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例 1,女,45岁,左颈前囊性肿块半年,无不适.8年前曾因“左甲状腺瘤”行左侧甲状腺次全切除.查体:颈前下部有弧形切口斑痕,左甲状腺下极可触及3cm X 2cm囊性肿块,随吞咽上下活动.B上超检查提示左甲状腺下极囊性肿块,同位素扫描示左甲状腺下极冷结节.化验:血钙血磷正常.术中见左甲状腺下极被膜外有一5cm X 5cm囊肿,壁薄光滑,囊肿切除,囊内含无色浆液性液体.病理诊断:甲状旁腺囊肿.
Case 1, female, 45 years old, anterior cervical cystic mass for six months, no discomfort. 8 years ago had left thyroid subtotal resection due to “left thyroid tumor.” Physical examination: curved anterior incision in the neck, left The lower thyroid gland can reach 3cm X 2cm cystic mass, with up and down activities. B supersurgical examination shows that the left thyroid inferior cystic mass, isotope scan shows the left thyroid cold nodule. Laboratory: blood calcium and phosphorus normal. See the left lower thyroid gland has a 5cm X 5cm cyst outside the capsule, thin, smooth, cyst resection, capsule containing colorless serous fluid pathological diagnosis: parathyroid cyst.