青年人结肠癌76例临床分析

目的:探讨青年人结肠癌的临床病理特点。方法:收集1996年1月至2003年12月,7年间经纤维结肠镜(或手术)病理确诊的结肠癌病例,并就发现76例青年人结肠癌发病情况及相关资料进行分析,将所有病例按年龄划分为青年组(年龄<40岁)和中老年组(年龄>40岁)。结果:青年人结肠癌发病率男性高于女性,组织病理学类型以低分化腺癌(42.11%)、粘液细胞癌(19.74%)为多,病程≤9个月者占(51.32%)。结论:临床病程短,病理组织学分化差是青年人结肠癌预后差的重要原因。提高对青年人结肠癌的认识,做到早期诊断,早期治疗,是改善预后的关键。

Clinical Analysis of 76 Cases Colon Carcinoma in Youth

Objective: To investigate the clinical and pathological characteristics of colon carcinoma in youth.Methods: Collected all cases of colon carcinoma admited from January 1996 to December 2003,and divided all these cases into youth group(<40 yrs) and middle-aged and older-aged group(>40 yrs).The incidence and other correlated data of 76 cases of colon carcinoma in youth were studied.Results:The incidence of colon carcinoma in youth was higher in male than in female,and the poorly differentiated adenocarcinoma(42.11%)and Krukenberg tumor(19.74%) were more common in histopathology.The course of disease less than 9 months were found in 51.32% of cases.Conclusion: Shorter course of disease and poorly differentiated in histopathology were the important reasons of bad prognosis in colon carcinoma in youth.To enhanced the recognition of colon carcinoma in youth and to diagnose and treat in early may be the key point for improving the prognosis.