This can lead to serious problems such as anemia, bleeding, and infections. Leukemia cells can also spread to the lymph nodes or other organs and cause swelling or pain.

这可能会导致贫血，出血，感染等严重问题。白血病细胞也可能扩散到淋巴结或其他器官，引起肿胀或疼痛。

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Results The first attack symptom is swelling of surface lymph nodes in 36 cases.

结果浅表淋巴结肿大为首发症状者36例。

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Or they can take more aggressive action and remove a lot of lymph nodes. But that can lead to shoulder pain and permanent swelling of the arm.

或者，医生们可以采取更加激进的策略，摘除大量淋巴结。但那样会导致肩痛或者永久的手臂肿胀。

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