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患者女,28岁,发现右颈部包块一周入院。专科检查:右侧颈部有一约3 cm×4 cm大小包块,边界清晰,表皮无红肿,无压痛,活动度可。实验室检查:Anti-TPoA b 20(正常参考值:0~9.0 IU/ml),TSH、FT3/FT4、TG、TG-Ab正常范围内,胸片正常。影像学表现:彩超示甲状腺左侧叶中极一大小约1.1cm×0.8 cm×0.9 cm低回声区,A/T<1,边界清晰,内未见钙化,内部及周边可见血流信号显示;右侧叶内未见局限性
Female patient, 28 years old, found that the right neck mass was admitted to the hospital for one week. Specialist examination: the right side of the neck has a size of about 3 cm × 4 cm mass, clear boundaries, no swelling of the epidermis, no tenderness, activity can be. Laboratory tests: Anti-TPoA b 20 (normal reference: 0 ~ 9.0 IU / ml), TSH, FT3 / FT4, TG, TG-Ab within the normal range, normal chest. Imaging findings: color Doppler ultrasound showed thyroid left lobe in a very large size of about 1.1cm × 0.8cm × 0.9cm hypoechoic area, A / T <1, the border is clear, no calcification within the visible blood flow within and around the signal display; There is no limitation in the right lobe