论文部分内容阅读
目的探讨分析青年与中老年胃癌的病理特点。方法 180例胃癌患者,按年龄分为中老年组(>40岁,161例)和青年组(≤40岁,19例)。比较两组患者性别比例、病理类型、病变部位、镜下大体分型以及治疗方式差异。结果两组患者性别比例比较,差异有统计学意义(P<0.05);青年组高分化腺癌及中分化腺癌比例均低于中老年组,印戒细胞癌发病率高于中老年组(P<0.05);青年组胃窦癌的发病率明显高于中老年组,胃底贲门、胃角癌发病率要低于中老年组(P<0.05)。镜下大体分型(Borrmann分型):Ⅰ型、Ⅳ型胃癌例数比较差异有统计学意义(P<0.05)。结论胃癌在青年人群中发生率较高,女性发病率高于男性,印戒细胞癌及低分化腺癌发病率较高,胃窦为癌症高发部位,手术治疗是有效的治疗手段。
Objective To analyze the pathological features of young and middle-aged patients with gastric cancer. Methods One hundred and eighty patients with gastric cancer were divided into middle-aged group (> 40 years old, 161 cases) and young group (≤40 years old, 19 cases) by age. The two groups of patients were compared sex ratio, pathological type, lesion, gross microscopic classification and treatment differences. Results There were significant differences in sex ratio between the two groups (P <0.05). The proportion of well-differentiated adenocarcinoma and well-differentiated adenocarcinoma in young group was lower than that in middle-aged group, and the incidence of signet-ring cell carcinoma was higher than that of middle- P <0.05). The incidence of gastric cancer in young group was significantly higher than that in middle-aged group. The incidence of gastric cardia and gastric cancer was lower than that of middle-aged and elderly patients (P <0.05). Gross classification (Borrmann classification): type Ⅰ, type Ⅳ gastric cancer was significantly different (P <0.05). Conclusion The incidence of gastric cancer in young people is higher than that in men. The incidence of signet ring cell carcinoma and poorly differentiated adenocarcinoma is high. The gastric antrum is the high incidence of cancer. Surgical treatment is an effective treatment.