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本文分析1976～1985年十年间本院检出的2311例胃癌,其中青年人胃癌67例(2.9%),老年人胃癌178例(7.7%)。老年组男女性别比为3.8:1,而青年组接近1:1。临床上,青年组的上腹部压痛及上腹肿块较多见。两组的病理组织学类型有显著差异,青年组中的未分化癌和粘液腺癌明显多见;此外,青年组的淋巴结转移较多,而间质反应较轻微。本文资料表明青年人胃癌的预后较差。
This article analyzes 2,311 cases of gastric cancer detected in our hospital from 1976 to 1985, including 67 cases of young people with gastric cancer (2.9%) and 178 cases of elderly people with gastric cancer (7.7%). The gender ratio for the elderly group was 3.8:1, while the youth group was close to 1:1. Clinically, the upper abdominal tenderness and upper abdominal mass are more common in the youth group. There was a significant difference in the histological types between the two groups. Undifferentiated and mucinous adenocarcinomas were significantly more common in the youth group. In addition, there were more lymph node metastases and milder interstitial responses in the young group. The data in this article shows that the prognosis of young people with gastric cancer is poor.