CLINICOPATHOLOGICAL FINDINGS IN GASTRIC CANCER OF THE YOUTH AND ITS PROGNOSIS

WITH SPECIAL REFERENCE TO COMPARISON WITH GASTRIC CANCER OF THE PRIME

Abstract

Clinicopathological findings in gastric cancer were examined comparatively between 51 young patients (under 40 years) and 231 prime patients (in their sixties).
The incidence of gastric cancer for young patients group was 6.5% of all patients with gastric cancer, and female ratio in sex distribution was significantly high (p<0.01) compared with prime patients group. For macroscopic and histological types, the former group showed significantly high (p<0.01-0.05) rates of infiltrating type and poorly-differentiated type compared with the latter group. Histological progressive degree and resection rate had no difference between both groups. For non-healing factor and mode of recurrence, the former group showed less liver metastasis and more peritoneal disseminations that the latter group. No intergroup differences were noted in the resective ratios of lymphnodal metastasis, liver metastasis and peritoneal dissemination by wall penetration degree. Gastric cancer in stage II showed favorable prognosis for the former group compared with the latter group, but no intergroup differences were noted for stage I, III, and IV.