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1病例报道患者,男,32岁,因自觉右颈部逐渐肿大4年而入院,平素无疼痛、发热、声嘶、吞咽困难、呼吸梗阻、体重下降等其他症状。术前检查:颈部增强CT示:右侧颈动脉鞘区巨大占位,挤压右甲状腺叶,颈动、静脉包绕,右甲状腺叶处也有一占位,两处肿物强化明显,提示肿块为富血管性病变(图1)。细针穿刺活检见散在分布的梭形细胞,卵圆形细胞及血
1 case report Patients, male, 32 years old, admitted to the hospital due to a gradual enlargement of the right neck for 4 years, usually without pain, fever, hoarseness, swallowing difficulties, respiratory blockage, weight loss and other symptoms. Preoperative examination: neck enhanced CT showed: the right carotid sheath huge occupancy, extrusion of the right thyroid lobe, carotid artery, vein wrapping around the right thyroid lobe also has a placeholder, two significant enhancement of the tumor, suggesting Mass is a vascular disease (Figure 1). Fine needle aspiration biopsy scattered scattered spindle cells, oval cells and blood