hailand women aged 70 years have a history of smoking 20 years ago.She had surgery on his left kidney stones since 2552 and has a brother is lung cancer . palpation in the armpit so she go to the Chiang Rai prachanukroh .doctor diagnostic as Diffuse large B-Cell lymphoma, so refer to Maharaj Nakorn Chiang Mai Hospital to receive chemotherapy regimen CHOP.