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137例青年人大肠癌临床病理分析 被引量:16

CLINICOPATHOLOGICAL ANALYSIS OF 137 CASES OF COLORECTAL CARCINOMA IN YOUNG PEOPLE
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摘要 目的 :探讨青年人大肠癌的临床病理特点与预后的关系。方法 :回顾性研究了 13 7例3 5岁以下青年人大肠癌临床病理资料 ,同时与中、老年人大肠癌做了对比分析。结果 :男性 69例 ,女性 68例 ;其中发生在直肠 10 3例 ;溃疡型 76例 ,隆起型 54例 ,浸润型 7例 ;以中分化腺癌多见有 55例 ,依次为黏液腺癌 3 6例 ,高分化腺癌 19例 ,低分化腺癌 15例 ,印戒细胞癌 9例 ,未分化癌 3例。Dukes A期 3 3例 ,B期 41例 ,C期 63例。结论 :青年人大肠癌男女发病率几乎无差异 ,直肠为大肠癌好发部位。黏液腺癌、印戒细胞癌及未分化癌的比例明显高于中老年人 ,提示青年人大肠癌的预后较差。 Objective:To study the correlation between pathological characteristics and prognosis of colorectal carcinoma in young people.Methods:We studied the clinicopathological data under 35 years old of colorectal carcinoma.At the same time,we contrasted them with middle aged people.Results:The sex ratio was 69:68 (male to female),103 of them were found in the rectum.There were 76 ulcerous type,54 eminence and 7 infiltrating.Moderated differentiated adenocarcinoma was more often (55 cases),followed by mucinous adenocarcinoma (36 cases),well differentiated adenocarcinoma (19 cases),poorly differentiated (15 cases),signet ring cell carcinoma (9 cases) and undifferentiated carcinoma (3 cases).Dukes A was in 33 cases,B in 41 and C in 63.Conclusion:There were no significant difference in sex.The rectum was more often.In the young people,the ratio of mucinous adenocarcinoma,signet ring cell carcinoma and undifferentiated carcinoma were higher than middle aged people.It suggested that prognosis of colorectal carcinoma of the young people was poor than middle aged people.
机构地区 解放军
出处 《肿瘤研究与临床》 CAS 2002年第3期175-176,共2页 Cancer Research and Clinic
关键词 大肠癌 结直肠癌 临床病理 DUKES分期 预后 Colorectal carcinoma Clinicopathology Dukes staging Prognosis
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