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患者,男,22岁,因颈部肿块7个月于1981年7月25日入院。7个月前发现右颈前有一无痛性肿块(2×2cm),中等硬,甲状腺扫描示冷结节,诊为甲状腺肿瘤,因肿块继续增大转我院。体检:体温、脉搏、呼吸及血压均正常。巩膜无黄染,浅淋巴结不大,气管居中,颈前肿物(约20×10cm)质硬、不活动、无压痛。心、肺、肝、脾(一);血、尿、便常规及肝功能均正常。超声显象:甲状腺左叶实质性肿物。胸片示:右上纵隔密度增大,边缘锐利,左上纵隔亦增宽。
The patient, male, 22 years old, was admitted to hospital on July 25, 1981, for a 7-month neck mass. 7 months ago, a painless mass (2×2 cm) was found in front of the right neck, and the patient was moderately hard. The thyroid scan showed cold nodules and diagnosed as a thyroid tumor. As the mass continued to increase, it was transferred to our hospital. Physical examination: body temperature, pulse, respiration and blood pressure are normal. The sclera was yellow-stained, superficial lymph nodes were small, the trachea was centered, and the tumor in front of the neck (approximately 20×10 cm) was hard, inactive, and tender. Heart, lung, liver, spleen (a); blood, urine, routine and liver function are normal. Ultrasound imaging: A substantial mass of the left thyroid gland. Chest radiographs showed that the density of the right superior mediastinum increased, the edge was sharp, and the left upper mediastinum was also widened.