患者女性，５０岁，因右颈前区包块１年，增大２个月入院。查体：右颈前区见一８ｃｍ×６ｃｍ×４ｃｍ大小的肿块，无压痛，活动度差，不随吞咽上下活动。手术所见：肿物位于右侧甲状腺，并突破甲状腺包膜，侵犯颈动脉鞘，与之粘连紧密，连同甲状腺一同切除。病理大体：灰... The female patient, aged 50, was admitted to the hospital 2 months after the mass in the right cervical region for 1 year. Physical examination: A mass of 8cm x 6cm x 4cm was seen in the front area of ​​the right neck. There was no tenderness, and the activity was poor. The activity was not followed by swallowing. Surgical findings: The tumor is located in the right thyroid gland, and breaks through the thyroid capsule, invades the carotid sheath, adheres tightly to it, and is removed together with the thyroid gland. Pathology in general: gray ...