Clinical characteristics of gastric cancer in elderly people / 中国基层医药

ABSTRACT

Objective To analyze clinical pathological characteristics of gastric cancer in elderly people,and to study the characteristics of gastric cancer incidence.Methods A retrospective analysis of clinical data of gastric cancer in elderly people which were diagnosed by gastroscopy and pathology from 2003 to 2008 was undertaken,and compared to it in young people at the same period about gender,clinical symptoms,lesion,pathological types.Results There were 70 cases of men(77.8%)and 20 cases of woman(22.2%)in elderly group,but there were 3 cases of man(25.0%)and 9 cases of woman(75.0%)in young group,there wsa significant difference between two group(P ＜0.01);The first symptoms in elderly group and young group were loss of appetite(50 cases,55.6% and 1 case,8.3%),thin and weak(38 cases,42.2% and 1 case,8.3%).difficulty swallowing(23 cases,25.6% and o case),anehia(29 cases ,32.2% and 2 cases,16.7%),upper abdominal pain(34 cases,37.1 % and 4 cases,33.3%)re spedtively.There was no significant difference between two group(P ＞ 0.05).The lesion of gastric cancer in two group were funds of stomach and cardia(39 cases,43.3% and 1 case,8.3%),antral(26 cases,28.9% and 7 cases,58.3%).body of stomach(22 cases,24.4% and 4 cases,33.3%).entire stomach(3 cases,3.3% and 0 case)respectively.There was significant difference between two group(P ＜0.05).The main of pathological types was abeno carcinoma.and the main in elderly group was moderate,high differentiation(85%),and the main in young group was moderate,low differentiation(59%).There was significant difference between two group(P ＜ 0.05).Conclusions The symptoms of gastric cancer in elderly people was non-specific,and it had more complications.We found that early diagnosis of gastric cancer in elderly people was difficult and it had poor prognosis.