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以颈部淋巴结转移为首发表现的甲状腺微小癌1例 被引量:5

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摘要 患者,男,59岁.因发现右颈部肿块20 d入院.查体:右颈部肿块,位于胸锁乳突肌后.B型超声示:右颈部淋巴结肿大,临床诊断右颈部囊肿性质待查.于门诊手术切除,肿块呈囊实性,大小2.5 cm×1.5 cm×1.0 cm.病理镜下见囊实性结构,囊性区为粉染物,实性区见乳头状结构,为真性分支乳头,细胞核呈毛玻璃状,可见核沟及沙粒体,周围见淋巴细胞包绕.诊断为(右颈部)淋巴结甲状腺乳头状腺癌转移.转江苏省肿瘤医院治疗,行甲状腺PET/CT检查,未发现原发病灶,由于病理诊断明确,最终行右叶甲状腺切除+颈部淋巴结清扫术.
出处 《疑难病杂志》 CAS 2012年第2期97-97,共1页 Chinese Journal of Difficult and Complicated Cases
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