44例口腔鳞癌年轻患者的临床分析

The clinical analysis of oral squamous cell carcinoma under age of 40 years old

作者回顾分析了８年来收治的４０岁以下口腔鳞癌患者４４例的临床资料。男女之比为１．９３∶１；发病年龄大多在３０～４０岁，占９０．９０％，最小年龄３岁；发病部位多在舌部，共２１例，占６５．９０％；分化程度以高、中分化为主，占８１．８２％；临床分期早、晚期就诊病例约各半，而舌癌晚期就诊者高达６１．９０％；患者对治疗合作性差，只有少部分能完成严格意义上的综合治疗。治疗复发率较高，影响了患者的预后。

Abstract cases of oral squamous cell carcinoma under 40 years old were analyzed retrospectively.The ratio of male to female was 1.93∶1,the youngest was 3,and the majority were within 30-40 years old. The predict site was on the tongue,21 cases shown and accounting for 66.90%.Histologically,the most cases were highly differentiated,accounting for 81. 82%.About one half cases were present in the terminal clinical stage,and for tongue cancer,terminal stage cases were as high as 61. 90%.The patients did not cooperate with treatment very well, only minority could fulfill combined therapy in strict meanings. The recurrence was high and might affected the prognosis. The results were discussed and literatures were reviewed.