甲状腺神经鞘膜瘤罕见,我院曾收治1例,报告如下: 患者,女性。39岁,因颈部包块16月于86年10月20日入院。患者16月前无意中发现颈前一小包块,约1cm直径,无红、肿、热、痛,无食欲亢进、多汗、心悸等,亦无声嘶、吞咽困难等症状,性情一向急躁。因不影响生活,未予诊治。2月前,患者自觉包块增大,伴吞咽不适。门诊Ⅰ扫描示:甲状腺左叶下缘温结节。入院体查:心肺无特殊。肝、肾功能正常,心电图正常。颈部检查:左颈前下分扪及约3×2×1.5cm~3包块,质中、光滑、边界清楚,无压痛,随吞咽上下移动。颈淋巴结未扪及。间接喉镜:两侧声带形态及运动正常。诊为:“甲状腺腺瘤”。在颈丛麻醉下行甲状腺左叶切除术。术中见包 Thyroid nerve sheath tumors are rare. One case was treated in our hospital. The report is as follows: Patients, women. At the age of 39, she was admitted to the hospital on October 20, 86 because of a neck mass. The patient inadvertently discovered a small mass in front of the neck 16 months ago, about 1cm in diameter, with no redness, swelling, heat, pain, no appetite, hyperhidrosis, heart palpitations, etc., no symptoms such as hoarseness and difficulty in swallowing, and his temperament has always been impatient. Because it does not affect life, he has not been diagnosed and treated. Before 2 months, the patient consciously increased mass with swallowing discomfort. Outpatient I scan showed: warm nodule in the lower left edge of the thyroid gland. Admission examination: no special cardiopulmonary. Liver and kidney functions are normal and ECG is normal. Neck examination: left and right neck before and after delivery and about 3 × 2 × 1.5cm ~ 3 mass, quality, smooth, clear boundary, no tenderness, move up and down with the swallow. No cervical lymph nodes were found. Indirect laryngoscopy: The morphology and movement of the vocal cords on both sides are normal. Diagnosis: “thyroid adenoma.” In the cervical plexus anesthesia, left lobectomy was performed. See the package during surgery