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女性,48岁,因双大腿无痛性皮下结节7天,于1993年8月25日入院。查体:全身浅表淋巴结无肿大,心肺无异常,肝脾无肿大,右侧大腿中部内侧有一胡豆大小之结节,周围有数个黄豆大结节。左侧大腿中部外侧也有与右侧相同的胡豆大之结节,质韧,活动度差,边界清楚。三大常规,肝肾功能,血沉检查均正常。胸片:双肺及纵膈内未见异常;B超:肝、胆、脾、胰、肾、子宫附件均正常,取右大腿病理活检,皮下脂肪组织恶性淋巴瘤(弥漫性小细胞型)。确定诊断后按COPP方案
Female, 48 years old, with painless subcutaneous nodules on both thighs for 7 days, was admitted on August 25, 1993. Examination: systemic superficial lymph nodes without swelling, no abnormal heart and lung, liver and spleen no swelling, medial thighs on the right there is a size of nodules, surrounded by several large tubercle nodules. On the left side of the middle of the thigh also have the same big right nodules on the right tuberosity, toughness, poor mobility, clear boundaries. Three common rules, liver and kidney function, ESR examination were normal. Chest X-ray: no abnormalities in both lungs and mediastinum; B ultrasound: normal liver, gallbladder, spleen, pancreas, kidney and uterus, biopsy of right thigh, malignant lymphoma of subcutaneous adipose tissue (diffuse small cell type) . Confirm the diagnosis by the COPP program