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目的:回顾性分析青年女性胃癌的临床资料,以提高诊疗水平。方法:回顾分析了两院1988 年以来的10年中已确诊35 岁以下青年女性胃癌的临床胃镜及病理资料。结果:青年女性胃癌47 例,占同期胃癌的4.7 % ,平均年龄30 .5 岁,41 例(87.2 % )为生育后妇女,除1 例早癌外均为进展期胃癌,以Borrmann IV 型为主,低分化癌和未分化癌分别占38.3% 和25 .5% ,以弥漫型多见,幽门螺杆菌阳性率61 .5 % ,3 年生存率仅4.3 % 。结论:青年女性胃癌恶性程度高,预后差,应早诊断,早治疗
Objective: To retrospectively analyze the clinical data of young women with gastric cancer in order to improve the level of diagnosis and treatment. Methods: The clinical gastroscopy and pathological data of gastric cancer diagnosed in young women under 35 years of age in the two hospitals since 1988 were retrospectively analyzed. Results: There were 47 cases of gastric cancer in young women, accounting for 4.7% of gastric cancer in the same period, with an average age of 30. At the age of 5 years, 41 cases (87.2%) were women after childbirth. Except for 1 case of early cancer, all patients were advanced gastric cancer, Borrmann type IV was dominant, poorly differentiated and undifferentiated cancers accounted for 38.3% and 25 respectively. . 5%, mostly diffuse, Helicobacter pylori positive rate 61. At 5 %, the 3-year survival rate was only 4.3%. Conclusion: Young women have high degree of malignancy and poor prognosis. They should be diagnosed early and treated early.