青年人胃癌44例临床及病理分析

本文分析了我院1989～1999年间44例青年人胃癌(≤30岁)的临床及病理资料。结果显示:青年人胃癌占同期胃癌总数2.1%,发病有女性优势;早期症状不典型,上腹疼痛为最常见主诉(85.4%);发病部位以胃窦和胃体为主,组织分化差者占95.4%,晚期癌多见(86.3%),根治切除率低;早期诊断和争取根治切除是提高青年人胃癌生存率的关键。

To investigate the clinicopathologic features of gastric cancer in patients under 30 years of age,44 cases of gastric carcinoma in Nanfang hospital identified from 1989 to 1999 were analysed.The re- sults showed that incidence in patients under 30 years old was 2.1% and was dominant in female.Most pa- tients were identified during half a year with atypical clinic phenomena such as upper-abdominal pain (85. 4%).Sinuses and corpora ventriculi were mainly involved.The radical resection was low with poor differ- entiation in 95.4% cases.Most patients (86.3%) were in advanced stage.Diagnosis and radical ectomy in early stage were the key to improve prognosis of young gastric cancer.