李萍 211900 江苏省仪征，南京医科大学第三附属医院消化内科 中华消化内镜杂志 2000 0 17 2


    关键词：结肠癌；雌激素受体 期刊 zhxhnjzz 0 93-95 论著 fur -->


    

【摘要】目的探讨不同年龄组结肠癌患者的特点。方法按年龄分为青年组(≤35岁)，中年组(36～59)岁，老年组(≥60岁)。比较不同年龄组结肠癌患者在临床表现、镜下表现、病理及雌激素受体表达等肿瘤特征资料。结果青年组腹痛占72.2%；中老年组粘血便为主，占86.5%。青年组右半结肠癌多于老年组。老年男性雌激素受体(ER)阳性率显著降低。结论本组结肠癌患病高峰为60～70岁。青年组右半结肠癌发生率高，恶性程度高，转移早，进展快。中老年组左半结肠多见，病程长，分化好。

Clinical and endoscopic contrast of large bowel cancer at different age bracket

LI Ping

    ( Department of Gastroenterology, Third Affiliated Hospital, Nanjing Medical University,Jiangsu Yizheng 211900, China )

【 Abstract 】 Objective The characteristics of patients with colon cancer at different age bracket were compared. Methods Patients were categorized after age into young ( ≤ 35 years), mid - aged (36 ～ 59 years) ,and aged ( ≥ 60 years) groups. According to age bracket their sex, clinical endoscopic and pathologic features as well as histochemical receptors were contrasted. Results Colon cancer appeared most frequently with muco - bloody stools as chief complaint (86.5 % ) in the mid - age and aged. The dominant abdominal pain appeared in the young (72.2 % ), while estrogen receptors were less commonly seen in the aged. Conclusion The incidence peak of colon cancer in this series occurred at 60 ～ 70 years of age. The young suffered more from right colonic malignancy with lower differentiation, early metastasis and rapid progress, whereas the aged were affected most often by left colon tumor with high differentiation and slow progression.

    【 Key words 】 Colon cancer; Estrogen receptor

比较不同年龄组结肠癌患者临床症状和内镜表现方面的差别 ......

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