患者田某,女性,31岁,十年前因颈前肿物曾手术治疗。半年前又发现颈部右侧有一核桃大肿物,颈前方一杏核大肿物,颈部左侧有两个云豆大肿物,并伴有心慌、多食、易饿、怕热、易出汗,近二个月又出现消瘦、乏力、失眠等。1983年9月17日拟诊以甲状腺瘤、颈淋巴腺结核入院。查体:颈前区下部右侧可见约5 cm 长横形手术切口疤痕,及约5×5 cm 大小肿物,随吞咽上下活动,边缘清楚,触之有弹性感,无震颤及血管杂音。该肿物之外上方、下颌角下方可见约6×5cm 大小肿物,表皮无红肿,边缘清,质硬韧,无波动,活动不佳,不随吞咽而上下活动,穿刺无脓汁。左侧甲状 The patient, Tian, ​​female, 31 years old, had undergone surgical treatment 10 years ago because of anterior cervical mass. Six months ago, he discovered that there was a large swollen mass of walnut on the right side of the neck, a large mass of apricot nucleus in front of the neck, and two large kidney bean masses on the left side of the neck, accompanied by palpitation, multiple food, hunger, and heat. Easily sweating, weight loss, fatigue, insomnia and so on have appeared in the last two months. On September 17, 1983, he was diagnosed with thyroid tumor and cervical lymph node tuberculosis. Physical examination: Approximately 5 cm long transverse incision scars are visible on the right side of the lower part of the anterior cervical area, and about 5×5 cm in size. The upper and lower activities are associated with swallowing. The edges are clear, and the elasticity of the touch does not cause tremors and vascular murmurs. Outside this mass, about 6 × 5cm in size can be seen below the mandibular angle. The epidermis is not red and swollen, the edges are clear, the quality is hard and tough, there is no fluctuation, and the activity is not good. It does not move up and down with swallowing, and there is no pus in the puncture. Left thyroid