以颈淋巴结转移为首发症状的胸腺类癌较少见, 现报告1例: 患者男,46岁。于1981年6月无意中发现左颈部有一鸽蛋大包块,局部及全身无不适,包块生长缓慢,同年10月就诊。查肿块位于左锁骨上方、胸 Thyroid carcinoids with initial lymph node metastasis as the first symptom are rare, and one patient is reported: The patient is 46 years old. In June 1981, he discovered that there was a big chunk of pigeon eggs in the left neck, there was no discomfort in the local and whole body, and the mass grew slowly. He went to the doctor in October of the same year. Check the lump is located above the left clavicle, chest