患者女，40岁。近1月来畏寒发热，体温于37．6C～39.C，微咳，少痰，消瘦明显，感全身乏力，躯干及肢体先后出现大小不等结节。既往无肝病、结核病及肿瘤等病史。查体：神志清，贫血外貌，皮肤巩膜无黄染，第三腰椎右侧有一3cmX4cm肿块，其皮肤颜色与正常皮肤相同，质软，无压 Female patient, 40 years old. Nearly a month of chills and fever, body temperature in 37.6C ~ 39.C, slightly cough, less phlegm, weight loss was obvious, the sense of fatigue, body and limb have emerged size nodules. No previous history of liver disease, tuberculosis, and cancer. Physical examination: clear-headed, anemic appearance, no yellow stain on the skin sclera, and a 3cmX4cm mass on the right side of the third lumbar spine. The skin color is the same as that of normal skin, and is soft and non-pressure.