男性患者，消瘦，查体见左锁骨上窝淋巴结 肿大，即Virchow淋巴结。其可能是由于

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SQL Error: select id,body,options from ***_enewstiku where sourceid='31863' and id < 2547324 and id<>'2547324' order by id desc limit 5 SQL Error: select id,body,options from ***_enewstiku where sourceid='31863' and id > 2547324 and id<>'2547324' order by id asc limit 5