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患者,男,50岁。系颈、两腋窝无痛性肿块相继增大9个月余。当地医院活检为恶性淋巴肉瘤;于1980年9月26日入院。既往无慢性疾病史。检查:体温36.5℃,脉率76次/分。血压132/70mmHg,发育营养可,心肺(-),神经系统(-)。左上颈触及12×8×4cm 肿块;右上颈扪及6×5×2和1.5×1.0×0.5cm 肿块;两腋下触及黄豆至小核桃大小肿块数个,中度硬,基底较固定。胸透(-),血红蛋白9.6g,白细胞19,900,中性18%,淋巴82%,血小板32.5万。骨髓象:有核细胞增生活跃,以淋巴细胞为主占61%。淋巴内瘤细胞20%。入院后第3天开始行COP 方案化疗,连续治疗两周,
Patient, male, 50 years old. Department of neck, two axillary painless mass have increased more than 9 months. Local hospital biopsy for malignant lymphosarcoma; in September 26, 1980 admitted. No history of chronic disease. Check: body temperature 36.5 ℃, pulse rate 76 beats / min. Blood pressure 132 / 70mmHg, development and nutrition can, heart and lung (-), nervous system (-). Upper left neck palpable 12 × 8 × 4cm mass; right upper neck palpable 6 × 5 × 2 and 1.5 × 1.0 × 0.5cm mass; two axillary reach the number of small to large walnuts to the number of tubers, moderately hard, the base is more fixed. Chest throat (-), hemoglobin 9.6g, white blood cells 19,900, 18% neutral, lymphatic 82%, 325,000 platelets. Bone marrow: nucleated cell hyperplasia, predominantly lymphocytes accounted for 61%. Lymphoma tumor cells 20%. On the 3rd day after admission, the COP regimen chemotherapy was started and treated continuously for two weeks.