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病历摘要患者、男性、62岁。因咳嗽发热半个月于1984年4月17日来院门诊。胸透提示右侧胸腔积液,胸腔穿刺抽得血性胸水,胸水葡萄糖定量3m mol/L(54mg/dl),乳酸脱氢酶2379单位,瑞氏染色见大量恶性肿瘤细胞,呈散在分布,大小不等,直径8～32μ,核呈圆形,分叶状,扭转皱褶,不规则,或呈大小不等的碎块,丝状分裂少见。核染色质疏松呈网状,有时见核仁;胞浆少最或中等量,染不透明蓝灰色,有时见空泡。正常小淋巴细胞只占5%,未见嗜中性粒细胞,细胞学诊断为网状细胞肉瘤。患者于1984年4月26日入院,体检除胸部右侧有
Medical records of patients, male, 62 years old. Half a month due to cough fever came to the clinic on April 17, 1984. The chest thorax revealed right pleural effusion, blood pleural effusion with pleural puncture, pleural fluid glucose quantification 3 m mol/L (54 mg/dl), and lactate dehydrogenase 2379 units. A large number of malignant tumor cells were stained by Wright’s staining, showing a diffuse distribution. Unequal, diameter 8 ~ 32μ, nuclear round, lobulated, twisting folds, irregular, or fragments of varying size, filamentous division rare. Nuclear chromatin is loosely meshed, sometimes seen in the nucleolus; the cytoplasm is less or medium in quantity, opaque blue-gray, and sometimes vacuoles. Normal small lymphocytes accounted for only 5%, no neutrophils were seen, and cytology was diagnosed as reticular cell sarcoma. The patient was admitted to hospital on April 26, 1984, except for the right side of the chest.