论文部分内容阅读
患者 女性,32岁,左颈部肿块1个月,既往因“肾病综合征”长期使用糖皮质激素3年,1年前股骨头无菌性坏死。体检:意识清,左颈部扪及结节,大小0.5cm×0.5cm×0.6cm,质硬,可活动,甲状腺不肿大,余无特殊,活检为淋巴结,病理示淋巴结转移性乳头状腺癌,提示可能来自甲状腺。3日后行双侧甲状腺叶切除及左侧“颈大块”淋巴结清扫术,术中切开左侧甲状腺,见其中一枚直径0.5cm的灰色结节,同样检查右侧甲状腺,未发现异常,术后伤口愈合良好。
Patients Female, 32 years old, had a left neck mass for 1 month, had previously used glucocorticoid for 3 years for “nephrotic syndrome”, and aseptic necrosis of the femoral head 1 year earlier. Physical examination: clear consciousness, left neck spasm and nodule, size 0.5cm × 0.5cm × 0.6cm, hard, movable, thyroid is not swollen, no special, biopsy is lymph node, pathology shows lymph node metastatic papillary gland Cancer, suggesting that it may be from the thyroid gland. After 3 days, bilateral thyroid lobectomy and left-side “neck mass” lymph node dissection were performed. The left thyroid gland was incised during the operation. See a gray nodule with a diameter of 0.5 cm. The right thyroid gland was also examined. No abnormalities were found. The wounds healed well after surgery.