青年人胃癌  

Gastric cancer in the young

作　　者：李强[1] 郝希山[1] 章德昆 卞守华 王殿昌[1] 张高嘉[1] 王家仓[1] 孙涛[1] 崔青皓[1] 

机构地区：[1]天津医科大学附属肿瘤医院,300060

出　　处：《中华肿瘤杂志》1999年第3期224-226,共3页Chinese Journal of Oncology

摘　　要：目的　探讨青年人胃癌的临床、病理特点。方法　１９６８ 年１ 月～１９９３ 年１ 月２５ 年间经手术治疗、病理诊断的青年人胃癌３１２ 例，占同期收治胃癌的５．１％ 。将所有病例以年龄组划分为４组：≤３５ 岁组，３６ ～５０ 岁组，５１～６５ 岁组，≥６６ 岁组。对≤３５ 岁青年人胃癌与各组进行对照观察。结果　青年人胃癌发病率女性高于男性，组织病理学类型以低分化腺癌（４９．２％ ） 、粘液细胞癌（２６ ．６ ％ ）为多，８３ ．３％ 的病例ＴＮＭ 分期为Ⅲ期和Ⅳ期。结论　临床晚期癌多、病理组织学分化差是青年人胃癌预后差的重要原因。提高对青年人胃癌的认识，做到早期诊断、早期治疗，是提高疗效的关键。Objective To determine the clinico pathological characteristics of young patients with gastric cnacer. Methods From January 1968 through January 1993, among 6098 gastric cancer patients admitted for surgical treatment, 312 (5.1%) were <35 years of age. The clinico pathological data of these young patients were reviewed and compared to those of patients in the other age groups. Results In this series of young patients, female predominated. Histologically, there were more cases with poorly differentiated (49.2%) and muco cellular (26.6%) adenocarcinoma. The most common gross morphology observed was of Borrmann type Ⅲ(38.1%) and type Ⅳ (36.9%). The mojority of patients (83.3%) were in TNM stage Ⅲ and stage Ⅳ. Conclusion The prognosis of young patients with gastric cancer surgically treated is poor. This is due to the fact that most of them are in late stage and their cancers are poor in differentiation rather than their young age. To increase the awareness of cancer in apparently healthy young persons is important for early diagnosis and treatment, and better prognosis.

关 键 词：胃肿瘤 病理学 诊断 治疗 青年人 

分 类 号：R735.2[医药卫生—肿瘤]