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患女,56岁。以胸部摔伤3d入院。查体:胸骨后压痛,心肺听诊(一)。CT示胸骨后主动脉弓上有一肿物。印象:甲状腺瘤。遂于1996年3月28日行开胸手术切除。 病理检查:送检灰红色结节1枚,大小6cm×4cm×4cm,卵圆形,包膜完整,切面暗红色,质软,部分区域出血坏死。光镜下瘤细胞大小较一致,立方形,组成大小不一滤泡,内充满类胶质,部分区域出血坏死。病理诊断:主动脉弓异位甲状腺滤泡型腺瘤。
The girl is 56 years old. Take a 3d chest injury and enter the hospital. Physical examination: post-sternal tenderness, cardiopulmonary auscultation (1). CT showed a tumor on the posterior aortic arch of the sternum. Impression: thyroid tumor. On March 28, 1996, thyroidectomy was performed. Pathological examination: A gray-red nodule was sent for examination, and the size was 6cm×4cm×4cm. The oval shape was complete, the capsule was intact, the cut surface was dark red, the texture was soft, and some areas were hemorrhagic and necrotic. Under light microscopy, the tumor cells were relatively uniform in size, cubic, and composed of different sizes of follicles, filled with glial tissue, and had hemorrhage and necrosis in some areas. Pathological diagnosis: Aortic arch ectopic thyroid follicular adenoma.