青年人食管贲门癌的特征(附21例分析)

Characteristics of Esophagocardiac Carcinoma in Young Patients under 35 Years

本文报道1973～1989年间21例35岁以下青年食管贲门癌特征,占同期住院病人2.34％。早期往往误为咽炎、食管炎等,男女之比为0.75∶1。平均病程为4.7个月。病理组织学分类,低分化癌占29％,癌肿侵及外膜及远处淋巴结转移比例均比中老年人高,术后平均生存不足17个月。

This paper reports on the characteristics of esophagocardiac carcinoma in young patients under 35 years of age. Between 1973 and 1989, 21 such cases were treated, which accounted for 2.34% of all inpatients during thesanto period. There were 9 males and 12 females, with a ratio of 0.75:1. In the early stage of the disease,they were usually misdiagnosed as pharyngitis or esophagitis. The average duration from onset to diagnosis was 4.7 months in this series. Histo-pathologically, 29% of the cases were undifferentiated carcinoma. Invasion of outermost membrane and distant lymph nodes metastasis were more common in young patients than in the elders. The postoperative survival period was less than 17 months in the current series.