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例1,女,50岁。因声音嘶哑及胸内肿物半年而入院。三年前有甲状腺手术史,术后无嘶哑。体检:颈部有切口疤痕,无肿块。头胸腹无异常。X 线片示右上、后纵隔有密度增高之肿块,下缘光滑,气管向左侧移位。误诊为后纵隔肿瘤而行剖胸术,术中证实为后纵隔障甲状腺腺瘤(简称后甲瘤)。关胸后,重行颈部切口手术切除,病理诊断:后甲瘤。例2,女,55岁。因咳嗽气急、心悸咯痰入院。体检:头颈胸腹无异常。X 线胸片示右肺顶部有密度增高之阴影,侧位片示肿物位于后上纵隔,透视中见
Example 1, female, 50 years old. He was admitted to the hospital for hoarseness and chest tumors for half a year. Three years ago there was a history of thyroid surgery and there was no hoarseness after surgery. Physical examination: Neck incision scars, no lumps. There is no abnormality in the head and abdomen. The X-ray films showed an increased density of the upper right and posterior mediastinum, the lower edge was smooth, and the trachea was shifted to the left. Misdiagnosed as a posterior mediastinal tumor and performed thoracotomy. During the operation, it was confirmed as posterior longitudinal septal thyroid adenoma (abbreviated as posterior aneurysm). After closing the chest, re-excision of the neck incision, pathological diagnosis: posterior aneurysm. Example 2, female, 55 years old. He was admitted to the hospital because of an acute cough and shortness of breath. Physical examination: Head and neck abdomen and abdomen without exception. The chest X-ray shows the shadow of increased density on the top of the right lung, and the lateral view shows the tumor located in the posterior superior mediastinum.