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病例资料患者,女,60岁,因“发现颈部肿物3个月,明显增大1个月”入院。入院时无颈部疼痛、声音嘶哑、压气感等不适症状。查体:颈前左右侧分别触及2.0 cm×2.0 cm大和1.5 cm×1.0 cm大的质韧结节各1枚,其表面均光滑,无压痛,随吞咽上下活动。颈部超声检查:甲状腺左叶见数个结节,最大者2.2 cm×1.8 cm大,呈低回声,内见强光点或强光团;右叶也见多个结节,最大者1.1 cm×0.7 cm大。甲状腺功能指标检测结果正常。初步诊断为
Case data Patient, female, 60 years old, “was found 3 months of neck mass, significantly increased by 1 month”. No neck pain, hoarseness, pressure, or other symptoms of discomfort when admitted to hospital. Physical examination: The left and right sides of the neck respectively touched 2.0 cm × 2.0 cm large and 1.5 cm × 1.0 cm large mass and tough nodules, the surface is smooth, no tenderness, with up and down activities of swallowing. Ultrasound examination of the neck: several nodules were found in the left lobe of the thyroid. The largest was 2.2 cm × 1.8 cm in size. It was hypoechoic and contained strong light spots or strong light clusters. The right lobe also had multiple nodules. The largest was 1.1 cm. ×0.7 cm in size. Thyroid function test results were normal. The initial diagnosis is