Analysis of the diagnosis and treatment of 78 gastric cancer cases in young people

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• 作者：Enxiang Zhou (1)
  Mingxing Wen (1)
  Yunshan Li (1)
  Duxin Qing (1)
  
• 关键词：gastric cancer ; adolescent ; young adult ; gastroscopy ; early diagnosis
• 刊名：The Chinese-German Journal of Clinical Oncology
• 出版年：2006
• 出版时间：December 2006
• 年：2006
• 卷：5
• 期：6
• 页码：396-398
• 全文大小：235KB
• 参考文献：1. Wang HD, Qiu LL, Ren J, / et al. Incidence and pathological characteristics of 269 young patients with gastric neoplasm. Chin J Cancer Prev Treat (Chinese), 2005, 12: 1285-288.
  2. Yang HJ, Liu DM, Liu YQ. Clinical analysis of 89 cases of early gastric cancer. Chin J Cancer Prev Treat (Chinese), 2004, 11: 656-57.
  3. Hua JD. Oncological Surgery. Beijing: People’s Military Medical Press, 1995. 1918-945.
  4. Tian Y, Xu XY, Yan SJ. Analysis of misdiagnosis of 49 cases with gastric cancer in young. Chin J Dig Endosc (Chinese), 2001, 2: 112.
  5. Wu YX, Jiang SH, Yuan YZ. Follow-up of patients with precancerous change for five years from 9 hospitals in Shanghai. Chin J Dig (Chinese), 1995, 15: 282-84.
  
• 作者单位：Enxiang Zhou (1)
  Mingxing Wen (1)
  Yunshan Li (1)
  Duxin Qing (1)
  
  1. Department of Surgery, The Second Xiangya Hospital of Central South University, Changsha, 410011, China
  

文摘

Objective To summarize the causes of difficulty in gastric cancer diagnosis in young people and explore potential methods of improving diagnostic accuracy. Methods We retrospectively analyzed 78 cases of gastric cancer in young people (14-5 years). Results The clinical manifestations of gastric carcinoma in young people show no specificity, and the initial symptoms were diverse, with discomfort in the upper abdomen as the main symptom. There are four causes of difficulty in early detection: (1) The previous physician relied on antacids and did not use or analyze the results of gastroscopic examination and barium meal examination of the upper digestive tract; (2) The physician performing the endoscopic examination did not strictly follow the standards in the biopsy of fine pathological changes in suspected early cancer; (3) The physician lacked a good understanding of the clinical progress of ulcerating-healing-ulcerating in the ulcerating type of early gastric cancer; (4) Lacked a good understanding of precancerous lesions in the gastric mucosa. Conclusion Early gastroscopy and pathological examination must be conducted for people who above 20 years of age with one or more of the following symptoms: dull pain in the upper abdomen, anorexia, fatigue, tarry stool and vomiting of unknown origin. The results of gastroscopic examination should be taken into consideration for patients with recurrent ulcer, and biopsy should be standardized. Biopsy specimens should be taken from several loci in the suspected lesions, and should be repeated if necessary. Precancerous lesions of gastric mucosa should be closely followed up using gastroscopy.