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患者女,15月,因腹部膨隆伴发烧10余天入院。查体:皮肤粘膜无出血,心肺无异常,肝肋下4cm,脾肋下3.5cm。实验室检查:Hb86g/L,RBC2.7×101~(12)/L,WBC16.3×10~9/L,中性0.64,淋巴0.36,BPC115×10~9/L,胸部正侧位拍片未发现异常,B超检查提示肝脾肿大。骨髓增生明显活跃,片中多见分化较好的网状细胞样成团的转移瘤细胞,其胞体多数偏大,外形不
Female patient, 15 months, due to abdominal bulging with fever more than 10 days admitted to hospital. Physical examination: skin and mucous membrane without hemorrhage, no abnormal heart and lung, liver ribs 4cm, spleen ribs 3.5cm. Laboratory tests: Hb86g / L, RBC2.7 × 101 ~ (12) / L, WBC16.3 × 10 ~ 9/L, neutral 0.64, lymphatic 0.36, BPC115 × 10 ~ 9 / L, No abnormalities were found. B-ultrasound revealed hepatosplenomegaly. Myeloid hyperplasia was significantly active in the more well-differentiated reticular cell-like metaplasia of metastatic cells, the majority of their large body cell size, shape is not