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病例介绍: 患者女性,54岁。1954年首次发现右颈部包块,在某医院诊断“颈部包块待诊”和“甲亢”。1961年行甲状腺及肿块手术切除,术后诊断:“甲状腺癌”。此后又因颈部包块复发、抽搐、声带麻痹和呼吸困难等,分别于1969—1972年在外院三次行颈部包块切除术及氭管切开。1974年又因左颈部包块首次入我院,行左颈包块和淋巴结切除术。病理诊断:“甲状腺乳头状腺癌淋巴结转移”。患者自1978年起留置氯管导管至今,病情基本稳定。1986年4月因进行性消瘦,低热二个月第三次入我院。
Case Description: Female patient, 54 years old. In 1954, the right neck mass was first discovered. In a hospital, it diagnosed “neck mass to be treated” and “hyperthyroidism.” Thyroidectomy and lumpectomy were performed in 1961. Postoperative diagnosis: “thyroid cancer.” Later, due to recurrent neck masses, convulsions, paralysis of the vocal cords, and dyspnea, the neck mass was removed and the fistula incision was performed three times in the hospital from 1969 to 1972. In 1974, because of the left neck mass first into our hospital, left neck mass and lymph node resection. Pathological diagnosis: “Lymphatic metastasis of thyroid papillary adenocarcinoma.” Since the patient had been placed in the catheter tube since 1978, the condition has basically stabilized. In April 1986, due to progressive weight loss, fever was admitted to our hospital for the third time in two months.