年轻患者结肠直肠癌:马拉喀什阿维森纳军事医院的经验
Moussa Abdoul Aziz Sawadogo1, Soukayna Boujmadi2, Hamza Laabbar1
1Medical Oncology, Ibn Sina Military Hospital, Marrakech, MAR.
Cureus
|December 8, 2025
概括
年轻成年人的结肠直肠癌 (CRC) 具有侵略性,通常呈现出右侧瘤和腺癌组织学. 对于那些有风险因素的人来说,早期诊断对于更好的结果至关重要.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 结肠直肠癌 (CRC) 发病率在全球年轻成年人中正在上升,往往伴有瘤攻击性增加.
- 在这个人口群体中缺乏CRC的具体管理指南.
- 这项研究描述了年轻CRC患者的临床,治疗和预后特征.
研究的目的:
- 描述诊断为结直肠癌的50岁以下患者的临床,治疗和预后特征.
- 确定早期CRC的关键特征,以改善管理策略.
主要方法:
- 在马拉喀什的阿维森纳军事医院进行的回顾性研究.
- 在2019年1月至2023年12月期间,对28名被诊断患有CRC的50岁以下患者进行了分析.
主要成果:
- 诊断时的平均年龄为31.9岁,男性占主导地位.
- 常见的症状包括腹痛 (39%),便秘 (28%) 和肠道阻塞 (21%).
- 瘤主要是右侧的 (53.5%) 和Lieberkühnian腺癌类型的 (71.5%). 转移性患者的无进展生存时间中位数为25个月.
结论:
- 年轻人的结肠直肠癌表现为具有侵略性的临床特征.
- 早期诊断至关重要,特别是在具有易感因素的个体中.
- 建议开发专门的中心,以优化对年轻的CRC患者的治疗.
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