32例青年人胃癌内镜、病理及临床特点分析  

Analysis of Endoscopic, Pathogenic and Clinical features of Young Patients with Gastric Cancer

作　　者：聂道鸿 朱阳春[1] 崔桂平[1] 郭丽梅[1] 郭江川[1] 

机构地区：[1]扬中市人民医院,江苏扬中212200

出　　处：《中医临床研究》2014年第30期135-136,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的：分析青年人胃癌内镜、病理和临床特点.方法：回顾总结扬中市人民医院1996年8月～2014年5月间经胃镜、病理或手术证实的青年人胃癌32例,对其内镜下形态、病理与临床特点进行分析.结果：青年人胃癌早期无特殊症状,以功能性消化不良为主.内镜下形态：BorrmannⅡ型8例（25.0%）,Ⅲ型11例（34.4%）,Ⅳ型10例（31.3%）.早期胃癌3例（9.4%）,进展期29例（90.6%）.组织学类型：高分化腺癌3例（9.4%）,中分化腺癌5例（15.6%）,低分化腺癌15例（46.8%）,未分化癌4例（12.5%）,黏液腺癌5例（15.6%）.结论：青年人胃癌恶性程度高,早期诊断率低,及早诊治非常重要.Objective： To Analyze the endoscopic, pathogenic and clinical characteristic of young people with stomach cancer. Method：Reviewed and summarized 32 patients of Yangzhong municipal peoples＇ hospital from August 1996 to May 2014 who had been confirmedas stomach cancer patients by gastroscope, pathology or operation. Analyzed the shape and form under gastroscope, pathogenic and clinicalcharateritics of them. Result： There were no specific symptoms in the early stage of stomach cancer on young people. Functional dyspepsiawas the main symptom. For mirror shape： 8 cases （25.0%） of BorrmannⅡ, 11 cases （34.4%）,of BorrmannⅢ, 10 cases （31.3%） ofBorrmannⅣ..3 cases （9.4%） were at the early stage, 29 cases （90.6%） at progress stage. For histology type： 3 cases （9.4%）had highly differentiated adenocarcinoma,5（15.6%）moderately differentiated adenocarcinoma,15（46.8%）lowlydifferentiated adenocarcinoma, 4 （12.5%） undifferentiated adenocarcinoma, 5 （15.6%） mucous adenocarcinoma. Conclusion： The malignancy level of stomachcancer on young people is high. The diagnosis efficacy at early stage is low, so the early diagnoses is extremely important.

关 键 词：胃肿瘤 青年人(胃癌) 胃镜 病理学 

分 类 号：R735.2[医药卫生—肿瘤]