患者女,58岁,主因颈前肿物3月来院。无疼痛等不适感,无心悸、乏力及怕热等症状。查体:颈软,无抵抗,颈静脉无怒张,气管稍向左侧移位,右侧甲状腺触及下极有一包块,质较硬,约4 cm×3 cm大小,可随吞咽上下活动,表面光滑,边界清楚,无压痛,未闻及血管震颤及血管杂音,眼裂无增宽,眼球 The female patient, 58 years old, came to the hospital due to anterior cervical mass in March. There is no discomfort such as pain, and there are no symptoms such as heart palpitations, fatigue and heat. Physical examination: neck soft, non-resistance, jugular vein without engorgement, trachea slightly shifted to the left, right thyroid gland touching the lower pole with a mass, harder, about 4 cm × 3 cm in size, with up and down activities , Smooth surface, clear boundary, no tenderness, no tremor and vascular murmur, no widening of eyelid, eyeball