１临床资料患者 ,女 ,４２岁。全身皮下多处包块 ,进行性增大 ,伴轻度疼痛和间有发热５个月。体检 :双肩部、双腋下及腹壁多处皮下圆形及椭圆形结节 ,质较硬 ,呈浅紫色。多数结节约１．０ｃｍ×１．０ｃｍ大小 ,少数０．５ｃｍ×０．５ｃｍ大小 ,与皮肤粘连 ,活动度较差。病理 1 clinical data of patients, female, 42 years old. The whole body was covered with multiple masses under the skin and progressively enlarged with mild pain and fever for 5 months. Physical examination: The subcutaneous round and oval nodules on the shoulders, under the double underarms, and on the abdominal wall are hard and light purple. Most knots save 1.0cm × 1.0cm in size, a few 0.5cm × 0.5cm in size, and skin adhesion, poor activity. pathology