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目的:探讨青年人大肠癌临床病理学特点。方法:回顾性分析101例手术治疗的青年大肠癌患者临床资料。结果:101例患者误诊63例,误诊率62.3%,易误诊为肠炎、痔疮、痢疾等;肿瘤位于直肠、乙状结肠和降结肠分别为40.6%,17.8%和3.9%;病理分型中管状腺癌和黏液腺癌为71.2%;Dukes分期以C,D期多见,为55.4%。结论:青年人大肠癌恶性程度高,易误诊,预后差,早期直肠指诊有助于大肠癌早期诊断;纤维结肠镜检查可及早发现大肠癌癌前病变并进行有效处理,对降低大肠癌发生率、提高疗效有重要意义。
Objective: To investigate the clinicopathological features of colorectal cancer in young people. Methods: A retrospective analysis of 101 cases of surgical treatment of young patients with colorectal cancer clinical data. Results: 63 cases were misdiagnosed in 101 cases, the rate of misdiagnosis was 62.3%, which were easily misdiagnosed as enteritis, hemorrhoids and dysentery. The tumors located in rectum, sigmoid colon and descending colon were 40.6%, 17.8% and 3.9% respectively. Tubular adenocarcinoma And mucinous adenocarcinoma 71.2%; Dukes staging in C, D more common, was 55.4%. Conclusion: Colorectal cancer in young people has a high degree of malignancy, misdiagnosis and poor prognosis. Early digital rectal examination is helpful for the early diagnosis of colorectal cancer. Colonoscopy can detect early precancerous lesions of colorectal cancer and treat it effectively, which can reduce the occurrence of colorectal cancer Rate, improve the efficacy of great significance.