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病例摘要:女,24岁。1982年1月3日入院。主因左颈部肿物两年余,自玉米粒大增至杏核大,轻度疼痛,不发热,无红肿破溃史,无吞咽困难。三个月前曾在县医院行肿物病理检查,诊为“颈筋膜炎”。否认肺结核病史。检查:于左胸锁乳突肌前缘可触及2×1cm大小肿物,质坚硬,活动性差,轻度压痛,表面可能及动脉搏动,肿物不随吞咽上下移动。入院诊断:左颈部肿物性质待查(颈淋巴结核,颈部纤维瘤?)局麻下行左颈部肿物探查术,于胸锁乳突肌前缘深面见1×3cm灰白色长形坚硬肿物,
Case summary: Female, 24 years old. January 3, 1982 admission. Mainly due to left neck mass more than two years, from the corn kernel increased to apricot kernel large, mild pain, no fever, no history of swelling and tear, no difficulty in swallowing. Three months ago, he had a pathological examination of his tumor at the county hospital. He was diagnosed with “fascial neck fasciitis.” Denies the history of tuberculosis. Examination: On the left side of the left sternocleidomastoid muscle, a mass of 2×1 cm in size can be touched. The mass is hard, the activity is poor, mild tenderness, the surface may be arterial beating, and the mass does not move up and down with swallowing. Admission diagnosis: Left neck mass is to be investigated (cervical lymph node tuberculosis, neck fibroids?) Left anterior cervical tumor exploration under local anesthesia, see 1 × 3cm gray-white long at the anterior border of the sternocleidomastoid muscle Hard tumor,