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目的总结分析青年与老年患者内镜和组织病理学特征。方法统计本内镜中心确诊的青年和老年胃癌病例,分析一般资料、内镜及组织学特征。结果青年组131例,老年组1 299例,两组病变累及部位均以胃体为主,内镜下分型BorrmannⅢ型最多;组织学分型青年组低分化腺癌最多,青年组黏液细胞癌、印戒细胞癌比例高于老年组。结论青年患者胃癌恶性程度更高,需提高对青年患者胃癌的认识和内镜检查的质量。
Objective To summarize the endoscopic and histopathological characteristics of young and old patients. Methods Statistics were made on the cases of gastric cancer diagnosed in the center of the endoscope. The general data, endoscopic and histological features were analyzed. Results There were 131 cases in the youth group and 1 299 cases in the elderly group. Most of the lesion involvement sites in the two groups were mainly gastric body. Borrmann Ⅲ type was the most in endoscopic type. Most of the poorly differentiated adenocarcinomas in histological type youth group were mucous cell carcinoma, Signet ring cell carcinoma is higher than the elderly group. Conclusions Youth patients have a higher degree of malignancy of gastric cancer and need to improve the understanding of gastric cancer in young patients and the quality of endoscopy.