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王寿林,朱开行,高巨广(解放军173医院)报道“巨大甲状腺癌一例。”女患,58岁。因颈前区肿物逐渐增大46年,胸背部疼痛1个月入院。病人12岁时发现颈前区左侧有一指头大肿物,16岁后增长迅速,至30岁时肿物长至新生儿头大,此后生长缓慢。一直未做诊治。体检:颈前区肿物52×20×15cm。表面呈结节状凹凸不平,布满血管。质中等硬,边界清楚,可移动。临床诊断:巨大甲状腺瘤癌变。在气管插管全麻下行左侧甲状腺切除术,因淋巴结不肿大未做清扫,切除腺体重量为2400g。病理报告:甲状腺滤泡状腺癌。
Wang Shoulin, Zhu Kaixing, and Gao Juguang (the 173 Hospital of the People’s Liberation Army) reported “a case of huge thyroid cancer.” Female patients are 58 years old. As the tumor in the anterior cervical area gradually increased for 46 years, chest and back pain was admitted to the hospital for 1 month. When the patient was 12 years old, he found a big mass on the left side of the neck, which grew rapidly after the age of 16. By the age of 30, the mass grew to the head of the neonate and grew slowly. Has not been diagnosed. Physical examination: The mass in front of the neck was 52 x 20 x 15 cm. The surface is nodular and uneven, full of blood vessels. Medium hard, clear boundary, movable. Clinical diagnosis: Huge thyroid cancer. In the left thyroidectomy under general anesthesia with tracheal intubation, the mass of the resected gland was 2400 g because no lymph nodes were swollen. Pathology report: thyroid follicular adenocarcinoma.