病例介绍:患者,女,50岁。主因发现颈前包块30余年入院。30余年前患者发现颈前有一包块,约枣样大小,无疼痛,无发热,未经治疗。此后包块逐渐增大。近日来感颈部不适入院,无声音嘶哑及饮水呛咳,无呼吸困难。查体:一般情况好,浅表淋巴结无肿大,气管居中,甲状腺左叶可触及一约4.5cm×4cm×3cm大小包块,质韧,表面光滑,无压痛,边界欠清,可随吞咽 Case description: patients, female, 50 years old. The main found that the neck mass 30 years before admission. More than 30 years ago, patients found a mass of the neck, about the size of the jujube, no pain, no fever, untreated. Since then mass gradually increased. In recent days, feeling uncomfortable neck and admission, hoarseness and drinking water cough, no breathing difficulties. Physical examination: the general situation is good, superficial lymph nodes without swelling, tracheal center, thyroid left lobe can reach a size of about 4.5cm × 4cm × 3cm mass, quality and toughness, smooth surface, no tenderness, the border is not clear, swallowed