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患者女性,19岁。发现颈部无痛性肿块2月余。查体:右侧甲状腺Ⅱ°肿大,表面光滑,可触及栗子大小肿块。肿块界清,表面光滑,无触痛,随吞咽上下移动。颈部未触及明显肿大淋巴结。CT检查示右侧甲状腺可见团块状占位,大小约2.3 cm×2.6 cm,密度不均,增强扫描可见明显不均匀强化。行右侧甲状腺切除术。病理检查巨检:肿物直径2 cm,与周围组织界限不清;切面实性,灰白、灰黄色,质软,可见小乳头样结构。镜检:肿
Patient female, 19 years old. Painless neck mass more than 2 months. Physical examination: the right thyroid enlargement Ⅱ °, the surface is smooth, palpable chestnut size lumps. Clear mass, smooth surface, no tenderness, move up and down with swallowing. Neck did not touch significantly enlarged lymph nodes. CT examination showed the right thyroid gland mass visible mass, size of about 2.3 cm × 2.6 cm, uneven density, enhanced scanning visible uneven enhancement. Line right thyroidectomy. Pathological examination of macroscopic examination: tumor diameter 2 cm, unclear boundaries with the surrounding tissue; section solid, gray, gray, soft, small nipple-like structure can be seen. Microscopy: swollen