Monferrer Guardiola R, Cortés Vizcaíno V, Usó Blasco J, Palau Romero A, Martín Sánchez E
Servicio de Medicina Interna-Aparato Digestivo, Hospital General, Castellón.
An Med Interna. 1997 Sep;14(9):455-8.
Eleven cases of gastric carcinoma occurring in patients younger than 30 years were found in a pool of 929 diagnosed in Hospital General de Castelló during the period of 1976 to 1995. Ten patients were male (10/11). The mean age was 26.9 years. In eight cases precancerous lesions were present. The mean time between diagnosis and surgery was 9 months. The most frequent location was the antrum (63.6%) and the most common histology was gastric/diffuse adenocarcinoma of signet-ring cell type (45.5%). Amplified partial gastrectomy was performed in 81.8%, with Billroth II anastomosis in 36.4%. Immediate postoperative mortality rate was 9.1% and the overall mean survival 56 months, being of 54% and 36% at two and five years, respectively.
在1976年至1995年期间，在卡斯特利翁总医院确诊的929例胃癌患者中，发现了11例年龄小于30岁的胃癌患者。10例为男性（10/11）。平均年龄为26.9岁。8例存在癌前病变。诊断至手术的平均时间为9个月。最常见的部位是胃窦（63.6%），最常见的组织学类型是胃/印戒细胞型弥漫性腺癌（45.5%）。81.8%的患者接受了扩大性胃部分切除术，36.4%的患者采用毕Ⅱ式吻合术。术后即时死亡率为9.1%，总体平均生存期为56个月，两年和五年生存率分别为54%和36%。
