青年人大肠癌临床特点与误诊分析

目的：探讨青年人大肠癌的临床特点、外科治疗及误诊原因。方法：回顾性分析我院1985～2005年青年人大肠癌43例患者临床特点、病理特征和生存率。结果：43例青年人大肠癌,平均病程5.9个月,误诊率55.8%;Dukes分期C、D期共31例,占72.1%;病理类型以低分化腺癌和黏液腺癌多见,共31例,占72.1%;19例行根治性切除术患者1年生存率62.7%,2年生存率35.6%,5年生存率25.4%。结论：青年人大肠癌误诊率高、恶性程度高、预后差,如何早期诊断和早期治疗是提高生存率的关键。

Clinical Character Analysis in 43 Cases of Young Patients with Colon Cancer

Objective：To study the clinical、 character surgery treatment and prognosis in 43 cases of young patients with colon cancer.Methods： The clinical pathological feature and survival rate of 43 cases of young patients with colon cancer were analysed retrospectively.Results： The mean duration from onset of symptoms to diagnosis in this group was 5.9 months.The misdiagnosis rate was 55.8%.Dukes stages C and D was noted in 31 cases（72.1%）.The proportion of poorly differentiated adenocarelnoma,mutinous carcinoma was 31 cases（72.1%）.The 1 year survival rate in complete resection group was 62.7%,The 2 years survival rate in complete resection group was 35.6%,The 5 years survival rate in complete resection group was 25.4%.Conclusion：The young patients with colon cancer have the characteristic of high misdiagnosis rate,high incidence of poor differentiation.How early diagnosis and early treatment is to improve the survival rate of the key.