青年人胃癌69例分析

88-92年五年期间经纤维胃镜及病理活检确诊35岁以下青年人胃癌69例,占同期胃癌总数的5.67％。年龄最小者19岁,男女之比为1.16:1。39例皆属进展期胃癌,病变位于胃窦者46.4％,溃疡型及溃疡浸润型占87％,低分化腺癌占50.7％。绝大多数病程在半年以内,早期症状无特异性,与慢性胃炎、胃溃疡相似。因此对有上消化道症状者应积极进行胃镜检查,镜下发现可疑病变要多做活检,短期复查,以期早期诊断、早期手术、提高治愈率。

ANALYSIS ON 69 CASES OF CARCINOMA VENTRICULI IN YOUTH

we diagnosed 69 cases of carcinoma ventriculi in youth under 35 years old by gas- troscopy and pathological biopsy in past five years(from1988-1992), It made up 5.67% in total of carcinoma ventriculi at the same time. The youngest was 19 years old and the ratio of male to female was 1. 16:1. 39 cases belonged to developing period and patho- logical changes at antrum ventriculi took 46. 4 percent; infiltrtion type and ulcerative type made up 87 percent ;low-differentiation glandular carcinoma took 50.7percent. The course of disease in most cases was in half of a year and early symptoms were no speci- ficity, and were similar to that of chronic gastritis and gastric ulcer. Therefore the pa- tients with symptoms of upper digestive tract should take gastroscopy. If some suspi- cious changes are detected ,pathological biopsy should be taken ,then check the patient in a short time, in order to diagnose and operate as early as possible and increase cure rate.