中国医学前沿杂志（电子版）2017，Vol.9Issue(10)：104-108,5.DOI:10.12037/YXQY.2017.10-21
不同年龄段胃癌患者临床特征差异性分析
Analysis of the clinical characteristics among the gastric cancer patients of different age groups
刘林波 1龚土平 1李建 1胥润 1张毅 1廖智杰 1王楚安 1胡登敏1
作者信息
- 1. 绵阳市第三人民医院 普外科,四川绵阳 621000
- 折叠
摘要
Abstract
Objective To compare the clinical characteristics among the gastric cancer patients of different age groups. Method Retrospective analyzed the clinical data of 598 patients with primary gastric cancer in our hospital from April 2005 to April 2012. These patients were divided into youth group (≤40 years old), middle-age group (41~60 years old) and old-age group (>60 years old), analyzed the differences in the general situation, diagnosis, tumor pathologic type, operation method and prognosis among three groups. Result Youth group had obviously lower male ratio than middle-age group and old-age group (P<0.01);there was no significant difference in the proportion of different initial symptoms among three groups (P >0.05); ultrasound and CT were the mainly initial diagnosis way in youth group, and it was different from middle-age group and old-age group, whose mainly initial diagnosis way was gastroscope (P < 0.01);the rate of misdiagnosis in youth group was significantly higher than that in middle-age group and old-age group (P < 0.01); the proportion of different pathological classification in youth group was different from middle-age group and old-age group (P < 0.01); the proportion of Borrmann type, lymph node metastasis and distant metastasis in youth group were significantly different from middle-age group and old-age group (P < 0.01); the proportion of lymph node metastases in middle-age group was significantly different from that in youth group and old-age group (P < 0.01); there was no significant difference in the proportion of surgical procedure among three groups (P>0.05); 1 year, 3 years and 5 years survival rate in youth group were significantly lower than middle-age group and old-age group (P < 0.01). 3 years and 5 years survival rate in old-age group were both lower than that in middle-age group (P<0.05). Conclusion There are some similarity in the clinical pathological features among different age groups of gastric cancer, including the high rate of misdiagnosis and low differentiation types. Youth patient with gastric cancer has the special clinical pathological features, such as high incidence of women, high malignant degree, high incidence of lymph node metastasis, the distant metastasis and poor prognosis.关键词
年龄/胃癌/临床特征Key words
Age/Gastric cancer/Clinical characteristics引用本文复制引用
刘林波,龚土平,李建,胥润,张毅,廖智杰,王楚安,胡登敏..不同年龄段胃癌患者临床特征差异性分析[J].中国医学前沿杂志（电子版）,2017,9(10):104-108,5.
