颈部淋巴结炭末沉着超声误诊1例
Chinese Journal of Ultrasound in Medicine（2021）
Abstract
患者女,39岁,一年前行甲状腺全切除术+颈部择区性颈淋巴结清扫术,病理结果为甲状腺右侧叶微小乳头状癌,术后行碘131治疗.甲状腺超声复查,右侧颈部Ⅶ区,头臂动脉上方见一异常淋巴结,约0.7 cm×0.5 cm,见图1,边界欠清,结构尚清晰,内见数个点状强回声,声影不明显.超声提示:右侧颈部Ⅶ区异常淋巴结,转移性淋巴结可能.术中探查:右颈部Ⅶ区,见一直径约1cm淋巴结,质软、色黑,与周围组织轻度粘连,将其切除;送检快速病理示:(右颈Ⅶ区)淋巴结炭末沉积,未查见癌转移.
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