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患者男性,75岁。发现全身多处浅表淋巴结肿大半年余。查体:颌下、锁骨上、双侧腋窝下及左腹股沟可触及数个肿大淋巴结,最大者2 cm×3 cm,活动度可,无发红、触痛。行左锁骨上淋巴结活检。病理检查巨检:灰白、灰红色不规则组织1块,3.5 cm×2.5 cm×1.8 cm大小;切面灰白、灰红色,质软。镜检:低倍镜下可见淋巴结结构破坏,大量异型淋巴样细胞弥
Male patient, 75 years old. Found that the body multiple superficial lymph nodes more than six months. Examination: Submandibular, supraclavicular, bilateral armpits and left groin can reach several swollen lymph nodes, the largest 2 cm × 3 cm, activity can be, no redness, tenderness. Left supraclavicular lymph node biopsy. Pathological examination of macroscopic examination: gray, gray-red irregular tissue 1, 3.5 cm × 2.5 cm × 1.8 cm size; section gray, gray-red, soft. Microscopy: Low magnification shows the destruction of lymph node structure, a large number of atypical lymphoid cells Mi