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患者女性,62岁。因颈前肿块3年伴声嘶2个月入院。近1月有轻度呼吸困难。检查:颈前正中触及7×6cm 大小的实质性肿块,质硬固定,表面不光滑,与皮肤粘连,随吞咽上下活动,喉体明显增大,以左侧明显,两侧甲状腺腺叶未触及结节,左上极及峡部与肿物无分界,颈侧未触及肿大淋巴结。间接喉镜检查:左侧梨状窝饱满,左声带、室带肥厚,左声带固定,声门裂狭小,左喉室粘膜粗糙、饱满,似有新生物,病理学检
Female patient, 62 years old. Anterior cervical mass was admitted to the hospital for 2 months with sonorous hernia. There was mild dyspnea in recent January. Examination: The midline of the neck touches a solid mass of 7×6cm in size, hard and fixed, the surface is not smooth, and the skin adheres. When the body moves up and down with swallowing, the laryngeal body is obviously enlarged. The left side is obvious, and the bilateral thyroid gland leaves are not touched. Nodules, left upper pole and isthmus and tumor without boundary, the neck side did not touch the enlarged lymph nodes. Indirect laryngoscopy: the left side of the pear-shaped fossa full, left vocal cord, ventricular hypertrophy, left vocal cords fixed, glottic fissure narrow, left larynx mucosal rough, full, like new organisms, pathological examination