1病例报告例1,男,40岁,因发现颈部弥漫性肿大2年余入院。患者2年前因颈前局限性肿物手术,病理结果为脂肪瘤。之后颈部肿块逐渐增大,自觉颈部压迫感,转头稍受阻,睡眠时打鼾,偶有憋醒。患者烟酒嗜好20余年,饮酒量约0.7kg/d,吸烟平均2包/d,曾有胃出血史。否认家族史。体检:一般情况良好,双侧枕、颈、项、肩、背及上胸部弥漫性肿大隆起,基本对称,颈软,颈前有瘢痕,四肢活动良好, 1 case report 1, male, 40 years old, found diffuse enlargement of the neck more than 2 years admitted. Patients 2 years ago because of limited neck surgery, pathological results for the lipoma. After the neck mass gradually increased, conscious pressure of the neck, turned a little blocked, snoring sleep, occasional arousal. Patients with alcohol and tobacco more than 20 years of alcohol consumption, alcohol consumption of about 0.7kg / d, smoking an average of 2 packets / d, had history of gastric bleeding. Denied family history. Physical examination: generally good, bilateral pillow, neck, neck, shoulder, back and upper chest diffuse swelling bulge, the basic symmetry, neck soft, scarring before the neck, limbs well,