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男,10岁。因反复发热3年伴全身皮肤结节、破溃2年入院。患儿于3年前无明显诱因出现发热,伴头晕、腹痛。曾在外院诊断为肠壁肿瘤,疑为结核感染。予以“异烟肼、卡那霉素、保肝剂、维生素C”等治疗3月,经MRI复查肿瘤消失。2年前患儿右前胸出现一包块,开始蚕豆大小,表面无热,不红,无压痛,触之软,有波动感,与周围组织分界清楚,半年内渐长至碗口大小。在当地医院予异烟肼外敷,几天后破溃流出黄色浑浊液体。此后两侧前胸、腋下先后出现数个大小不等(1.0cm～4.0cm)包块。颜色、质地、形状与前相同。到肿瘤
Male, 10 years old. Due to repeated fever for 3 years with systemic skin nodules, ulceration 2 years admitted. 3 years ago, children with no obvious incentive to fever, with dizziness, abdominal pain. In the outer hospital diagnosed as intestinal wall tumor, suspected tuberculosis infection. To be “isoniazid, kanamycin, hepatoprotective agents, vitamin C” and other treatment in March, the tumor disappeared after MRI review. Two years ago, there was a mass of the right chest in children with a mass of beans. The surface of the beans did not become hot, red, tender or tender. There was a sense of fluctuation and a clear boundary with the surrounding tissues. In the local hospital for isoniazid topical, rupture after a few days out of the yellow turbid liquid. After both sides of the chest, armpits have appeared in several sizes (1.0cm ~ 4.0cm) mass. Color, texture, shape and the same as before. To the tumor