标题：青年人大肠癌192例临床分析

      作者：皮小雨，邓 涛*，李红艳，占义军
    (武汉大学人民医院消化内科，湖北 武汉 430060)

      卷次： 2012年23卷3期

      【摘要】 目的 探讨青年人大肠癌的临床特点。方法 将1990年1月到2010年12月我院收治的192例青
年人大肠癌的临床资料与同期随机抽取的190例老年人大肠癌(≥65岁)进行比较。结果 青年人大肠癌症状不
典型，误诊率高(57.8%)，病理分型恶性程度高，黏液腺癌、低分化腺癌较多，各占40.1%及21.8%。Dukes分期以C
期、D期为主，占73.4%。结论 青年人大肠癌恶性程度高，误诊率高，预后差，应提高警惕，强化普查，做到尽早诊
治，以提高患者的生存率。

      【关键词】 大肠癌；青年人；临床特征

      【中图分类号】 R735.3+4 【文献标识码】 A 【文章编号】 1003—6350（2012）03—006—03<

br>Clinical analysis of 192 young patients with colorectal cancer.
PI Xiao-yu, DENG Tao, LI Hong-yan, ZHAN Yi-jun.
Renmin Hospital of Wuhan University, Wuhan 430060, Hubei, CHINA

【Abstract】 Objective To explore the clinical characters of young patients with colorectal cancer. Methods
The clinical characters of 192 young patients with colorectal cancer from Jan.1990 to Dec. 2010 in Renmin Hospital
of Wuhan University (the study group) were retrospectively analyzed, and compared with that of 190 elderly patients
(≥65 years old) selected (the control group). Results The clinical features of colorectal cancer in young patients
were not typical. The misdiagnosis rate was high (57.8%). Most young patients were with muco-cellular (40.1%) and
poorly differentiation (21.8%). 73.4% of the young patients were in Dukes stage C and stage D. Conclusion Be-
cause of the highly malignant character, poor prognosis and high misdiagnosis rate, We should enhance vigilance, fo-
cus on screening, and diagnose and treat the young patients with colon cancer as early as we can.

      【Key words】 Colorectal cancer; Young patients; Clinical characters
作者简介：皮小雨(1986—)，女，湖北省荆州市人，在读硕士。
*通讯作者：邓 涛。E-mail：dengtao1120@hotmail.com