甲状腺未分化癌恶性程度高,病情进展快,肿块增大迅速时可出现中央区液化坏死,但继发感染形成脓肿者少见。现将本院经治的一例报告如下。 患者女性,50岁,自1990年10月发现左颈前有一肿块约2.0cm大小,无不适感,未经诊治。因肿块增长快并出现疼痛20天于1991年12月3日入院。查体:一般状况良,无声嘶,无贫血貌,生命体征平稳,气管居中,颈前左侧可扪及7.0cm×4.0cm大小的质硬肿块,部分被胸锁乳突肌覆盖,压痛明显,随吞咽上下移动,表皮正常。右颈前无异常,双颈未扪及肿大淋巴结。化验血WBC11.2×10~9/L,N78％,T_3T_4正常,胸透无异常,B超示左颈前脓肿6.4cm×3.8cm,与甲状腺关系密切。拟择期手术,但入院第二天开始发烧,体温波 Undifferentiated thyroid cancer has a high degree of malignancy, rapid progression of the disease, rapid increase in tumor mass can occur in the central area of ​​liquefaction and necrosis, but the formation of abscess secondary infection is rare. An example of the treatment of this hospital is reported below. The female patient, 50 years old, had a lump of about 2.0 cm in size in front of the left neck since October 1990. No discomfort was felt and she had not been diagnosed and treated. The patient was admitted to hospital on December 3, 1991 due to rapid growth and pain. Physical examination: General good condition, silent voice, no anemic appearance, stable vital signs, central trachea, malleable mass on the left side of the neck and 7.0 cm×4.0 cm in size, partially covered by sternocleidomastoid muscle, marked tenderness , move up and down with the swallow, the epidermis is normal. There was no abnormality in the right cervix, no bilateral neck enlargement, and enlarged lymph nodes. Blood tests WBC11.2×10~9/L, N78%, T_3T_4 were normal, there was no abnormality in chest thoracolumography, and B ultrasound showed an abscess before left neck of 6.4cm×3.8cm, closely related to the thyroid gland. To undergo elective surgery, but on the second day of hospital admission, fever starts, body temperature wave