病例资料患者,男,41岁,因“发现左颈前肿物18个月余”入院。患者于18个月前发现左颈前肿物,同时伴憋气感,活动后出现胸闷、气短等。查体:气管向右侧移位,左颈前触及一约4.0 cm×5.0 cm大的肿物,质地中等,表面光滑,无触痛及震颤,可随吞咽上下移动。甲状腺功能正常。B超检查示:左侧甲状腺腺叶内有一囊实性包块,左颈内静脉内瘤栓形成。初步诊断为:甲状腺癌(性质待定),遂在全麻 Case information patients, male, 41 years old, because of “found left anterior cervical mass more than 18 months ” admission. Patients 18 months ago found left anterior cervical mass, accompanied by a sense of suffocation, chest tightness after the event, shortness of breath and so on. Physical examination: tracheal shift to the right, before touching the left anterior cervical about 4.0 cm × 5.0 cm large mass, medium texture, smooth surface, no tenderness and tremor, can move up and down with swallowing. Thyroid function is normal. B-ultrasound showed: the left thyroid gland has a cystic solid mass, left internal jugular vein thrombosis. Initial diagnosis: thyroid cancer (nature to be determined), then in general anesthesia