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男患48岁,农民。患者因发热伴左颈部淋巴结肿痛半月以发热待查入院。查体:壮年男性,左颈部触及数个肿大淋巴结,质韧、触痛,活动。心肺(一)。肝脾肋下未触及.Hb116g/L,WBC3.6×10~9/L.N0.48,L 0.32,M0.06,E0.01,异形淋巴0.13,ESR34mm/h.sGPT15u,sGOT20u,OT(一)。入院时疑传染性单核细胞增多症,查嗜异凝集试验(一).骨髓细胞学检查未见异常细胞,仅周围血见异形淋巴细胞.骨髓培养无细菌生长.后疑淋巴瘤,行淋巴结活检,病理报告:淋巴结内细胞广泛坏死,坏死边缘处可见组织细胞增
Male suffering from 48-year-old farmer. Patients with fever with left cervical lymph node pain half a month to be admitted to hospital for fever. Physical examination: males, left neck touched several enlarged lymph nodes, quality toughness, tenderness, activity. Heart and lung (a). Hb116g / L, WBC 3.6 × 10 ~ 9 / L.N0.48, L 0.32, M0.06, E0.01, atypical lymphoid 0.13, ESR34mm / h.sGPT15u, sGOT20u, OT ( one). Admission infectious mononucleosis syndrome, check for heterophilic coagulation test (a) .Bone marrow cytology examination showed no abnormal cells, peripheral blood see only abnormal lymphocytes .Bacterial culture without bacterial growth .Doubt suspected lymphoma, line lymph nodes Biopsy, pathology report: Extensive necrosis of cells within the lymph nodes, visible necrosis at the edge of the tissue cells