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患者,男,68岁。因发现颈部肿块半个月余入院。患者于入院前3个月出现乏力、吞咽不畅,2个月前出现吞咽呛咳,半个月前发现颈部肿块,自发病以来有明显消瘦。体检:左甲状腺区可扪及一直径约7.0cm的肿块,边界不清、质韧、固定、无压痛,甲状软骨、气管右偏明显,间接喉镜下见双声带光
Patient, male, 68 years old. I found the neck mass more than half a month after admission. Patients 3 months before admission, fatigue, swallowing poor, swallowing 2 months ago appeared cough, neck mass found half a month ago, since the onset of significant weight loss. Physical examination: the left thyroid area palpable a diameter of about 7.0cm mass, the boundary is unclear, quality and tough, fixed, no tenderness, thyroid cartilage, trachea right obvious, indirect laryngoscope see binocular light