摘要
４０例青年人胃癌，占同期我院胃镜检出胃癌６９９例的５．７％。男性２６例，女性１４例。３１～３５岁为１５例（３７．５％），最小年龄为１５岁。早期胃癌３例（７．５％），进展期癌３７例。手术切除率为４２．５％。５年生存率为１５％（６／４０）。本组发现５例胃癌与十二指肠溃疡共存。本文分析了青年人胃癌的特点与预后差的主要原因，并讨论了青年人胃癌与胃溃疡关系以及与十二指肠溃疡共存问题。
Forty cases of gastric carcinoma in young
adults(5.7%)were collected from a total of 699cases of gastric carcinoma detected by
gastroscopy in a 20 year period at Beijing Hospital.Twenty-six of the patients were male and
fourteen female.Fifteen cases(37.5%)were betweenthe ages of 31 to 35 years, and the youngest
one was l5 years old,There were 3 cases(7.5%)of early gastric carcinoma and 37 cases of
progressive carcinoma.The resectability rate was42.5%and 5 years survival rate l5%(6/40).In
this series,five cases of gastric carcinomacoexisted with duodenal ulcer.The characteristics of
gastric carcinoma in the young adultsand the main reasons for their poor prognosis were
analysed.The relation of gastriccarcinoma to gastric ulcer in the young adults,as well as the
coexistence of.gastriccarcinoma with duodenal ulcer,was discussed.It was emphasized that in
order to improve thepoor prognosis,great attention should be paid to the early diagnosis of
gastric carcinoma inyoung adult;gastric ulcers in young adults should be followed up closely
by gastroscopy andpathology,and the clinicians must be alert to the coexistence of gastric
carcinoma withduodenal ulcer.Gastric lesions should be evaluated carefully as if duodenal
ulcer was not present.
出处
《中华消化杂志》
CAS
CSCD
北大核心
1994年第3期147-149,共3页
Chinese Journal of Digestion
关键词
胃溃疡
十二指肠溃疡
胃肿瘤
Gastric carcinoma
Gastric ulcer
Duodenal ulcer.
