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- 求助甲状腺FNA诊断
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| 性别 | 男 | 年龄 | 40 |
|---|---|---|---|
| 一般病史 | 颈部肿物 | ||
| 标本类型 | FNA | ||
| 制片方法 | 涂片 | ||
| 染色方法 | HE | ||
标签：甲状腺 诊断
×参考诊断
Neck CT Scan: (neck) multiple enlarge lymph nodes bilaterally some of them enhancing after contrast injection
-very large tumor mass lesion in the lower part in the neck extending from the thyroid gland right more than left with compression and displacement of the trachea and esophagus to the left side the mass lesion appear heterogenecity irregular infiltrative with bone erosion involving the vertebral body T1 causing compression of the spinal cord.
Early heterogenecity of the vertebral body T2
No other abnormality detected finding typical for local infiltrative aggressive tumor mass lesion extending from the thyroid gland with lymphatic metastasis with destruction of the vertebral bodies the same level mainly T1 with infiltration to the dura and causing severe compression of the spinal cord at the same level no significant sign of metastasis to the brain tissue at level of examination
Size of mass 7x5cm lymph node enlargement Rt. side more than Lt.
Mainly at supra clavicular space.
-normal vascular structures of the neck with no evidence of pathologically vascular enhancing lesions
-normal laryngeal air-way, laryngeal cartilages with no evidence of soft tissue masses cartilage destruction
镜下可见核分裂像，核沟个别似有，不明显
