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患者,男,40岁。主诉拟以“持续咽部不适伴颈部肿物半年”就诊。查体:胸锁乳突肌背侧可及多发肿物,质软,多个肿物融合,边界不清。B型超声示:双侧淋巴结呈串珠样改变,最大约5.0cm×2.5cm×2.0cm,髓质血流丰富,可见无回声区,占瘤体85%,内可见光带分隔,诊断:双颈部淋巴结肿大,临床诊断:颈部淋巴结肿大原因待查(双侧)。颈部CT提示:双侧颈动脉鞘内低回声病灶,性质待定,结核不排除,建议气管插管
Patient, male, 40 years old. The main complaint is to “continue pharyngeal discomfort with neck tumor six months ” treatment. Physical examination: sternocleidomastoid muscle dorsal and can be multiple tumors, soft, multiple tumor fusion, the border is unclear. B-mode ultrasound showed: bilateral lymph nodes were beaded like changes, the maximum about 5.0cm × 2.5cm × 2.0cm, medullary blood flow is rich, visible anechoic area, accounting for 85% of the tumor, visible band separation, diagnosis: double neck Department of lymph nodes, clinical diagnosis: the reasons for cervical lymph node enlargement (bilateral). Neck CT tips: bilateral carotid sheath hypoechoic lesions, to be determined, the nature of TB is not ruled out, it is recommended tracheal intubation