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患者女性,28岁,颈部肿块20年,近1个月增长变快,于1992年5月以“甲状舌管囊肿”入院。查体:颈前舌骨下正中线有一3cm×3cm×2cm圆球形包块,表面光滑,质中等,随吞咽上下移动,下界抵甲状软骨上缘。双侧甲状腺无肿大,颈部淋巴结未触及。B超检查:甲状腺双侧的位置及大小正常,无异常回声。甲状软骨与舌骨间有一实性肿物,与正常甲状腺无连系。手术所见:肿块紧贴舌骨下缘,位于颈部带状肌沟中,约2.5cm×2.5cm×2cm大小,包膜完整,
The female patient, 28 years old, had a neck mass for 20 years and had a rapid increase in the past 1 month. She was admitted to hospital with a “thyroglossal cyst” in May 1992. Examination: There is a 3cm × 3cm × 2cm spherical mass in the midline of the hyoid bone at the front of the neck. The surface is smooth and of medium quality. It moves up and down with swallowing, and the lower bound is on the upper edge of the thyroid cartilage. There was no enlargement of bilateral thyroid gland and no cervical lymph nodes were touched. B-ultrasonic examination: The position and size of both sides of the thyroid gland were normal and there was no abnormal echo. There is a solid mass between the thyroid cartilage and the hyoid bone, which is not associated with the normal thyroid gland. Seen from the operation: The mass is in close contact with the lower edge of the hyoid bone and is located in the neck ribbon groove, about 2.5cm x 2.5cm x 2cm in size, and the capsule is complete.