青年人胃癌35例临床病理分析

Clinical and Pathological Analysis on Gastric Cancer of 35 Young Patients

目的 探讨青年人胃癌的临床、病理特点,分析误诊的原因。方法 对 1985年 1月—2005年 1月间经胃镜活检或手术切除标本病理检查诊断的 756例胃癌患者进行回顾性分析,着重对≤35岁的青年人胃癌进行分析。结果 本组青年人胃癌患者 35例,占同期 756例确诊病例的 4. 6%。且女性多于男性,男女之比为 1: 1. 69,最多见的病理学类型主要是未分化癌 ( 42. 9% )、低分化腺癌 ( 37. 1% )。结论 青年人胃癌发病率低、恶性程度高、病程短、预后差。

Objective To discuss the clinical and pathological characteristics of gastric cancer of young patients, and to analyze the causes of misdiagnosis. Methods All the 756 patients with gastric cancer, who were confirmed by pathological examination or gastroscopic biopsy, were retrospectively analyzed, focused on the patients younger than or equal to 35 years old. Results Among them, there were 35 young patients accounting for 4.6%. The number of the female patients was more than that of the male (the ratio of male/female was 1:1.69). Undifferentiated carcinoma was the most common pathological type (42.9%), and low differentiated adenocarcinoma took a role of 37.1%. Conclusion The gastric cancer of the young is highly malignant in spite of low incidence.