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甲状腺桥本氏病及甲状腺乳头状腺癌均为较常见的甲状腺疾病,但两者同时存在却较少见,本文报道1例。男性患者,44岁。右颈前区发现一蚕豆大小包块10~+天。体检:于颈右侧甲状腺上极扪及-1×1×0.3cm~3肿块,质硬,表面光滑,随吞咽活动,无压痛。肺透视阴性。A超示甲状腺右叶上部实质性包块,甲状腺吸Ⅰ率,10％/6h,19.7％/24h,示功能低于正常。T_3125ng/dl、T_47.5μg/dl。手术所见:肿块位于甲状腺右叶中上部、呈椭圆形结节状,紫黑色,质硬,边界清楚。手术将肿块连同甲状腺右叶及峡
Thyroid Hashimoto’s disease and thyroid papillary adenocarcinoma are more common thyroid disease, but the two exist at the same time is rare, one case reported in this article. Male patient, 44 years old. Found in the right anterior cervical area of a mass of beans 10 ~ + days. Physical examination: on the right side of the neck on the thyroid palpable palpable and -1 × 1 × 0.3cm ~ 3 mass, hard, smooth surface, with swallowing activity, no tenderness. Lung fluoroscopy negative. A super showed right upper lobe of thyroid mass, thyroid suction Ⅰ rate, 10% / 6h, 19.7% / 24h, showed less than normal function. T_3125ng / dl, T_47.5μg / dl. Surgical findings: The mass is located in the upper part of the right lobe of the thyroid gland, oval nodular, purple-black, hard, clear boundary. Surgery will mass together with the thyroid right lobe and gorge