占76.8%。青少年大肠癌误诊率高(78%)。结论:青少年大肠癌发病率随年龄增长而增加,肿瘤多发生在直肠和乙状结肠;病程短,症状隐匿,易误诊;以溃疡型多、粘液腺癌多
Objective: To further understand the clinical and pathological features of adolescent colorectal cancer. Methods: The clinical data of 82 adolescent colorectal cancer in 594 cases of colorectal cancer admitted in the past 20 years were retrospectively reviewed and analyzed. Results: The prevalence of colorectal cancer in adolescents was 26 to 30 years old (56.1%). The prevalence was similar in men and women. The distribution of tumors was more common in the rectum and sigmoid colon (79.3%), and the ulcer type was 47.6% Middle-aged and elderly patients; mucinous adenocarcinoma, poorly differentiated adenocarcinoma and mucinous carcinoma accounted for 76.8%. Misdiagnosis rate of adolescent colorectal cancer is high (78%). Conclusion: The incidence of colorectal cancer in adolescents increases with age, and the tumors mostly occur in the rectum and sigmoid colon. The course of disease is short, the symptoms are hidden and easily misdiagnosed. The majority of ulcerative mucinous adenocarcinomas