目的总结青年人胃癌的诊治经验。方法对 35例 35岁以下青年人胃癌患者临床特征、诊断及治疗进行回顾性分析。结果 1青年人胃癌女性多发 ,男女比例 1∶ 1.9。 2早期症状不典型 ,误诊率高 ,为 6 0 .0 0 %。 3根治性手术切除率低 ,为 41.93%。 4发病部位以胃窦为主 ,病理以组织分化差为主。 5转移早、预后差 ,5年生存率 11.43%。结论青年人胃癌发病率低 ,恶性度高 ,转移早 ,误诊率高 ,欲提高青年人胃癌的生存率 ,关键是提高早期诊断率 Objective To summarize the experience of diagnosis and treatment of gastric cancer in young people. Methods A retrospective analysis was performed on the clinical features, diagnosis and treatment of 35 gastric cancer patients younger than 35 years old. Results 1 There were multiple females with gastric cancer in young people, with a ratio of 1:1.9. 2 The early symptoms are not typical, and the misdiagnosis rate is high, which is 60%. 3 The rate of radical resection was 41.93%. 4 Gastric antrum was the main site of the disease, and pathology was mainly based on poor tissue differentiation. 5 The metastasis was early and the prognosis was poor. The 5-year survival rate was 11.43%. Conclusions The incidence of gastric cancer in young people is low, the degree of malignancy is high, the metastasis is early, and the rate of misdiagnosis is high. To improve the survival rate of gastric cancer in young people, the key is to improve early diagnosis rate.