青年人胃癌

目的 探讨青年人胃癌的临床、病理特点。方法 １９６８年１月￣１９９３年１月２５年间经手术治疗、病理诊断的青年人胃癌３１２例，占同期收治胃癌的５．１％。将所有病例以年龄组划分为４组：≤３５岁组，３６￣５０岁组，５１￣６５岁组，≥６６岁组。对≤３５岁青年人胃癌与各组进行对照观察。结果 青年人胃癌发病率女性高于男性，组织病理学类型以低分化腺癌（４９．２％）、粘液细胞癌（２６．６％）为多，８３．３％的病例

Gastric cancer in the young

OBJECTIVE: To determine the clinico-pathological characteristics of young patients with gastric cnacer. METHODS: From January 1968 through January 1993, among 6098 gastric cancer patients admitted for surgical treatment, 312 (5.1%) were < 35 years of age. The clinico-pathological data of these young patients were reviewed and compared to those of patients in the other age groups. RESULTS: In this series of young patients, female predominated. Histologically, there were more cases with poorly differentiated (49.2%) and muco-cellular (26.6%) adenocarcinoma. The most common gross morphology observed was of Borrmann type III (38.1%) and type IV (36.9%). The mojority of patients (83.3%) were in TNM stage III and stage IV. CONCLUSION: The prognosis of young patients with gastric cancer surgically treated is poor. This is due to the fact that most of them are in late stage and their cancers are poor in differentiation rather than their young age. To increase the awareness of cancer in apparently healthy young persons is important for early diagnosis and treatment, and better prognosis.