病历摘要男,35岁,农民,住院号20726,1983年4月5日无意中发现左颈部较大坚硬肿块,以甲状腺癌之诊断收入院。患者18岁时患右胸第6肋软骨肉瘤,在天津人民医院行根治性切除。术后17年来无咳嗽、咳痰、咯血、吞咽困难,无气急,心悸、胸痛及声音改变,饮食无明显增加,性格无改变,夜间睡眠好,无低热及盗汗。四 Medical record summary Male, 35 years old, farmer, hospital number 20726, April 5, 1983 accidentally found a large hard mass in the left neck, the diagnosis of thyroid cancer into the hospital. When the patient was 18 years old, he suffered a 6th costal cartilage sarcoma of the right chest and was radically removed at Tianjin People’s Hospital. No cough, sputum, hemoptysis, dysphagia, no shortness of breath, heart palpitations, chest pain, and voice change during the 17th year after surgery, no significant increase in diet, no change in personality, nocturnal sleep, no low-grade fever and night sweats. four