揭阳地区不同性别及年龄段贲门癌临床病理分析  

Clinical pathologic analysis of cardiac cancer in different sex and age groups in Jieyang region

作　　者：余华斐[1] 刘祖宏[1] 

机构地区：[1]揭阳市人民医院病理科,广东揭阳522000

出　　处：《中国基层医药》2005年第7期813-814,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨揭阳地区不同性别及不同年龄段贲门癌发病特征。方法将583例贲门癌按年龄、性别分组,回顾性分析其临床和病理特点。结果男性贲门癌发病率明显高于女性(P<0·05);中老年组以进行性吞咽梗阻症状为主要特征。大体类型:中、老年组以溃疡型为主,而青年组以弥漫浸润型为主。组织学类型:老年组以乳头状和(或)管状腺癌居多,青年组以低分化型及粘液型腺癌居多。结论揭阳地区贲门癌男性发病率明显高于女性,不同年龄段贲门癌的发生、发展及临床病理特征存在差异,值得临床医师注意。Objective To investigate the clinical characteristics of candiac carcinoma in different sex and age groups in this area. Methods 583 cases of cardiac carcinoma were divided into old, middle and young age group according to their age,including 456 cases of male and 127 cases of female. The clinical and pathologic characteristics were retrospectively analysed. Results The incidence of male cardiac carcinoma was significantly higher than that of female in Jieyang region, while the patients in the middle and old age groups were characterized by progressive dysphagia in clinic manifestation. In gross types, ulcerative type was in majority in the middle and old age groups,while diffuse infiltrative type was dominant in the young age group. In histological type, papilla and tubular adenocarcinma were more common in the middle and old age groups, but low differentiated type and mucinous adenocarcinoma were dominant histological type of cardiac cancer in the young age group. Conclusions Higher incidence of male cardiac carcinoma in this region is supposed to be relative with different living ways between male and female. The occurfence,progress and clinical pathological characterictics of cardiac carcinoma are different among three age groups,which is worth noticing for clinicians.

关 键 词：贲门癌 临床病理 性别差异 流行病学 

分 类 号：R735.2[医药卫生—肿瘤]