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患者女,23岁。因右侧颈部包块3年余于1979年6月13日入院。3年前无意中发现右侧颈部有一包块,蚕豆大小,无疼痛,经抗菌素及抗结核药治疗无效,逐渐生长至乒乓球大小;经我院门诊手术病理活检诊断为异位结节性甲状腺肿而入院。1972年曾有甲状腺肿伴甲亢行双侧甲状腺次全切除术病史。查体:体温、脉搏、血压正常,无声嘶及眼突;颈部:气管居中,颈前可见领形切口疤痕,于右侧颈部胸锁乳突肌下段可触及一包块,约2×2×3厘米大小,活动,有弹性,无压痛。心肺腹部无异常发现。甲状腺Ⅰ~(131)扫描:甲状腺本
The patient is 23 years old. He was admitted to hospital on June 13, 1979 because he had left the neck for 3 years. 3 years ago, I found that there was a mass on the right neck. The size of the faba bean was painless. It was ineffective after treatment with antibiotics and anti-tuberculosis drugs. It gradually grew to the size of a table tennis ball. It was diagnosed as ectopic nodular by surgical biopsy in our hospital. Goiter was admitted to hospital. In 1972, there was a history of bilateral subtotal thyroidectomy with goiter with hyperthyroidism. Physical examination: body temperature, pulse, normal blood pressure, silent paralysis and eye protrusion; neck: centered trachea, collar-shaped incision scar visible in front of the neck, in the lower part of the right neck sternocleidomastoid palpable mass, about 2 × 2 × 3 cm in size, activity, elasticity, no tenderness. There was no abnormality in the heart and lungs. Thyroid I~(131) Scan: Thyroid