恶性组织细胞病(Malignant histiocy-tosis,恶组),为单核-噬细胞系统的组织细胞呈异常增生的恶性疾病。其临床表现复杂多样。常见临床表现有高热、贫血、脾大、全血细胞减少等,但都缺乏特异性,临床上易造成误诊。本院自1981年1月至1987年3月收治该病3例,误诊为“肺部感染”“淋巴结结核”“伤寒”等,现报告如下: 例1:女,57岁,农民。反复上腹痛3月,发热、咳嗽10余日于1981年1月9日入院。查体:T 38℃,一般情况差,左颈部及腋窝下可触及蚕豆大小之淋巴结数个,质软,无粘连、无压痛。肝于右肋下2.5cm,剑下 Malignant histiocytosis (malignant group), is a malignant disease of abnormal proliferation of tissue cells in the mononuclear-phagocyte system. Its clinical manifestations are complex and diverse. Common clinical manifestations of fever, anemia, splenomegaly, pancytopenia, etc., but the lack of specificity, clinically easy to cause misdiagnosis. The hospital from January 1981 to March 1987 admitted to the disease in 3 cases, misdiagnosed as “lung infection”, “tuberculosis”, “typhoid fever”, are as follows: Example 1: Female, 57 years old, farmer. Repeated abdominal pain in March, fever, cough more than 10 days in January 9, 1981 admission. Physical examination: T 38 ℃, the general situation is poor, the left neck and axillary lymph nodes can reach the size of the number of broad beans, soft, no adhesions, no tenderness. Liver in the right rib 2.5cm, sword