原发性甲状腺纤维肉瘤临床少见,其发病率仅占甲状腺恶性肿瘤的0.5%。该病恶性程度高,易早期发生血行转移,预后差,但由于其临床表现无特异性,容易误诊。我科于2012年收治原发性甲状腺纤维肉瘤合并双肺及肝转移1例,现报告如下。1临床资料患者男,62岁。因发现颈前肿物30年余,增大2月,咳嗽伴咳痰1.5月,于2012年11月25日入院。患者于30余年前发现颈前约1.0cm×1.5cm Primary thyroid fibrosarcoma is rare and its incidence is only 0.5% of thyroid malignancies. The disease is highly malignant, easy to early hematogenous metastasis, the prognosis is poor, but because of its non-specific clinical manifestations, easy misdiagnosis. I was admitted in 2012 primary thyroid fibrosarcoma with lung and liver metastasis in 1 case, are as follows. 1 clinical data patient male, 62 years old. For more than 30 years after the discovery of cervical anterior tumor, increased in February, cough with sputum 1.5 months, on November 25, 2012 admission. More than 30 years ago, patients found the neck about 1.0cm × 1.5cm