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甲状腺脂肪肉瘤十分罕见,本院收治一例,报告如下。患者女性,40岁,农民。颈部无疼性肿块一年余,逐渐增大。局部检查见颈部有一4×3cm的肿物,质软,随吞咽上下活动。X线摄片显示气管受肿瘤压迫,轻度右移。B超检查提示甲状腺腺瘤。于1989年7月20日行肿物切除。病理检查;肿物9×9×4cm,分叶状,包膜不完整,切面灰白细腻,部分区域呈淡黄色。镜下见瘤组织由不同分化程度的脂肪细胞组成。大部分瘤细胞为圆形,少数为星形或胖瘦不等的梭形,胞浆内含脂肪空泡。核大小不等,形状不规则,可见核分裂象,偶见巨核瘤细胞。病
Thyroid liposarcoma is very rare and it is a case in this hospital. The report is as follows. Female patient, 40 years old, farmer. There was no pain in the neck for more than one year and gradually increased. Local examination revealed that there was a 4×3cm tumor on the neck, which was soft and up and down. Radiographs showed that the trachea was oppressed by the tumor and moved slightly to the right. B-ultrasound prompted thyroid adenoma. The tumor was removed on July 20, 1989. Pathological examination; tumor 9 × 9 × 4cm, lobulated, incomplete capsule, cut gray and delicate, pale yellow areas. Microscopically, the tumor tissues consisted of fat cells with different degrees of differentiation. Most of the tumor cells are round, a few are star-shaped or fat-skinned spindles, and the cytoplasm contains fat vacuoles. Nuclear sizes, irregular shapes, visible mitoses, and occasional megakaryoma cells. disease