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患者男,75岁。因左颈部肿物四个月逐渐增大,近一个月伴有咽部疼痛,吞咽时加重入院。查体:左颈部可触及3×4cm大小肿物,质硬,活动性欠佳,随吞咽上下活动不明显。左侧甲状腺稍增大,未触及肿块。鼻咽部未见新生物,声带活动良好。食管钡剂检查见上段左侧壁受压,粘膜未见破坏。胸片:双肺纹理增强,未见肿块影。肝脾不肿大,腹部未触及肿物。红细胞4.0×10~(12)/L,白细胞11.4×10~9/L,中性76％。以左颈部肿物之诊断,行手术切除。术中见肿物浸润性生长,与基底粘连较
Male patient, 75 years old. Due to the gradual increase of the left neck mass for four months, pharyngeal pain was afflicted in the last month, and he was admitted to hospital when swallowing. Physical examination: The left neck can reach 3×4cm in size, hard, poor activity, and there is no obvious up and down movement when swallowing. The left side of the thyroid gland is slightly enlarged, without touching the mass. No new organism was found in the nasopharynx, and the vocal cords performed well. Esophageal liniment examination see the left side of the upper section of the pressure, no damage to the mucosa. Chest radiograph: Double lung texture enhancement, no lump shadow. The liver and spleen were not swollen and the abdomen did not touch the tumor. Erythrocytes 4.0×10 12/L, leukocytes 11.4×10 9/L, neutral 76%. With a diagnosis of left neck mass, surgical resection was performed. Intraoperative see tumor infiltrative growth, and adhesion to the base