双侧甲状腺乳头状癌合并甲状旁腺腺瘤1例

• 作 者: 赵红 赵红玲 王翠 蔺建文 王苏平 甘霖霖 张海青 高政南
• 机 构: 大连市中心医院神经内一科,大连市中心医院普外科,大连市中心医院内分泌科,
• 出 处: 临床耳鼻咽喉头颈外科杂志
• 发表日期: 2015年06期
• 关键词: 甲状腺右叶 甲状旁腺腺瘤 甲状腺乳头状癌 甲状腺 双侧甲状腺 甲状腺切除术 低回声团 甲状腺超声 实性占位 淋巴结肿大

1病例资料患者,男,63岁,体检发现甲状腺占位入院。甲状腺超声示甲状腺双叶多个低回声团,边界模糊,边缘不规整,呈毛刺状,甲状腺右叶后方见低回声,大小约3.1cm×2.4cm,边界清,形态不规整,与甲状腺界限欠清,双颈部Ⅱ~Ⅴ区淋巴结肿大,诊断甲状腺双叶实性占位,甲状腺右叶后方异常回声,双侧淋巴结转移。入院后第3天全身麻醉下行双颈部淋巴结探查加双甲状腺切除术。术中探查左Ⅲ区,右Ⅳ区淋巴结一枚,送检快速冷冻。探查双

1 case data patient, male, 63 years old, physical examination found thyroid occupancy admission. Thyroid ultrasound showed multiple hypoechoic thyroid double lobes, fuzzy boundaries, irregular edges, was burr-like, the back of the thyroid hyoid echo, the size of about 3.1cm × 2.4cm, clear boundary, irregular shape, and the thyroid margin Clear, double neck lymph nodes Ⅱ ~ Ⅴ area, the diagnosis of solid thyroid double occupancy, the posterior of the right lobe of the thyroid abnormal echo, bilateral lymph node metastasis. Three days after admission, the general anesthesia double neck lymph node exploration and double thyroidectomy. Surgical exploration of the left Ⅲ area, the right Ⅳ area lymph node, submitted to fast freezing. Exploration double