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目的探讨青年人结直肠癌的临床病理特点及相关预防措施防护方法。方法将我院36例青年人结直肠癌患者手术后,病理组织学分类、大体类型、Dukes分期,分别进行分析总结。结果36例青年人结直肠癌病理组织学分类:高分化腺癌9例占25%;中分化腺癌16例占44.4%;低分化腺癌4例占11.1%;黏液腺癌6例占16.7%;未分化癌1例占2.8%。Dukes分期:A期13例占36.1%;B期12例占33.3%;C期7例占19.5%;D期4例占11.1%。大体类型:浸润型4例占11.1%;溃疡型22例占61.1%;肿块型9例占25%;弥漫小结节型1例占2.8%。结论青年结直肠癌患者较多临床症状不典型,其具有分化差、发展快、病程短等特征,应注意早期诊断。
Objective To investigate the clinicopathological features of colorectal cancer in young people and the protective measures of the related preventive measures. Methods 36 cases of colorectal cancer in our hospital after surgery, histopathological classification, general type, Dukes stage, were analyzed and summarized. Results The histopathological classification of colorectal cancer in 36 young patients was as follows: 9 cases of well-differentiated adenocarcinoma accounted for 25%; 16 cases of moderately differentiated adenocarcinoma accounted for 44.4%; 4 cases of poorly differentiated adenocarcinoma accounted for 11.1%; 6 cases of mucinous adenocarcinoma accounted for 16.7 %; Undifferentiated carcinoma in 1 case accounted for 2.8%. Dukes staging: 13 cases of A accounted for 36.1%; B in 12 cases accounted for 33.3%; C in 7 cases accounted for 19.5%; D in 4 cases accounted for 11.1%. The general type: infiltration in 4 cases accounted for 11.1%; ulcer in 22 cases accounted for 61.1%; mass in 9 cases accounted for 25%; diffuse nodules in 1 case accounted for 2.8%. Conclusions Most of patients with colorectal cancer have atypical clinical symptoms, which are characterized by poor differentiation, rapid development and short course of disease. Early diagnosis should be paid attention to.