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我科1979~1982年恶性组织细胞增生症尸检病例中,以胃肠道症状为主的有5例。男4例,女1例;发病年龄12~48岁;均有较明显的胃肠道症状和腹部体征,便血为突出特征;体温38°~40℃间为稽留热型:RBC210~?55万,WBC<5千。生前均未明确诊断。病理变化:1)造血系统:淋巴结受累以肠系膜淋巴结为主,脾肿大重165~500g,肝轻度肿大,镜下见相应的窦内有幼稚的组织细胞及吞噬现象。4例骨髓中
In our department from 1982 to 1982 autopsy cases of malignant histiocytosis, gastrointestinal symptoms mainly in 5 cases. 4 cases of male and 1 female; onset age of 12 to 48 years; have more obvious symptoms of gastrointestinal tract and abdominal signs, blood in the stool are prominent features; body temperature 38 ° ~ 40 ℃ for the reservation of heat type: RBC210 ~ ~ 550000 , WBC <5 thousand. Have not been diagnosed before his death. Pathological changes: 1) hematopoietic system: lymph node involvement mainly to mesenteric lymph nodes, splenomegaly 165 ~ 500g, mild liver enlargement, see the corresponding sinus sinus naive tissue cells and phagocytosis phenomenon. 4 cases of bone marrow