Analysis of clinical characteristics and prognosis of young patients with rectal carcinoma / 吉林大学学报(医学版)

ABSTRACT

Objective To investigate the clinical characteristics of young rectal carcinomain in order to improve the diagnostic level and therapeutic efficacy at the early stage.Methods Clinical data,including clinical manifestations,misdiagnosis,clinical pathology and prognosis which from 47 cases of young rectal carcinoma were analyzed retrospectively and compared with those from 99 cases of old rectal carcinoma.Results The average course of disease was 6.98 months in young patient group,it was shorter than that in old patient group(9.16 months).The misdiagnosis rate of young group(61.70%) was significantly higher than that in old group(28.28%)(P 0.05).Conclusion Compared with the old patients,advanced stage and poorly differentiated carcinoma are more common in young patients with rectal carcinoma.But the 5-year survival rates of the young and old patients are similar.In addition,T stage and lymph node metastasis are the independent prognostic factors.Therefore,early diagnosis and treatment are crucial to improve the survival rate in young patients with rectal carcinoma.