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患者男,70岁,因两侧颈部、腋窝、腹股沟包块10余天伴腹部钝疼、低热、消瘦入院。查体:两侧颈部、腋窝、腹股沟均触及直径约2~3cm圆或椭圆形的淋巴结,质韧,压疼,部分粘连,无破溃。腹部可触及蚕豆大的多个结节,沿肠系膜长轴排列,似肿大的肠系膜淋巴结,质韧,
Male patient, 70 years old, due to bilateral neck, armpit, inguinal mass more than 10 days with abdominal pain, fever, weight loss admission. Physical examination: both sides of the neck, armpit, groin are about 2 ~ 3cm in diameter round or oval lymph nodes, quality toughness, tenderness, partial adhesion, no ulceration. Abdomen can reach a large number of broad bean nodules, arranged along the long axis of the mesentery, mesenteric lymph nodes seem swollen, quality and toughness,