患者女性 ,6 0岁 ,1月份发现右侧颈部肿块 ,3月份出现呼吸困难 ,伴声音嘶哑 ,症状逐渐进行性加重。 8月份就诊 ,经穿刺 ,病理诊断 :为低分化癌入院。检查体温 37℃ ,心率 84次 /分 ,呼吸 2 0次 /分 ,血压 18k Pa。血常规、肝、肾功能正常。全身无浅表淋巴结肿大。 B超 :肝、脾 The female patient, 60 years old, had a neck mass in the right side in January and dyspnea in March with hoarseness. The symptoms gradually worsened. In August, he was diagnosed with puncture and pathological diagnosis: Admission to poorly differentiated cancer. Check the body temperature 37 °C, heart rate 84 beats / min, breathing 2 times / min, blood pressure 18k Pa. Blood routine, liver and kidney functions are normal. There was no superficial lymphadenopathy in the whole body. B ultrasound : liver and spleen