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脾原发性组织细胞型恶性淋巴瘤罕见,我院收治1例,经脾切除术加COP方案治疗,已生存6年,现报告如下: 患者男性,22岁,因左上腹隐痛1年、间歇低热2月,于1980年4月12日入院。无游走性关节痛。查体,体温38℃,脉搏80次/分,血压124/80mmHg,皮肤未见出血点,浅表淋巴结无肿大,心肺未见异常,肝未触及,脾肋下2.5cm,中等硬度。实验室检查;血红蛋白11.3g,白细胞5,000,中性66％,淋巴27％,嗜酸粒细胞7％,血小板12万,血沉5mm/时,骨髓检查正常。肝功能正常,AKP9.4U,LDH300U,r-GT<40U。胸片正常。 入院后对症治疗无效,脾脏进行性肿大伴脾区
Splenic primary malignant lymphoma cell line, our hospital admitted in 1 case, the splenectomy plus COP regimen has been living for 6 years, are as follows: The patient male, 22 years old, due to the left upper quadrant pain 1 year, intermittent Low fever in February, on April 12, 1980 admission. No migratory joint pain. Physical examination, body temperature 38 ℃, pulse 80 beats / min, blood pressure 124 / 80mmHg, skin no bleeding, superficial lymph nodes without swelling, no abnormal heart and lungs, liver not touched, spleen rib 2.5cm, moderate hardness. Laboratory examination; hemoglobin 11.3g, white blood cells 5,000, 66% of neutral, lymph 27%, 7% of eosinophils, platelets 120,000, erythrocyte sedimentation rate 5mm /, bone marrow examination was normal. Normal liver function, AKP9.4U, LDH300U, r-GT <40U. Normal chest X-ray. Symptomatic treatment after admission invalid, progressive splenomegaly with spleen area