CAJ | 학술논문

目的：分析青年人胃癌内镜、病理和临床特点。方法：回顾总结扬中市人民医院1996年8月～2014年5月间经胃镜、病理或手术证实的青年人胃癌32例，对其内镜下形态、病理与临床特点进行分析。结果：青年人胃癌早期无特殊症状，以功能性消化不良为主。内镜下形态： BorrmannⅡ型8例（25.0%）,Ⅲ型11例（34.4%）,Ⅳ型10例（31.3%）。早期胃癌3例（9.4%），进展期29例（90.6%）。组织学类型：高分化腺癌3例(9.4%)，中分化腺癌5例(15.6%)，低分化腺癌15例(46.8%)，未分化癌4例(12.5%)，黏液腺癌5例(15.6%)。结论：青年人胃癌恶性程度高，早期诊断率低，及早诊治非常重要。
목적：분석청년인위암내경、병리화림상특점。방법：회고총결양중시인민의원1996년8월～2014년5월간경위경、병리혹수술증실적청년인위암32례，대기내경하형태、병리여림상특점진행분석。결과：청년인위암조기무특수증상，이공능성소화불량위주。내경하형태： BorrmannⅡ형8례（25.0%）,Ⅲ형11례（34.4%）,Ⅳ형10례（31.3%）。조기위암3례（9.4%），진전기29례（90.6%）。조직학류형：고분화선암3례(9.4%)，중분화선암5례(15.6%)，저분화선암15례(46.8%)，미분화암4례(12.5%)，점액선암5례(15.6%)。결론：청년인위암악성정도고，조기진단솔저，급조진치비상중요。
Objective:To Analyze the endoscopic, pathogenic and clinical characteristic of young people with stomach cancer. Method:Reviewed and summarized 32 patients of Yangzhong municipal peoples' hospital from August 1996 to May 2014 who had been confirmed as stomach cancer patients by gastroscope, pathology or operation. Analyzed the shape and form under gastroscope, pathogenic and clinical charateritics of them. Result:There were no specific symptoms in the early stage of stomach cancer on young people. Functional dyspepsia was the main symptom. For mirror shape: 8 cases (25.0%) of BorrmannⅡ, 11 cases (34.4%),of BorrmannⅢ, 10 cases (31.3%) of BorrmannⅣ..3 cases (9.4%) were at the early stage, 29 cases (90.6%) at progress stage. For histology type: 3 cases (9.4%) had highly differentiated adenocarcinoma,5(15.6%)moderately differentiated adenocarcinoma,15(46.8%)lowlydifferentiated adenocarcino ma, 4 (12.5%) undifferentiated adenocarcinoma, 5 (15.6%) mucous adenocarcinoma. Conclusion: The malignancy level of stomach cancer on young people is high. The diagnosis efficacy at early stage is low, so the early diagnoses is extremely important.