青年人胃癌59例分析

An analysis of 59 cases with gastric carcinoma in the young adults

目的 :探讨青年人胃癌的临床、内镜和病理特征。方法 :对经胃镜病理证实的 5 9例青年人胃癌进行分析。结果 :青年人胃癌占同期胃癌检出率的 8.9% ,以 31～ 35岁临床构成最多 ;发现早期癌 3例 ,进展期癌 5 6例 ;好发于胃窦部 ;误诊率6 9 .5 %。结论 :上腹痛是青年人胃癌最常见的临床表现 ;进展期癌分型大多为BorrmannⅢ型。

?Objective:To study the clinical,gastroscopic and pathologic features of gastric carcinoma in young adults.Methods:Gastric carcinoma were analyzed by gastroscopic and pathological examination.Results:Fifty nine young patients accounted for 8.9% of patients diagnosed as gastric carcinoma,the highest was in the group of age from 31 to 35 year,and ratio of female to male patients was 1.5∶1.Early cancer was found in 6 cases and developing cancer in 56 cases.Most of stomach cancer occurred in gastric antrum.The misdiagnosis rate was 69.5 %.Conclusions:The pain of upper back was the common clinical manifestation in young patients with gastric carcinoma(57.6%).Most cases of developing cancer were of Borrmann Ⅲ type.