甲状腺手术中右侧喉不返神经1例

Right non recurrent laryngeal nerve during thyroid surgery:one case report

1病例报告患者,女,56岁,以＂发现颈部肿物1周＂为主诉于2015年3月16日来我科就诊。患者于入院前1周无意中发现颈前偏左侧有一包块,约蚕豆大小,局部无红肿、疼痛,门诊以＂甲状腺肿物＂收入院。体检：一般状态良好,全身各系统检查无异常,颈前偏左侧皮下扪及一类圆形肿物,可随吞咽上下移动,局部皮肤无破溃及红肿。

A 56 years old female was admitted to our department with complaint of a painless cervical mass.Clinical feature：there was a painless mass above left lobe of thyroid gland,which was about 3.0cm×2.5cm in size,and could move with swallowing action.B-mode ultrasound features：there was a solid mass in left lobe of thyroid gland,which was about 3.2cm.Nodule was found in isthmus,accompanied with lymphadenovarix on the left neck possibly be MCA.fT3：4.64pmol/L,fT4：16.56pmol/L,TSH：3.74mIU/L,anti-TG：17.75U/ml,anti-TPO：40.77 U/ml.Pathological result of the neoplasm：papillocarcinoma.Clinical diagnosis：papillary thyroid carcinoma.