患者女,54岁。颈部肿块15年伴颈前区肿块突然增大,局部红肿热7 d,于2012年5月9日以“巨大甲状腺占位伴感染”收入院。体检:体温39.2℃,左颈侧区可及一质硬肿块,大小约15 cm×8 cm,无压痛,随吞咽活动度不佳,下端深入胸骨后,上端深入下颌骨后方。颈前区可及肿块,大小约8 cm×8 cm,突出体表,周边质硬,与颈部组织 Female patient, 54 years old. Neck mass 15 years with a sudden enlargement of the anterior cervical mass, local swelling and heat for 7 days, on May 9, 2012 to “huge thyroid gland infection ” income hospital. Physical examination: body temperature 39.2 ℃, the left side of the neck area can be a hard mass, the size of about 15 cm × 8 cm, no tenderness, with poor swallowing activity, the lower end of deep into the sternum, the top of the deep into the rear of the mandible. Anterior cervical area and mass, size of about 8 cm × 8 cm, prominent body surface, the surrounding hard, and neck tissue