Department of Surgery, Mayo Hospital, Lahore, Pakistan.
J Pak Med Assoc. 2021 Feb;71(2(B)):766-768. doi: 10.47391/JPMA.1283.
A 47-year-old woman presented in the outpatient department of EAST Surgical ward of MAYO Hospital Lahore, Pakistan, on February 2019 with complaint of swelling in the front section of the neck since five months which increased gradually in size and had been causing pain since two months. She had no comorbidities and insignificant family history. Examination revealed a 23×20 cm mass on the right side of the posterior triangle of the neck. Fine Needle Aspiration Cytology (FNAC) was inconclusive and CT of the neck showed a huge mass on the right side of the neck with cervical lymph nodes. Exploration was planned, and modified radical neck dissection Type III (Also known as Functional Neck dissection) was performed. The biopsy revealed synovial sarcoma of the neck. The patient's post-operative condition was satisfactory and she was discharged on the fifth post-operative day.
一位 47 岁女性于 2019 年 2 月因颈前区肿块就诊于巴基斯坦拉合尔 MAYO 医院 EAST 外科病房，自诉 5 个月前颈前区出现肿块，逐渐增大，2 个月来出现疼痛。患者无合并症，家族史无特殊。体格检查发现右侧颈后三角区有一个 23×20cm 的肿块。细针穿刺细胞学检查（FNAC）结果不明确，颈部 CT 显示右侧颈部有巨大肿块伴颈部淋巴结转移。遂行手术探查，行改良根治性颈淋巴结清扫术（III 型，亦称功能性颈淋巴结清扫术）。活检提示颈部滑膜肉瘤。患者术后恢复满意，术后第 5 天出院。
