患者女性,66岁。背部疼痛30年,加重1周就诊。既往有肺、胸壁结核及家族性糖尿病史。14年前因右胸壁肿块手术切除部分第9肋骨,术后病理诊断:结核。查体:全身浅表淋巴结无肿大。实验室检查:红细胞2.64×109/L,白细胞2.68×109/L,血小板157×109/L,血色素81 g/L。骨髓检 Patient female, 66 years old. Back pain for 30 years, an increase of 1 week treatment. Past history of lung, chest wall tuberculosis and familial history of diabetes. 14 years ago due to the right chest wall resection of the first part of the first nine ribs, postoperative pathological diagnosis: tuberculosis. Physical examination: systemic superficial lymph nodes without swelling. Laboratory tests: red blood cells 2.64 × 109 / L, white blood cells 2.68 × 109 / L, 157 × 109 / L platelet, hemoglobin 81 g / L. Bone marrow examination