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甲状腺癌是最常见的内分泌系统恶性肿瘤,其中乳头状癌约占甲状腺癌的60％。甲状腺乳头状癌恶性程度低、生长缓慢,其原发灶常无包膜,易于侵犯周围组织。分化型甲状腺癌中侵犯喉气管者约10.6％,同时侵犯食管的只有1.9％。右叶甲状腺乳头状癌单纯侵犯食管致牵出性憩室者极为少见,复习近10年国内文献未见报道,现结合我院1例患者做以下讨论。1 病历资料 患者,女,47岁。主因颈前右侧肿块2年,生长加快2个月入院。查体:颈部不对称.颈前右侧可见局部隆起。肿块位于甲状腺右叶,约6cm×4cm,质地中等硬度.无压痛,表面凹凸不平呈结节状.可随吞咽动作上下移动。颈部淋巴结未触及异常肿大。B超:超声波提示肿块为甲状腺多发囊实结节。胸片显示:心、
Thyroid cancer is the most common malignancy of the endocrine system. Papillary cancer accounts for about 60% of thyroid cancer. Papillary thyroid carcinoma has a low degree of malignancy and slow growth. Its primary tumor often has no capsule and is prone to invade surrounding tissues. About 10.6% of patients with differentiated thyroid cancer invaded the laryngotrachea, and only 1.9% of those who violated the esophagus. Patients with right thyroid papillary carcinoma who simply invade the esophagus-induced denervation are extremely rare. Review of domestic literature in the past 10 years has not been reported. Now we discuss the following cases in one patient in our hospital. 1 medical records information patients, female, 47 years old. The main reason was that the mass in the right side of the neck was 2 years old and the growth was accelerated for 2 months. Physical examination: neck asymmetry. Local bulges can be seen on the right side of the neck. The mass is located in the right thyroid lobe, about 6cm × 4cm, texture medium hardness. No tenderness, uneven surface was nodular. Can move up and down with swallowing movements. There was no abnormal enlargement of the lymph nodes in the neck. B-ultrasound: Ultrasound suggests that the mass is a thyroid polysacral solid nodule. Chest radiograph shows: heart,