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患者,女性,11岁。自诉右侧颈前不适半年余,近日来上述症状加重,肿胀伴吞咽困难来院就诊。查体:心肺未见异常,右侧颈前扪及一包块,质软、轻微压痛。 采用日本东芝SSA-270A彩超诊断仪,探头频率7.5MHz,深度4厘米。患者仰卧位,头后仰,左右侧甲状腺对比扫查。超声所见:颈前横切面:右侧甲状腺组织内见轮廓规则、边界清楚的液性暗区,大小约4.8cm×3.2cm。后方回声增强,其后壁上有多个中等回声区,呈乳头状向液性暗区内突出,最大的约1.2cm×1.0cm,(图1),超声多普勒血流信号与左侧相比有所增多。左侧甲状腺正常(图1)。超声诊断:右侧甲状腺乳头状腺瘤,术后病理结果与超声诊断相符。
Patient, female, 11 years old. Prosthesis right anterior cervical discomfort for more than six months, in recent days the above symptoms, swelling and swallowing difficulties to hospital. Physical examination: no abnormal heart-lung, palpable mass on the right neck, soft, slight tenderness. Using Toshiba SSA-270A color ultrasound diagnostic apparatus, the probe frequency of 7.5MHz, depth of 4 cm. Supine patient, head back, left and right thyroid contrast scanning. Ultrasound findings: Cervical anterior cross-section: see the outline of the rules within the right thyroid tissue, the boundary clear liquid dark area, the size of about 4.8cm × 3.2cm. The back of the echo enhancement, the back wall has a number of medium echo area, was papillary to the liquid dark area prominence, the largest about 1.2cm × 1.0cm, (Figure 1), ultrasound Doppler flow signal and the left Compared to an increase. The left thyroid is normal (Figure 1). Ultrasound diagnosis: the right papillary thyroid adenoma, postoperative pathological findings consistent with ultrasound.