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目的探讨青年胃癌的临床和病理特点。方法收集2001年1月~2007年1月6年间北京市怀柔区第一医院确诊青年胃癌47例,并对其临床表现、病理诊断、地域分布、手术治疗、预后状况等方面进行分析。结果早期胃癌仅11例,占24.1%;组织病理类型高分化腺癌34.1%,低分化腺癌39.2%,黏液腺癌20%,恶性程度高的低分化肿瘤占63.7%。结论青年胃癌女性多于男性,临床晚期病例多,病理组织分化差,早期诊断率低,预后差,故提高对青年胃癌的认识,做好早期诊断,早期治疗是提高治愈率和延长生存期的关键。
Objective To investigate the clinical and pathological features of young gastric cancer. Methods Forty-seven cases of newly diagnosed gastric cancer were collected from the First Hospital of Huairou District, Beijing from January 2001 to January 2007, and their clinical manifestations, pathological diagnosis, geographical distribution, surgical treatment and prognosis were analyzed. Results There were only 11 cases of early gastric cancer, accounting for 24.1%. Histopathologic type of well-differentiated adenocarcinoma was 34.1%, poorly differentiated adenocarcinoma was 39.2%, mucinous adenocarcinoma was 20%, and high-grade poorly differentiated tumor was 63.7%. Conclusions There are more female patients with gastric cancer than young men. There are many cases of late-stage gastric cancer, poorly differentiated pathological tissues, low early diagnosis rate and poor prognosis. Therefore, young gastric cancer patients should be better diagnosed and early diagnosis should be done. Early treatment is to improve the cure rate and prolong the survival period The essential.