老年胃癌患者内镜所见及病理特点

目的探讨老年人胃癌患者临床、内镜及病理特点。方法以病例对照方法进行分析53例老年(≥60岁)胃癌患者的特点,选用同期60岁以下的胃癌42例为对照组。结果老年人胃癌患者主要表现为纳差消瘦,腹胀不适;病程长;肿瘤多位于贲门胃底部;内镜下以进展期Borrm annⅢ-Ⅳ型为主;早期诊断率低;病理分化程度高。结论老年人胃癌患者的症状不典型,早期诊断困难;预后差。

Features of endoscopy and pathology of the old patients with gastric cancer

Objective To investigate the features of endoscopy and pathology of the old patients with gastric cancer. Methods The features of 53 cases with gastric carcinoma, aged more than 60 year old wer compared with that of 42 gastric cancer cases aged less than 60. Results The main presentation of the old patients was anorexia, becorned emaciated and abdominal discomfort, long - term duration, and tumory laid mostly on carida and sastric base. The endoscopic feature the was mainly progressive cancer, which often was type Borrmann Ⅲ-Ⅳ. While the diagnosed rate of early - staged cancers was low. The pathological features were well. Conclusions The clinical presentations of the old patients were nom-typical , early diagnostic rate was lower and prognosis was worse .