青少年大肠癌52例诊治分析

Diagnosis and Treatment of Carcinoma of Large Intestines in Juveniles:A Report of 52 Cases

青少年大肠癌并非罕见，1987～1996年我院收治的521例大肠癌中，青少年（7～30岁）占52例（10％），其中结肠癌22例，直肠癌30例。临床表现以大便习惯改变、腹痛、便血为主，结肠癌病人腹部肿块也较常见。病理特点是恶性程度高者较多。在52例中，低分化腺癌、粘液腺癌、印戒细胞癌占55％。青少年大肠癌误诊率较高，结肠癌误诊率为82％，直肠癌误诊率77％。本组误诊率78．3％，根治性切除率69．2％。作者认为青少年大肠癌的治疗最有效的方法是根治性切除术。

Carcinomas of the large intestines in juveniles are not uncommon. There were 521 Patients with carcinoma of large intestines treated in our hospital from 1987 to 1996, and 10 percent (52 cases) of them were juveniles. Out of the 52 cases, carcinoma of colon was diagnosed in 22 Patients and carcinoma of rectum in 30 patients. The change of bowel habit, abdominal Pain and hematochezia were main clinical symptoms in the Patients with carcinoma of colon or rectum. For the patients with carcinoma of colon, abdominal mass was another common clinical manifestation. Severely malignant carcinoma was found in most of the juvenile Patients. In the 52 patients, fifty-five poment of them suffered from poorly differentiated adenocarcinoma, mucinous adenocarcinoma and signet-ring cell carcinoma. Misdiagnosis rates in colonic carcinoma were 82% and in rectal carcinoma 77%, and the misdiagnosis rate in this group was 78. 8% and the radical resectional rate 69. 2%. It is considered that the most effective treatment of carcinoma of large intestine in juveniles is radical resection.