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患者,女性,39岁,已婚。无意中发现颈右前下方有一无痛性肿块2月。初时如大拇指头大小,后渐增大。无发热、咳嗽或其它不适。体检:T36.7℃,P78次/分,BP14/8kPa。一般情况良好,颈部及全身其它浅表淋巴结无肿大,颈部皮肤正常,气管居中,颈右下前方可及2cm×2cm肿块,无压痛,表面欠光滑,边界欠清楚,质地较硬,吞咽时随喉气管上下移动。心,肺、腹部及四肢均正常。B超:甲状腺右叶占位性病变。同位素碘扫描:甲状腺右叶凉结节。胸部X线正位片:心肺膈正常。T_31.8nmol/L,T_4107nmol/L,TSH2.2mIU/L。诊断右
Patient, female, 39 years old, married. Inadvertently found under the neck right front of a painless mass in February. At first, such as thumb size, then gradually increased. No fever, cough or other discomfort. Physical examination: T36.7 ℃, P78 beats / min, BP14 / 8kPa. Generally good, neck and other superficial lymph nodes without enlargement, normal neck skin, tracheal center, neck lower right front and 2cm × 2cm mass, no tenderness, the surface is not smooth, the border is not clear, the texture is hard, Swallowing up and down with the larynx tracheal. Heart, lungs, abdomen and limbs are normal. B super: thyroid right temporal occupying lesions. Isotope iodine scan: cool thyroid nodules. Chest X-ray film: Cardiac diaphragma normal. T_31.8nmol / L, T_4107nmol / L, TSH2.2mIU / L. Diagnose right