青年人胃癌临床病理34例分析

目的　探讨青年人胃癌的临床病理特点。方法　回顾性分析 34例青年胃癌病人的临床表现、病理特点、治疗及预后 ,并与 4 0例中老年胃癌病人进行对比。结果　青年人胃癌与中老年人胃癌的临床表现相似 (P >0 .1) ,诊断常被延误 (P <0 .0 5)。其病理类型以未分化癌及低分化腺癌多见 ( 79.4 % ) ,手术切除率低( 4 1.2 % ) ,预后差 ( 5年生存率 8.8% ) ,与中老年组比较P均 <0 .0 1。结论　青年人胃癌病情进展快 ,转移早 ,改善预后的关键是早诊断 ,早治疗。

Clinical Pathological Analysis of 34 Young Patients with Gastric Cancer

Objective To study the clinical pathological characteristics of young patients with gastric cancer.Methods The clinical expression pathological characteristics, treatment and prognosis in 34 cases of young gastric cancer were analysed respectively and compared with 40 cases of mid-old gastric cancer.Results The clinical expression of young patient with gastric cancer was similar to that of mid-old patients (P>0.1). Therefore,the diagnosis was usually delayed ( P<0.05).Among all the pathological types,the undifferentiation cancer and low differentiation adenocancer were common (79.4%),the rate of ectomy was low (41.2%),and the prognosis was bad, (the five-year living rate was 8.8%).There were differences (P<0.01) between the two groups.Conclusion The state of illness normally develops very quickly among young gastric cancer patients. Meanwhile the metastasic of the cancer occurs very early. So the key to improve the prognosis is to diagnose the cancer as early as possible,and cure the patients as early as possible.