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病例:患者,女,61岁。约9个月前,其因颈部肿胀伴咽喉疼痛、发热、呼吸困难于外院就诊。查体示,左侧甲状腺上极可触及边缘不清质韧肿块,大小约3.0 cm×2.0 cm×1.0 cm,有轻微触痛;左侧锁骨上及下颈部可触及多枚肿大淋巴结。实验室检查示甲状腺功能正常;B超示,左侧锁骨上和下颈部气管旁多发实性结节,左侧甲状腺实质性占位;甲状腺CT扫描示,左侧甲状腺占位伴左侧颈部多发性
Case: Patient, female, 61 years old. About 9 months ago, due to neck swelling with sore throat, fever, difficulty breathing in the hospital. Examination showed that the left thyroid can reach the edge of the highest quality dura mater, about the size of 3.0 cm × 2.0 cm × 1.0 cm, a slight tenderness; the left side of the supraclavicular neck and access to multiple enlarged lymph nodes. Lab tests showed normal thyroid function; B ultrasound showed multiple traumatic solid nodules on the left and right supraclavicular, the left thyroid substantive mass; thyroid CT scan showed that the left thyroid occupancy with the left neck Ministry of multiple