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病例资料患者,男,54岁。“发现颈部包块6年”入院。患者6年前发现左侧颈部一包块,约3.0 cm×2.0 cm大,其间包块无明显增大、无触痛,患者无声音嘶哑、饮水呛咳及吞咽困难。入院查体:左侧颈根部可触及一约3.0 cm×2.5 cm大包块,表面光滑,质韧,无压痛,活动度可,不随吞咽上下活动,未扪及明显肿大淋巴结。颈部B超(图1)示:左侧颈部探及一3.4 cm×2.7 cm大低回声包块,边界清,内部回声不均
Case information patients, male, 54 years old. “Found the neck mass 6 years ” admission. 6 years ago, the patient found a mass of the left neck about 3.0 cm × 2.0 cm, during which there was no significant increase in mass, no tenderness, no hoarseness in the patient, choking water and difficulty swallowing. Admission examination: the left neck can reach a large 3.0 cm × 2.5 cm mass, smooth, tough, no tenderness, activity can be, without swallowing the upper and lower activities, palpable significant swelling of the lymph nodes. Neck B ultrasound (Figure 1) shows: the left neck exploration and a 3.4 cm × 2.7 cm low echo mass, clear boundary, internal echo uneven