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原发性甲状腺恶性淋巴瘤较少见,文献上多为个案报告。我科遇到1例,现报告如下。患者女性,43岁。因发现颈部变粗4年、右颈前无痛性肿物1年入院。体检:甲状腺Ⅱ度肿大,质中;甲状腺右叶近上极处可触及一2cm×3cm肿物,质韧,界限清楚,表面光滑,随吞咽上下活动。全身浅表淋巴结无肿大,肝、脾肋下未触及。血象检查各值无异常。辅助检查:T_31.48nmol/L,T_4113.35nmol/L。甲状腺同位素扫描:甲状腺外形增大,右叶见3.5cm×2cm缺损区。甲状腺碘吸收属正常范围。B超:
Primary thyroid lymphomas are rare, and many cases have been reported in the literature. Our department encountered 1 case and the report is as follows. Female patient, 43 years old. He was admitted to hospital for 1 year after he found that his neck was thickened for 4 years and he had a painless mass before the right neck. Physical examination: The degree of thyroid enlargement in the second degree, qualitative; near the upper right thyroid can reach a 2cm × 3cm tumor mass, tough, clear boundaries, smooth surface, with up and down activities to swallow. There was no swelling of the superficial lymph nodes, and the liver and spleen did not touch the ribs. There were no abnormalities in the values of blood tests. Auxiliary examination: T_31.48nmol/L, T_4113.35nmol/L. Thyroid isotope scan: The appearance of the thyroid enlarges, and the right lobe sees a 3.5cm x 2cm defect area. Thyroid iodine absorption is a normal range. B super: