转移性甲状腺癌侵犯颈总动脉1例
JOURNAL OF ENDOCRINE SURGERY（2008）
Abstract
1 一般资料
患者,男,69岁.28年前因"左侧甲状腺乳头状癌"行甲状腺癌根治术,本次因发现左侧颈部肿块3月入院.查体:左侧颈部凹陷,下颌下甲状软骨水平可触及一约4cm×3cm大小的质硬肿物,表面不光滑,不易推动,听诊无血管杂音.心电图和胸片正常,骨扫描阴性.B超:肿块位于左颈总动脉分叉处的后方,大小36 mm×28mm,颈动脉旁见多个肿大淋巴结,较大1个约8 mm×11mm;右侧残留甲状腺内见低回声结节.增强CT:左颈部实质性肿瘤,疑有颈总动脉侵犯.
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