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钟××,男,11个月。偶然发现患儿右耳内侧缘一肿物,当时只有1×1cm大小,肿块以耳朵为中心逐渐增大,无痛疼,无发热。三周后发现患儿腹部两测肿块,无压痛,精神较差,伴牙龈出血一次。体查:双上肢皮肤可见散在性针尖样瘀点,颌下,颈部,腹股沟等可扪及数个黄豆大小淋巴结,右侧耳部肿胀,拟可触及一4×4cm大小包块,质较硬,边界清。不活动,无波动感。腹膨隆,左右肋下均有一约10×5cm肿块,边缘清、质硬,
Zhong ××, male, 11 months. Occasionally found in patients with a right mass of the medial edge of the right ear, was only 1 × 1cm size, the mass gradually increased with the ear as the center, no pain, no fever. After three weeks, the patient was found to have two masses in the abdomen, no tenderness, poor spirit, and one bleeding gum. Physical examination: The skin of the upper extremities can be seen as a sporadic acupuncture point, submandibular, neck, inguinal, etc., and several soy-sized lymph nodes. The right ear is swollen and it is intended to reach a 4×4 cm mass. Hard, clear boundary. Inactive, no sense of volatility. Abdominal bulging, with about 10 x 5cm lumps under the left and right ribs. The edges are clear and hard.