What are the characteristics of gastric cancer in young people

Gastric cancer can occur at any age. Generally, the male-to-female ratio of gastric cancer is 2.3-3.6:1. However, the incidence of gastric cancer in young women is significantly higher, with a male-to-female ratio of 1:1.3-2.6. In addition, there is a lack of specific clinical manifestations, which can easily lead to misdiagnosis. Therefore, it is very important to understand the following characteristics of the disease for timely medical treatment:

1. Mostly women

The gender ratio of middle-aged and elderly patients with gastric cancer is 3:2, while that of young people is 1:1, and even more females than males. Some female patients are diagnosed with gastric cancer after being diagnosed with ovarian cancer. This phenomenon may be related to the endocrine activity of women in this age group.

2. Missed and misdiagnosed cases

The missed and misdiagnosed rates are as high as 27%, which means that one in every four people is missed or misdiagnosed. Gastric cancer in young people is often labeled as gastritis, ulcer disease, and indigestion, and the diagnosis is repeated over and over again. Sometimes, even gastroscopy or barium meal fluoroscopy may not reveal any signs of gastric cancer.

3. Symptoms are often atypical

If the symptoms of gastric cancer in middle-aged and elderly people are atypical, such as upper abdominal distension and discomfort, loss of appetite, nausea, vomiting, fatigue, weight loss and other symptoms, which can be seen in a variety of gastrointestinal diseases and systemic diseases, then the symptoms in young people are even more atypical. This phenomenon may be related to the physical constitution and strong tolerance of young people.

4. The degree of malignancy is much higher

This refers to the pathological characteristics of tumors. Among young people, the proportion of mucinous adenocarcinoma and poorly differentiated adenocarcinoma with higher malignancy is higher than that of middle-aged and elderly people. Patients are responsible for their youth, carelessness, and failure to check in time; while medical staff are responsible for missed diagnosis and misdiagnosis due to preconceived notions and lack of carefulness.

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