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患者,男.21岁.无意中发现颈部肿块10余天,无任何症状.检查:颈前相当于甲状软骨水平略偏左有 3.0cm×4.5cm肿块,呈球形,边界清楚,无压痛,囊性感,吞咽或伸舌运动时肿块随之向上移动.颈部淋巴结未触及.甲状腺不大.x线检查心肺无异常发现.临床诊断:甲状舌骨囊肿.入院后.局麻手术,术中见肿块为3cm×3cm×4.5cm,圆形,囊性,肿块紧靠舌骨与带状肌粘连,行肿块完整切除,同时包括部分带状肌及舌骨.术后恢复出院.病理诊断:郛头状腺癌并有砂粒体形成,癌组织已浸润到囊壁周围组织.随访七年,未见肿瘤复发,
Patients, male .21 years old. Inadvertently found the neck mass for more than 10 days, without any symptoms .Check: equal to the level of thyroid cartilage before the left slightly 3.0cm × 4.5cm mass, spherical, border clear, no tenderness, capsule Sexy, swallowing or tongue movement when the mass moves upward. Neck lymph nodes not touched. Thyroid is not. X-ray examination of heart and lung no abnormalities found. Clinical diagnosis: thyroid-hull cyst. After admission, local anesthesia surgery, intraoperative see The tumor was 3cm × 3cm × 4.5cm, round, cystic, mass close to the hyoid bone and the adhesion of the muscle, the line of complete removal of the tumor, including some of the band and muscular hyoid recovery after surgery .Pathological diagnosis: Head and neck gland and sand body formation, cancer has infiltrated the tissue around the wall.Failed to follow seven years, no tumor recurrence,