53例青年人胃癌分析

目的　探讨青年人胃癌发病的特点。方法　我院自 1981～ 1997年收治了 3 0岁以下胃癌 5 3例 ,对其病理检验、病理组织切片染色查幽门螺杆菌及预后进行了分析。结果　病理显示以未分化癌和低分化腺癌为主 ,前者 19例 ( 19/ 5 3 ) ,后者 2 4例 ( 2 4/ 5 3 )。 3 2例胃癌病理组织切片染色查幽门螺杆菌 (HP) 2 3例阳性 ( 71 88% )。随访的 3 7例中 ,无一例生存 5年。结论　青年人胃癌发病隐匿 ,病程短 ,恶性程度高 ,预后差。

Gastric Carcinoma in the Young:An Analysis of 53 Cases

Objective To evaluate the characteristics of young patients with gastric carcinoma.Method We treated 53 cases of gastric carcinoma who were under 30 years old from 1981 to 1997.By pathological examination,helicobacter pylori (HP) and prognosis were analysed on the 53 young patients with gastric carcinoma.Results Pathological report showed that undifferentiated carcinoma and poorly differentiated adenocarcinoma were more.Helicobacter pylori were found positive in 23 out of 32 cases (71.88%).Through postoperative follow up,none of the 37 cases survived longer than 5 years.Conclusion The characteristics of young patients with gastric carcinoma have latent attribute,short course of disease, high malignancy and unfavourable prognosis.