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患者1.男性,37岁,干部。因淋巴结肿大1年,发热1月余,于1995年11月入院。查体:枕后双颈部均可触及花生米至蚕豆大小淋巴结,无触痛,质中,无粘连,心肺(一),肝(一),睥肋下可及。血常规:WBC13.4×10~9/L,Hb12.3g/L,plt211×10~9/L。分类:幼淋占23%,成熟淋巴细胞77%。骨穿:骨髓增生活跃,幼淋70%,成熟淋巴细胞14%。免疫分型:CD_263%,CD_335%,CD_425%,CD_533%,CD_727%,CD_823%,CD_(10)5%,CD_(19)28%,CD_(20)52%,CD_(22)35%,CD_(33)9%,CD_(34)10%,HLA-DR72%,结合临床符合T/B混合型幼淋巴细胞白血病(PLC),T细胞为主。
Patient 1. Male, 37 years old, cadre. Because of lymph node enlargement for 1 year and fever more than 1 month, she was admitted to hospital in November 1995. Physical examination: Both the neck and back of the pillow can touch the peanuts to the broad bean lymph nodes, without tenderness, in the mass, without adhesion, heart and lung (a), liver (a), and ribs accessible. Blood routine: WBC 13.4 × 10~9/L, Hb 12.3g/L, plt211 × 10~9/L. Classification: Young leaching accounted for 23%, mature lymphocytes 77%. Bone puncture: The bone marrow hyperplasia is active, 70% of young leaching, and 14% of mature lymphocytes. Immune typing: CD_263%, CD_335%, CD_425%, CD_533%, CD_727%, CD_823%, CD_(10)5%, CD_(19)28%, CD_(20)52%, CD_(22)35%, CD_ (33) 9%, CD_ (34) 10%, HLA-DR 72%, combined with clinical T/B mixed type of lymphoblastic leukemia (PLC), T-based.