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病例患者,女,66岁,住院号65668。颈部肿物廿余年,开始时如鸽卵大,生长缓慢,无伴随症状。近二个月肿物明显增大,伴呼吸困难及音哑,时有饮水误咽,而就医。查体:一船状态良好,T37,P68,BP17/11。无突眼。心脏无著变。理化检查无特殊。颈前可触及一个约10cm×7cm肿物。甲状腺肿大。下极达胸骨切迹。肿物呈结节状,质地硬,活动性差,四周界线不清。气管不能触
Case patient, female, 66 years old, hospital number 65668. The neck was swollen for more than one year. At the beginning, if the pigeon eggs were large and grew slowly, there were no accompanying symptoms. In the last two months, the mass was significantly enlarged, with dyspnea and dullness, and drinking water had been swallowed by accident. Physical examination: A boat is in good condition, T37, P68, BP17/11. No excitement. There is no change in the heart. No special physical and chemical inspection. A 10 cm x 7 cm mass can be touched in front of the neck. Goiter. The lower pole reaches the sternal notch. The tumor was nodular, hard texture, poor mobility, and the surrounding boundary was unclear. Trachea cannot touch