青年胃癌75例临床特点分析

Clinical characteristics analysis of 75 cases of youth gastric cancer

目的:探讨青年人胃癌发病特点及防治措施。方法:2005年1月-2013年1月收治胃癌患者75例,均为<35岁青年人,通过年龄、性别、病程、临床症状、胃镜、病理特点、诊断及治疗进行回顾性分析。结果:1青年人胃癌女性发病率明显高于男性。2早期症状不典型,误诊率高,年龄越小病程越短,发病率越高,缺乏特异性症状体征。3根治性手术切除率低。4发病部位以胃窦为主,病理以组织分化差为主。5转移早、预后差,5年生存率低。结论:青年人胃癌发病率低,恶性度高,转移早,误诊率高,欲提高青年人胃癌的生存率,关键是提高早期诊断率。

Objective:To explore the occurring characteristics and prevention and control measures of youth gastric cancer.Methods:75 patients with gastric cancer were selected from January 2005 to January 2013.They were youth under 35 years old.They were retrospectively analyzed by age,sex,course of disease,clinical symptoms,gastroscope,pathological characteristics,diagnosis and treatment.Results:1The morbidity of female youth gastric cancer was significantly higher than that of male.2The early symptoms were not typical,the misdiagnosis rate was high,the age was smaller,the course of disease was shorter,the morbidity was higher,the specific symptoms and signs were lack.3The radical resection rate was low.4The diseased part given priority to gastric antrum,the pathology given priority to poor tissue differentiation.5The metastasis was early and the prognosis was poor,5 years survival rate was low.Conclusion:The morbidity of youth gastric cancer is low;the malignancy degree is high;the metastasis is early;the misdiagnosis rate is high.In order to improve the survival rate of youth gastric carcinoma,the key is to improve the early diagnosis rate.