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目的分析老年胃癌患者常见误诊原因。方法分析12例老年胃癌患者被误诊为其他疾病的临床资料。结果 12例患者均确诊为胃癌,行根治性手术4例,姑息性切除2例,其余6例;选择同步化疗3例,全身姑息性化疗2例,放弃治疗1例。结论老年胃癌患者早期临床表现多不典型,临床医师对老年消化不良患者应提高警惕,做到对老年胃癌患者的早发现、早诊断、早治疗。
Objective To analyze the causes of misdiagnosis in elderly patients with gastric cancer. Methods Clinical data of 12 elderly patients with gastric cancer who were misdiagnosed as other diseases were analyzed. Results All the 12 patients were diagnosed as gastric cancer. Four patients underwent radical surgery, two patients underwent palliative resection and the remaining six patients. Three patients undergoing synchronous chemotherapy, two patients undergoing systemic palliative chemotherapy and one patient giving up treatment were excluded. Conclusion The clinical manifestations of elderly patients with gastric cancer are often atypical. Clinicians should be vigilant in the treatment of elderly patients with dyspepsia so that early detection, early diagnosis and early treatment of elderly patients with gastric cancer can be achieved.