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恶性组织细胞病(MH)是单核巨噬细胞系的肿瘤性疾病,其临床表现非常复杂往往生前确诊困难,我院收治一例患者在生前突出以骨变化骨髓涂片细胞形态及病理活检切片各大医院意见不一,死后北京市联合病理读片会诊断为MH。男患,22岁,因双髋部疼痛三月,进行性加重,于1984年9月7日入骨科,住院一月下腹出现包块。双睾丸肿大,放疗后消退。1985年7月22日全身骨痛加剧发烧入内科。查体:恶病质,全身骨骼压痛
Malignant histiocytosis (MH) is a neoplastic disease of the monocyte-macrophage cell line, and its clinical manifestations are often complex and difficult to diagnose in his lifetime. One patient in our hospital highlighted the bone morphous and pathological biopsy sections Large hospitals differ in opinion, after the death of Beijing joint pathology will be diagnosed as MH. The male patient, 22 years old, was exacerbated by double-hip pain in March. He entered the orthopedic department on September 7, 1984 and showed a mass in the lower abdomen in January. Double testicular enlargement, subsided after radiotherapy. July 22, 1985 General pain intensified fever into the internal medicine. Physical examination: cachexia, systemic tenderness