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患者,男,36岁.因左颈上部肿物一年来我科就诊.一年前患者因全身发热,发现左颈上部有一鸽蛋大小的肿物,无任何不适.患者自觉肿物逐渐增大.门诊以“左颈上部肿物”收入院.患者一般情况好,心肺X线片无异常.专科检查:左颈上部可扪及4.5cm×3.0cm的肿物,表面皮肤颜色正常,质中等硬,表面光滑,边缘整齐,界限清,无粘连,无压痛.彩色多普勒超声检查;左颈上部可探及多个大小不等的肿块,最大约4.9cm×3.0cm,小约1.2cm×0.8cm,其内可见液化坏死灶.提示:左颈上部实质性肿块.诊为“左颈上部肿物.”在局麻下行左颈上部肿物切除术,术中见肿物位于胸锁乳突肌与颈内静脉之间,4.5cm×3.0cm×3.0cm大小,实质性,邻近可见2个肿大淋巴结.术后病理诊断:血管免疫母细胞淋巴结病.
Patient, male, 36 years old due to left upper cervical neck treatment in our department a year ago due to systemic fever, the left upper neck was found a pigeon egg size of the tumor, without any discomfort. Outpatient to “left upper neck tumor” income hospital patients generally good, cardiopulmonary X-ray no abnormalities .Special examination: upper left neck palpable 4.5cm × 3.0cm of the tumor, the surface of the skin color is normal, medium quality Hard, smooth surface, neat edges, clear boundaries, no adhesions, no tenderness Color Doppler ultrasound; the left upper neck can be explored and the number of different sizes of lumps, the largest about 4.9cm × 3.0cm, small about 1.2cm × 0.8cm, which can be seen liquefaction necrosis. Tip: the left upper cervical mass. Diagnosis was “left upper cervical mass.” In the local anesthesia underwent left upper cervical tumor resection, see the tumor was located in the thoracic surgery Between the mastoid muscle and the internal jugular vein, a size of 4.5cm × 3.0cm × 3.0cm was found, and two enlarged lymph nodes were seen in the vicinity.Postoperative pathological diagnosis: vascular immunoblastic lymphadenopathy.