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原发性浆细胞白血病(PPCL)是一少见类型的急性白血病,国内文献报告44例,本文通过三例临床和细胞形态学观察,对其诊断及鉴别诊断进行讨论。临床资料例1,男,23岁,因发热、胸痛、咳嗽2月,心悸、鼻衄1周,在当地县医院住院治疗,未能确诊,转入我院。既往体健。体查:体温38℃～40℃,重度贫血貌,皮肤粘膜散在性出血点及瘀斑,口腔粘膜两个较大血泡,两侧腋窝多个黄豆大淋巴结,可活动,无压痛,胸骨及两侧胸廓明显压痛,左下肺闻及湿性
Primary plasma cell leukemia (PPCL) is a rare type of acute leukemia, 44 cases reported in the domestic literature, this article by three cases of clinical and morphological observation, the diagnosis and differential diagnosis are discussed. Clinical data example 1, male, 23 years old, due to fever, chest pain, cough in February, palpitations, epistaxis for 1 week, hospitalized in the local county hospital, failed to diagnose, transferred to our hospital. Past physical health. Physical examination: body temperature 38 ℃ ~ 40 ℃, severe anemia, mucocutaneous bleeding in the skin and ecchymosis, oral mucosa two larger blood vessels, both sides of the axillary multiple large lymph nodes, can be activity, no tenderness, sternal and Chest pressure on both sides of the tenderness, lower left lung smell and wet