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患者男性,52岁,兰州市人。颈前肿块3年,逐渐长大,无疼痛,有局部胀感。曾服中药治疗,未见好转。拟诊“甲状腺腺瘤”。体检,营养及发育正常,全身浅在淋巴结不肿大。甲状腺右叶饱满,可扪及直径2cm的圆形肿块,表面光滑,中等硬度,边界清楚,无触压痛,随舌咽上下移动。甲状腺同位素扫描为“冷结节”,~(131)碘吸收率24小时为30％,血清T_424μg％,心电图正常,肝功能及血浆蛋白测定均在正常范围。在局麻下行肿瘤切除,与周围组织紧密粘连,切面实质性,部分区域液有化。术后伤口一期愈合。病理诊断为甲状腺神经鞘瘤伴囊性变。
The patient was male, 52 years old, from Lanzhou City. The neck was swollen for 3 years and gradually grew up without pain and with local swelling. He once served as a Chinese medicine and no improvement was seen. A diagnosis of “thyroid adenoma” is proposed. Physical examination, normal nutrition and development, the body is not enlarged in the lymph nodes. The right lobe of the thyroid gland is full and can be accompanied by a round mass with a diameter of 2 cm. It has a smooth surface, medium hardness, clear boundaries, and no contact with tenderness. It moves up and down with the tongue and throat. The thyroid isotope scans were “cold nodules”, ~(131) iodine absorption rate was 30% for 24 hours, serum T_424 μg%, ECG was normal, liver function and plasma protein were all within the normal range. Tumor resection under local anesthesia, close adhesion with the surrounding tissue, cut surface substantial, some areas of fluidization. The wounds healed for the first time after surgery. Pathological diagnosis of thyroid schwannoma with cystic degeneration.