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恶性梭形组织细胞增生症是恶性组织细胞增生症中一种罕见的细胞类型,现将我院遇到1例报道如下。患者,男,19岁。发现右颈肿块迅速增大一个月。半个月后发现左右颌下,腋窝和腹股沟淋巴结亦肿大,开始发热,热退后大汗淋漓,呼吸困难,心慌,门诊拟诊为“淋巴瘤”入院。体检:T37℃,P118,R24次。BP120/80。面部和右胸上部皮肤可见散在红色丘疹,压之不褪色。右颈部及颌面明显肿胀,左右颈部、腋下,腹股沟等多处浅表淋巴结肿大,右颈部大者7×4cm,耳后6×4cm,压痛,质硬融合,心肺(-),肝肋下4cm,剑突下3cm,有压痛,表面光滑;脾肋下4cm,质硬。实验室检查:血红蛋白
Malignant spindle cell histiocytosis is a rare cell type of malignant histiocytosis, now in our hospital encountered a case reported as follows. Patient, male, 19 years old. Found a rapid increase in the right neck mass for a month. Half a month later found about submandibular, axillary and inguinal lymph nodes are also swollen, began to fever, sweating after sweating, difficulty breathing, palpitation, outpatient consultation diagnosed as “lymphoma” admission. Physical examination: T37 ℃, P118, R24 times. BP120 / 80. The upper part of the face and right chest visible scattered red skin pimples, the pressure of non-fading. Right neck and maxillofacial obvious swelling, left and right neck, underarm, groin and other superficial lymph nodes, right large neck 7 × 4cm, 6 × 4cm behind the ear, tenderness, hard fusion, cardiorespiratory (- ), Liver ribs 4cm, xiphoid 3cm, tenderness, smooth surface; spleen rib 4cm, hard. Laboratory tests: hemoglobin