病历摘要患者××,女性,16岁。因口底部块状隆起伴溃疡,疼痛剧烈,不能进食。继之全身出现多发性痛性肿块2月,发热2周于1986年6月29日入院。患者于2月前因口底部舌系带周围粘膜隆起伴溃疡,痛剧影响进食,无发热咽痛。数天后,在下颌部、锁骨上、右上肢伸侧、左下肢腓肠肌处发现有触痛的侵润性肿块,于当地医院作锁骨上淋巴结活检为 Patient summary records × ×, female, 16 years old. Due to the bottom of the massive bulge with ulcers, severe pain, can not eat. Followed by systemic multiple painful mass in February, fever 2 weeks in June 29, 1986 admission. Patients in the mouth at the bottom of the tongue around the mucosal swelling with ulcers, painful affect feeding, fever-free sore throat. A few days later, in the lower jaw, the supraclavicular, the right upper limb extensor, the left lower limb gastrocnemius muscle found infiltration of tenderness in the local hospital for supraclavicular lymph node biopsy