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42例青年人胃癌临床分析[J]. 肿瘤防治研究, 2002, 29(01): 60-61. DOI: 10.3971/j.issn.1000-8578.127
引用本文: 42例青年人胃癌临床分析[J]. 肿瘤防治研究, 2002, 29(01): 60-61. DOI: 10.3971/j.issn.1000-8578.127
Clinical analysis of youth gastric cancer:a report of 42 cases[J]. Cancer Research on Prevention and Treatment, 2002, 29(01): 60-61. DOI: 10.3971/j.issn.1000-8578.127
Citation: Clinical analysis of youth gastric cancer:a report of 42 cases[J]. Cancer Research on Prevention and Treatment, 2002, 29(01): 60-61. DOI: 10.3971/j.issn.1000-8578.127

42例青年人胃癌临床分析

Clinical analysis of youth gastric cancer:a report of 42 cases

  • 摘要: 目的总结青年人胃癌的临床病理特点以指导治疗。方法回顾性分析1985年 1月~1995年5月收治的42例≤35岁的青年人胃癌。结果 ①手术切除率为90.5%,其中根治性切除率占71.4%;②青年人胃癌以女性多见,男女之比为1:1.3;③临床表现缺乏特征性,误诊率高达42.8%;④组织学分化差,分期偏晚,以BorrmannⅢ型,Ⅳ型居多;⑤预后差,五年生存率仅为21.4%;⑥根治性切除组与姑息性切除组及单纯探查组1、3、5年生存率差异具有显著性意义(P<0.05);Ⅰ+Ⅱ期与Ⅲ+Ⅳ期3、5年生存率差异亦具有显著性意义(P<0.05)。结论欲改善青年人胃癌的预后,早期诊断、减少误诊及早提高根治性切除率是关键。

     

    Abstract: Objective By mains of analysing the clinical and patholigic characteristics of youth gastric cancer,to investigate the surgical treatment. Methods 42 cases of youth gastric cancer treated in our hospital in 1985-1995 were analyzed retrospectively. Results Resection rate is 90.5% and the radical resection rate is 71.4%. The rate of male vs female is 1:1.3. Clinical manisfestions is not specific, Which induced misdiagnosis rate is as high as 42.8%.The poor histologic defferentiation and BorrnannⅢ,Ⅳtype are pr...

     

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