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患者,男,36岁,因进行性表浅淋巴结肿大1年余,于1991年3月15日入院。体温38.3℃,贫血貌,颈部,腋下,腹股沟可触及3～4枚蚕豆大淋巴结,胸骨压痛,右胸壁扪及核桃大包块,脾肋下5cm,右髋骨压痛。实验室检查:血色素108g/L,血白细胞14×10~9/L,中性0.80,淋巴0.14,单核0.03,嗜酸0.03,Pcl80×10~9/L。骨盆X线片:见多个囊状骨质密度减低区。骨髓:嗜酸粒细胞比例增高,原幼淋巴细胞占0.20,未见特殊细咆。淋巴结穿刺:
The patient, male, 36 years old, was admitted to hospital on March 15, 1991 due to progressive superficial lymph nodes more than one year. Body temperature 38.3 ℃, anemic appearance, neck, underarm, groin can reach 3 to 4 beans, large lymph nodes, tenderness of the sternum, right chest wall Palpable walnut mass, spleen ribs 5cm, right hip tenderness. Laboratory tests: hemoglobin 108g / L, white blood cells 14 × 10 ~ 9 / L, neutral 0.80, lymph 0.14, mononuclear 0.03, acidophilus 0.03, Pcl80 × 10 ~ 9 / L. Pelvic X-ray: see multiple cystic bone density reduction zone. Bone marrow: increased proportion of eosinophils, young lymphocytes accounted for 0.20, no special fine roar. Lymph node puncture: